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Roscommon Hospital and the lack of people who care

2

Comments

  • Registered Users, Registered Users 2 Posts: 2,226 ✭✭✭angelfire9


    efb wrote: »
    Is the cardiac arrest mortality rate higher in Ros Gen?

    Dont the specialised EMT units have a better success rate?

    That reminds me about people in offaly who whinge about not having a maternity ward? Why? is it not better to to have centralised centres of excellence than a hospital with a bit of everything in every county????

    Why does being a county entitle you to have a hospital?

    Clare hasn't had maternity services in the county in 20 years or more (not exactly sure when it went it was there in the 70's)

    See this story from 2009:
    The Government withdrew maternity services from Clare in the 1980s and each year a number of births take place on the roadside involving mothers who do not make it in time to Limerick or Galway. Caroline Gallagher gave birth to Molly in the front seat of a car on the Loop Head peninsula on April 7 last. She was the second-known baby born on the roadside in west Clare within an eight-week period. Mr Gallagher said: "Molly was born in Clare and that should be the official record."

    Cllr Brian Meaney claimed that it is a deliberate policy by the HSE not to record the roadside birth figures by mothers en route to Limerick as it would increase the pressure on the executive to restore maternity services at Ennis in Clare
    Source: http://www.independent.ie/national-news/father-angry-as-roadside-baby-recorded-in-wrong-county-1688463.html

    I live in Ennis which is according to AA Roadwatch is 36 minutes from the Limerick Maternity, try driving that in the freezing weather we had last winter (i went into labour at 4am it was great fun) :(

    And people in West & East Clare have it far worse than I

    For Roscommon folk I guess the maternity hospitals are Sligo, Ballinasloe and Galway??
    (Not sure if Castlebar have maternity but I'm betting they do seeing as it is Enda's constituency)


  • Closed Accounts Posts: 8,704 ✭✭✭squod


    Is cost the issue? I hear it's the recruitment (and immigration) of trained of junior doctors that is causing this problem. Not sure what FG can do about that and why they promised the retention of services in Rosscommon in the first place. It's not like this is a new phenomenon.


  • Moderators, Sports Moderators Posts: 27,354 Mod ✭✭✭✭Podge_irl


    Its a joke and the simple fact is people will die or end up disabled because of this.

    People most likely die or end up disabled from going to Roscommon instead of travelling to get to Galway.

    Not only is it expensive and inefficient to have full A&E services in small regional hospitals there, but the doctors in these hospitals generally see fewer cases, have less experience and have far less expertise.


  • Registered Users Posts: 3,145 ✭✭✭LETHAL LADY


    Can someone tell me if the hospitals that will take on any extra emergency cases from Roscommon A&E are now fully staffed and equipped to do so?


  • Closed Accounts Posts: 3,575 ✭✭✭NTMK


    Can someone tell me if the hospitals that will take on any extra emergency cases from Roscommon A&E are now fully staffed and equipped to do so?

    Not a chance of ballinasloe being able to.one of the worst run hospitals in the country imo :mad:


  • Registered Users, Registered Users 2 Posts: 16,288 ✭✭✭✭ntlbell


    So cut some workers and we'll have the money saved to give to the workers we just fired to so they can run the A&E department we had to close because we didn't have the money or staff to run it?

    You're obviously not running your own business then.

    Firstly, you don't need to "cut some workers". I said reduce the wage bill. They're numerous ways to do this.

    Don't bother applying for dragons den.


  • Closed Accounts Posts: 5,592 ✭✭✭GerM


    According to James Reilly this morning, cardiac emergencies attending Roscommon are four times more likely to die than if they were attending Galway. That's an astounding statistic. Will people die due to there not being an A&E in close proximity? Unfortunately, the answer is quite likely to be yes. Will lives be saved by people being forced to attend a hospital that can adequately facilitate the cases it receives? Again, yes and possibly more than will die as a result of having to travel further. I know it's not particularly fair to the people that are directly affected and the quality of their service for standard A&E cases may drop but with the facts involved, Roscommon A&E cannot be justified.


  • Registered Users, Registered Users 2 Posts: 6,821 ✭✭✭phill106


    stovelid wrote: »
    Mikom got in there first, Phil.

    Dam my use of correct spelling, slowed me right down!


  • Registered Users Posts: 158 ✭✭Opelfruit


    efb wrote: »
    Why does being a county entitle you to have a hospital?
    Who ever said that? As I've said already Roscommon Hospital's catchement area covers north east Galway. This issue is met with complete silence by Galway East TDs.


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  • Registered Users, Registered Users 2 Posts: 1,178 ✭✭✭Fozzie Bear


    Podge_irl wrote: »
    People most likely die or end up disabled from going to Roscommon instead of travelling to get to Galway.

    That's so dumb my face actually hurts from reading it. I swear to God I have a pain in my face. It is a mind bogglingly stupid statement.

    I am involved in a car crash, or fall off a ladder, or have a heart attack in a town like say Tulsk or Frenchpark in central Roscommon. You are telling me I am in more danger from a 30 minute ambulance trip to A&E in Roscommon town then an hour and 30 minute (minimum) trip to the outskirts of Galway city and another possible 30 minute drive across the city through traffic to UCHG? Once there i can expect massive further delays as their A&E is already working far beyond its capacity.

    Could you explain how that works to me please?? How I would be better off going to Galway and how Roscommon is more dangerous? I honestly cannot wait for your reasoning and logic behind this.

    Enlighten me.......


  • Closed Accounts Posts: 5,592 ✭✭✭GerM


    That's so dumb my face actually hurts from reading it. I swear to God I have a pain in my face. It is a mind bogglingly stupid statement.

    I am involved in a car crash, or fall off a ladder, or have a heart attack in a town like say Tulsk or Frenchpark in central Roscommon. You are telling me I am in more danger from a 30 minute ambulance trip to A&E in Roscommon town then an hour and 30 minute (minimum) trip to the outskirts of Galway city and another possible 30 minute drive across the city through traffic to UCHG? Once there i can expect massive further delays as their A&E is already working far beyond its capacity.

    Could you explain how that works to me please?? How I would be better off going to Galway and how Roscommon is more dangerous? I honestly cannot wait for your reasoning and logic behind this.

    Enlighten me.......

    The statistics support his comment. You're roughly 4 times more likely to die attending Roscommon than Galway in a cardiac emergency. They simply do not have the resources to provide adequate medical care. Attending Galway will save more lives than those that will be lost by the extra distance. The additional resources provided to the ambulance service will hopefully see them better equipped to get an individual to a properly facilitated A&E in time. Also, if you were in Frenchpark or Tulsk and needed an A&E urgently, you would go to Castlebar or Sligo and, whilst you obviously wouldn't be there as quickly as you would be to Roscommon, you would be there definitely in under an hour.


  • Banned (with Prison Access) Posts: 34,567 ✭✭✭✭Biggins


    Was the following mentioned yet: http://www.independent.ie/national-news/td-threatened-with-bullet-in-the-head-over-hospital-vote-2815332.html
    If so, apologies.

    TD threatened with bullet in the head over hospital vote
    ROSCOMMON Fine Gael TD Frank Feighan told today how he had been threatened with a bullet in the head over his support for the government in the vote to retain A&E services at Roscommon Hospital.

    The representative, who voted against a Sinn Fein motion calling for the retention of facilities, revealed today that he had suffered a lot of abuse.

    “I got a phonecall from a man who said that he would put a bullet in my head. People spat at me yesterday,” he told Morning Ireland on RTE Radio.

    His constituency colleague Denis Naughten, who voted for the motion, is almost certain to lose the Fine Gael whip and become an Independent TD.

    Mr Feighan bore the brunt of his constituents' anger outside the Dail last night as up to 1,000 people demanded the Government fulfil its hospital election promises to maintain the hospital.

    Mr Feighan was forced to take cover in Buswell's Hotel as protesters called for his resignation yesterday.

    Mr Feighan said he supported Enda Kenny despite the decision to shut the A&E. "I will go by my heart and by my head and deliver what I believe is the right thing," he said.

    Campaigner Mike Higgins called on him to "vote with his conscience".

    Mr Higgins, originally from Tulsk, Co Roscommon, had flown from Toronto to join the protest.

    "I want him to go in and remember the promises he made. Some of my family may die because of it," Mr Higgins said. "I felt I wanted to be here."

    Martin McLoughlin (56), from Mount Talbot, had a stroke five years ago.

    "I was rushed to Roscommon Hospital," he said. "The doctors saved my life; I was only four miles from the hospital. They said I wouldn't make it to Galway."

    UPDATE: Denis Naughten loses Fine Gael whip over Roscommon Hospital vote
    * http://www.thejournal.ie/roscommon-vote-puts-future-of-two-fine-gael-tds-on-the-line-171776-Jul2011/
    FINE GAEL TD Denis Naughten has lost the party whip for voting against the party in last night’s motions on cuts to emergency services at Roscommon Hospital.

    Last night’s Dáil vote left two TDs defending their voting decisions.

    As reported in TheJournal.ie last night, the government’s decision to replace Roscommon A&E with an urgent care unit and an out-of-hours GP service was voted through the Dail by 96:46


  • Closed Accounts Posts: 5,592 ✭✭✭GerM


    I heard some quotes from him this morning on the radio in relation to being spat at and being shoved by people but the bullet is news to me. In all fairness, it took some balls to stand up for what he felt was the right thing to do. Feighan has essentially guaranteed that he will lose his seat in the next election by doing what he feels is right. Refreshing to see someone stand up and do what they feel is best despite the negative effect it will have on them personally. The FG deputy who voted to retain the facilities is looking after his own interests. The numbers and facts are there. Naughton is representative of such a large element of Irish politics. A man who entered politics and won a seat due to a family legacy following his father's death and has bowed to parochial politics to secure his future seat. His decision to go against the government and expected expulsion/martyrdom will guarantee his re-election by his constituents.


  • Registered Users, Registered Users 2 Posts: 2,980 ✭✭✭minikin


    Sick of hearing TD's equating hospital requirements for the country with Manchester because of similar populations, as if geography weren't a factor.
    Will they reduce the number of TDs in the Dail from 166 to 28 to equal the number of MPs who represent Greater Manchester?


  • Closed Accounts Posts: 19,986 ✭✭✭✭mikemac


    The local hospital can make or break your career.

    Máire Hoctor in Tipp North was a junior minister and an up and coming member of the party.
    Was sent to meetings in Nenagh to explain the downgrading of the hospital and got heckled and jeered and shouted down at public meetings. Her supporters deserted her and she was shouted at to just resign.
    Got kicked out at the last election and it was not just down to her membership of FF. Tipp North was a FF stronghold for a long long time

    I don't know the situation in Clare but Ennis has the same treatment so I'd imagine their government TD's got a rough time

    And this goes to show what people vote for. It isn't brilliant legislation or national issues. If the minister for Health downgrades the local hospital then the local TD gets the blame


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  • Registered Users, Registered Users 2 Posts: 19,585 ✭✭✭✭Lady Chatterton


    mikemac wrote: »
    The local hospital can make or break your career.

    Máire Hoctor in Tipp North was a junior minister and an up and coming member of the party.
    Was sent to meetings in Nenagh to explain the downgrading of the hospital and got heckled and jeered and shouted down at public meetings. Her supporters deserted her and she was shouted at to just resign.
    Got kicked out at the last election and it was not just down to her membership of FF. Tipp North was a FF stronghold for a long long time

    I don't know the situation in Clare but Ennis has the same treatment so I'd imagine their government TD's got a rough time

    And this goes to show what people vote for. It isn't brilliant legislation or national issues. If the minister for Health downgrades the local hospital then the local TD gets the blame
    Ennis Hospital was downgraded back in April 2009, both Tony Killeen (FF) and Timmy Dooley (FF) attended hospital protest rallies and meetings but both ended up supporting the downgrade.

    Killeen retired from politics due to illness just before the last election and Dooley just scraped in by the skin of his teeth. Dooley supported the proposed boundary entension (Limerick City into Clare) and the downgrading of Shannon Airport, action that earned him the nickname "Dolittle". Clare has only one FF seat now in what was once De Valera's county.


  • Moderators, Sports Moderators Posts: 27,354 Mod ✭✭✭✭Podge_irl


    That's so dumb my face actually hurts from reading it. I swear to God I have a pain in my face. It is a mind bogglingly stupid statement.

    You're making the assumption that all hospitals and all doctors are equally capable. This is demonstrably false.

    Generally speaking (and I'm aware there are exceptions) the best doctors end up in the large city hospitals. University hospitals have more doctors and generally far more expertise. Doctors in larger hospitals see more cases and deal with more emergencies. Therefore they tend to be better equipped and better trained to deal with them.

    As GerM pointed out the survival rate for cardiac emergencies in Roscommon is significantly poorer then the one in Galway.

    I've had a doctor suggest, only marginally in jest, that if they were driving in Wexford and had a heart attack they'd keep on driving to Dublin.


  • Registered Users, Registered Users 2 Posts: 12,556 ✭✭✭✭AckwelFoley




    We dont have it.

    Simple.

    Lives or no lives, pay tax or not - we dont have the money for all the A + E 's that we would like its rather simple yet hard to swallow fact


  • Closed Accounts Posts: 1,489 ✭✭✭dissed doc


    snyper wrote: »


    We dont have it.

    Simple.

    Lives or no lives, pay tax or not - we dont have the money for all the A + E 's that we would like its rather simple yet hard to swallow fact

    Actually we do, and had plenty of money to pay for these country wide facilities for decades, until our most recent government decided to piss it all away on banks and property development.


  • Registered Users, Registered Users 2 Posts: 11,365 ✭✭✭✭rossie1977


    i had to laugh today when one of the workers in roscommon hospital said the emergency response vehicle arrived yesterday, not an ambulance, not a helicopter but a ............................second hand ford focus :o


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  • Posts: 0 [Deleted User]


    dissed doc wrote: »
    Actually we do, and had plenty of money to pay for these country wide facilities for decades, until our most recent government decided to piss it all away on banks and property development.

    Er no we don't.

    Even if a single cent wasn't given to the banks, the country is still spending €19 billion more than it can afford.

    If people want the highest salaries in Europe, then it has to come from somewhere.

    Ergo hospitals close.


  • Closed Accounts Posts: 2,144 ✭✭✭Bally8


    GerM wrote: »
    The additional resources provided to the ambulance service

    What additional resources are being provided to the ambulance service?


  • Closed Accounts Posts: 16,391 ✭✭✭✭mikom


    Bally8 wrote: »
    What additional resources are being provided to the ambulance service?

    Also what additional hospital resources (staff, machines etc.) are being supplied to UCHG or Ballinasloe to cope with the overspill from Roscommon?
    Fuck all I reckon.


  • Closed Accounts Posts: 14,670 ✭✭✭✭Wolfe Tone


    Its quite simple really, they don't give a sh!te about the ordinary man.

    People will die over this and it will be blood on FGs and Labours hands.

    Same sh!te that we had with FF. When will we fcuking learn that that FF and FG are the exact bloody same? Labour are a right shower too.

    You know what the worst thing is? Next time round we will probably decide that voting FF in to fix FGs mess is a good idea.


  • Registered Users, Registered Users 2 Posts: 420 ✭✭Clarehobo


    People have already died over A&E closures.

    In an ideal world they'd allocate air ambulances for the areas hit by the closures and up staffing levels in the A&Es now responsible for these areas along with increasing their beds allocation.
    The reality in Ireland in very different. They take away facilities without providing a viable alternative.
    And before anyone shouts down the air ambulance suggestion - most of the areas hit by these closures have roads that even rally car drivers have to slow down on.

    If you get a stroke or heart attack in West Clare, you may as well dump yourself over a cliff - you'd quite possibly have a higher rate of survival because the helicopter would come out for you so you'd get to the A&E quicker...

    The government is blaming it on staffing issues but why have these issues not come to light before we had to bring in the IMF/EU loan sharks?
    And why are the government not doing something about this skills shortage?


  • Registered Users, Registered Users 2 Posts: 1,084 ✭✭✭Pete M.


    mikom wrote: »
    Also what additional hospital resources (staff, machines etc.) are being supplied to UCHG or Ballinasloe to cope with the overspill from Roscommon?
    Fuck all I reckon.

    SFA I reckon also.

    Sligo General, where a lot of patients would be redirected to is being slowly downgraded also.

    Apart from the removal of cancer services that FG 'promised' to restore, wards are closing, budgets for pretty much everything are being slashed.
    And it's the same all over the country.

    They say they're going to build a new children's hospital too, except they just don't know where to get the money from.

    And the Minister says don't come crying to me.

    We have plenty of resources in this Country to provide for people but they insist on paying back a debt which isn't ours.

    And then try to defend the fcukers making a tidy profit in the region of €9 billion on the loans given so far.

    Protest at Sligo General on Saturday at 1:00pm btw if anyone interested.

    There'll be at least ten people there.....


  • Registered Users, Registered Users 2 Posts: 12,556 ✭✭✭✭AckwelFoley


    dissed doc wrote: »
    Actually we do.

    Do we? Cool, tell the minister for finance then.. clearly hes not paying attention

    dissed doc wrote: »
    had plenty of money for these country wide facilities for decades, until our most recent government decided to piss it all away on banks and property development.

    Great, but we dont now.. sadly we have to live in the present.. and at the present we dont have the money..other than a "we do" from a few people


  • Registered Users, Registered Users 2 Posts: 1,178 ✭✭✭Fozzie Bear


    GerM wrote: »
    The statistics support his comment. You're roughly 4 times more likely to die attending Roscommon than Galway in a cardiac emergency. They simply do not have the resources to provide adequate medical care.

    Show me the link/stats that prove this please. Or are you relying on James Reilly's version of things to justify the closure. Reilly himself said "The statistics in it are rough statistics" .

    And even if that were absolute fact does it justify closing an A&E? Is every patient that presents there a corinary case? No broken bones, no bad cuts, no car accident victims?

    GerM wrote: »
    Attending Galway will save more lives than those that will be lost by the extra distance.

    Phew! That is a HUGE relief. At least now when someones loved one dies in the back of an Ambulance stuck in traffic in Tuam they will be comforted by this fact. Sure we can afford to let a few people die off, collateral damage shall we say. Again I ask, show me the proof to back that up please.

    Podge_irl wrote: »
    You're making the assumption that all hospitals and all doctors are equally capable. This is demonstrably false.
    Generally speaking (and I'm aware there are exceptions) the best doctors end up in the large city hospitals. University hospitals have more doctors and generally far more expertise. Doctors in larger hospitals see more cases and deal with more emergencies. Therefore they tend to be better equipped and better trained to deal with them.As GerM pointed out the survival rate for cardiac emergencies in Roscommon is significantly poorer then the one in Galway. I've had a doctor suggest, only marginally in jest, that if they were driving in Wexford and had a heart attack they'd keep on driving to Dublin.

    I'm not doubting there are fantastic doctors in UHCG. But unless they can stick a feather up their arse and fly to Roscommon to treat a critically ill person then what good are they? My point is the hour and 30 minute cross country ride in the back of an Ambulance is going to kill people in need of urgent immediate medical attention.

    If you or GerM happen to be in a bad car crash in Roscommon. You are telling me that you would prefer to travel to Galway city rather then Roscommon A&E? Bollóx you are, you would want to be in a hospital and getting treatment asap.

    With due respect neither of you are from Roscommon are you? I have had treatment in Roscommon A&E several times as have members of my family. I have seen lads I played football with and against break legs and arms, lose teeth and in one case suffered a ruptured spleen. They were all brought to Roscommon A&E and got the best possible treatment they could within 45 minutes. In the spleen case it saved his life. Going to Galway would have killed him. Its really that simple lads, he would have died.

    Thats what it comes down to, life and death.


  • Closed Accounts Posts: 413 ✭✭The Left Hand Of God


    You guys all know there are very few Doctors, A&E etc left in the country? Right?

    Those "foreign" people who looked after you?


  • Closed Accounts Posts: 16,391 ✭✭✭✭mikom


    My point is the hour and 30 minute cross country ride in the back of an Ambulance is going to kill people in need of urgent immediate medical attention.


    Come another harsh winter and you can bring that up to 2 hours I'll bet.


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  • Closed Accounts Posts: 35,514 ✭✭✭✭efb


    mikom wrote: »
    Come another harsh winter and you can bring that up to 2 hours I'll bet.

    Guys an ambulance isnt just to get patients from a to b. Many a life has been sustained and maintained in an ambulance.


  • Closed Accounts Posts: 35,514 ✭✭✭✭efb


    People with broken arms, legs and teeth are not critical emergencies


  • Closed Accounts Posts: 16,391 ✭✭✭✭mikom


    efb wrote: »
    Guys an ambulance isnt just to get patients from a to b. Many a life has been sustained and maintained in an ambulance.

    And many arrive DOA.


  • Closed Accounts Posts: 413 ✭✭The Left Hand Of God


    mikom wrote: »
    Come another harsh winter and you can bring that up to 2 hours I'll bet.

    So what is the answer? Keep the A&E open and when people get there tell them the Doctor is in the other one? Sorry?

    There is a doctor shortage ffs. They are leaving for a reason. One example is that they used to pay about 4-5 grand a year on training (to keep up to date with stuff) and got it refunded. That had been removed.

    One of many reasons why they are leaving the country and going elsewhere.

    Sorry but they are like the rest of us and looking for the best opportunities for themselves and their families.


  • Moderators, Sports Moderators Posts: 27,354 Mod ✭✭✭✭Podge_irl


    Show me the link/stats that prove this please. Or are you relying on James Reilly's version of things to justify the closure. Reilly himself said "The statistics in it are rough statistics" .

    Rough statistics doesn't mean made up or wrong. There may be multiple factors behind the figures but a mortality rate of four times Galway is still startling.
    And even if that were absolute fact does it justify closing an A&E? Is every patient that presents there a corinary case? No broken bones, no bad cuts
    Thats what it comes down to, life and death.

    Either we're talking life or death situations or we're talking mending broken bones. Make up your mind.

    There is absolutely no indication that this is going to cost lives. It's a very real issue that regional A&Es lack the expertise, equipment and training to deal with an awful lot of major emergency cases. You are regularly far better off going to a larger hospital even if it takes an extra 30 mins or hour.

    Also, if you're in the back of an ambulance you have an element of care available to you through the EMTs/paramedics. I'm not going to argue that the ambulance service needs to be improved as I agree with that.
    They were all brought to Roscommon A&E and got the best possible treatment they could within 45 minutes

    Good for them. 80 out of 100 people who appeared at Roscommon A&E with emergency cardiac problems survived just fine. Course that means 20 still died as opposed to the 5 who died in Galway.

    Also, generally speaking you play football during the day - i.e. when the hospital will still be open.
    You are telling me that you would prefer to travel to Galway city rather then Roscommon A&E? Bollóx you are, you would want to be in a hospital and getting treatment asap.

    What I would want in a situation like that doesn't necessarily correspond to what would actually be better for me. People think irrationally at the best of times. The idea that going to a hospital closer is automatically better seems to make intuitive sense but that doesn't make it accurate.

    It's akin to going to your local GP while having a heart attack cause he's closer. He's still a doctor but that doesn't mean you'll get the best care just cause you can get there quickest.


  • Banned (with Prison Access) Posts: 34,567 ✭✭✭✭Biggins


    Prime Time right now I think is covering this topic, if your not watching RTE 1 at the mo.
    (if you've missed it, it will be online later on their RTE site)


  • Registered Users, Registered Users 2 Posts: 1,747 ✭✭✭mdebets


    minikin wrote: »
    Sick of hearing TD's equating hospital requirements for the country with Manchester because of similar populations, as if geography weren't a factor.
    Hospital requirements are based on the population. Geography comes only into play in the pre-Hospital care and in the transport to the hospital.

    You have statistically a certain number of A&E cases per 1.000 of population. This doesn't change if you spread the population over a smaller or larger area.
    At the same time, you need a certain number of cases per doctor, to keep his experience level up (a doctor treating 100 heart attacks per month is obvious better than a doctor treating 10 in a year).


  • Closed Accounts Posts: 35,514 ✭✭✭✭efb


    mikom wrote: »
    And many arrive DOA.

    How many people die in ambulances en route??


  • Closed Accounts Posts: 35,514 ✭✭✭✭efb


    Lads I was brought to Beaumont from Offaly for emergency brain surgery, should every hospital have brain surgeons too?


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  • Registered Users, Registered Users 2 Posts: 420 ✭✭Clarehobo


    Podge_irl wrote: »
    There is absolutely no indication that this is going to cost lives. It's a very real issue that regional A&Es lack the expertise, equipment and training to deal with an awful lot of major emergency cases. You are regularly far better off going to a larger hospital even if it takes an extra 30 mins or hour.

    Also, if you're in the back of an ambulance you have an element of care available to you through the EMTs/paramedics. I'm not going to argue that the ambulance service needs to be improved as I agree with that.

    Have a read of the below from 2009. Closing A&Es does cost lives according to one Dr James Reilly TD.
    http://research.finegael.org/news/a/142/article/
    “It is saddening that the worst fears of the people of the Mid West have come to pass so soon after the closure of the 24-hour A&E in Ennis General with a Clare patient forced to travel almost twice the distance for emergency treatment. I deeply sympathise with his wife and children.
    ...
    Unfortunately the lessons of the North East which taught us that this was the likely outcome after these services were closed down have not been learned by the Health Minister and the HSE who persist in putting patients at risk by closing emergency services close to their homes.
    ...
    Any review of the death of this Clare man on the road to Limerick must be robust and reliable so that lessons can be learned and other lives spared as a result.

    I remember the case - he was a few mins from Limerick hospital when he died in the ambulance(Just on the Dock Road), he would have been in Ennis General for at least 20 mins if the A&E had been open. Ambulance crew can only do so much with what they have.

    http://en.wikipedia.org/wiki/Golden_hour_%28medicine%29

    I understand the HSE's hand are tied due to lack of ground staff but they should be putting in provisions to get people to the A&E within an hour if they are taking away the A&E that is within an hour's reach of their home.


  • Registered Users, Registered Users 2 Posts: 23,246 ✭✭✭✭Dyr


    Opelfruit wrote: »
    Roscommon Hospital covers a huge geographical area base.


    What kind of population base does it cover? Therein lies the catch. I'm generally sympathetic to need for regional hospitals ( if you're going to be killed by incompetent and uncaring medical staff it's a bit rich to expect you to drive for three hours for the privilege). However, if you live out in the arse end of nowhere then that's one of the drawbacks that you have to expect.

    We have too many TD's being elected by two villages and a herd of cattle.


  • Registered Users, Registered Users 2 Posts: 23,246 ✭✭✭✭Dyr


    efb wrote: »
    Lads I was brought to Beaumont from Offaly for emergency brain surgery, should every hospital have brain surgeons too?

    Ye wouldn't see much demand for brain surgeons around roscommon/longford

    /gets jacket


  • Registered Users, Registered Users 2 Posts: 19,585 ✭✭✭✭Lady Chatterton


    Clarehobo wrote: »

    I remember the case - he was a few mins from Limerick hospital when he died in the ambulance(Just on the Dock Road), he would have been in Ennis General for at least 20 mins if the A&E had been open. Ambulance crew can only do so much with what they have.

    http://en.wikipedia.org/wiki/Golden_hour_%28medicine%29

    I understand the HSE's hand are tied due to lack of ground staff but they should be putting in provisions to get people to the A&E within an hour if they are taking away the A&E that is within an hour's reach of their home.

    There have also been issues with ambulance crews not being able to locate houses in rural parts of Clare. I was amazed to find out recently that ambulances are not even fitted with SAT NAVS. This article may be of interest to you Clarehobo.

    http://www.clarechampion.ie/index.php?option=com_content&view=article&id=6352:hse-apologises-to-kilnamona-family-for-ambulance-delay&catid=43:health&Itemid=60


  • Closed Accounts Posts: 2,144 ✭✭✭Bally8


    Ya, my husband is a paramedic. He uses his own sat nav and maps to find places when directions aren't clear.


  • Registered Users, Registered Users 2 Posts: 420 ✭✭Clarehobo


    Gotta love this article chock full of quotables from both Fine Gael and Labour about the same case mentioned above...

    http://www.nenaghguardian.ie/news-detail.php?article=TYHE1K

    My favourite is
    Deputy Coonan called for a re-think on the reconfiguration of hospitals in the Mid West, a plan he said is “designed to save money rather lives.”
    “If it emerges that Mr McDonnell could have been saved if the A&E department was still open in Ennis General Hospital then it places a serious question mark over the concerns this Government has for the people of North Tipperary and Ennis,” he said.
    “One death is too high a price to pay for the ill thought-out policies of the Health Service Executive, Fianna Fáil, the Greens and Independents, who all supported this attack on the fabric of rural Ireland.”

    Gotta love the politics that unfolds in this country and the fact that none of these people are brought to task about their previous statements...

    The below is a good argument for the closures but stating the obvious improvements that need to be made.
    http://www.thepost.ie/story/text/ojqlauidgb/


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  • Registered Users, Registered Users 2 Posts: 1,747 ✭✭✭mdebets


    MrsD007 wrote: »
    There have also been issues with ambulance crews not being able to locate houses in rural parts of Clare. I was amazed to find out recently that ambulances are not even fitted with SAT NAVS. This article may be of interest to you Clarehobo.

    http://www.clarechampion.ie/index.php?option=com_content&view=article&id=6352:hse-apologises-to-kilnamona-family-for-ambulance-delay&catid=43:health&Itemid=60

    The timing in the article don't quite add up, but that set aside, it shows that just adding standard GPS systems to an ambulance is not the solution, especially not in the Irish countryside, where not everything, people use to describe an address are in a GPS database. You need a central map database, that allows you to enter local information (turn right on the next street after the green pole). you then either need systems that can automatically update GPS systems from the central system or the ambulance needs to be directed from the central control room.
    They should also keep people calling for an ambulance on the phone until the ambulance arrives.


  • Registered Users, Registered Users 2 Posts: 16,559 ✭✭✭✭yabadabado


    angelfire9 wrote: »

    Hope this link works!
    So the hospital closes in Roscommon, there is Sligo, Castlebar, Galway, Ballinasloe and Athlone all within reasonable distance of most of Roscommon county
    (depending of course on what part of roscommon you live in)
    There is no A&E in Athlone.
    Its also worth mentioning that many people in Roscommon didnt trust the hospital and asked their doctors to send them to Galway or Castlebar instead for treatment.
    Link or GTFO


  • Closed Accounts Posts: 41 Disleksic


    Bambi wrote: »
    Ye wouldn't see much demand for brain surgeons around roscommon/longford

    /gets jacket

    No, they are too busy in Ballymun working on the huge number of Chess Grandmasters who live there.


  • Registered Users, Registered Users 2 Posts: 19,585 ✭✭✭✭Lady Chatterton


    mdebets wrote: »
    The timing in the article don't quite add up, but that set aside, it shows that just adding standard GPS systems to an ambulance is not the solution, especially not in the Irish countryside, where not everything, people use to describe an address are in a GPS database. You need a central map database, that allows you to enter local information (turn right on the next street after the green pole). you then either need systems that can automatically update GPS systems from the central system or the ambulance needs to be directed from the central control room.
    They should also keep people calling for an ambulance on the phone until the ambulance arrives.
    There appears to be an error in the last time mentioned in the article, the crew arrived at 9:50 and not 9:40 as mentioned.

    I think the introduction of postal codes could be a solution, in addition to the ambulance crews having SAT NAVS.


  • Registered Users Posts: 158 ✭✭Opelfruit


    Bambi wrote: »
    What kind of population base does it cover? Therein lies the catch. I'm generally sympathetic to need for regional hospitals ( if you're going to be killed by incompetent and uncaring medical staff it's a bit rich to expect you to drive for three hours for the privilege). However, if you live out in the arse end of nowhere then that's one of the drawbacks that you have to expect.

    We have too many TD's being elected by two villages and a herd of cattle.
    Bambi wrote: »
    Ye wouldn't see much demand for brain surgeons around roscommon/longford

    /gets jacket

    Well done, thanks for your input on a very real life and death matter for people I know personally! You must be proud of yourself.


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