of europe's financial crisis. but also angeles paramedics at full stretch it seems the city's firefighters and now the first line of response for medical emergencies serves all does need to find out why as we follow them in a special report right now on this channel. 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 there so. if you look at this area from a health planning standpoint. the medical desert is. there came a try to get some medical records. security said it's close i couldn't believe it was close. you know when when i went in the security guard told me that. they

basically doing here is fill movies now. and i was shocked can't believe that this is was going on. you know it was a great hospital this was the last house where i was in two thousand and two when i got shot. it was a sunday afternoon around twelve o'clock and just two cars came in and it was a big shoot out and i just happened to roll by and i caught a bullet in my spine. i came with my legs i'm paralyzed you know but 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 want 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 when they can't help nobody else you know somebody might not get that opportunity i got all right let's keep them cheat mccurdy. they never said that or luther king is 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 you francis's be overwhelmed pretty quickly so we're going to want to have the out of those. theists in the hospital to tell him to go don't be fooled it is challenging because we're going to be overwhelmed by the professional don't gauge don't get angry when i hear jack you do the mocking at least you do with the. right and you know what. the community had to make a name for ok and everybody knows it's called killer king we would get on see the first thing people would ask is where am i going to be transported and if we said martin luther king you know often the response was please don't take medicaid. they're understaffed under-funded and they have 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 candor 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 in 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 hard time and send it. to my. psychiatrist.

used to be a very simple system that would have you took the every patient in the closest facility but you close ten hospitals with eight beds that amaechi has eighty patients out of our system in the city she didn't look well at six in the senate squares we close our doors here and you are close to saturation when our waiting room is for when are all of our yard beds or florida 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 you can. watch what you want to let them do it because you're going to tell things he said. fran harbor u.c.l.a. by saturday stress a fast as

a sad they're going to kaiser bellflower be the end of. life or hospital or it's about a ten mile bubble ride however we are now and there's a lot of traffic so. very very. very very very little.

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 think it's a problem of the uninsured of someone else to worsen ishall or injury actually just put it in there and spread all this way. when 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. if it gets really bad 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 it's really going to be to feel good but neither of us. have been in the hospital says to iraq and not just what is it six o'clock or nine sixteen. it i haven't sure just a good thing you know if i may have insurance ok majesty stepping aside 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 as soon as 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 critical 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 human suffering and we just sat there and waited so we're missing calls in our district because our he's tied up at the hospital because you know how they had 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 for hours for being i've waited sometimes three hours i was it's a same francis and we went for four hours and fifty minutes standing against a wall of patients that 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 and you go on. the river here if we don't have a paramedic i said we go back to the firefighter only. so how many calls 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. to do. it in the fire burn for twenty eight years and i came on as a single function firefighter when i came on the job. and back then we actually only respond by four or five different types of v.m.s. calls responded on chest pain as heart attacks car accidents and drowned days if

you called with a spring thumb or a broken finger the dispatcher back then told you to get the car to go to the hospital so a lot has changed. oh you know what i mean i knew for what's going on today they think that if you don't plan it will not cause and do not. want to say you know what happened to get in are you ready for this three. hundred. one anime. season you've been here before you have been here a few times she asked me five or six times over i stared down the mom to be a mother a grandmother the son and the twins and her when she was pregnant with their with their youngest and they have two houses this one another one down vicar. down hickory or down recruited oh you know i don't remember one time. i think every time

. you say you were skeptical of three interested yes six total resident sisters oh yeah. everything's looking ok all right you can relax ok else we can do i'm a gator could be good. i will see going to leonard 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 and literally can you get a couple band-aids and i mean. get the word. call if you want to show you that. some of the programs that we do send to you we have things such as boils can't sleep they're hungry conflict to think but if somebody says they're hungry what do you tell. what are we have to do if i'm given five dollars people local calls. we've been called to you know broken sprinkler system the lawn to

a dog and need the chimney. for it what is all different types of calls are gone which makes it all fun at the same time it's like. where do you draw the line yeah you're always going to have that percentage of people who actually know the system and it was a jury of 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 room suited to do our time 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 has been a model last five years because lawsuits down to nothing it's paid for itself. at the expense. to the taxpayers is the expense of the individual who wants to write at the expense of the ripple effect of filling the little beds. with non-critical patients.

i know gas prices are high but. i know i can get to the local mercy 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 well what did the paramedics really wanted 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 five dollar co-pay for an emergency visit i think it will change behavior as well . something happened down the question is what.

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

a look at him. he says no we can't force him to talk to him and not then we can then yes that he does i know. we need someone who is this is autistic we need his permission to let my medics. know he's agreed to let. you know if he doesn't want to. use agree weren't taken aback. ok. you're welcome. i know you do you know what event for. you to check and start searching teary. you can avoid all that stuff right now he has no complaints feels fine he answered all or push questions appropriately . please let me finish and it sugars world three it's within normal limits. his blood pressure after after that if there is nothing that he wants from us right

unfortunate just 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 the patient i got a response going up there on the hospice it's. mostly human spirit seeking attachments in a six nine three. it's time 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 climbers coming from different states who want to apply to have a city and you paramedics are experiencing the same thing i had a guy from here just in the last week no paramedic burnout talked about his area. guy from new york. paramedic paramedic burnout three big issues.

in the field with this shield the shield is 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 a shower and pressure teeth so we don't get our showers interrupted jimmy. 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 but that's not 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 get a bed. 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 . city year problems they might have to wait for

a bed for hours. it's 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. yeah you actually inject right check out the vehicle and the passenger. there is no one in me and 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 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 assume keeps this up at night is that essentially a pandemic flu it'll take about. twelve hours before every hospital your is overwhelmed. by. the forty three year old recipes that they prefer hoarders yeah well now you said have you heard of the emergency rule there's no other 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 you know i want you to take us in the ambulance because we'll be seen faster. in the e.r. . to the

emergency room and was would be transported from one hospital to the other because you know use an i pod he would present theories are you want to go to kaiser no. well you can do there. 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 don't break.

up the 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 woman will not get sketched by now one of them are clean. and you know by the time of his people on the left that it was all day on the emergency room my wife is about is dying and then there's a don't want to help you out ok what do you. want to be in the father and brother in blood ok and why aren't they helping or that i'll get to watch it or. you're not doing it and they're just watching her ok beat the contact a nurse or doctor let them know mom any blood they don't believe they're not going to let him in if he's causing a problem he needs to contact the county police officers at the security dept there was no. medics are not going to pick him up or pick is why apart from optical questions are already at. one hundred fifty

one. which emerged post a little bit on the ground. it works for the lone. wolf but you know. the one they love the one. thing that i think that the going. to do prevent. their lives than that of the other you're at but you're at that awful man. i cannot for you for the quality of the hospital there you're saying this but i want to you from. the bottom to merge now it is not a matter of the operator ok well that's not a criminal thing over and above the. contract off the ceiling by. the we. just mind i want to use for only where i live. it is not.

a hit. after that incident we actually have patients who are actually not in the e.r. but in the ward where 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 a mass captain out to the eighteenth floor of the hospital to provide more pain medication for patients inside there you know you know one of. our firefighters paramedics are incredible i mean they're 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. and yet out of the latest fad it yes i know a lot of that asset is south but you better go primanti actually you love to live in an ideal world for us need to open up those county clinics and so we have some place for individuals or walk into before they become in crisis the need actually nine i want to service it all comes down the phones but 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 it's. on

a bad day we have right now to serve everybody in this community. and. the.

president. to get a. good. wealthy british scientists some. time to explain to the. markets why not. find out what's really happening to the global economy with mike's cancer for a no holds barred look at. global financial headlines tonight in two counties

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putting the wheels in motion. for western europe. to germany. the new supply route. to transit countries richard previous to european consumers of russian gas. in just a few moments. describes is it appropriate the publication of the un to. pursue a nuclear weapons. stern warning. president says the country's prime minister will resign after the approval of a new budget law as the country moves closer to the epicenter of the european debt crisis.