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Doctors will tell you that dehydration can often be initially handled on the scene, but many ambulance protocols call for sufferers to be transported automatically to the hospital.
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One emergency physician told me he'd never heard so many ambulance sirens before in his life.
Prehospital treatment is provided by emergency medical service nurses according to Dutch national ambulance protocols.
Pre-hospital treatment was provided by EMS nurses according to Dutch national ambulance protocols (Landelijk Protocol Ambulancezorg (LPA)).
Road paramedics could cancel the physician team if they believed that the patient did not require a higher level of intervention than that provided under Ambulance protocols.
Following protocol, many ambulances tried to get as close as they could to patients, rather than park farther away on plowed streets, and 170 got stuck in snow.
Soon after, the committee held a symposium on hypothermia, where Dr. Mayer continued to advocate for the therapy, and the ambulance protocol developed from there.
Some streets remained unplowed for days, many ambulances could not reach patients and people could not get to work.
A shopkeeper in the neighborhood recalled hearing loud explosions and seeing huge clouds of smoke and many ambulances.
Many ambulances have passed by to help the injured.
"They need to dispatch as many ambulances as possible to this incident," the officer says.
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