Responsibilities of a doctor on an emergency medical team. Job description of an ambulance and emergency medical care doctor

To work on the line, the doctor of the mobile ambulance team must receive training at the Institute for Advanced Training of Doctors in a special cycle.

In this article, you will learn the main responsibilities of an emergency physician.

Responsibilities of an emergency physician

Carrying out your functional responsibilities to provide emergency medical care, the doctor reports directly to the senior doctor of the substation. In turn, the line doctor supervises the work of the team’s medical staff and the driver of the ambulance. The doctor of the visiting team in his work is guided by orders, instructions, methodological recommendations, instructions from the chief physician of the station and senior doctors of the substation.

Job responsibilities of an emergency physician:

Providing timely qualified medical care to sick and injured people in accordance with developed instructions and methods used at the station;

Ability to master diagnostic and treatment methods emergency conditions;

Stay on the territory of the substation constantly, working without the right to sleep;

Before the start of the shift, check in with the vehicle, the quantity and serviceability of property and equipment, sign in the relevant journals and know what the doctor is responsible for financial liability for their safety and correct use;

Constantly monitor the work of the team, monitor the timely completion of the medical box, write-off of medications and dressings in special journals;

When receiving a call at a substation, immediately go to the substation dispatcher, receive a call card from him, and, if necessary, clarify the address and reason for the call, surname; respond to a call immediately, regardless of the staffing level of the team and other reasons. From the moment you leave the substation, the radio must be turned on; only a doctor can operate the radio. Turning off the radio is allowed only when the crew arrives at the substation;

Inform the substation dispatcher about the reasons for the impossibility of leaving on time, in the event of an accident or malfunction of the machine on the way to a call or with a patient, in order to transfer the call to another team;

Be in the cab with the driver when traveling to the designated address; in case of an impassable road, go with the team on foot or travel by other means of transport;

Stop the car, provide assistance in case of an incident, but with the obligatory transfer of the current situation to the substation dispatcher;

Inform the driver about the need for faster delivery of the patient to medical institution due to the severity of the latter’s condition;

Conduct a thorough and competent examination of the patient, provide qualified medical care in full emergency care, give advice on further treatment and the regime when leaving a sick person at home;

In accordance with the order for hospitalization, the doctor determines the medical institution where the patient must be taken, fills out an accompanying sheet for each hospitalized patient, indicating the substation number and the doctor’s signature;

When providing medical care, examine persons in a state of emergency with particular care. alcohol intoxication, since intoxication hides the underlying disease or injury;

Notify the dispatcher about the end of the call; when receiving a call on the radio, duplicate the text of the call out loud, specifying the address, reason for the call, last name, time of receipt and transfer of the call;

In case of death, report to the senior doctor of the substation before the ambulance arrives;

After returning to the substation, hand over the call cards to the dispatcher.

After duty, the line doctor writes down in a journal information about consumed medications, dressings, and alcohol. Reception and delivery are entered into a separate journal narcotic drugs. The doctor hands over the medical box and equipment to the substation dispatcher or the new shift doctor.

Rules of conduct for an emergency doctor on calls regarding suicide attempts, suicides and other criminal cases

If a criminogenic situation is detected (suicide, criminal incident, etc.), the line doctor is obliged to immediately notify the senior shift doctor and the police.

In the absence of a representative of the police or prosecutor's office on site, remove all strangers from the premises or outline the boundaries of the area beyond which strangers cannot cross.

If necessary, qualified medical care is provided to the victim with minimal disruption to the location of objects. The doctor has no right to touch objects, weapons, or means of crime. The loops used for hanging are not untied, but cut and left in place.

To exclude controversial issues at the moment when the doctor approaches the victim and provides assistance to him, there must be witnesses there (with the obligatory registration of their full names and home addresses).

If there is time and eyewitnesses, it is necessary to establish the picture and cause of the incident.

When handing over weapons and other material evidence to representatives of the police or prosecutor's office, the doctor is obliged to receive from them an appropriate receipt indicating the rank, position, place of work and full name.

Valuable belongings of a patient hospitalized in a hospital are not handed over to the police, but are subject to inventory and transfer to the doctor on duty at the hospital's admission department.

In cases of poisoning, be especially careful when handling objects that may contain toxic substances. At food poisoning carefully collect anamnesis to identify products with which poisoning is associated (a list of where and when purchased).

When a victim is hospitalized, the senior doctor is informed of the medical institution where the patient was taken.

If a corpse is discovered at the scene of an ambulance call with symptoms biological death(rigor, cadaveric spots) it is permitted to change the location of the corpse if this is necessary to clarify the fact of death. It is prohibited to wash off blood, dirt, or take objects (weapons, paper, etc.) from the hands of a corpse.

The visiting team doctor does not have the right to give an opinion on the cause of death - this is not part of his functional responsibilities.

A visiting team doctor can remove from the scene of an incident the corpse of a victim whose death occurred as a result of a criminal or suspicious incident, only with the permission of the police or prosecutor's office. If the corpse is left on the spot (before the arrival of the police or prosecutor’s office) to the responsible persons (janitor, house manager), their names and signatures are indicated on the card.

Functional responsibilities emergency physician when providing medical care during mass disasters or accidents

The doctor of the mobile ambulance team, who was the first to arrive at the scene of the accident, before the arrival of the chief physician, his deputies or a senior physician, is responsible for carrying out rescue operations and providing timely qualified medical care to victims at the pre-hospital stage. Crews arriving at the scene of the accident are at his disposal.

Line doctor who is responsible person, must:

Determine the size of the accident and inform the senior shift doctor about the number of victims to determine the required number of ambulance teams.

Set up a first-aid post in the nearest building to collect victims.

Distribute the responsibilities of the medical staff of the arriving teams.

Create surveillance for the extraction of victims, their medical triage and providing the first medical care according to vital indications.

Clearly register the victims in a special log, determine the order of their evacuation. All those who seek medical help are subject to registration, regardless of the severity of the injury.

Indicate full name, age, home address, diagnosis, assistance provided, place of hospitalization. After transporting the patient, the ambulance team, by order of the senior doctor, returns to the scene of the incident or receives another call.

The responsible physician must be in constant contact with the senior physician; Before the arrival of senior officers, he is obliged to remain at the scene of the incident and has the right to return to the substation only with the permission of the senior doctor. The line doctor must pass on all information about the victims to the senior doctor.

Remember the rules of personal safety when providing emergency medical care at the prehospital stage

Check for explosive substances, radiation, unstable objects (a car lying on its side, etc.). The patient's relatives and strangers can also be a source of danger.

Check the safety of the scene. If a place is unsafe, leave it if possible and acceptable.

You should not become a new victim or create additional difficulties for emergency services.

Wear rubber gloves and take measures to prevent infection infectious diseases. Act as if every victim receiving care is HIV-positive.

If necessary, before providing medical assistance, call the police (tel. 02), or, in case of fire, the fire brigade (tel. 01), or the rescue team (tel. 01).

1. This job description defines the job duties, rights and responsibilities of an emergency medical technician.

2. A person who has a higher professional education in the specialty “General Medicine”, “Pediatrics”, an internship and/or residency in the specialty “Emergency Medical Care”, or professional retraining in the specialty “Emergency Medical Care” is appointed to the position of an emergency medical doctor. if you have a postgraduate degree vocational education in one of the specialties: "Anesthesiology-reanimatology", "General medical practice (family medicine)", "Therapy", "Pediatrics", "Surgery", a specialist certificate in the specialty "Emergency Medical Care" without any work experience requirements.

3. An emergency physician must know: The Constitution Russian Federation; laws and other regulatory legal acts of the Russian Federation in the field of healthcare, consumer protection, ensuring the sanitary and epidemiological well-being of the population; basics of organizing emergency medical care for adults and children; organization of the provision and features of the work of the emergency medical service during emergency situations; basics of interaction with services civil defense, disaster medicine and the Ministry of Emergency Situations of Russia; indications for calling specialized emergency medical teams; basics of resuscitation in case of sudden cessation of blood circulation, acute respiratory failure, allergic, comatose states, hanging, drowning, electrical trauma; features of resuscitation and intensive care in children and newborns; basics general anesthesia, used at the prehospital stage; basics of diagnosis and emergency care for cardiovascular diseases, respiratory tract diseases, organ diseases abdominal cavity, endocrine diseases, blood diseases, allergic diseases, mental illness, infectious diseases; basics of diagnosis and emergency care for injuries, lesions and poisonings; application methods medicines, which are equipped by emergency medical teams, indications and contraindications for their use; doses of medications for adults and children of different ages, possible side effects and methods for their correction; rules for the use of diagnostic and therapeutic equipment equipped by emergency medical teams; labor protection rules when working with medical equipment and medical gases; fundamentals of the functioning of budgetary insurance medicine and voluntary medical insurance, provision of sanitary and preventive and medicinal assistance to the population; medical ethics; psychology of professional communication; basics labor legislation; internal labor regulations; labor protection and fire safety rules.

4. An emergency medical doctor is appointed to the position and dismissed from the position by order of the head medical organization in accordance with the current legislation of the Russian Federation.

5. The emergency medical doctor is directly subordinate to the head of the department (emergency medical care substation), and in his absence, to the head of the medical organization or his deputy.

2. Job responsibilities

Receives necessary information about illness, poisoning or injury from the patient or others. Identifies general and specific signs of an emergency condition, including psychopathology. Assesses the severity and severity of the patient's or injured person's condition. Determines indications for calling specialized teams. Provides the necessary emergency medical care in accordance with industry norms, rules and standards for medical personnel for the provision of emergency medical care, depending on the profile of the specialized team. Determines the need for application special methods research, urgency, volume, content and sequence of diagnostic, therapeutic and resuscitation measures. Substantiates the diagnosis, plan and tactics of patient management, indications for hospitalization. Provides gentle transportation while simultaneously providing intensive care. Maintains accounting and reporting documentation characterizing the activities of the ambulance station.

3. Rights

An emergency physician has the right:

1. independently establish a diagnosis, determine the tactics of providing emergency medical care to a patient in accordance with established standards and requirements;

2. if necessary, involve in the prescribed manner doctors of other specialties for consultations, examination and treatment of patients;

3. make proposals to management to improve the organization of emergency medical care to the population, improve the work of administrative, economic and paraclinical services, the organization and conditions of their labor activity;

4. control, within their competence, the work of middle and junior medical personnel, give them orders and demand their strict execution, make proposals to management for their encouragement or imposition of penalties;

5. request, receive and use information materials and regulatory documents necessary for the execution of their job responsibilities;

6. take part in scientific and practical conferences and meetings at which issues related to his work are discussed;

7. undergo certification in the prescribed manner with the right to receive the appropriate qualification category;

8. improve your qualifications through advanced training courses at least once every 5 years.

The emergency doctor uses everyone labor rights in accordance with Labor Code RF.

4. Responsibility

The emergency physician is responsible for:

1. timely and high-quality implementation of the official duties assigned to him;

2. timely and qualified execution of orders, instructions and instructions from management, regulations on its activities;

3. compliance with internal regulations, fire safety and safety regulations;

4. timely and high-quality execution of medical and other official documentation provided for by current regulatory documents;

5. provision of statistical and other information on its activities in the prescribed manner;

6. compliance with executive discipline and performance of official duties by employees subordinate to him (if any);

7. promptly taking measures, including timely informing management, to eliminate violations of safety regulations, fire safety and sanitary rules that pose a threat to the activities of the medical organization, its employees, patients and visitors.

For violation labor discipline, legislative and regulatory acts, an emergency medical doctor may be subject to disciplinary, material, administrative and criminal liability in accordance with current legislation, depending on the severity of the offense.

Functional responsibilities of an emergency and ambulance doctor. Prehospital stage of emergency care Performed by: Narzhigitov K. M. 750 GP

1. A person with a higher education degree is appointed to the position of emergency medical technician medical education, who has completed postgraduate training or specialization in the specialty "Emergency Medical Care". 2. An emergency physician must know the basics of the legislation of the Republic of Kazakhstan on healthcare; regulatory documents regulating the activities of healthcare institutions; the basics of organizing medical care in hospitals and outpatient clinics, ambulance and emergency medical care, disaster medicine services, sanitary-epidemiological services, drug provision population and health care facilities; theoretical basis, principles and methods of medical examination; organizational and economic foundations of the activities of healthcare institutions and medical workers in the conditions of budgetary insurance medicine; fundamentals of social hygiene, organization and economics of healthcare, medical ethics and deontology; legal aspects of medical practice; general principles and basic methods of clinical, instrumental and laboratory diagnostics functional state organs and systems human body; etiology, pathogenesis, clinical symptoms, flow features, principles complex treatment major diseases; rules for providing emergency medical care; basics of examination of temporary disability and medical and social examination; basics of health education; internal labor regulations; rules and regulations of labor protection, safety, industrial sanitation and fire protection. In his specialty, an emergency medical doctor must know modern methods diagnosis and treatment; content of emergency medical care as an independent clinical discipline; tasks, organization, structure, staffing and equipment of the emergency medical service; current regulatory, legal, instructional and methodological documents in the specialty; registration rules medical documentation; principles of planning and reporting of emergency medical services; methods and procedures for monitoring its activities. 3. An emergency medical doctor is appointed and dismissed by order of the chief physician of a healthcare facility in accordance with the current legislation of the Republic of Kazakhstan. 4. The emergency doctor is directly subordinate to the head of the department (emergency medical care substation), and in his absence, to the head of the health care facility or his deputy. General position

Provides qualified emergency medical care using modern diagnostic and treatment methods approved for use in medical practice. Determines the tactics of providing medical care to the patient in accordance with established standards and requirements. Establishes (or confirms) a diagnosis. Provides advisory assistance to doctors of other departments of health care facilities in their specialty. Supervises the work of the nursing and junior medical personnel subordinate to him (if any), assists them in the performance of their official duties. Monitors the correctness of diagnostic and medical procedures, operation of instruments, apparatus and equipment, rational use of medicines, compliance with safety and labor protection rules by nursing and junior medical personnel. Participates in conducting training courses for medical personnel. Plans his work and analyzes his performance indicators. Ensures timely and high-quality execution of medical and other documentation in accordance with established rules. Conducts sanitary education work. Complies with the rules and principles of medical ethics and deontology. Qualifiedly and timely carries out orders, instructions and instructions from the management of the institution, as well as regulatory legal acts related to his professional activities. Complies with internal regulations, fire and safety regulations, and sanitary and epidemiological regulations. Promptly takes measures, including timely informing management, to eliminate violations of safety regulations, fire safety and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors. Systematically improves his skills. Job responsibilities

1. Providing timely qualified medical care to sick and injured people in accordance with developed instructions and methods used at the station; 2. Ability to master methods of diagnosis and treatment of emergency conditions; 3. Be on the territory of the substation constantly, working without the right to sleep; 4. Before the start of the shift, check in with the vehicle, the quantity and serviceability of property and equipment, sign in the relevant journals and know that the doctor is financially responsible for their safety and proper use; 5. Constantly monitor the work of the team, monitor the timely completion of the medical box, write-off of medications and dressings in special journals; 6. When receiving a call at a substation, immediately go to the substation dispatcher, receive a call card from him, and, if necessary, clarify the address and reason for the call, last name; respond to a call immediately, regardless of the staffing level of the team and other reasons. From the moment you leave the substation, the radio must be turned on; only a doctor can operate the radio. Turning off the radio is allowed only when the crew arrives at the substation; 7. Inform the substation dispatcher about the reasons for the impossibility of leaving on time, in the event of an accident or malfunction of the machine on the way to a call or with a patient, in order to transfer the call to another team; 8. Be in the cab with the driver when traveling to the designated address; in case of an impassable road, go with the team on foot or travel by other means of transport; 9. Stop the car, provide assistance in case of an incident, but with the obligatory transfer of the current situation to the substation dispatcher; 10. Inform the driver about the need for faster delivery of the patient to a medical facility due to the severity of the latter’s condition; 11. Conduct a thorough and competent examination of the patient, provide qualified medical care in full emergency care, give advice on further treatment and regimen when leaving the patient at home; 12. In accordance with the order for hospitalization, the doctor determines the medical institution where the patient must be taken, fills out an accompanying sheet for each hospitalized patient indicating the substation number and the doctor’s signature; 13. When providing medical care, examine persons who are intoxicated especially carefully, since intoxication hides the underlying disease or injury; 14. Inform the dispatcher about the end of the call; when receiving a call on the radio, duplicate the text of the call out loud, specifying the address, reason for the call, last name, time of receipt and transfer of the call; 15. In case of death, report to the senior doctor of the substation before the ambulance arrives; 16. After returning to the substation, hand over the call cards to the dispatcher. After duty, the line doctor writes down in a journal information about consumed medications, dressings, and alcohol. The reception and delivery of narcotic drugs are entered into a separate log. The doctor hands over the medical box and equipment to the substation dispatcher or the new shift doctor.

If a criminogenic situation is detected (suicide, criminal incident, etc.), the line doctor is obliged to immediately notify the senior shift doctor and the police. 2. In the absence of a representative of the police or prosecutor's office on site, remove all strangers from the premises or outline the boundaries of the area beyond which strangers cannot cross. 3. If necessary, qualified medical care is provided to the victim with minimal disruption to the location of objects. The doctor has no right to touch objects, weapons, or means of crime. The loops used for hanging are not untied, but cut and left in place. 4. To eliminate controversial issues, at the moment when the doctor approaches the victim and provides assistance to him, there must be witnesses there (with mandatory registration of their full names and home addresses). 5. If there is time and eyewitnesses, it is necessary to establish the picture and cause of the incident. 6. When handing over weapons and other material evidence to representatives of the police or prosecutor’s office, the doctor is obliged to receive from them an appropriate receipt indicating the rank, position, place of work and full name. Rules of conduct for an emergency doctor on a call regarding suicide attempts, suicides and others criminal cases

Valuable belongings of a patient hospitalized in a hospital are not handed over to the police, but are subject to inventory and transfer to the doctor on duty at the hospital's admission department. 8. In cases of poisoning, be especially careful when handling objects that may contain toxic substances. In case of food poisoning, carefully collect anamnesis to identify the products with which the poisoning is associated (a list of where and when purchased). 9. When a victim is hospitalized, the senior doctor is informed of the medical institution where the patient was taken. 10. If a corpse is discovered at the scene of an ambulance call with symptoms of biological death (rigor mortis, cadaveric spots), it is allowed to change the location of the corpse if this is necessary to clarify the fact of death. It is prohibited to wash off blood, dirt, or take objects (weapons, paper, etc.) from the hands of a corpse. 11. The visiting team doctor does not have the right to give an opinion on the cause of death - this is not part of his functional responsibilities. 12. The doctor of the visiting team can take away from the scene of the incident the corpse of a victim whose death occurred as a result of a criminal or suspicious incident, only with the permission of the police or the prosecutor's office. If the corpse is left on the spot (before the arrival of the police or prosecutor’s office) to the responsible persons (janitor, house manager), their names and signatures are indicated on the card.

The doctor of the mobile ambulance team, who was the first to arrive at the scene of the accident, before the arrival of the chief physician, his deputies or a senior physician, is responsible for carrying out rescue operations and providing timely qualified medical care to victims at the pre-hospital stage. Crews arriving at the scene of the accident are at his disposal. Functional responsibilities of an emergency physician when providing medical care during mass disasters or accidents

The line doctor, who is the responsible person, is obliged to: 1. Determine the size of the accident and inform the senior shift doctor about the number of victims to determine the required number of ambulance teams. 2. Set up a first-aid post in the nearest building to collect victims. 3. Distribute the responsibilities of the medical staff of the arriving teams. 4. Create supervision over the extraction of victims, their medical triage and the provision of first medical aid according to life-saving indications. 5. Clearly register the victims in a special journal and determine the order of their evacuation. All those who seek medical help are subject to registration, regardless of the severity of the injury. 6. Indicate full name, age, home address, diagnosis, assistance provided, place of hospitalization. After transporting the patient, the ambulance team, by order of the senior doctor, returns to the scene of the incident or receives another call. 7. The responsible doctor must be in constant contact with the senior doctor; Before the arrival of senior officers, he is obliged to remain at the scene of the incident and has the right to return to the substation only with the permission of the senior doctor. The line doctor must pass on all information about the victims to the senior doctor.

Remember the rules of personal safety when providing emergency medical care at the prehospital stage 1. Check for the absence of explosive substances, radiation, unstable objects (a car lying on its side, etc.). The patient's relatives and strangers can also be a source of danger. 2. Check the safety of the scene. If a place is unsafe, leave it if possible and acceptable. 3. You should not become a new victim or create additional difficulties for emergency services. 4. Wear rubber gloves and take measures to prevent infection with infectious diseases. Act as if every victim receiving care is HIV-positive. 5. If necessary, before providing medical assistance, call the police (tel. 02), or, in case of fire, the fire brigade (tel. 01), or the rescue team (tel. 01).

An emergency physician has the right to: 1. independently establish a diagnosis, determine the tactics of providing emergency medical care to a patient in accordance with established standards and requirements; 2. attract in necessary cases doctors of other specialties for consultations, examination and treatment of patients; 3. make proposals to the management of the institution to improve the organization of emergency medical care to the population, improve the work of administrative, economic and paraclinical services, issues of organization and conditions of their work; 4. control the work of subordinate employees (if any), give them orders within the framework of their official duties and demand their strict execution, make proposals to the management of the institution for their encouragement or imposition of penalties; 5. request, receive and use information materials and regulatory documents necessary to perform their official duties; 6. take part in scientific and practical conferences and meetings at which issues related to his work are discussed; 7. undergo certification in the prescribed manner with the right to receive the appropriate qualification category; 8. improve your qualifications through advanced training courses at least once every 5 years. An emergency medical doctor enjoys all labor rights in accordance with the Labor Code of the Republic of Kazakhstan. Rights

The emergency doctor is responsible for: 1. timely and high-quality implementation of his official duties; 2. organization of its work, timely and qualified execution of orders, instructions and instructions from management, regulations on its activities; 3. compliance with internal regulations, fire safety and safety regulations; 4. timely and high-quality execution of medical and other official documentation provided for by current regulatory documents; 5. provision of statistical and other information on its activities in the prescribed manner; 6. ensuring compliance with executive discipline and performance of their official duties by employees subordinate to him (if any); 7. promptly taking measures, including timely informing management, to eliminate violations of safety regulations, fire safety and sanitary rules that pose a threat to the activities of a healthcare institution, its employees, patients and visitors. For violation of labor discipline, legislative and regulatory acts, an emergency medical doctor may be subject to disciplinary, material, administrative and criminal liability in accordance with current legislation, depending on the severity of the offense. Responsibility

Currently, emergency medical care for children at the prehospital stage in most regions of the Republic of Kazakhstan is provided by emergency medical care stations (departments), which can be independent treatment and preventive institutions or be part of large hospitals and outpatient departments. A type of emergency medical care is apartment care, which is provided at home in case of sudden emergencies. pathological conditions, not directly life-threatening. In most cases, it is also carried out by teams of emergency medical care stations (departments). At the prehospital stage, emergency medical care for children is provided by: 1. Doctors of the line emergency medical teams. 2. Pediatricians of emergency departments of city children's clinics. 3. Doctors of specialized (including pediatric) emergency medical teams. 4. Doctors of clinics and children's institutions (kindergartens, schools, etc.). 5. Nursing staff.

Domestic models 1. Single-level paramedic model: mobile paramedic team. 2. Two-level medical model: linear team + specialized team (with paramedic and obstetric teams of sanitary transport and obstetric specialized teams). 3. Two-level mixed model: medical team (intensive care team) + paramedic visiting team: with a predominance of medical teams; with a predominance of paramedic teams. 4. Three-level mixed model: linear team + specialized team + paramedic visiting team. Structure of the organization of work of mobile ambulance teams (levels and types)

Foreign models 1. Single-level physician model (Europe): doctors general practice(GP) with the right to transfer the patient for transportation to emergency medical personnel. 2. Two-level model with a predominance of paramedics (USA, Israel, Canada, Australia, partly Europe): paramedics + consultant doctors (specialized team) with the right to transfer the patient to an emergency medical team if necessary. 3. Three-level model with a predominance of medical teams (Europe): GP + medical specialist + nurse. The system of emergency medical care at the prehospital stage, which has developed in our country, is multi-structured in nature. Multi-level organizational structure The work of field teams is based on the implementation of several principles, the main of which is taking into account the priority of calls and determining their profile. The work of emergency medical care stations and departments at children's clinics is regulated by the legislative acts of the Ministry of Health and social development RK.

The profession of an emergency physician can perhaps be called one of the most difficult and responsible among all medical specialties. After all, he must have a good knowledge of not only theory, but also be fluent in many practical skills. There are often situations when an emergency doctor has only a few minutes to make a diagnosis and does not have the opportunity to use laboratory or instrumental methods diagnosis, consult with your colleagues. Therefore, he must have a perfect knowledge of such medical specialties as therapy, neurology, surgery, gynecology and obstetrics, resuscitation, and be familiar with the pathology of the ENT organs and the organ of vision.

What qualities should an emergency physician have?

Based on the characteristics of the work, any ambulance and emergency doctor must have the following qualities:

• Good physical and mental health;
• Excellent medical observation and logic;
• Quick reaction and ability to remain calm in any situation;
• Knowledge of basic emergency conditions, the ability to diagnose and treat them at the prehospital stage;
• The ability to find contact both with the patient himself and with his relatives. Indeed, in some cases, they may also need to consult an emergency doctor;
• Modesty, discipline, decency, cleanliness;
• Ability to maintain authority among all team members.

Responsibilities of an emergency physician

Before starting duty, the emergency doctor must personally take the necessary medical instruments and medicines.

The responsibilities of the emergency physician include monitoring the condition of all team members. If, while on duty, a doctor notices signs of alcohol intoxication or ill health in any of them, he is obliged to immediately remove them from work and inform the manager and dispatcher about this.

After receiving a call, the emergency doctor must check with the dispatcher the patient’s name, age and address. Departure is carried out within one minute from the moment of its receipt. It is prohibited to turn off radio communications during the entire trip.

If it is impossible to respond to a call on time, the ambulance doctor is obliged to immediately inform the dispatcher about this, which allows the call to be transferred to another team in a timely manner.

The responsibilities of an emergency physician include:

• Conducting and providing competent and free medical care to patients;
• Transportation of injured and sick people to hospital;
• Ability to evaluate correctly general state patient and choose the most suitable for him the best way carrying and transportation. Carrying a patient on a stretcher is one of the types of medical care and, accordingly, is another responsibility of the emergency physician;
• If you refuse hospitalization, take all measures to convince both the patient and his relatives of its necessity. If this cannot be done, then provide necessary help, make a record of refusal of hospitalization in the call card and inform the dispatcher about this to transfer the active call to the local doctor of the clinic;
• While en route and in the event of an accident, the ambulance doctor is obliged to stop the car, inform the dispatcher about it and begin providing assistance;
• When providing medical assistance, he must act decisively and quickly, providing it in full. If necessary, the emergency doctor has the right to call a specialized team to the patient;
• Consultation with an emergency physician can only be provided in orally. He does not have the right to issue any certificates or conclusions to patients, their relatives or any officials.

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Comments on the material (30):

1 2

I quote Nadezhda:

Hello! How can you thank the ambulance crew? The ambulance doctor was the only one out of 5 doctors who made the correct diagnosis for the child, which was later confirmed by a blood test. Unfortunately, I didn’t ask the doctor’s name, I only know the date and time when they came to us. (there was a temperature of 39 and a rash)

Nadezhda doctor / Feb 27, 2018, 11:47 pm

I quote Elena:

On February 25, 2018, I called emergency help for my husband (born 1952). ...
What kind of team came, what was the result, what measures did they take, what recommendations? Isn't it natural to know? As it turns out, it’s natural not to know! It seems that such an order allows assistance to be reduced to nothing.

I quote Galina:

The son lost consciousness and the vomit partially entered the Airways. The ambulance doctors saved him, of course. And they decided that he had consumed something, hence poisoning. Since our son was beaten three months ago and had an open head injury, we asked him to pay attention to his head. The doctor didn’t listen, he said it would happen later. They took him to toxicology. After 10 hours the operation was performed. After three days of coma, the son died. 31 year. Why don’t emergency doctors want to hear from relatives? Is it their fault that they were delivered to the wrong department? Time has passed. The diagnosis is acute non-traumatic subdural hemorrhage. If the operation is performed after 4-6 hours, then there is an 80% chance of survival.

I quote SERGEY:

Good day! Please tell me, if I trained as a paramedic, can I become a therapist or emergency medical technician?

1 2

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