Important telephone numbers - Udon Thani & Thailand

General Udon Thani topics only!
mortiboy
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Post by mortiboy » August 17, 2008, 10:01 pm

All advice has been given here now! All emergency numbers given.
OP has all the information he needs already!
Call 191, aznyron.
1155 tourist police
1669 will get a Ambulance and Roadside Emergency services.
1193 will get the Hwy Police.

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BobHelm
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Post by BobHelm » August 17, 2008, 10:05 pm

Yes, mortiboy, but Mr. Naturals' question has still not been answered...if you call 1669 for Roadside Emergency service just exactly what sort of service will you get???????
And what does 191 give you?????

westerby
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Post by westerby » August 17, 2008, 10:09 pm

I found this on another Thai Farang website:

# EMERGENCY NUMBERS

1. Crime 1195
2. Fire 199
3. Highway Hotline 1543
4. Medical Emergency 1669
5. Police 191
6. Tourist Police 1155, 0-3842-5937
7. Traffic Control Center 1197

I reckon these numbers need to be clarified by the authorities or the Tourist Police at the very least.

mortiboy
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Post by mortiboy » August 17, 2008, 10:15 pm

I gave my comment in the first stages 191...... POLICE! But yet again mysteriously disappeared!"

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wazza
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Post by wazza » August 17, 2008, 11:05 pm

Lee

u started this one a few years ago

http://www.udonmap.com/udonthaniforum/v ... php?t=6522

westerby
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Post by westerby » August 17, 2008, 11:16 pm

wazza wrote:Lee

u started this one a few years ago
There you go - job done. Well done, mate.

But what happens if you get a non-English speaker on the other end of the line?

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wazza
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Post by wazza » August 17, 2008, 11:33 pm

Plan B, go back to LHD to assist.

Long haired dictionary ( LHD )

Plan C - Push 9 for English and commence CPR 30 compressions and 2 Ventilations

mortiboy
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Post by mortiboy » August 17, 2008, 11:36 pm

GOOD POINT! I would get through to them ok. But alot would not.If I was in some area I dont know!how would I be able to tell them!where I am!
But 9 out of 10 a Thai would be able to do that,But what if your in the middle of nowhere Not a soul about! God forbid!

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FrazeeDK
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Post by FrazeeDK » August 17, 2008, 11:38 pm

In my nearly 10 years in Thailand I don't think I ever saw a real ambulance with paramedics. Most of the "Emergency Road services" were converted pickup trucks that usually are owned (or so I've read in the BKK Post) by Chinese funeral parlors. That's why you'll always see the Chinese characters on those "Emergency Response" pickups that are speeding down the road. I don't think that there are any general government requirements for qualified paramedics on these vehicles nor do I think that there are any requirements for standard equipage, i.e. medical equipment. So, calling them to respond to your accident, could result in making the situation worse medically speaking.
If anyone can disprove my perceptions here please do so. Some of you may have a pipeline into where folks can get real ambulance service out on the roads..
On the flip side, I know that a few of the better hospitals in Udon (to include AEK) do have what appear to be fairly well equipped ambulances. I don't know if they respond to road accidents..
Dave

mortiboy
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Post by mortiboy » August 18, 2008, 12:00 am

3 years ago i was involved in a fatal road accident in Udon. The ambulance arrived in 10 minutes. Fully equipped mini bus.

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wazza
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Post by wazza » August 18, 2008, 12:14 am

In Khon Kaen and Udon, which im both familar with the following applies.

The Amphur Muang is divided into 4 sections and depending which area ur accident / medical emergency occurs will depend on what clincal response applies.

The repsonse is controlled by a call centre / disptach centre.

Private hospitals are exempt from this intial repsonse.

1 /- Chinese rescue pickups, I cant remember the actual name, mutinie ??? sic , these are based from the temples and can be volunteers or even crims doing parole or community hours etc. Little training or no training this and have inside a spinal board and a basic first aid kit and some carrry a well used Extrication collar ( Was it cleaned from the last blood contamination ?? ) . No Oxygen ., No Suction.
Watch ur valuables. Some people work there on weekends and do get 200 baht per shift, Seen as making merit etc.

2/- The local goverment hospital responds its ambulance. Has a crew of 2 or 3 . Driver, Hosp orderley and a Nurse. Depending on how much funding they have, the nurse might have gone to KK / Sirindorn College for a crash course in Pre Hospital Care. The equipment varies and no uniform standards. some dont have O2, in the small outlying areas and no portable suction.

3/- City Ambulances ie Udon Provincial Hospital, KK trauma centre. These have basic equipment, training as above , Portable O2 on most and suction. Crew of 3, Nurses are ER based and still dont have the Emergency Skills of a Paramedic. They provide basic life support only. Nurses do not admin drugs for resuscitation and can consult for some stuff. They can do IV's but they dont save lives.

No Defibs on ambulances except on the Kiprajak Military Hospital in Udon. BUT Nurses are not allowed under law to admin a defib.

4/- Private Hospital Ambulances, look nice , but have the same standard as above.

Scoop and run is the best policy.

There are NO Paramedics in Thailand, the law does not recognise them.

Thailand needs to focus on the basics of Resuscitation.

Airway, Breathing with O2 and Circulation with control of blood loss.

Untill they can competently keep some ones airway open and and not obstructed by the tongue / blood / debris etc, people will continue to die.

The head injury stats are shocking, if ur lucky to survive your primary head injury, then with a partially obstructed airway and no O2, u will develop a secondry brain injury as a result of the raised intercranial pressures.

These people are taken home to die 10 days after the accident or die from aspiration pneumonia coz they inhaled their own vomit whilst lying on their back with no body looking after their ABC's.

Now then who doesnt wear their helmets and who doesnt wear seat belts.

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Post by westerby » August 18, 2008, 12:16 am

wazza wrote:Plan C - Push 9 for English and commence CPR 30 compressions and 2 Ventilations
30:2? We were taught 15:2 in the Air Force. But they always said that the protocols were constantly changing. We used to get taught 5:1.

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wazza
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Post by wazza » August 18, 2008, 12:23 am

30:2 Since Nov 2005 - International Consenus Conference.

watch this space Westers, in 2010, no body will be doing ventilations, just Compressions,

5:1 was for 2 operators, now its all 30:2.

This link is ur UK guidelines for resus. it has the posters for u to be printed out for ur workplace

http://www.resus.org.uk/pages/guide.htm

westerby
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Post by westerby » August 18, 2008, 12:28 am

Thanks. That makes sense. I did my last training day in Feb 07 and the they stopped doing practical examinations because they said things were changing. They briefed us instead and backed it up with a practical on the Resussi-Annie at 15:2.

Why are ventilations being taken away?

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wazza
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Post by wazza » August 18, 2008, 12:34 am

they dont work , people wont do them, getting the blue blood around with some O2 still in it is critical.issue.

CPR doesnt save lives, it prolongs death till a defib arrives, and thats only for cardiac arrests , if u cant get to a defib within say 5-6 mins max, Push 8 for Temple

Trauma deaths, - dont waste ur time doing CPR, not even 1 min of it.

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