La plupart d'entre vous savez que jusqu'à tout
récemment, US avait des automobiles avec des docs à
l'intérieur pour prodiguer l'ALS à Montréal et Laval.

Avec la venue des équipes TA Soins Avancés (TASA), US
a déplacé les docs dans les ambulances, avec les TASA.
Donc plus d'automobile (sauf pour les superviseurs).

Or voiçi que Toronto EMS va instaurer des véhicules
d'interception pour ses paramédics (je vous laisse le
loisir de lire l'article pour les détails), pour
pouvoir libérer les médics ALS plus rapidement. 

Cependant, les médics seront seuls abord. Ce qui ne
m'inspire pas, bien évidemment. Sécurité, techniques
de travail, etc.

À moins bien sûr que l'on décide de relocalisé les cas
de SST et incapacité permanente!!!!

Salutations

Stéphan Gascon

http://www.thestar.com/NASApp/cs/ContentServer?pagename=thestar/Layout/Article_Type1&c=Article&cid=1035775252282&call_pageid=968350130169&col=969483202845

Compact ambulances built for speed
Cars expected to reduce response times Units will help
regular vehicles at peak hours


KERRY GILLESPIE
CITY HALL BUREAU

Size not only matters, it could save lives when it
comes to Toronto's newest ambulances.

The six Ford Crown Victorias that started their rounds
yesterday are smaller than regular ambulances, but
their trunks are packed with the same life-saving
gear. And their smaller size is expected to get them
to emergencies faster.

In Toronto, an ambulance currently gets to a
potentially life-threatening call in less than nine
minutes, 75 per cent of the time. The goal is 90 per
cent.

These six cars — and 12 Chevy Tahoe sport utility
vehicles that are on the way — will help reach that
goal, Ron Kelusky, general manager of Toronto
Emergency Medical Services, said yesterday.

The vehicles, manned by just one paramedic, are
cheaper to run and cost about $55,000 less to buy and
equip than a big, boxy ambulance. That means more can
be put on the road for the same price. 

They can get around back streets and through traffic
more easily and because they don't transport patients
to hospital, they don't get stuck waiting at emergency
wards, Kelusky said.

All 18 of the new vehicles and 30 additional
paramedics will be on the streets by next March under
the program funded by the city and province.

In August, Health Minister Tony Clement announced
$32.5 million to improve ambulance response times
across Ontario. 

It was left up to municipalities to propose how best
to use the money. Toronto's idea was emergency
response units.

Actually, it was John Dean's idea in 1979. 

Dean, the former commissioner of Metro Ambulance,
turned six Jeeps into ambulances during a budget
crunch when he needed more paramedics on the road but
didn't have enough money.

"I think we were the first people anywhere to do the
single-paramedic response vehicles," Dean said
yesterday.

Metro Ambulance, now Toronto Emergency Medical
Services, has kept Dean's program going ever since;
five Jeep Cherokee emergency response vehicles are on
the streets. 

The paramedics in these vehicles work during peak
hours in the busiest sectors of the city and respond
only to the most serious calls. 

They get to the scene quickly, assess the patient,
begin treatment and let the dispatcher know what's up.


If the patient must go to hospital, they will be taken
in a regular ambulance; if they don't, the paramedic
on the scene will cancel that ambulance, freeing it
for another call.

"Don't let the size of these vehicles deceive you,"
Clement said yesterday. "Paramedics at the scene will
have access to the same life-saving equipment, save
the stretcher."

Under the program, the province paid the $1.3 million
to purchase and equip the vehicles — about $75,000 per
vehicle — and has agreed to pay half the $2.3 million
annual operating cost.

The units will supplement the fleet of approximately
90 ambulances during peak hours.

As with regular ambulances, a paramedic with a
backpack full of supplies and equipment will start
treating the patient.

"What's in an ambulance is here, it's just been
compressed," said Frank Hurlehey, the paramedic who
designed the new vehicles. 




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--- SMU-L
Le petit compendium 2003 - Guide de reference sur les medicaments en 
comprimes et par inhalation (+ de 1150 medicaments; reference C.P.S. 
2003). Cout:  $10.00 l'unite, $1.00 
sera remis a une fondation pour enfants malades. Courriel: 
[EMAIL PROTECTED] Site web: www.urgence.qc.ca/compendium


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