legal loggerheads in london as the spotlight turns on shady business dealings in the past been himself to say. next an autopsy was commonplace in los angeles when he called an ambulance to end it with a fire crew getting a first aid is the subject of a special report. the orange dots show hospitals that are no longer here in the green dots represent those hospitals that are still in existence here what you don't see is any new hospitals because there are no new hospitals constructed in this area. if you look at this area from a health planning standpoint. that medical desert is to. say i came to try to get some medical records and security said it's close i couldn't believe it was closed you know when i went in the security guard told me that so for sale and all they basically doing here is fill movies now and i was

shocked can believe that this is what's going on now you know it was a great hospital this is the last house but i was in in two thousand and two when i got shot. it was a sunday afternoon around twelve o'clock in just two cars came in and it was a big shootout and i just happened to roll by and i caught a bullet in my spine. i came to my legs i'm paralyzed you know if it wasn't for the people that were here i don't think i would have made it the way i made it because i was a little kid i was seventeen years old when this happened to me i go to school and i go to college you know and if it wasn't for them i went forward i even drive now i do everything i'm independent and it's for these people and look they can help nobody else you know and somebody might not get that opportunity i got. all right this came from chief mccarthy. the miller said that martin luther king is not going

to be a complete closure but the capacity is going to change from one hundred forty some beds to actually forty two beds so francis will be able well pretty quickly so we're going to keep on two of the outlines of those. mysterious one the hospital too challenging bill don't be fooled into challenges because they're going to be overwhelmed at times be professional don't engage don't get angry when i hear a judge do anything up there at least here to deal with it. all right i need a question if i. the community had a big name from ok and everybody knows it's called killer king we would get it on cd and first thing people would ask is where might it be transported and if we said mark was u.k. you know often response was please don't take medicaid. they're understaffed under-funded and they had too many patients that didn't have private physicians and with four or five hundred patients in an emergency room it's very difficult to

treat those into the hospital through medical center is in critical condition and the elkader was in the bottom two and a half percent of all hospitals in the state of california health officials a patient there had been put in quote and media jeopardy patients and martin luther king medical center to get ready for fewer services and a new way we cannot assure that patients would be safe or that fundamental hospital standards can be met the proposed closure of the trauma center will have an impact the l.a. county fire department i'm begging of you don't ignore this. don't marginalize this . warrant i'm thomas and. he's going to get my. psychiatrist.

used to be a very simple system that we have to every patient in the closest facility but you close ten hospitals with eight beds at a major as eighty patients out of our system in the city she didn't look well let's just say the sat scores we close our doors here and here are close to saturation when our waiting room is for when are all of our yard beds or four and of these lines waiting in the hallway and we're. basically closing to saturation for safety purposes you know the sort of suppress right so diversion is a huge thing for some of our hospitals down here they're on diversion about ninety percent of the time so ninety percent of time we're looking for another hospital we could be across the street from that hospital thinking it. was not what you know it . was just one things he said. frank harbor u.c.l.a. by saturday stress a fast as

a staff i know you're going to kaiser because the. place for hospital work it's about a ten mile ride however we are in l.a. and there's a lot of traffic so. very very very. very very very little. and. for the average american who has

insurance they don't realize the impact of what's going on. what's going on in the obviously they think it's a problem of the uninsured of someone else the worst initial injury actually just put it in there and spread all this way. and you see something is interfering with the not ok ok so when you do this you can tell that it's not in attendance which is a really really bad infection and. if it gets really good attendance going to bone in here bone infection the worst sin are you can you know usually armed it's really bad we're going to prevent that actually going to be feel good but if you. have been in the hospital says two o'clock at night just what is it six o'clock arena six fifteen. it i have insurance just a good thing you know if i may have insurance ok majesty stepping aside and we did say we're waiting six hours is not uncommon and if you go to surrounding hospitals

people coming here tell me they're waiting twelve hours sometimes to get back. however u.c.l.a. right now at this moment it's a twenty four hours meaning it seems you walk in the door and they try and figure out you're not critical basically you're someone and they could definitely live for another couple of days before being credit they'll keep you in the waiting room and you have to sit there and wait to be seen. it has happened at certain hospitals i've gone in and they actually did all of us off our game we just sat there and waited so we're missing calls in our district because our he's tied up at the hospital because they don't have a bed to put that patient in the lady in the hospital that's that's normal i've had to rescue a couple weeks and waited four hours for a bit i've waited sometimes three hours i was at say saint francis in lynnwood for four hours and fifty minutes standing against a wall of patients if there have beds are going to wait and because even though we're inside there you know we're still on scene with that patient if we if we

leave the hospital and don't transfer care to a bed it's negligence or even the county can say you know what it was your paramedic license you're gone. the river here if we don't have a paramedic i said we'd go back to the firefighter only. so how many people still to get last night four calls after midnight three out of the four calls we had were people just basic cold and flu symptoms sniffle and. sniffles and nausea vomiting diarrhea and been sick for. three four days and just said uncle. smoke anything. you do. in the car bomb for twenty eight years and i came on as a single function far from it when i came on the job. and back then we actually respond by four or five different types of v.m.s. calls responded on chest pains heart attacks car accidents and drownings and if you

called with a sprained foam or a broken finger the dispatcher back then told you to get the. go to the hospital so a lot is changed. they grow your life be on you for what's going on today they found something when it was natural to know. your right going on will say you know what happens. when are you really just. a little bit. off to an anime. season you've been here before you have been here a few times she asked me five or six times over the last year found a mom to be a mother the grandmother the son and the twins and her when she was pregnant with a litter of youngest and they have two houses this one another one down because. we couldn't do it oh you know i don't remember the one time. i think every time. i

asked you to stay here were skeptical of free drinks and yet six total resident sisters has it everything's working ok all right you can relax ok else we can do i mean gator could do it. i will see going to later every day. i get to teach and i think it's part i mean everybody's understanding what emergency is different but i mean people been called out for a bandaid thinking that all we are is you know a system that they can call in literally to get a couple band-aids and i mean. get the word calls you want to show you that. these are some of the programs that we do send to we have things such as boyle's can't sleep they're hungry constipation toothpaste but if somebody says they're hungry what do you tell what are we have to do is i've given five dollars the local calls. we've been called to you know broken sprinklers in someone's lawn to

a dog and need to chimney in a second for what it is all didn't have to cause you go. which makes it all fun at the same time it's like. where do you draw the line yeah going to have the percentage of people who actually know the system with jury people it's not weird but you know they don't i won't because we truly need somebody to tell him what to do because this is their first emerged today appeared to deal worked out we have a transportation policy on the farm and we offer transportation to everybody on this it's a minor extremity injury since we've had that system which is in the last five years because lawsuits down to nothing it's paid for itself. expense. to the taxpayer is the expense of the individual who wants to write the expense of the. non-critical.

i know gas prices are high but. i know i can get to the local emergency room for a lot cheaper in my own personal vehicle if i have the flu and the insurance company will look at that and say wow we're paramedics really warranted on this and then they will pay and then the citizens get stuck with a bill. i really do believe that every patient should pay something for their care because one of the problems we also have in this country is that health care is not valued we have the most expensive health care system in the world and it's probably valued the least people are going to have to begin to take responsibility for their health care. pay something it can start small. perhaps a co-pay for an emergency visit i think it will change behavior as well. something happened down the question and what.

here we've closed hospitals in the last ten years and over a thousand. of these burger kings they contribute to the high blood pressure diabetes and everything else in the sense i mean if you could tax cigarettes. fast food restaurants pay for some of the stuff. that will help you. now. he's a diabetic or whatever it takes two days or whatever he had to say instantly he never wants to. take off and let me have

a look at him. he says you know we can't force him to talk to him and not then we can then yes but not here because. we need someone who is this is our it's that we need his permission to let my medics. know he's agreed to let. you know if he doesn't want to. he's agree weren't taken aback. ok then you're welcome. i know you do you know what the best for him to. start searching teary. right now he has no complaints your city feels fine he answered all or push the questions appropriately. please let me finish and it sure is one three it's within normal limits. his blood pressure after after that if there's nothing that he wants

from us right unfortunate there's nothing else that we can do for him by law ok i'm yeah we do get frustrated and it's only us but it's the nurses in the hospitals it's also the doctors i've seen them just blow up you know like why i see this person every day for a last ten days why are they here again you know when you see a patient i got a response going to the hospice it's. mostly in a spirit seeking attachments in a six nine three. i did start to get to a lot of. personnel down here and i'm pretty sure it's. seven california is not. the only area where it's happening now firefighters coming from different states want to apply to have a city and you paramedics are experiencing the same thing i had a guy from houston you know last week you know paramedic burnout talked about his area and the guy from new york. paramedic paramedic burnouts nutrients are

a great issue. in this field with this field but still there's a it still doesn't mean the other rescue at our station is available so they get the next cough which means we get the chance to take shower and pressure teeth so we don't get our showers interrupted jimmy page. and you know all these rescues here we're probably going to be waiting for a while because i think we just got the last available that that's what i. want you . know. we just take a patient to martin luther king with knowledge on vomiting which gets triano just in the emergency room and based on her level of severity so good or bad. we got there before a few other patients and she got a bed and now the other patients are going to wait even though they might have more . severe problems they might have to wait for

a bed for hours. if martin luther king you know even if they just limit their number of beds which they're planning on doing to forty two beds then that's going to be repercussions for everybody so. hopefully it won't get to the point where it's going to be affecting patient care to the point where people are going to be waiting for such long times that they're not going to be getting treated as they should so we'll see what happens. you can't change it right check out the vehicle and the passenger. there is no one in the room to this we are the county hospital for the poor and yet we're the trauma center for everyone on the south bay area of los angeles. so it makes no difference if you have the best insurance in the world or no insurance the next time you're in a traffic accident if god forbid we have an earthquake or a bioterrorist attack we are the place that you want to come we're the place you're

going to be brought regardless of where you want to come and if we're overcrowded and have no gurneys you're going to be in trouble you're not going to get the kind of care that you deserve. it's not the train wrecks that really scare us and keep us up at night it would scares and soon keeps us up at night is that essentially a pandemic flu it will take about. twelve hours before every hospital your is overwhelmed. by. her doctor forty three year old recipes that they prefer borders yeah well now you said have you heard of the emergency rule there's another way we can do while you're at the emergency room right now. well can't they help be there at the emergency room. a lot of times they think oh no i want you to take us in the ambulance because we'll be seen faster. in the e.r. . and that the

emergency room was and be transported from one hospital to the other because you know use an i pod he would present here's where you want to go to kaiser no. i know we can do that. now one of those was. with a tool that was developed and like any tool you have you don't have a set of instructions along with the tool is going to be you misuse and abuse and eventually you're going to break. it up with water on. the metal detectors you're already in the hospital but on the

moment. i'm trying to get an interpreter for you or moment don't i want to get sketched by now what if the bird you're calling. the yard by the time of his people on the bed it was all day all the emergency room my wife is about is dying and then there's a don't want to help you out ok what am i going to be in the bottom and somebody in blood ok and why aren't they helping or yeah i'll get a watch in or. you're not doing it and they're just watching her ok eat the contact the nurse or doctor let them know bombing blood they don't believe they're not gonna let him in if he's causing a problem he's a contract a county police officer at the security dept there was no. medics are not going to pick him up are pick is why apart from optical coached already at.

one fifty one. would emerge both a little bit on the ground. and it worked well. you know. the thing that led to this one. thing that i thought that the florida courts were going to prevent. their lives than that of the other you're right about europe i offer them am i wrong. i cannot be for you for the quality of the hospital they're very viable to want to use for only a very good part of the merge male it is not a matter of. meeting their ok well that's not a criminal thing over and above the. contract off the ceiling by. the we are going to do with them this morning i want to use for only their life. it is not

. a hang. up to that incident we actually have patients who are actually not in the e.r. but in the ward but they're not getting timely treatment in the world they want more pain medication don't pick up the phone and dial nine one one so we're sending the m s captain out to the eighteenth floor of the hospital to provide more pain medication for patients inside there you know you go one of. our firefighters paramedics are incredible. you know we make that we're constantly doing training

and more training more training and they stepping up to to fill that gap but is that what we want as a society for the fire department to become the health care system. a big part of the fix is more primary and preventive care if the people with diabetes and high blood pressure get treated early then they don't come in here with heart attacks and strokes. so yeah there is that this thought out that is south but even then you go pretty mad yeah you love to live in an ideal world frost need to open up those county clinics and so we have some place where individuals will walk into before they become in crisis the need actually nine i want to service it all comes down the phones a bit it's a catch twenty two you know situation so what we did here fire season sixty five we've added two more rescues that we can put into place if things get really bad which they do a lot here is. is it a band-aid yes but is this on

a band-aid we have right now to serve everybody in this community. going to. cut. cut cut. cut cut. cut cut cut as no no no no

that the president are going to. come together. to. cut shows that so much a lot of people at my area will stand a little tough to take the for the slow response an amicable divorce for well over a generation of voters and consumers around the world were told that democracy and capitalism.

this is our team from moscow tonight to drive for diplomacy russia wants an attack on iran could have disastrous regional repercussions as israel says military actions a real possibility. the i.m.f. dash for kremlin cash that of international monetary fund visits moscow in search of financial support to help prop up prices hit economies. and russia is kristie lovebirds first stop on a mission to the world's top ten coming financial powers. plus album all village betters all ski quarts of the a.b.c. of the super rich russians or the legal blogger heads in london right now with a light shone on the shady deals and billions of dollars at stake. it's ten pm here in moscow my name's kevin know it infers.