what emerging purple really well melanie brown is near an emergency room on one level below the pillar of all american are clay i.d.f. destroyers desolate anywhere in the babbit northern border women who dream am certain that i am well padded a pick up somewhere with them edible or europe not europe after them and i know where i am them i cannot make them for you for the quality of the hospital there give champagne like i want to use for mercy purposes only rang in my pocket it's out of an emerging man it is not a merchant the blank i want is used for mercy purposes only like granting emergencies it is not.

god let's do everything we can to help me in this thirteen stats model. today is the parade thoughts christmas parade ten o'clock goes til 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 it you got it all right but it may take you so much i mean when you are not right now going right to the death of the image. there are aware of. this merger of the am authority on the way. it is telling the truth. it's about a twenty five foot tall. you can see for that thing there is a god. i think i don't see about the way through is on the floor.

particularly your till next morning ok. let's clear. the lot. you don't act fast enough to get into the silly season and get in there fast and. take a deep breath. again. my first computer four years ago we were averaging nine fifty a day right there we're averaging over twelve hundred thirty eight hundred calls i run today i could well have first. got yes. we handle six hundred thousand americans see calls a year but the calls are on the m.s.i. 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 every fortnight home is the address of your emergency is there any please is there bleeding. and i just don't believe you are the strong one year deal kay i want your time her rescue arrangements for me i want to have a rest are you there with the right now your i can it's 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 nuts runs are going up two percent and hospitals are closing in the last four years and 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 the value eight years that you ration has been referred to as a perfect storm of 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 rooms 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 of close since two thousand years you know 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 per capita 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 because we have become the de facto health care system. this is the canary in the mauling of health care throughout the united states. outstanding thank you. i

think. poorly statistical information this is a big step for your oh. the september you missed incident. where did. eight hundred twenty seven. join. it's a little surreal. sure this is the case if you're still really breathing for those the ones who call the. station sixty five is in the south los angeles area of our city and they actually have to paramedic rescues down there one of our busiest engine companies we have in the city of los angeles and 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. say

yes. i. think. i threw see. the firefighters at first were even e.m.t. and then they became e m t's and for minor standing at a lot of firefighters pocket that may be 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 this could be true mt license i said i can't hear it and can't do it 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 truly enjoyed the events aspect of it as well with my job where it was that it started with any us company making just five bucks an hour for about four years five years which a lot of us had to do. 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 with half the evidence is that we have now now we have all of them see medical services in the city of los angeles. from 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 him to know. that if. you're.

going to go see the slate. clean and you know this. urgent soon 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 stephens and just reach your sorry nobody to late you looking for the thing or my mom a lot ok i've had a lot of pain in its legs where my legs get now in the news bulletins and you are in a doctor's office today and she was concerned he had blood by the way he had one

before you're pregnant there's pressure right now this morning we're increasing staff feeding and trying to find room where there's never been room like you know closets hallways things like that. sorry to see i mean the whole weekend because about three times it's. discourteous the problem is not enough inpatient beds not enough urgency department beds and not enough nurses to members that 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 we were we can't turn them away. and 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 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 he says he's going to rescue. my person or. rather. right right or. wrong. and see the way to much this year. what's worse i know the sort of read just me. to spank really. you can play it just makes little difference for the receiver whether or grunting like you are just going right right now let's do it with your

rhythm i want to make sure. we question but never take any such leniency in the last twenty four hours that in. terms of voting no to treatment you know just on a more clear you know we're going to start ok hi that's a customer in the spacious b. as in boy you two six six five four four six five he is now adamantly refusing the hospital there were rising on the wrists complication up to and including down. willing to accept those responsibilities. i miss the hospital they want to speak with you. know the team by the on talk to. yeah hello. yes there were. some people just like that there you know they get the tree man they don't want to

they don't want to go yeah we're locked up on the point. as precious but. a lot of times they don't have the medicine they can't get the. medicine a kind of for the medicine or they sell it for the. b.b.c. set 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 really a growth. i make sure everybody stops and starts.

to want to be more. than just resigned they were going to your marketing ok they're not going to go. you should go we're strongly recommending it we can't force you to go when i have a good healthy baby right. that's going to hospital nineteen or fifty i know you. will only go junior was a month and that was right you know as a family what you're going to have. to let me do this is for first time bring him home with crack and yet she could meet the tracking 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 not going to have a growth our leaders have you had three and i pass it off so i'm not next project that you have i'm not. if you think that i have

a woman think once you stand up and sidewalks for us. like we can do that should blood pressure already. or you feel standing. clean. they are not telling you not to run the sweetie. so you need to do the right thing for your baby that's less you can go to such luck. ok ok ok we're going to go to martin luther king ok ok question are the king is the greatest hospital or is only really as they say i mean are babies like they are really really good. this is proved wrong was found was county supervisor. looking at it opens the door a. little monday morning at eight o'clock this hospital be open to the patients. watson would welcome 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 six hundred five because of the riots six days of rioting in a negro section of los angeles left behind seems reminiscent of war torn city much of south central los angeles seem to be on fire up the fire killing five unemployment or education and things like a lack of health care. that might calm commission said that the county must believe 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 on m.l.k. more use of king. true hospital was a 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 him fifty.

maybe even closer to fifty five fifty seven thousand a year in the main mercy 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 were no primary care facilities in that area. a few years ago the county law center said a lot of clinics are open for people to go walk in off the street and see clinics in the county and a few bad buggers a few years ago they closed those clinics private clinics are going to open up and take under insured or 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. they can see that you had an appointment with the pharmacy a week ago why didn't you go. i did go. 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 and all comply and they don't want to structure their never raise with structure of what the school you know never step where they are you know getting it so check your sugar two to three times a week don't use more not every day this is very expensive to not have insurance but this is where the money needs to go because the primary care why in this diabetic we prevent from getting you know failure or attacks leg cut off you know because if we want to do it we sit 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. 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 she's been to. at least six times within the one year period we want to thank you for also the care management part of it in order to. help her keep her on it that you are having to come in ok the same mrs romero come to see my name is . i work with a program called road to health and to help the patient understand better how to use the medical system settings them out maybe. but if you are going to have a case to occur who is going to communicate with you often and they. use them as

the way you were telling me how sometimes you have difficulty making appointments see ok so we had going to help you a little bit with that. how can i help you know me and they didn't give me this mattson you do have to educate and empower patients to learn how to access care quickly 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 in the right place and 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 or why. they wouldn't salad to me that's

one thing we did explain to the fish and the field. yes five she's telling me that she gets it that's why that may be seen i get it you don't mean a pharmacy. be sure for wellness we'll get together later for i know. it's going to. get a good thing for them or not. this. year. they're right. we have a twenty eight. thirty risk we didn't ok you guys are doing much better you're just about reached but margery's goal of what he wanted to have been a last resource on scene within six minutes you guys are holding down seven minutes flat however the best it's ever been and it was six forty four.

year old daughter of the super necessary this gives you the facts. i had a doctor call me from a 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 well which people are your people. 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 paying you can't function as a hospital and that's why we've lost some hospitals in our area and. in los angeles keller all in the last 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 a dog we're all supposed were there yours and. strive for so you. know we're going to see that little monkey. if you want to have sex go and have sex.

wealthy british style stock. market. can. find out what's really happening to the global economy with mike stronger for a no holds barred look at the global financial headlines tune into kinds a report. splits

within the ranks of syria's opposition fighters at first they claimed they were behind twin blasts in the country's largest city of aleppo which killed at least twenty five but another spokesman has denied responsibility just barely an hour later. a greek default looms large law makers race to secure more bell outcasts by trying to pass another round of massive cuts which send workers on strike and thousands on to the streets. and observing political change russia's public figures come together to ensure a fair and free presidential vote striving not to take sides.

twenty four hour news live from moscow this is our with me research we are getting conflicting reports over whether the free syrian army an armed wing of the opposition was behind the attacks in the city of aleppo an hour after one f.s.a. spokesman confirmed this another blamed the government the blasts have killed at least twenty five and injured more than one hundred and seventy journalistic dynamic reports from syria. aleppo a northern city in syria has been relatively quiet since the anti-government protests took place and march the government claims it's fighting a foreign funded insurgency and as well as it blames terrorist groups for the several bombings that took place in damascus of last year the violence has escalated in syria for the past week opposition forces claiming assad's.