Confessions of an emergency doctor: death, dangerous patients and saved lives

There are many questions for domestic medicine, as well as claims that every second person expresses at any convenient or inconvenient occasion. Often, dissatisfaction with the work of an ambulance slips among them, but few people think about how it looks on the other side - through the eyes of doctors. We talked with one of them about why people do not want to go into medicine, how many false calls are received per day and what to do with dying patients.

About career

I've been in the emergency room for over 20 years. We have a local division of teams: linear, pediatric, cardiological, resuscitation and neuropsychiatric. I started as an orderly on the line, then switched to cardiology, became a nurse, returned to the line, became a doctor - and again switched to cardiology.

We are still working as an intensive care team - in principle, it replaces everyone except neurologists. We travel both to ordinary patients and to various accidents and mass road accidents. Usually there are two or three people in the crew plus the driver.

I can say that a huge percentage of doctors who are now employed in various fields started with an ambulance. If we take the third city or regional hospital, then many local specialists have gone through this school.

Most often, students come here as a temporary job - it has its own exoticism, you can learn something, for example, make decisions quickly. And the schedule is more or less free, not tied to a place. It used to be that way.

I stayed in this service a little longer than others. They call me to the hospital, but I don’t want to leave - I like this job.

About problems

Recently, the number of calls has been growing, the intensity has been increasing, but the number of brigades has been declining. Previously, there were 10 teams per 100,000 people, and now there are about seven teams for the same number of patients.

At one time, it was believed that the norm for a cardiological team was eight calls per day. Now 10 calls are already considered an "easy" day, 12 is an average number. Basically there are 14-16 trips per shift. Additional load is not paid.

Because of this, not everyone wants to work on an ambulance, and there are fewer and fewer of us. Now there are doctors average age who are over 40 years old. There are very few young doctors. The problem with the medical staff in the ambulance is in the first place.

About calls

There is an unspoken order that all calls are recorded and an ambulance leaves for them. That is, we do not have the right to refuse, even if help is not actually required. Theoretically, this should be determined by a dispatcher who has a secondary specialized medical education - he is a paramedic with the highest category. Of course, I don’t like it - riding in vain, some kind of stupidity, but what can you do.

Calls can be conditionally divided into those that require assistance, communication with the patient, those that are refused and cases where the patient was not found. Well, for example, compassionate people call and say that somewhere a drunk man has fallen and is lying. We arrive and he is gone. Well, or he is, but sends us far, far away. You can’t even leave him, because another grandmother, passing by, will call us again.

The police in such situations arrive later, and sometimes they call us to determine the severity of intoxication. Here sometimes it comes to scandal. Recently there was a situation when a major called us, we arrived, made a conclusion and left. After a while, he calls again and says that he will not pick up a person, because he cannot reach the car. Passers-by have already helped there, who brought the peasant to the police "bobik". In general, we do not conflict with other services, because we work in conjunction with the Ministry of Emergency Situations, the police, and the traffic police.

Now there are many patients who cannot go to the hospital. Due to queues and initial appointments, it is sometimes possible to get to a therapist only after a few days. I believe that this is the scourge of domestic medicine, when people do not have the opportunity to immediately go to the clinic and they have to wait. But the fact is that there are fewer doctors, and more paperwork. And we are called by such patients who think that the arrival of an ambulance can replace the initial appointment with a therapist. This is not true.

There are many false calls - several dozen per day. A large percentage is an overdose of drugs, but while the brigade is driving, many call and cancel the call. Also, these are people on the street who fell somewhere. Recently there were three calls in a row, we accompanied a woman who was walking home and falling at every corner. And people called us every time. As a result, we reached her entrance, and she refused to help.

Very often grandmothers suffering from loneliness call. They also need help, but psychological. As a rule, they are abandoned by relatives and children who come once a week at best. And they also need communication. Worse when they call us at night. They say: "I'm afraid to stay with my sore at night." She endured all day though. It's like being scared to die at night. In such cases, we also come, of course. You will say two or three kind words, you will measure the pressure - and it seems that the tonometer cured her, it became better.

About violent and strange patients

As a rule, the most violent patients These are people who are intoxicated. Even drug addicts treat doctors more calmly. In drunks, the stage of excitation is more pronounced. They sometimes have to swear and conflict. But if you build a conversation correctly, they quickly calm down. There were also fights with such comrades, but, frankly, I don’t want to talk about it.

But I can't remember any strange calls. Situations when, say, a person puts a light bulb in his mouth on a dare, are quite common. Or when someone gets a burn of the whole body in the bath - too, although it seems wild. Just breaks the taps and the person is scalded. There are three or four such cases a year.

There are, of course, hypochondriacs who call an ambulance for any reason. As a rule, all brigades already know them. Some addresses I remember by heart.

Of course, there are those who really have some kind of serious illness, but they also call an ambulance for every trifle. That's what's bad: you come to a person six or seven times a month, and on the eighth, knowing in advance that he has nothing, you can really miss real problem if it suddenly appears or worsens. This also happens. Of course, both doctors and patients are to blame here. The first - because they reacted carelessly, the second - because they do not want to be treated normally and panic about every occasion.

About the traffic situation

Recently, drivers have become more loyal to ambulances. By the way, imported cars pass more often than our UAZs. The logic of people is clear: if a UAZ is driving, then this is most likely a linear brigade, the patient can wait. Although this is not true, because a general-profile team can also carry a seriously ill patient.

Rudeness happens, but rarely. There were cases, of course, when you had to get out of the car and say that they gave way. Most often, such situations occur with taxi drivers who drive into the yards, and then they need to turn around, they don’t want to take a couple of entrances back to let help through. Literally in the autumn it was like this - we could not part with the taxi driver and went to the right house on foot.

About death

Death is a common thing to deal with. Several times a week, sometimes per shift. Deaths are also different - both before the arrival of the brigade, and with it. In the first case, these are either clinical patients or patients with sudden acute illnesses who came to the ambulance late. It also happens that doctors do not have time to get there. But more often than not, people turn up late. While others call doctors for every trifle.

There is also such a thing as "predictable death", when you know that the patient will die soon - it's easier. But there is also a sudden one, when even the cause cannot be established, then it is hard.

I don't remember the first time I faced death. But I distinctly remember an incident that made an indelible impression on me. It was about 20 years ago, I guess. A family was driving along the highway - the husband and child were sitting fastened in front, and the wife was in the back seat. During the accident, she flew through windshield his car, and then the same car ran into her. We managed to take her only to the Crystal Hotel when she died. She had multiple injuries: fractures of the chest, pelvis, base of the skull. Of course, it's better not to remember.

In general, there is such a law that patients must die in the hospital. But older people, as a rule, want to die in their bed. I believe that this is a normal desire - if without suffering, then why not. Perhaps this is correct. My grandparents at one time also refused to go to the hospital and stayed at home.

But here is a double-edged sword: we cannot forcibly hospitalize a patient against his will, but from a legal point of view, a person at such moments is not always able to adequately assess his condition. On the spot it is difficult to determine how sane the patient is. As a rule, in hospitals such decisions are made at consultations. And in an ambulance every time you make a decision at your own peril and risk.

About the specifics of work

Emergencies, when there are more than three victims, or cases with a fatal outcome, do not happen so often, but emotionally, of course, they are more difficult than everyday work. But at such moments you understand why you are needed.

Of course, each doctor decides for himself whether to provide assistance on the spot or quickly take him to the hospital. In the first case, you need to understand that a person will be able to be hospitalized later, quickly assess the risks, weigh all the pros and cons. It is only in films that they show that doctors can do something on the way, but the reality is that, moving along our roads, the patient cannot be helped. If he is already intubated or has catheters, then you can change bottles or put solutions on the go - but that's it.

There is also a kind of burnout - as a rule, such moments occur before a vacation, when you know that you will soon have a rest, and it is already hard to look at patients. It may not be pretty, but that's the way it is. You understand that this is wrong, but you can’t do anything with yourself. You start working like a machine, and abstract from people.

About medical humor

Doctors joke about everything in the world - even about death and about cancer. It doesn't work otherwise. Sometimes, when we return to the station, we need to yell loudly and immediately laugh. It happens in our staff room - it helps to relieve stress.

Doctors have a lot of rude and obscene jokes, but this is the specificity of our work, we can’t do without them. It helps us keep going.

On December 19, Novosibirsk and the NSO regions officially received the keys to new ambulances - doctors showed how the cars are arranged from the inside.

18 new emergency medical vehicles - 9 GAZelles and 9 UAZs - arrived in Novosibirsk at the end of the week, and at the beginning of this week the cars dispersed to their regions. Novosibirsk ambulance station will receive 7 GAZelles. The rest of the cars will go to Bagansky, Barabinsky, Kolyvansky, Kochkovsky, Krasnozersky, Kyshtovsky, Chanovsky, Chulymsky, Tatarsky, Toguchinsky districts, as well as to Koltsovo.

“This is a special federal program to upgrade ambulances… I think that this is just in time - today we see how the load on the efficiency of the ambulance is growing every day. More calls for influenza, SARS, such an epidemic is still suitable. I congratulate the doctors and hope that they will respond with care and efficiency in relation to people who hopefully dial 03 - they will come and provide assistance, ”NSO Governor Vladimir Gorodetsky explained to reporters after the solemn presentation of car keys to doctors in the region.

Earlier, the ministry said that in 2016, about 21.5 million rubles were allocated from the regional budget for the purchase of new cars. - they want to spend the same amount on new ambulances next year. In total, there are now about 330 ambulances in Novosibirsk and the NSO.

The Minister of Health of the NSO, Oleg Ivaninsky, was asked by journalists how the combination of Novosibirsk roads correlates with their characteristics and domestic auto industry.

“Very well correlated. It is clear that any machine requires Maintenance, domestic car It's much better and cheaper today. Mercedes and Volkswagen, of course, break down less, but life is life. We live in an extreme enough climate - yesterday it was warm, today it is already -20, it is always extreme for a car.

But what was in the UAZ 20 years ago and today is generally heaven and earth. Try to stand up to your full height in the UAZ in the old one and work on resuscitation activities here as well,” Oleg Ivaninsky said.

At the request of NGS.NOVOSTI, ambulance doctors spoke in detail about the arrangement of new cars.

Alexander Balabushevich, Deputy Chief Physician of the Novosibirsk Ambulance Station, emphasized that all the cars brought belong to class B. “This means that it can be used not only for transporting patients, but also for performing medical evacuation, providing medical care during the journey,” - he explained.

Alexander Balabushevich

Showing the UAZ, the deputy chief physician noted that thanks to all-wheel drive the machine can be used in the countryside. “On non-asphalt roads, especially during spring thaw and so on – where other cars won’t pass,” he explained.

A mandatory device in the car is a defibrillator-monitor. “It allows you to monitor the [patient's] heart rate while the car is moving, while the patient is being transported,” said Alexander Balabushevich.

The ventilator makes it possible to transport patients who cannot breathe on their own - the device breathes for them. An electric aspirator helps to suck out various fluids accumulated in the body, and a nebulizer compressor is needed for patients, for example, with bronchial asthma.

The cars also have an electrocardiograph and necessary set tires. “The whole complex of equipment allows us to provide full-fledged modern assistance to any patient in any condition,” Balabushevich assured.

Naturally, each car has a wheelchair, with which the patient is loaded into the car. According to the deputy chief physician of the station, one or two ambulance workers do not need to have great physical strength to cope with this.

A feature of the cars is the so-called evacuation shield (orange, to the left of the gurney). “It serves to transport patients with severe spinal injuries. Moreover, it can be used not only for transportation, but also for evacuation from the scene,” he explains.

People have been sick for centuries, and for centuries they have been waiting for help. Oddly enough, the proverb "Thunder will not strike - a peasant will not cross himself" applies not only to our people. The creation of the Vienna Voluntary Rescue Society began immediately after the catastrophic fire in the Vienna Comic Opera Theater on December 8, 1881, in which only 479 people died . Despite the abundance of well-equipped clinics, many victims (with burns and injuries) could not receive medical care for more than a day. Professor Jaromir Mundi, a surgeon who witnessed the fire, became the founder of the Society. Doctors and medical students worked in the ambulance teams. And you can see the ambulance transport of Vienna in those years in the photo.

The next Ambulance Station was created by Professor Esmarch in Berlin (although the professor is more likely to be remembered for his mug - the one for enemas ... :). In Russia, the creation of an ambulance began in 1897 from Warsaw. Naturally, the advent of the car could not pass by this sphere of human life. Already at the dawn of the automotive industry, the idea of ​​​​using self-running wheelchairs for medical purposes appeared. However, the first motorized "ambulances" (and they appeared, apparently, in America) had ... electric traction. Since March 1, 1900, New York hospitals have been using electric ambulances.

According to Automobiles magazine (No. 1, January 2002, photo dated by the magazine in 1901), this ambulance is an electric Columbia (11 mph, range 25 km) that brought US President McKinley (William McKinley) to the hospital after attempts. By 1906, there were six such machines in New York.

In Russia, they also realized that ambulance stations need cars. But at first, horse-drawn "carriages" were used.

Interestingly, from the very first days of the work of the Moscow Ambulance, a type of brigade was formed, which has survived with slight "variations" to the present day - a doctor, paramedic and orderly. Each Station had one carriage. Each carriage was equipped with a stowage with medicines, tools and dressings.

Only officials had the right to call an ambulance - a policeman, a janitor, a night watchman. Since the beginning of the 20th century, the city has partially subsidized the work of Ambulance Stations. By the middle of 1902, Moscow within the Kamer-Kollezhsky Val was served by 7 ambulances, which were located at 7 stations - at Sushchevsky, Sretensky, Lefortovsky, Tagansky, Yakimansky and Presnensky police stations and the Prechistensky fire station. The radius of service was limited to the boundaries of their police station. The first carriage for the transportation of women in labor in Moscow appeared at the maternity hospital of the Bakhrushin brothers in 1903. Nevertheless, the available forces were not enough to provide for the growing city. In St. Petersburg, each of the 5 ambulance stations was equipped with two horse carriages, 4 pairs of manual stretchers and everything necessary for first aid. At each station, 2 orderlies were on duty (there were no doctors on duty), whose task was to transport the victims on the streets and squares of the city to the nearest hospital or apartment. The first head of all first aid stations and the head of the entire first aid business in St. Petersburg under the committee of the Red Cross Society was G. I. Turner. A year after the opening of the stations (in 1900), the Central Station arose, and in 1905 the 6th First Aid Station was opened. By 1909, the organization of first (first) aid in St. Petersburg was presented in the following form: the Central Station, which directed and regulated the work of all regional stations, it also received all calls for ambulance.

In 1912, a group of doctors of 50 people agreed to travel free of charge on a call from the Station to provide first aid.

In 1907, the factory of P.A. Frese, one of the creators of the first Russian automobile, exhibited an ambulance of its own production on a Renault chassis at the International Motor Show in St. Petersburg.

A car with a body of the Ilyin factory (designed by Dr. Pomortsev) on the La Buire 25/35 chassis, suitable both for transporting patients and for surgical care in a military field hospital.

In St. Petersburg, 3 Adler ambulances (Adler Type K or KL 10/25 PS) were purchased in 1913, and an ambulance station was opened at 42 Gorokhovaya Street. The large German company Adler, which produced a wide range of cars, is now in oblivion .

Sanitary bodies for the Petrograd detachment of the IRAO were made by the well-known crew and body factory "Iv. Breitigam"

Ambulance La Buire

With the outbreak of the First World War, it took ambulances. Moscow motorists (from the First Russian Automobile Club in Moscow and the Moscow Automobile Society), and volunteers from other cities too (on the right - photo of Russo-Balt D24 / 35 of the Petrovsky Volunteer Fire Society from Riga) formed ambulance columns from their cars converted for medical needs, organized infirmaries for the wounded with the funds raised. Thanks to cars, tens, if not hundreds of thousands of lives of soldiers of the Russian army have been saved. Only motorists of the First Russian Automobile Club in Moscow from August to December 1914 transported 18,439 wounded and injured from railway stations to hospitals and infirmaries.

In addition to Russian sanitary detachments, several foreign volunteer sanitary detachments operated on the eastern front. The Americans have been very active. In the photo on the left - Ford T cars (Ford T) of the American sanitary detachment in Paris. Pay attention to the uniform of people who have gathered for the war - white shirts, ties, boaters.

Pierce-Arrow cars (Pierce-Arrow 48-B-53) with the inscription "named after H.I.V. Grand Duchess Tatiana Nikolaevna American Detachment. American Ambulance in Russia". The photographs give an idea of ​​the number of ambulances used for medical support of military operations in those years.

French and English volunteer sanitary columns also operated on the eastern (Russian) front, and the sanitary detachment of the Russian Volunteer Corps operated in France.

In the photo, the English Daimler Coventry (Daimler Coventry 15HP) with the inscription Ambulance Russe on board

Renault, on the right - the English sanitary Vauxhall, which was also supplied to Russia.

Unic (Unic C9-0) of the French Red Cross in Odessa, 1917 (driver in French military uniform), a Russian soldier is standing in a group of people.

Ambulance of the Russian army Renault (Renault)

After the revolution, at first, old or captured equipment was used.

In the first post-revolutionary years, automobile ambulance transport provided not only an ambulance station, but also hospitals, as well as the Petrograd fire brigade. The goal is obvious - to speed up the provision of medical care to victims of a fire. An unidentified make of the car in a 1920s photograph.

In the first years after the revolution ambulance in Moscow served only accidents. Those who fell ill at home (regardless of severity) were not served. An emergency room for suddenly ill at home was organized at the Moscow ambulance in 1926. Doctors went to the sick on motorcycles with sidecars, then on cars. Subsequently urgent care was separated into a separate service and transferred to the district health departments.

Since 1927, the first specialized team has been working at the Moscow ambulance - a psychiatric team that went to "violent" patients. Subsequently (1936) this service was transferred to a specialized psychiatric hospital under the leadership of the city psychiatrist.

It is obvious that it was impossible to cover the needs for sanitary transport in such a vast country as the USSR through imports. With the development of the domestic automotive industry, the machines of the Gorky Automobile Plant became the basic machines for installing specialized bodies. In the photo - GAZ-A ambulance at factory tests. Whether this car was mass-produced is unknown.

The second chassis suitable for conversion to the needs of an ambulance in the 30s was the GAZ-AA lorry. Under specialized car bodies, they were remade in a variety of obscure workshops. In the photo - an ambulance from Tula.

In Leningrad, it seems that GAZ-AA was the main ambulance in the 1930s (left). In 1934, the standard body of the Leningrad ambulance was adopted. By 1941, the Leningrad ambulance station consisted of 9 substations in various regions and had a fleet of 200 vehicles. The service area of ​​each substation averaged 3.3 km. Operational management was carried out by the personnel of the central substation.

in the Moscow ambulance GAZ-AA was also used. And at least several varieties of the machine. On the left is a photo dated 1930. Perhaps this is a Ford AA).

In Moscow, the conversion of Ford-AA into an ambulance was carried out according to the project of I.F. German. The front and rear springs were replaced with softer ones, hydraulic shock absorbers were installed on both axles, rear axle equipped with single wheels, due to which the car had a narrow rear track. The car did not have its own name or designation.

The growth in the number of substations and calls required an appropriate fleet of vehicles - fast, roomy and comfortable. The Soviet limousine ZiS-101 became the basis for the creation of an ambulance. The medical modification was created at the plant according to the project of I.F. German with the active assistance of doctors A.S. Puchkov and A.M. Nechaev.

These machines worked in the Moscow ambulance and the post-war period.

The specifics of the work makes special demands on the ambulance. A specialized vehicle was designed and built in the Moscow ambulance garage.

Before the war, developed and from 1937 to 1945 by a branch of GAZ (since 1939 it became known as Gorky bus factory) were issued specialized machines GAZ-55 (based on the GAZ-MM truck - a modernized version of the GAZ-AA with a GAZ-M engine). In the GAZ-55, it was possible to transport 4 bedridden and 2 seated patients or 2 bedridden and 5 seated or 10 seated. The machine was equipped with a heater powered by exhaust gases and ventilation system.

By the way, you probably remember the ambulance in the movie "Prisoner of the Caucasus". It was her driver who cursed: "Yes, so that I still sat down at the steering wheel of this vacuum cleaner!" This is a GAZ-MM with a handicraft sanitary body.

In total, more than 9 thousand cars were produced. Unfortunately, not a single one survived.

The history of medical buses is interesting - most often cities converted from mobilized passenger transport. On the left is the ZIS-8 (bus on the ZIS-5 chassis). ZIS produced these buses only in 1934-36, later buses according to the plant's drawings were produced on the ZIS-5 truck chassis by many enterprises, bus depots and body shops, in particular, the Aremkuz Moscow plant. The 1938 ZIS-8 bus shown in the photo, owned by the Mosfilm film studio, was filmed in the film The Meeting Place Cannot Be Changed.

The ZIS-16 city buses were also based on the ZIS-5 chassis. A simplified modification - a medical bus - was developed before the war, produced since 1939 under the name ZIS-16S. The car could carry 10 bedridden and 10 seated patients (not counting the driver's and nurse's seats).

In the early post-war years (since 1947), the base ambulance became the ZIS-110A (sanitary modification of the famous ZIS-110 limousine), created at the plant in close cooperation with the leaders of the Moscow ambulance station A.S. Puchkov and A.M. Nechaev using the experience accumulated in the pre-war years. It's clear that backdoor opened with rear window, which is much more convenient than it was on the ZIS-101. A box is visible to the right of the stretcher - apparently, its "regular place" was provided there.

The car was equipped with an eight-cylinder inline engine six-liter volume, with a capacity of 140 hp, thanks to which it was fast, but very voracious - fuel consumption of 27.5 l / 100 km. At least two of these cars have survived to this day.

In the 50s, GAZ-12B ZIM cars came to the aid of the ZIS. front seat separated by a glass partition, in the rear of the cabin there were retractable stretchers and two folding seats. The six-cylinder GAZ-51 engine in the forced version reached a power of 95 hp, was somewhat "quicker" in terms of dynamic qualities than the ZIS-110, but gasoline (A-70, which was considered high-octane in those years) consumed noticeably less -18, 5 l/100 km.

There was also a medical modification of the famous "Victory" GAZ-M20.

In the car, a folding stretcher was located somewhat obliquely. The left half of the back of the rear seat could recline, making room for a stretcher. A similar design is used to this day. The main city ambulance (the so-called linear) in the 1960s were specialized RAF-977I vehicles (produced by the Riga automobile factory on the Volga GAZ-21 units).

The color scheme of ambulances - white with red - was first fixed by GOST of the USSR in 1962.

Since 1968, according to GOST, an orange flashing beacon has been installed on ambulances. Unlike the blue lighthouse (modern "flashing lights"), it did not give advantages over other road users.

The fastest ambulance in Soviet history and among the production cars was the Volga GAZ 24-03, the maximum speed of which was 142 km / h, which is 2 km / h more than the ZIL-118M Yunost special bus with a V8 engine.

In the 1970s, RAF-22031 minibuses were the first to receive a blue flashing beacon on the roof. Similar UAZs (“tablets”), due to confusion with GOSTs, were produced for more than 10 years with an orange beacon.

The fashion to put inscriptions on the front of emergency vehicles in mirror image came from the West. The driver of the car in front could read the inscription in the mirrors already in normal form and give way.

According to the reviews of drivers - ambulance veterans, the most reliable medical vehicles were modifications of the Volga GAZ-22. A run of a million kilometers in 8-10 years was a common thing for them.

The ambulance siren differs in tone from both the police and the fire brigade. Cars such as ZIM, Pobeda and Volga GAZ-22 were not equipped with sirens.

The unified telephone number for calling an ambulance "03" was introduced throughout the USSR in 1965, simultaneously with the emergency numbers of the police and fire department.

In different conditions of life, people have to be saved different ways. And if in Russia this function is performed mainly by ambulances, then in Europe and the USA everything is much more interesting. There, exceptionally strange and unusual ambulances are born. I present to your attention the 11 most unusual medical ambulances designed to save lives in different conditions.

Renault Alaskan

Exhibition in Hannover commercial transport this year, the division of Renault Pro + introduced several modifications of the Alaskan pickup truck, including an ambulance. The medical version of the Renault Alaskan pickup truck is just a concept, so it is not known whether anyone will see him on the road, hurrying to the rescue, or not.

The following versions of Renault Alaskan were also demonstrated at the exhibition: a fire truck, a pickup truck equipped with a lifting basket and a patrol car road safety. All modifications, including the ambulance, are based on a one-ton Alaskan with a double cab.

Ford F Series

In the United States, pickup trucks have been rebuilt for medical needs for quite a long time. An example of this is the Ford F-Series ambulance pickup truck.

By the way, in the US, F-Series pickups are used by all firefighters, construction crews, road services, electricians and others.

Citywide Mobile Response

There is nothing special about this ambulance that cannot be said about interior decoration car. This is probably the most luxurious ambulance in the world.

The interior, finished in leather and mahogany, boasts Wi-Fi, digital TV, audio system, bar, masseur and personal doctor. This pleasure is provided by Citywide Mobile Response. For these services, they ask from $ 350 per hour.

Renault Twizy Cargo

The ambulance is an extremely useful invention. But very often the very concept of an ambulance provides for the availability of space for transporting a person. But this unit will definitely not fit. But there are not rare cases when the patient does not need to be taken anywhere, but just needs timely help. Sanitary electric Renault Twizy Cargo was built in order to deliver a doctor for first aid as soon as possible.

The medical version is based on the Twizy Cargo, which lacks back seat, and instead, a special trunk with a volume of 180 liters is equipped to accommodate the necessary equipment for first aid.

Renault Master

In principle, there is nothing special about this Renault Master medical van. It is equipped with the usual diesel engine 118 hp The exception is that recently Sebastian Vettel himself rolled out on it.

Ferrari pilot Sebastian Vettel tried his hand at driving a Renault Master ambulance with a 118 horsepower diesel engine. At the same time, ambulance driver Alex Knapton, with 1,354 calls to his credit, was driving a 670-horsepower Ferrari 488 GTB for the first time in his life to see if it would be faster than the 4-time world champion. The victory went to Vettel, who drove one lap behind the wheel of the Master faster than Knapton in the Ferrari by seven seconds faster.

Mercedes-Benz SLS-AMG

And this is probably the fastest ambulance in the world. Mercedes-Benz SLS AMG Emergency Medical is equipped with a 6.3-liter V8 developing 571 horsepower and 650 Nm of torque. The German front-engined supercar accelerates from 0 to 100 km/h in just 3.8 seconds and has a top speed of 317 km/h.

Modified as an ambulance, the SLS AMG received the appropriate coloring and flashing beacons in accordance with all the laws of the genre. What is on board the medical supercar is unknown.

Lotus Evora

The fleet of the Dubai police has long been known for the presence of exotic sports cars. They also made a real ambulance there. An emergency medical care carriage based on the Lotus Evora sports car is not intended for prompt transportation of patients to medical institutions. The modified supercar is used to urgently transport medical equipment, such as defibrillators or oxygen bags, to the scene of an accident.

Coupe developing top speed more than 260 km / h, will allow doctors to get to the victims as quickly as possible to provide first aid.

Nissan 370Z

There is also a Nissan 370Z in the fleet of doctors in Dubai. It is also equipped with medical equipment like the Lotus Evora. And there is no question of transporting patients here either.

The "fast" Nissan 370Z is equipped with a 3.7-liter V6 petrol with a capacity of 325 hp. The engine can be paired with both a seven-speed automatic and a six-speed manual.

Ford Mustang

In addition to Lotus Evora and Nissan 370Z, Dubai doctors already have two Ford Mustangs.

The car, like the previous two, will go to the challenges, as well as participate in social campaigns.

Mercedes-Benz Citaro

Here is another very interesting exhibit of the Dubai Medical Vehicle Fleet. This ambulance based on the city bus Mercedes-Benz Citaro can take on board 20 patients at once.

The medical mobile bus is equipped with all the essentials that doctors need. There is even an X-ray and an ECG. This machine accepts those who have suffered as a result of mass catastrophes and disasters.

Trekol-39294

For places where an ordinary ambulance will not go to the sick and injured, there is an all-terrain vehicle-amphibian Trekol-39294, converted into an ambulance.

The six-wheeled Russian monster on ultra-low pressure tires will get to almost anywhere. The all-terrain vehicle can be equipped with one of three engines: 2.3-liter and 2.7-liter gasoline, as well as a 2.5-liter diesel engine.