Sunday May 27, 2012

Ambulance, rescue crews summoned for increasingly ridiculous reasons

TOKYO —

In 2008, according to Fire and Disaster Management Agency (FDMA) data, ambulances and rescue vehicles responded to calls on 5.12 million occasions—during which 4.68 million people received medical treatment. These figures represent an increase of 1.5 million cases over 10 years.

Despite this increase, the number of emergency vehicles in use nationwide only grew slightly, from 5,200 to 5,900, over the same decade.

What irks the agency, reports web news site J-cast (Jan 16), is not that rescue staff being obliged to work harder, but that the number of gratuitous calls for assistance have grown exponentially. Just over one-half of the callers suffered only minor injuries that did not require hospitalization.

Some of the more extreme cases included callers who told the dispatcher, “I’m smarting from severe sunburn”; “The hospital’s not answering the phone”; and “A mosquito bit me and I’m itchy all over.”

So annoyed is FDMA with the flood of trivial calls that it’s reportedly readying a “manual for ambulance users” to be posted on its web site from this coming March.

Some callers are authentic cranks. Sankei Shimbun (Oct 6, 2009) reported that between March and September 2009, a man in Wakayama made some 180 calls to the 119 emergency number, saying things like “It’s really bad. Send an ambulance!” and “I’ve cut my wrists.” Rescuers went to his home a total of 80 times, upon which he typically refused to open his door, snarling at them, “Kaere, aho” (go away, you fools).

The same article reported that another callers in Wakayama summoned an ambulance and en route to the hospital requested it to stop at a convenience store. Yet another telephoned to request that the medics drive away a snake from the caller’s kitchen.

Or this item, from the Niigata Nippo of March 31, 2010: “A woman complaining of a light injury to her foot summoned an ambulance to take her to a hospital. It was subsequently learned that she had visited the same hospital earlier that day as an outpatient. After waiting two hours without receiving treatment, she returned home and called 119 so that she would be taken to the emergency room.”

The situation has become so bad that Takamatsu City has launched a campaign to dissuade citizens from calling ambulances except in the case of genuine emergencies. The Shikoku Shimbun (Oct 27, 2009) reported that one person had summoned an ambulance, and told the crew upon arrival that “The hospital’s closed today, so would you just mind giving me a ride someplace?”

The Nishi Nihon Shimbun (Jan. 14, 2011) reported that last year rescue crews in Kitakyushu City were summoned a record 50,000 times, many for trivial reasons not requiring emergency treatment. In Tsu, Mie Prefecture, the local edition of the Mainichi Shimbun (Jan 12, 2011) reported that fully one-half of the calls to 119 last year were for minor cuts or toothaches. In other cases, the callers waited outside their homes with bags packed, in preparation for hospital admittance.

“More than malicious reasons, we suppose the increase in these kind of gratuitous rescue calls is because more people simply don’t know what ambulances are supposed to be for,” a source in the Ministry of General Affairs, which oversees the FDMA, tells J-cast. “Also, because of the growing number of nuclear families or single-person households, when people get injured or sick, they tend to blow things out of proportion, perhaps out of feelings of loneliness.”

  • 0

    elbudamexicano

    This does not surprise me. These idiots should have their pictures and names put on newspapers etc..to have some shame for making such idiotic calls, back in America if you dont have insurance, minimum $2000 to get an ambulance and take you to the emergency room.

  • 0

    Reiner

    Absurdities never cease, eh?

    This problem has an easy remedy. Inform the public on its general use and establish a fine for those that misuse the service.

    Seriously, though... it's alright if you place the call if you've severed a limb (or something to that effect), but these people need to learn to tough it out. I mean: come on, little scratches and bruises? I've seen people walk away from ten times worse! Arguably, people o'er 'ere are a lot crazier than what someone would normally find elsewhere.

  • 0

    DenTok2009

    In the states, there are idiots who don't really know what 911 is for. It's a crutch for those with poor education. "Mickey D's ripped me off! There were only six nuggets!" (I've improved upon the grammar!) Over here, at least the calls do have to do with an illness albeit not a medical emergency. The crank caller in Wakayama should pay a fine and do jail time.

  • 0

    Laguna

    My wife and I took care of her father at home as long as we could. The time to go, when it came, was acknowledged tacitly by all; I knew, too, that he did not want to leave his home in a blare of lights and sound and a crowd of gawkers. So I brought my van around, placed a futon in the back, and we loaded him in around 23:00 to take him on his final trip to the hospital, pulling up to the emergency room entrance to the astonishment of all, who asked why we had not called an ambulance.

  • 0

    tokyochris

    And now I know why my kokuminkenkohoken premiums are so high >_<

  • 0

    Sarge

    "Kaere, aho"

    Ho, ho! The ambulance crew should have slapped him upside the head for that.

    I laugh every time I recall the story of the woman who called 911 to ask the name of the handsome police officer who came to her home the day before on some police call.

  • 0

    goddog

    I never called one personally, but after several hit and run accidents, I got the privilege to ride in the freezing things, with no equipment, and lack of skills and probably volunteers riding with me. I do like medicine here though, but the ambulance system sucks. A loose tank of O2 and no gloves and no radio for a severe asthma attack or bounced off your bike by a maniac driver is cause for concern.

  • 0

    shirokuma2011

    That guy in Wakayama should be charged with interfering with emergency services, or something. You'd think after the first 70 times or so, they'd have his number, so to speak!

  • 0

    Papigiulio

    Heh reminds me of a kid in the states who called 911 for help with math.

    But yeah in Holland if you call for nothing, they will sue you. Not sure how it works and what the fine is but at least they are doing something against it.

  • 0

    MrDog

    a man in Wakayama made some 180 calls to the 119 emergency number, saying things like “It’s really bad. Send an ambulance!” and “I’ve cut my wrists.” Rescuers went to his home a total of 80 times, upon which he typically refused to open his door, snarling at them, “Kaere, aho” (go away, you fools).

    They should have kicked his door down, then left.

    Arguably, people o'er 'ere are a lot crazier than what someone would normally find elsewhere.

    No. Wrong. There are idiots like this, or worse, all over the world. This isn't just a Japanese thing.

  • 0

    marcels

    I think in Australia you have to pay $500 for Ambulance service unless you are appropritely insured,but over here I hear atleast 5 to 6 ambulances in my quiet neighborhood everyday.. Just start charging for ambulance services and you,ll see most of the ridiculous reasons dissapear....

  • 0

    gogogo

    I hurt my foot once, it was not an emergency at all, but I didn't know where the hospital was, I asked a policeman at a koban and he said he will phone an ambulance, I told him it is not an emergency and a waste of resources yet he called it anyway, I was embarrassed and shocked at the policeman for being an idiot.

  • 0

    warnerbro

    Thanks to autocratic physicians, Japanese ambulance crews have very limited training and are authorized to do very little. I've had two kids taken by ambulance and the crew did nothing. I was taken by ambulance once in the US and the emergency room was receiving my heart waves, respiration, temperature, etc. in real time. The "emergency" physicians in Japan themselves have narrow training (may have never treated a child, for example) and send cases they've never treated before elsewhere. At one hospital we visited on a weekend, the doctor staffing the emergency room was a urologist. One neighbor spent 4 hours with her child riding around Tokyo trying to find somebody who would make sure she was okay after a fall and potential concussion. Every hospital said we don't have a pediatric neurologist so we can't even take an xray. Doctors can call themselves a specialist in almost anything they think they can handle with only a standard medical license (including surgery but excepting obstetrics, I believe. Correct me if I'm wrong.) But on the other hand, their purview in their practice is so narrow that an internal medicine practitioner doesn't even have an otoscope and can't diagnose an ear infection. So God help you even if the ambulance gets you to a hospital in good time.

  • 0

    lovejapan21

    thats what happens when the system is atrocious. I hope people keep abusing it until the people in charge get off their lazy butts and start amending laws/rules in Japan. It is unfortunate but the only way to see changes.

  • 0

    iceshoecream

    Two things that could be done; one launch a campaign nationwide to educate people a bit more about the situation (like in the case of the woman complaining of a light injury), and two, send the cops right after the rescuers to callers like the one who said "Kaere, aho!".

  • 0

    Frungy

    Warnerbro - To become a specialist you first have to finish a basic medical degree which qualifies you as a generalist, then after that you go back fro another degree as a specialist. So these guys are qualified to do everything from basic surgery to take an x-ray (all the things the doctor does alone at the clinic), but the hospital regulations probably forbid them from doing so for insurance reasons. It sucks, but that's the way it is.

    As for the guy in Wakayama, I hope he's REALLY healthy, because next time he visits the hospital... well, I think he'll get the biggest, ugliest male nurse and all his medication will be in suppository form... large horse suppositories.

    Jokes aside I think they should simply have three different rates for ambulances. Standard rate (used for legitimate emergencies) 10 000yen. Avoidable rate (used for real injuries that could probably have been treated as walk-in) 20 000yen. Nuisance rate (prank calls, etc) 100 000yen. Whether the person gets in the ambulance or not the bill is sent and they can appeal it if they like.

    Or perhaps a simple poster of a someone dead because the ambulance was at another house dealing with a prank caller. I don't think these guys realise that with emergency services even a few minutes can mean the difference between life and death.

  • 0

    iceshoecream

    "Just start charging for ambulance services and you,ll see..." I'm not sure how much you'll pay here for an ambulance, but raising the fees would surely make it very difficult for the ones with low resources and who might need it most.

  • 0

    hokkaidoguy

    “A woman complaining of a light injury to her foot summoned an ambulance to take her to a hospital. It was subsequently learned that she had visited the same hospital earlier that day as an outpatient. After waiting two hours without receiving treatment, she returned home and called 119 so that she would be taken to the emergency room.”

    I'll have to remember that one...

  • 0

    fds

    That guy in Wakayama should be charged with interfering with emergency services, or something. You'd think after the first 70 times or so, they'd have his number, so to speak!

    unfortunately, they probably don''t have the laws in place to do that but they should.

  • 0

    ka_chan

    Don't dis volunteers! I found that EMS that use volunteers have ambulances that are better equiped and the volunteers are better trained. That is because paid services have a bottom line to think about and extra supplies are money.
    The dispatcher should treage the calls and send the police instead. But Japan doesn't have a 911 systems where all emergencies (Fire, Police, Medical)are the same number. Maybe they would think twice if a cop showed up at their front door.

  • 0

    kokorocloud

    The "kaere, aho" guy made me laugh, but only because it's so stupid. He seriously should have ben taken into custody for that. What if someone actually NEEDED an ambulance while they were responding to this fool's call?

  • 0

    namabiru4me

    The "kaere, aho" guy should have been wrapped in a straight jacket and sent to the funny farm for a long evaluation. That would teach him.

  • 0

    jason6

    Just cut the phone lines of people who abuse them. Solves it right quick!

  • 0

    Gurukun

    The "kaere, aho" guy made me laugh, but only because it's so stupid. He seriously should have ben taken into custody for that. What if someone actually NEEDED an ambulance while they were responding to this fool's call?

    If I was in that ambulance team, I would have kicked the door down and beat the crap out of him. And guess what...then there would have been an ambulance there for a reason.

  • 0

    pumpkin31526

    My friends son had a minor scuffle at school yesterday ending with the opposition having a bloody nose. The mother called the ambulance! unbelievable. A national awareness campaign is what is needed here.

  • 0

    miamum

    during which 4.68 million people received medical treatment.

    That`s debatable

    The mother called the ambulance! unbelievable

    That was because she could potentially sue later and calling an ambulance lends weight to her claim.

    I would ride a bicycle to the hospital with a broken leg before calling an ambulance here. They are a joke. When my husband was knocked off his bike on a crossing it was a farce-from turning up after 15 minutes, totally ignoring him lying in the street to have a go at his gaijin wife for riding a mama-chari with two kids (in the days when that was banned), to hauling him up to his feet without checking first for any injuries, back, neck or internal, to then yelling at me to let them do their jobs when I begged them NOT to move him until they had checked said injuries, to then being unable to get him into the ambulance on the stretcher without bashing every wall, post and signboard on the way, to then taking 15 minutes searching for a hospital to take him to, to then neglecting to actually TELL me where they were going so I had to wait for a phone call from him to say he was still alive - miraculously enough.

    Luckily he was OK, but I have heard tales of kids with meningitis dying in the ambulance because they can do nothing and can`t even find a hospital to take them.

    I dont think its the ambulance drivers fault-they are just not given the training. There doesnt seem to be any such thing as a paramedic here, an as someone said, I suspect it is the autocratic doctors protecting their "patch" that are preventing it.

  • 0

    kokorocloud

    Gurukun-- Haha, I suppose that would prevent it from being a waste, yeah!

    miamum-- That's horrible! They don't sound like they were trained at all, no. Sheesh.

  • 0

    kiwiboy

    Charge for ambulance call-outs only when the call-out was unnecessary. If the ambulance call-out was genuine, don't charge.

  • 0

    Patrick Smash

    I'm afraid that sometimes you can only enter a hospital after hours by ambulance, which means ambulances are often called for minor things that need attention, without this being the fault of the caller. It depends where and when. Someone who calls an ambulance and then abuses the crew should be arrested and prosecuted. Being allowed to do this 180 times is Japan at its worst.

  • 0

    Frungy

    Patrick Smash at 01:41 PM JST - 21st January I'm afraid that sometimes you can only enter a hospital after hours by ambulance

    I don't know where you live, but in my area there's always an emergency door with an intercom, and I've had to visit hospitals after-hours quite a few times with a sick baby. I've never had a problem... although sometimes it took them an AGE to find a pediatrician and I've since learnt that I should just go to the local children/maternity clinic since the doctor there is used to being called in at a moment's notice and lives down the road and is there in under 10 minutes (often he's there already).

  • 0

    Zenny11

    Frungy.

    Guess depends on the size of the hospital and if they are specialized or not.

  • 0

    presto345

    Abuse of emergency services should be severely dealt with because the service might become unavailable to those who really need it.

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