now the medical first responders our next report explains what. was the part of. our own interests. services. ok i wasn't a part of farming has been this patch on their on the way are you are you with her now i'll miss you. ok is she conscious. of. all. the commercials. zero. zero zero. zero zero zero. zero zero zero zero one a. bit longer.

than the amplifier. where what. awesome am i am i am i cannot family for you for the quality of the hospital to give something. want to use for. it is not a merger. is used for purposes only. it is not.

because god let's do everything we can to help b.m.'s thirteen standards. today is the parade thoughts christmas parade ten o'clock goes till about the twelve thirty three engine six five rescue to six by.

people because you guys that know you got the better to go knock. on you know that all right with him. and hate you so much i mean when you are not right now going right to the damage. there are aware of. this very carefully amateur radio on the way. out is telling the truth. it's about a twenty five foot tall. you can see that there is a god. i think until i see about the with tears on the floor. particularly your children as the whole thing ok.

let's play a little lucky. you don't act fast enough to get into the silly season again get in there fast and. take a deep breath. again. my first computer four years ago we were averaging nine fifty a day. or average you know it well there actually hundred calls right runs a day i could well have first. got yes. we handle six hundred thousand american c. calls a year but the calls are on the admin side there's been an explosion in call load it's about eighty two percent of what we do the fire department's medical. roger or i'll. just get it written several finale of the address of your emergency is there any please is there bleeding. and i don't know if you are the strong one year deal

k. i want your time her rescue operations for me is that i want to have a rest are you there with the right now your ok listen very carefully and it's already on the way what i need to find out from you right now is she conscious conscious beings awake the rising demand for a my services increasing every year are you nice runs are going up two percent and hospitals are closing in the last four years or that ten hospitals close so it's less and less hospitals thruster take our five hundred seventeen patients every day the rest you get there they evaluate your situation has been referred to as the perfect storm in the county of los angeles just getting bigger and bigger in this there's no. no relief in sight if you're having a health crisis you'd like to think you can count on getting quick treatment in a hospital emergency room across the country today many emergency rooms were packed e.r. visits have grown thirty two percent in the last decade but there are seven percent fewer emergency rooms from los angeles to chicago to birmingham twenty trauma centers have closed since to his house sitter to what's happening in the city of

los angeles and in southern california is ground zero for what we're seeing nationwide with the crisis with emergency services. the inpatient beds for capital lowest in the country and what we've seen recently is the only real health care system that we have in the city of los angeles is the los angeles fire department and because we become the de facto health care system this is the canary in the morning of health care throughout the united states that outstanding thank you by. orderly statistical to me this is a big step for here oh yeah. mr tabor you miss the city.

service. eight hundred twenty seven. joined. with a little surreal. the shortness of breath it was still really breathing for those the number one to call the. station sixty five is in the south los angeles area of our city. they actually have two paramedic rescues down there one of our busiest companies we have in the city los angeles and fort unfortunately can't keep personnel that long there are they come there they gather a lot of experience in a relatively short period of time and they want to go on to a better place. people will. see the. theme through see.

the firefighters at first were even e.m.t. and then they became e m t's and for my understanding that a lot of firefighters pocket that maybe one of the many e.m.'s in fact when i started my venture is a firefighter i didn't want to be a mass and i started out i want to just do firefighting and be told it's the tree empty license i said i can't carry any here today and i took an e.m.t. course and i thought all right i'll do it took the class just to get a license to try to get hired i was only thing i was planning on doing it was just using the license to get high and it turned out that i thoroughly enjoyed your miss aspect as well my job work was that it started with any company making good five bucks an hour for about four years five years which

a lot of us had to do. i our fire code has played an important role in driving down the volume and spirit of fires and because that is the reality what we need is more ambulances. ten years ago we had half the analysts is that we have now now. and all of them see medical services in the city of los angeles. and the time you dial nine one one here in our dispatch center tell the time you get to the hospital it's one service what you want to family member to come with you to the hospital we want you know to know. that you're. here. because.

we know this. urgent c room is very important. we see about three thousand patients a month through demurred city park but. we had a day the other day where we saw hundred ten in one day and it was exciting and your name is effortless and just reach your sorry buddy the lady you look at her for i think her mind hum a lot ok i've had a lot of pain and it's laying eggs where my legs get now in the news bulletins and you're in a doctor's office today and she was concerned he had blood finally had one before you're pregnant there's pressure right now this morning we're increasing staffing and trying to find room where there's never been room like you know closets hallways things like that. starting to see every in the hallways because about three times it's. just

hurtles the problem is not enough inpatient beds not enough urgency department beds and not enough nurses to man those best to take care of all the people who are here . we may have a hospital full of patients no beds upstairs where all patients in our yard because there's no beds upstairs and we do the best you can we're we can't turn them away. we have a federal law that mandates that you can't turn no one away who seeks care in an emergency room. the reality is that these people don't have primary care physicians that they can call so you're going to end up in the emergency room and i think that if we had a system where everyone had access to care they would. this would not be happening because they would they would call their doctor.

rescue raisers for user to rescue. my person. rather. than be very. strong. and see you way too much that you are. what's worse i know that sort of breath just me. to spank really. you can play it just makes little difference or oversee your way or the great thing with your heart just go right right now let's get into rhythm i want to make sure. we question but never take any sexually in the last twenty four hours that in. terms of believing that is treating you well just on

a more clear you know we're going to start ok had that sickness number on the spacious b. as in boy you two six six five four four six five he is now adamantly using the hospital there were rising on the wrists complication up to and including i'm. willing to accept those responsibilities. i miss the hospital i want to speak with you. know the team by the on talk to. yeah oh. yeah there were. some people are just like their you know they get the dream in they don't want to they don't want to go yeah we're locked up i'm at a point. as precious but. a lot of times they don't have the medicine they can't get the. medicine they can't afford the medicine or they sell it for other they see. it sees it up and take it

back to the doctor. so because of that a lot of them tell us more primary care that fresh emergencies. for individuals don't have access to health care or ambulance to show up with our paramedics on there and that's it that's the closest thing those people see a doctor over here so we're actually a doctor in a box if you will and our ambulance service. there are there are. i'm not overly aggressive. i make sure everybody stops and starts. to want to be more. i'm just resigned we're going to hear martin luther king ok that's the way. you should go we're strongly recommending it we can't force you to go when i have a good healthy baby right. let's go to hospital and i did over fifty i can only

eat only go jr who's a month and that was right you know as a family what you're going to have already let me do this is the first time bring him home with crack and yet she could meet contracting and just. as a young man to do this it was that i didn't know you know goodness if she doesn't want to go with us well the worst possible case scenario is the baby can come out good and that's just being we're not going to sugarcoat it it's just being blunt i'm going i'm going to have a lot of growth under our leaders have you had three and i pass it off so i'm not next project that you haven't enough. if you didn't get to that i have a woman think once you stand up and try to walk for us. like we just see can be that. blood pressure is already. or you feel stan. lee. they're not telling you not to run sweetie. so you need to do the right thing for

your baby that's less you can also look. ok ok ok we're going to hear martin luther king ok ok quest for the king is the greatest hospital shortly right yes now they say that me and my baby is like they are really really good. this is proof that we're putting them up on ross founders county supervisor. that opens the door a. little monday morning at eight o'clock this hospital be open to the patients. watson will broke in the south central area of los angeles county. wants was put on the map not only in california but the but the mission to the world. in one thousand and sixty five because of the riots six days of rioting in the negro section of los angeles left behind the scenes from innocent of war torn

city much of south central los angeles seemed to be on fire up the fire killing five unemployment for education and things like a lack of health care and. my claim commission said that the county must really hospital. just think that we had a section of los angeles county. over a third of a million citizens without adequate hospital care. when i transferred in m.l.k. more use of. true hospital was. your facility it was a hospital it was a trauma hospital trauma it was open which was actually a pretty state of the art trauma and. i believe we were saying to in fifty. maybe even closer to fifty five fifty seven thousand a year in the main emergency department a lot of times we would get the diabetic and coma who knew something was wrong but

didn't have the means to go to the doctor's office. again that goes to the problem . that there are no primary care facilities in that area. a few years ago the county last year said a lot of clinics are awful people could go walk in off the street and see clinics when the county had a few bad budget years a few years ago they closed those clinics private clinics are going to open up and take under insured patients who can't pay. and you don't have papers yes you have papers just permission how is your sugar level it's one hundred twenty eight. no it's four hundred that's very bad for your diabetes. so i can see that you had an appointment with the pharmacy

a week ago why didn't you go. i did go. this is this is a free clinic the medicine is free you see me for free so why didn't you come this costs money. a lot of the patients here are not compliant they don't want to structure their never raise with structure of what the school you know never step with a layer. so check your sugar two to three times a week don't use more not every day this is very expensive it's to not have insurance but this is where the money needs to go because you can treat a primary care why in this diabetic you prevent from getting you know feel your heart attacks leg cut off you know because if they don't treat it with them on the streets and then two years later he ends up at l.a. county hospital you've got to treat it as if it cost five hundred thousand dollars . if you miss your next appointment or any other appointment you can find a new clinic oh yes if i miss the appointment i can come back you know when.

primary care nationally is a problem when it is and especially a problem here in los angeles county where do you go for primary care physicians first of all the country is not training enough for them. so we have a possible candidate for the program. mr mayor has been identified as

every one user has been to. at least six times within the one year period we want to hear for also the care management part of it in order to maybe help her keep her out of that yard having to come in ok to say mrs romero congress my name is. i work with a program called road to house and to help the patient understand better how to use the medical system settings them maybe. but if you are going to have a caseworker who is going to communicate with you often they hate them as though you were telling me a how sometimes you have difficulty making appointments see ok so we are going to help you a little bit with that. you know how can i help you know. they didn't give me this mattson you do have to educate and empower patients to learn

how to access care correctly and at the same time you can't do that if the system is not set up to be accessible if you're educating the patient to go down a road where the bridge is out and there's a fork in the road there's three different ways to go and you know which way to go that's not going to be very helpful. our vision is to improve access to care we want to give people access to the right care at the right time at the right place we need to incentivize financially our primary care providers our physicians this is your family medicine doctor that you go see for a cold but also the person who's most likely to diagnose you if you have cancer. and you know you have refills you know but they told me i shouldn't come back with al did prescription why. they wouldn't salad to me that's one thing we need to explain to the fish i don't know the field. yes five she's telling me that she gets it that i may be seen are going to take it on in a pharmacy. this year be sure for wellness we'll get together later for i

know. it's. kind of a good thing for the market right now in. this. area right. we have a twenty eight. thirty risk we didn't ok you guys are doing much better you're just about reach but margery's goal of what he wanted to have in a last resource on scene within six minutes you guys are holding down seven minutes flat however the best it's ever been was six for one for. all the super necessary this gives you the facts. i had a doctor call me from hospital but we rescued get there but no and he called me one

evening any tells me that they couldn't take any more patients and their emergency room so i asked him to explain exactly what he meant and he says we need to free our beds for our people and i said i will which people are your people the people that we're bringing them from these lower income areas are paying they don't have insurance they got to get treated they got to be seen. you know throughout paying you can't function as a hospital and that's why we've lost in the hospitals in our area and in los angeles tell all the laast just over five years we've had a love and emergency rooms close and in most cases entire hospitals. if you give a map of the city and you put a little dock where the hospitals are and you put it out were possible as were the yars and.

motion would be soo much brighter than if you knew about sums from funds to freshen some. stunts on t.v. don't come. leisurely. this mug.

just sleep. just so pissed smug home. to. the last american presidents for. talks on the sidelines of the apec summit in hawaii they're focused on defense syria and russia's future at the w t o we bring you all the latest just ahead in the program. tower of perilous kone finally

falls to the italian prime minister resigns after parliament approves a new austerity package intended as a last line of defense against a collapsing confidence in its economy. the arab league suspends its syria recommending sanctions against the country in an effort to force president assad to end of the deadly unrest that has claimed more than three thousand lives. and broadcasting live direct from our studios in central moscow this is r.t. i'm john thomas and let's get right to your top stories world political and economic heavyweights are meeting in hawaii for the annual asia pacific summit russian and u.s. presidents have just wrapped up their talks artie's. joins us live from honolulu with more and on this to see if thanks for joining us.