The ambulance service is controversial again. Who is responsible for ＂moving patients＂？

　　BEIJING, Beijing, July 14 (Lv Chunrong) A few days ago, a news that "Beijing emergency personnel refused to lift elderly patients" caused public concern. In fact, in recent years, there have been frequent disputes about pre-hospital emergency services, such as unreasonable ambulance charges and who should carry patients. So, do emergency personnel have the obligation to help patients carry stretchers? What are the job functions of the ambulance? What behaviors of ambulances are illegal?

　　The emergency personnel refused to lift the 81-year-old patient and said that he could not lift it? 120 response: I did not refuse to lift it.

　　On July 13, some media reported that Ms. Cao in Beijing reported that her father had a sudden cerebral thrombosis in the early morning of July 9, and 120 emergency doctors asked her family members to find someone to carry the patient downstairs. It takes family members about 20 minutes to find neighbors to help. The family said that after being sent to the hospital, the doctor said that the patient missed the best rescue time. The family members questioned that the emergency personnel asked them to find someone to help lift the patient, which delayed the rescue time and caused harm to the patient.

　　Regarding the specific process of the incident, Ms. Ding, the mother of Ms. Cao, said in an interview with the media that at about 5 am on the 9 th, the 81-year-old wife suddenly had symptoms such as crooked mouth, unclear speech and stiff legs and feet. "He had cerebral thrombosis in 2013. I suspected that it was a recurrence of the old disease, so I dialed 120."

　　Ms. Ding said that about 20 minutes later, two medical staff came home to check and measure their blood pressure for their wives. The medical staff asked them to find someone to carry the patient downstairs. "They said they couldn’t lift it."

　　This matter caused public concern after being reported by the media. Then, did the 120 emergency personnel violate the rules at that time?

　　A person in charge of the propaganda department of Beijing 120 Emergency Center surnamed Zhao told the reporter of Zhongxin.com that after verification, first of all, their staff did not refuse to lift, and both doctors and stretcher bearers finally lifted the patient. Furthermore, because the patient was older and lived on an old-fashioned floor, where there were no elevators and many corners, for the safety of the patient, at that time, the staff hoped to find some people to help the old man during the transshipment.

　　"Our doctor and stretcher bearer are two men, both of whom have gone to carry patients, and the other female nurse has to take a diagnosis box and an oxygen bottle." The person in charge said, "It’s not that nurses can’t lift it. It’s really because the old man is too old and afraid of danger in the process of lifting the stretcher, so I hope to find more people to help."

　　Are emergency personnel obliged to carry stretchers? 120 Response: The relevant regulations are not clear.

　　In the eyes of many people, it is the duty of emergency personnel to carry patients, and it should be the obligation of emergency personnel, because this service should be included in the final expenses paid by family members.

　　In this regard, the above-mentioned person in charge told reporters that in the relevant regulations, doctors have no obligation to carry stretchers, but as a doctor or an ordinary person, it is a matter of course to give a hand and help others when they need it.

　　"The main duty of emergency personnel is to be a doctor, that is, to treat and transport patients." The person in charge said that all emergency personnel have doctor qualification certificates, and some are deputy chief physicians. Like doctors in hospitals, their main duties are to rescue patients on the spot and make a preliminary judgment on their condition. In the process of transshipment, they are carefully monitored and safely sent to the hospital. The stretcher bearers are mainly responsible for carrying the stretcher, but in fact, not every car is equipped with relevant personnel.

　　According to statistics, at present, there are 580 ambulances in 120 and 999 pre-hospital institutions in Beijing. The person in charge explained that they are not unwilling to deploy stretcher bearers in each car, but it is not easy to deploy stretcher bearers in all ambulances at present because of the treatment of personnel, the legal system and the relevant regulatory requirements for stretcher bearers themselves.

　　Beijing plans to legislate to carry services or provide them by pre-hospital emergency agencies.

　　In fact, there has been a long-standing dispute about who should bear the "lifting service" in first aid. Last November, the "China Southern Emergency Incident" triggered a strong discussion on this issue. At that time, a passenger reported that he suddenly fell ill on a flight of China Southern Airlines, but the crew of Beijing Capital and the ambulance personnel at the airport passed the buck on who would carry the stretcher.

　　In response to the controversy, in May this year, the 27th meeting of the Standing Committee of the 14th Beijing Municipal People’s Congress deliberated the draft of the Regulations on Pre-hospital Medical Emergency Services in Beijing for the fourth time, and revised the third draft of the deliberated draft to stipulate the norms and standards of first aid.

　　According to the provisions of the draft, pre-hospital medical emergency institutions should provide lifting services for urgent and critical patients in need. If the patient needs the lifting service, he can ask for it when he calls. Each pre-hospital ambulance shall be equipped with 1 doctor and 1 driver, and 2 emergency personnel such as nurses, medical ambulance personnel or stretcher bearers as required.

　　For pre-hospital medical emergency institutions that are not equipped with emergency personnel in accordance with the regulations, the third draft of the revised draft clearly stipulates that the Beijing or district health and family planning administrative department shall order it to make corrections and may impose a fine of less than 5,000 yuan; Causing serious consequences, the relevant persons directly responsible shall be punished according to law.

　　What other controversial topics are there about ambulances?

　　In addition to frequent disputes over who will bear the lifting service, the question of whether ambulance charges are reasonable has also attracted much public attention. In this regard, the above draft also stipulates that pre-hospital ambulances should be equipped with a meter, and a price notice should be posted in an obvious position, indicating the name, standard and price reporting telephone number of the charging item.

　　Since May 1st this year, the Notice on Printing and Distributing the Price of Pre-hospital Emergency Care Projects in Beijing has been officially implemented, which regulates the current price policy related to ambulance use and unifies the "ambulance use fee".

　　According to the notice, the ambulance on-board visit fee in Beijing is standardized as pre-hospital emergency rescue fee, and the price remains the same every time in 40 yuan. The pricing method of ambulance use fee is changed from "pricing the whole round trip of vehicles" to "pricing according to the actual passenger mileage". The pricing mileage shall be subject to the meter, and there shall be no charge for ambulance vehicles without the meter.

　　The specific price standard is: within 3 kilometers (inclusive) in 50 yuan, over 3 kilometers per kilometer in 7 yuan, and less than 1 kilometer is calculated as 1 kilometer. The mileage is calculated according to the actual mileage from the patient to the destination, and no charge is allowed without the meter. This also means that within 3 kilometers, the cost of ambulances in Beijing is only 90 yuan, not more than 100 yuan.

　　In addition, refitting and borrowing ambulances is another focus of public opinion in recent years.

　　In this regard, as early as 2013, the "Measures for the Administration of Ambulances in Beijing", which came into effect on February 1 of that year, made it clear that medical and health institutions in this city must use ambulances in accordance with the relevant regulations of the state and this city, and may not modify, lend, borrow, resell, transfer, allocate ambulances or use them for other purposes, and may not use ambulances with cancelled institutions or ambulances with non-local licenses to engage in medical services in this city.