THE AMBULANCE DOCTOR
In case of an accident or a sudden severe illness we usually make calls to the First Aid Station that is on duty all day round.
The First Aid Station has many ambulances that are equipped with everything necessary for giving first aid and making a diagnosis. The ambulances carry artificial respiration apparatuses, different medicines, such as pain-killers, tonics and other preparations, dressings, first aid instruments, such as pincers, scalpels, syringes and others; sets of splints and stretchers. There are special ambulances equipped with everything necessary for reanimation of the organism. All ambulances are radio equipped. This enables the doctor to send the necessary information to the hospital, so that the hospital can prepare beforehand all the necessary instruments for an urgent operation, a blood transfusion or anything else.
The ambulance doctor must have a deep knowledge of emergency surgery, toxicology, emergency therapy, obstetrics and gynaecology, because he must always do his best to make a correct diagnosis quickly and to give the patient a proper aid on the spot.
Once a call was made to the First Aid Station. It turned out that a man had been run over by a car. The man was badly injured, he had an open bleeding wound in his leg, his arm was fractured, there were many injuries, abrasions and bruises on his face and forehead. The man was moaning with pain. Then he lost his consciousness.
First the ambulance doctor tried to arrest profuse arterial bleeding; he elevated the injured extremity carefully and applied a tourniquet to it. He also applied a sterile gauze dressing on the man’s face to prevent contamination. The doctor examined the arm and applied a splint to it. The injection of morphine and camphor was given and the man recovered his consciousness, but he complained of nausea.
The stretcher-bearers laid the patient down on the stretcher and 15 minutes later the patient was brought to the hospital by an ambulance car.
The next patient was suffering from a severe, squeezing pain in the substernal area. The patient had had such pain before, but it had been relieved by nitroglycerin. Besides, the pain radiated to the left shoulder and arm. The examination suggested myocardial infarction. The thromboembolic team took the electrocardiogram, made his blood analysis and determined the prothrombin time that confirmed the diagnosis of myocardial infarction. The patient was given the injection of promidole and atropine after which the pain considerably subsided. The patient was transported to the hospital without delay.