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Emergency Response Times

And to real "Emergency" response times . . .

A 55-year-old man died alone after twice calling 999 only to be told by call handlers an ambulance would not be sent for him.

Brian Hurton had an aortic dissection - when a tear opens up in the body's main artery - on 18 November last year.

He called the emergency services at 17:55, complaining that he was struggling to breathe and felt like he was going to collapse.

He was told that a clinician would call him back, and that if he got worse in the meantime he should call the emergency services again.

He did call again, about 10 minutes later, and told the call handler he was "losing breath". He was again told that someone would call him back.

According to the transcript, seen by BBC Scotland News, Brian was told: "We are quite busy in the area at the moment Brian, so based on the information provided instead of an ambulance response initially one of our clinicians is (going to) call you back."

An hour and 12 minutes after his first call, a clinician called him back.

But that call and two further calls went unanswered.

Without excusing the response of the emergency service, catching an aortic dissection is extremely difficult. There was one case of a patient who presented to our facility in Lahr, after we had closed as a CFH, but still had a Med A after hours with doctor on call. He was later diagnosed and was operated on at the German cardiac hospital (not the local hospital, but a specialized facility in the region). This Corporal came to the clinic early in the evening because he had been feeling unwell for a few days and, since 'his wife' was not at home, thought it was the best place to seek attention when he started to feel worse. His wife was a civilian physician (Canadian/German/American citizen with licenses in all jurisdictions) who worked for us. There was no doctor there when he arrived just a couple of junior Med As. Amazingly, not only did they realize the potential seriousness of the situation but even before the arrival of the on-call doctor (who they called - it wasn't the Cpl's spouse), they had already contacted the German ambulance/emergency services and had the patient on the way to the German facility. He was on the table and had his chest cracked soon after arrival. He survived and was home about a week later.
 
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