Public transportation stops in Istanbul are very intense, first aid is insufficient: The stops and stations where public transportation vehicles are used extensively in Istanbul carry a great risk in case of a possible health problem. According to the Istanbul Medical Chamber, there is no emergency medical aid planning for risky areas. The 112 Emergency Service says that there are medical teams at public transportation points.
On Monday, an accident occurred in the subway going from Istanbul Seyrantepe to Taksim direction. The iron bar, which entered through the front wagon, stuck to the hip of Fatih Çoban. Eyewitnesses told that they were trying to call an ambulance, but the phones were not pulled, there was no ambulance for about 30 minutes, and the person with an anchor in his hip waited that way, there was no paramedic in the subway.
Al Jazeera Turk explored how health services are provided at public transportation points after this accident.
Many stations and stations in Istanbul, where public transport are used extensively, are at great risk in terms of intervening in any emergency health problem. According to the Istanbul Medical Chamber, there is no emergency medical planning plan for risky areas, but the 112 Emergency Service says that the necessary measures have been taken.
In the last accident, it is said that the ambulance arrived at least 30-40 minutes late and spent this time waiting in the subway with an iron rod stuck in Çoban's hip. This is not the only example. Sevgi Yıldırım, who suffers from heart and diabetes, who has deteriorated in Marmaray, also took half an hour to reach the medical team.
Sevgi Yıldırım, who sells handcrafted textile products in Maltepe, had a health problem in Marmaray, which connects both sides of Istanbul, but spent the most critical time waiting. According to Yıldırım's statement in the incident that took place last month, upon returning from Eminönü, where he went to purchase materials, he entered the Cağaloğlu Station and felt a pain in his chest when he landed in the area where the trains pass by the elevator. Yıldırım, who has heart and diabetes, asked the security guard for help.
Sevgi Yıldırım explained how he died from death at Marmaray Cağaloğlu Station.Photo: Murat Eğilmez / AJT
He explained that the officer took him to the security room and explained the event day:
“I'm angio, I have a stent in my vein. Since I had diabetes and blood pressure, I asked for two sugar and water. But I said 'I'm not good'. 'Should we call 112?' they asked. I said 'call'. Half an hour later the medical team arrived. They measured my blood pressure and turned 22 to 11. They said, 'We have to take it to the emergency hospital.' I took my sublingual pill, I said I didn't want to go to the hospital. They signed a paper and left to avoid taking responsibility. A very long time for half an hour emergency response. Even 5 minutes is very important for human survival. I went down to the minus 9th floor by elevator. Anything can happen there. At that moment, he may have been in crisis, there was an accident, there were children, he could fall. At these points, there should be a medical team. I'm alive today by chance. They would say, "Well, the old woman died from a heart attack," they would pull the veil over me. "
Photo: Murat Eğilmez / AJT
Yıldırım also said that the municipality called the "White Table" complaint line 153 and made a complaint by telling them what happened. However, after telling him that he was looking for the relevant places after telling him that 'State Railways are responsible', Yıldırım said, “They called me a week later and they said that the security personnel in Marmaray were also trained for emergencies. So they stopped, asking, "Well, why didn't they interfere with me then?" Human life should not be cheap. The deceased should not remain dead. ”
112 Emergency Service officials affiliated to the Istanbul Health Directorate responded to our questions about what happened to Yıldırım at Cağaloğlu Station, saying, "The healthcare team waiting at Vakaya Fatih Marmaray Station was directed, and it took time to land inside the station with the traffic situation on the route."
112: Patients Exaggerate
Officials told Al Jazeera that “patients exaggerated the arrival time of 112, teams at existing emergency stations intervened as soon as possible, and the departure and return times are reported regularly”.
Stating that it is not possible to place teams at every point, the officials said that they were acting in line with the possibilities they had and that they could not have a team under the existing conditions. In the population density planning of the Ministry of Health, a health team was foreseen for every 50 thousand people and the distribution was made accordingly, and continued as follows:
Photo: Murat Eğilmez / AJT
“Provincial Ambulance Service, which serves about 15 million people, is actively working with 71 Emergency Assistance Stations, 123 on the Anatolian Side and 194 on the European Side. In these stations, a total of 282 ambulances and 3 marine ambulances are available. In addition, there are 285 motorized teams planned to be put into service in the near future. These teams will serve as the first response team at peak hours of the day. ”
It was stated that Emergency Aid Stations were planned by considering criteria such as service plan, district population, age distribution of the district, traffic and occupational accidents.
Photo: Murat Eğilmez / AJT
“There are teams at critical points”
Public transport is carried out (Marmaray, metro, metrobus, etc.) in the crowded points of the health team said the statement continued as follows:
“We have emergency stations in Taksim metro station, 4. Levent metro station, Fatih Marmaray station and near the line routes, and are kept ready for the task. When there are extraordinary situations in these and similar places (public transportation, shopping malls, etc.), our 112 teams and UMKE teams at these points intervene together. However; First aid training is given to personnel working at public transport stations by experts in the subject. These exams are audited and certified by the Istanbul Health Directorate. ”
Medical Chamber: 'No emergency medical planning plan'
The Istanbul Chamber of Doctors, 112 Emergency, except for disasters and social events, believes that it is important for medical intervention and sufficient if organized properly. Answering Al Jaazera's questions about how health services should be in public transport points, the Istanbul Chamber of Medicine made the following statement:
"I do not have a plan that includes risk areas in Turkey or in an emergency medical assistance on the regions where population is concentrated. Communication can be established quickly when 112 is called for the case. Rapid communication of 112 command centers with 112 stations close to the point where the incident was reported. If the team at the nearest point exits for another case, contact with other nearby stations and organize the organization. 4 stages must be carried out, in order for the team leaving the place for the case to reach its point again. In our country, especially in metropolitan cities such as Istanbul, the reasons for the disruption of 112 services are the very intense communication and organization problems. Command centers should be strengthened communication networks about organization, teams working here should have sufficient experience and emergency algorithm ”
The statement also pointed out that the 112 station points should be increased and teams should have training and sufficient experience in emergency medical intervention. However, it is stated that “112 services work with incomplete and inadequate staff as in other areas of health services”.
Source: Al Jazeera