sunday here in the russian capital with the latest news on the week's top stories for you the. pacific rim working on a free trade zone that could revitalize relations. u.s. presidents also used the apec summit for a meeting on the sidelines to discuss missile defense and russia's membership of the world trade organization. new government prime ministers our. nation's race to the financial. have to approve new austerity measures to stick clear of bankruptcy and disaster in the. report claims

iran might be seeking to obtain a nuclear weapon. as a smear campaign. reconsidering the country's cooperation with the i.a.e.a. which calling a disappointment. with the paramedics in los angeles full stretch the city's firefighters are being forced into the role of medical first responders now the second part of our special report. the orange dots show hospitals that are no longer here and the green dots represent those hospitals that are still in existence here but you don't see 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 that. they

i came to try to get some medical records in and security said it's close i couldn't believe it was closed and i will when i went in the security guards told me that so for sale and all they basically doing here is film movies now and i was shocked and believe that this is really going on now and i was a great hospital this is the last house but i was in in two thousand to 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 hit my spine i came to my legs i'm paralyzed you know if it wasn't for these 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 then i went forward i even drive now

i do everything i'm independent and it's for these feet and legs they can help nobody else you know on somebody's mind i get that opportunity i got the right to keep and keep mukherjee. they never said that martin luther king is going to be a complete closure but the capacity is going to change from one hundred forty some beds to action forty two beds in france are built around pretty quickly so we're going to keep on from nothing not one of those. that has been erased from the hospital to challenge you built only for that in a challenge because you're going to be overwhelmed at times the professional turning gauge and getting everyone here to judge and even one parent leaves you to do want to push. around and it wash and dry. the community had to make me from ok everybody knows it's called killer k. we would get on cd and first thing people would ask is where might it be transported and if we said mark was u.k.

you often response was please don't take the case. they're understaffed under-funded and we have too many patients and then have private physicians and with four or five hundred patients in an emergency room it's very difficult to treat hospitals and to the hospital take their medical center is in critical condition and he came through within 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 immediate jeopardy patients that are coming for medical center to get ready for fewer services and the next day we cannot assure that patients will be saved or that fundamental hospital standards can be met the proposed closure of the trauma center will have an impact the l.a. county part of our plan time banking if you don't ignore this. don't marginalize this. war on time and that.

might. suggest. to. me a very simple system is going to have to depend for patients the closest facility where you close ten hospitals with eight beds it means that's eighty patients out of our system in the city she didn't look well secured sat scores we close our doors here we are close to saturation and when our waiting room is for when are all of our yard beds or for angelus lines and waiting in the hallway and we're. basically clothes and stuff to raise him for safety purposes you know the sort of suppressed right so the version 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 the time we're looking for another

hospital and we could be across the street from that hospital thinking it. was not what you know the public then knew it was going to tell us now things he said. harbor you still able to say fast to say the service guys are yes because the look on the place for hospital it's a. ten mile all right however we are now and there's a lot of traffic so. they're

very. they're getting. paid. for the average american who has insurance they don't realize the impact of what's going on down were scored on the obviously they think that's a problem of the shirt of someone else got a worse initial injury actually just put it in there and spread all this way. and you see something different here and we find out ok so when you do this you can tell that it's not in attendance which is a really bad infection. if it gets ruled that it could have intended going to going in here going to fiction the worst so he can you know usually armed his rebuild we're going to prevent that and to join me to feel good. kind of i think. i'd be in

the hospital just to about you not just what is it six o'clock right now six team it can happen sure just a good thing you know i may have insurance matters to me in the us i mean he did say we're waiting six hours is not uncommon and if you go to surrounding hospitals people come in here tell me they're waiting twelve hours sometimes to get back however you see a way 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 can definitely live for another couple of days before being credit so keep in the waiting room and you have to sit there and wait to be seen. it has happened at certain hospitals i've got me and they actually did all of us off again 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 for that patient and the lady in the hospital that's that's normal that

a risk you know waited four hours for i've waited sometimes three hours i wouldn't say same francis and living with her for hours and fifty minutes standing against a wall with patients if there had been you're 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 a county to 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 do a back to the firefighter only. so how many people stood together last night four calls up to me three out of the four calls we had were. people were just basically cold and flu symptoms civil the snow sniffles and nazi of arming diarrhea and sick for. it's three four days and just should own coal. smoke anything that you do.

in the fire burn for twenty eight years and i came on to say a single function firefighter 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 chesty his heart attacks car accidents and drowned is 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 of genes. take all your life and be on you for what's going on today and they think i'm wrong then fine it wasn't because you're an. actor i thought on the very you know what happens. in our releases the. oh ok. tough line to me. season you've been here before you have been here a few times in the past week five or six times over the last year been the mom being the mother the grandmother the son and the change and her when she was

pregnant with you with her youngest and they have two houses this one another one down to care. for your oh you know i don't remember no one time. i think you know time has come you said it's hard for you to stay here with your security clearances you have six total resident sisters has it everything's looking ok all right you can relax ok else we can i mean gator could do it. i will see him later every day. a good education i think it's part i mean there are things 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 in a good couple mandates and i mean. get the. it's called 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 truthdig but if somebody says they're hungry what do you tell what are we have to do is i'm getting five dollars people who calls. me call to you know pro conspectus on the lawn to the dog and the chimney you know sucker for what is old and has a cause and always makes itself thought 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 that it was a jury of people it's not that we're going to go on i want because we truly need somebody told what to do because this is their first emerged we've had to deal with we have a transportation policy on a farm and we offer transportation to everybody on this it's a minor instrument essentially since we've had that system which is in about the last five years because lawsuits down to nothing that's paid for itself. can

actually expense. to the taxpayers is the expense of the individual wants the right the expense of the 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 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 well what were 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 dollar co-pay for an emergency visit i think it will change behavior as well. something happened down the question in what. here we've closed hospitals in the last ten years both and over a thousand donal's harvey burger kings to contribute to the high blood pressure diabetes and everything else in the sense i mean if you get a tax cigarettes. for tax cuts for restaurants they for some of this health. care are.

for the dark side it will help you. got a vote now. is even that pinnacle would have broken six it's like two days of whatever he says no it's silly he never wants to se they can operate on me and let me have a restructuring and he says no we can't force a doctor on that now then we can yes but not here. i know. we need so anyway this is the law is that we need his permission to let my magic struck me. that he's everything let's check the sugar and his blood pressure you know if he doesn't want to sell some for sort of those within easy reach of these agree we're thinking in the back. ok then you're welcome our i know you do you know what that meant for him. to get a check and start searching theory. if you can afford all of us right now

here is no complaints he said he feels fine he's answering all or push questions appropriately. please let me finish and it sure is one three it's within normal limits and we've seen. his blood pressure after after that if there's 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 and the hospitals it's also the doctors i've seen them just for you know why i see this person every day for the last ten days why are they here again you know when you see a patient response want to ask for advice it's. mostly misheard t.v. 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 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. three main issues. in the field with the 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 a chance to take a shower and pressure to have a way to 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 got that one they. want you to yeah. ok. we just take a patient to martin luther king with knowledge on so many. kids tree are just in

the emergency room and based on her level of severity so good. we got there before a few other patients and she got a bed and now the other patients are going to wait you know 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. yeah you actually write a check out with you 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 have no grannie's 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 scares some people's up at night who are scared and simply have since up at night is that essentially a pandemic flu it will take about. twelve hours before every hospital year is over while. there might be life. after forty to go over a three foot. yeah well now you said have you heard of the emergency room there's nothing we can do for you your the emergency room i know. well but can't they help me 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. he. said the emergency room he was would be transported from one hospital to the other as you know yours and i probably would present theories are you want to go to kaiser now. there's a way you can do it. now when one was was. was a tool that was developed and like any tool you if you don't have a set of instructions along with the tool is going to be your misuse and abuse and eventually you don't break.

here now in the online gaming. autonomous world the home of the metal characters you're already in a hospital or on a moment with a name i'm trying to get an interpreter for you are in the movement don't i want to get x. by now one of them are here please stay in your brother's home of his table on the lawn standing on the bed it was ok all the emergency room of my wonders but is dying and then there's a don't want to elbow ok buddy if you die i want to be in the fight against the obama team blood ok and why aren't they helping or yeah ok they're watching or. you're not doing it or you're just watching or ok easy to contact a nurse or to have to let them know to vomit in blood they don't deliver you

they're not gonna let him in if you call them a problem he's a contract a county police officer after the purity test there was no paramedics are not going to pick him up or kick it by a proper hospital touched already at. once to see why a. working version oh so little fella ground zero is normally the first one that will fall below the pool with all of us in our flame alive yes this was back when at the gathering with one of the old women duke remember when there was a battle of that problem where when i'm at a point where you're i thought your. absalom and i want them i care not only for you for the quality of the hospital they're your champagne just like i want to. only a very good part of it out of a merge. it is not america the opposite meaning there ok well that's not

a criminal think the end of the contract off the bike ok let them know the police had better do with that now just fine i want to use for only a life threatening it is not. a half. hour after that incident we actually have patients 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 though it's up the phone and dial nine one one so we're

sending the message happen after the eighteenth for the hospital to provide more pain medication for a patient that's inside there. you know you want to see you. are firefighters paramedics are incredible i mean they're you know we think 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 that for the fire department to become the health care system. a big part of the thinks is more primary and preventive care is the people with diabetes and high blood pressure get treated early then they don't come in here with heart attacks and strokes. and you are a little sad it feels like a lot of the guys that. they could bring not a yankee you love in an ideal world frost need to open up those county clinics and there so we have some place for individuals to walk into before they become in crisis and need actually nine i want to service it all comes down the phones really

it's a catch twenty two you know situation so what we did here first is a sixty five you granted two more rescues that we can put into place if things get really bad which they do a lot here. is that a band-aid yes but it's you know it's only brandy we have right now do serve everybody in this community. going to.

cut. cut cut cut cut cut. cut cut cut as a no no no no no matter where they are going to. come together for the. other didn't.

with.

see. if say. let's try to clean those. squandered money. there's no. more than sixty square kilometers of the bombing from the mistakes. and those who are still surprising new lives i'm finding are just. getting bad out here but not saying hardly any birds squirrels you know. you know i don't know what's going on here.