Kerre Woodham: The ambulances are under the pump, and it won't finish anytime soon

Today, the 111 call out and the fact that St John is absolutely under the pump and has been for quite some time and they're not expecting it to finish anytime soon. On Saturday, 2,562 calls came into the ambulance through 111 the highest number received ever in a single day. But then that was the third time the daily record had been broken in a week.

Just last week, the record number of 111 calls was set, then surpassed, then surpassed, then surpassed again and they're not expecting that to go anytime soon. A mate of mine pretty much saved the life of our mutual friend. She was at her flat, suddenly stricken, like off the couch in agony. Her flatmate called 111, time was ticking by, nothing was happening.

So he rang my friend Les in absolute despair and said what the hell do I do, she's in agony. Les whizzed round there and then rang the ambulance service and asked where the ambulance was. And she said I can't tell you that and he said yes you can because you've got GPS, where is the ambulance? She said I can't tell you that. And he pushed her and pushed her until finally she admitted there was no ambulance on the way, they didn't have one. But she didn't want to tell him that, I don't know why. 

As soon as he heard that he just hung up, he and the flatmate scooped up Soph, whizzed her to the hospital and she'd had a brain aneurysm. It was touch and go but she has made a full recovery and is back to the beautiful vibrant soul she is, but it really was touch and go. If Les hadn't pushed, they'd have sat there waiting for an ambulance and Soph would have died. There'll be a hell of a lot more stories like that out there after the past two weekends.

As I said, it was a record number on Saturday, 2,562 calls, a normal day would see around 1,900 calls. According to Doug Gallagher, who's the St John Director of Ambulance Operations, not all cases need an ambulance. And he's right. After I smashed my arm into a million pieces, the next day, it was an uncomfortable night I grant you, but the next day I was still able to take a taxi from Leigh to a 24 hour medical centre on the North Shore.

It wasn't a fun hour and if I'd been in an ambo perhaps I would have had some pain relief which would have been greatly appreciated, but I got it once I got to the 24 hour clinic and once there it was a completely straightforward process of them going ooh, no, I think that needs to be x rayed, oh, I think we'll go to hospital for that one, and off we went. So probably people don't need an ambulance.

When something drastic happens, your first thought probably is oh I better ring an ambulance. And I suppose when I hurt my arm, I didn't even think of an ambulance because we were so far away, we were out in the seaside, at a seaside resort. And I didn't think there'd be any point in ringing an ambulance, I'd wait till the morning and get a taxi and go in from there. Possibly you could travel under your own steam. And I just wonder why people instantly think 111.  As Mike said this morning when he was talking to Doug Gallagher, there are a lot of time wasters, but Doug Gallagher said well I wouldn't call them that.

Wasting the time's not the term to use. I think people struggle sometimes with not being able to access the right part of the health system. But there are options there, Healthline, online GP portal, people can find those through the Health New Zealand website. I think that's the issue that people struggle to navigate the health system at times.

Is that what it is? Why would the first, I mean if you don't have a vehicle and you don't have any money, and there's a few people like that, then an ambulance may well be your only option if you think it's serious. But in the first instance, what do you do? I've called the Healthline before and it's been very helpful. I did think I'd probably need to get my arm set, but I didn't need an ambulance for that. I couldn't drive, but I could take a taxi and I did have the money to take a taxi. Not everybody does.

Do you think it's drummed into us to call 111 in an emergency or why is it that so many people see the ambulance as the first response? And you are asked to pay if you can when you take an ambulance, so you might as well hop in a cab or an Uber if you think there's something really wrong and needs checking out. That's a lot of calls in a day.

 I would love to know how many of them were absolutely essential where people may well have died if they didn't get that ambulance ride to the hospital. I'd just be interested to know what the advice is. Like Doug is saying navigate the health system, well so okay you ring Healthline and they answer pretty quickly. They might be able to give you advice.

Is it just panic when something happens? Like oh my god, what do I do? They're in terrible pain, I don't know how to deal with it, I'm going to ring the ambulance rather than I'm going to ring Healthline and see if this is something I can manage myself. I'd really love to hear your experiences.

I mean in my mate's case, Les's case, if he hadn't got Soph to the hospital she wouldn't be here and that's that. How many cases are like that with an ambulance or are people using it because they have no other options? And what is the medical advice? I mean if in doubt ring an ambulance, is that really the advice that St John would give?

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