Raed Arafat published this morning a message with detailed information about the complexity of the emergency system in Romania, also providing information about how it is thought, and how emergency medical assistance and qualified first aid are provided .
"The emergency system is a complex one, with several components that have different and complementary competences. In the provision of emergency medical care and qualified first aid, each of the components has its own importance and there is no one that is more important than the other.
If one component disappears, the others become less effective, and the impact is direct on the patient. If the system is destabilized, the effect of the destabilization will be exactly the same, namely the weakening or even the disappearance of some components to the detriment of the efficiency we have now and which is not perfect, still requiring a lot of work.
That's why I recorded some explanations that will make some aspects clearer and especially the fragility of the system due to the lack of personnel in all its components, which has been improved along the way but not enough, as the development of the human resource quantitatively and qualitatively is still necessary.
You will see that there are 978 emergency physicians in the UPUs, only that the need is perhaps double this number. Some UPUs have a relatively sufficient number and others totally insufficient. Their destabilization by targeting this category of doctors to work at the Ambulance Services would lead to the destabilization of the UPUs and implicitly the SMURD intensive care crews and the crews on the SMURD helicopters.
The training of an emergency doctor is a long one, requiring 5 years after the completion of university studies, and this doctor is prepared for hospital activity even if in some cases he moves to the pre-hospital through the SMURD structure which is connected by UPU and IGSU.
Allocating such doctors only to serve the ambulances within the ambulance services will have an impact on their training, their evolution, but especially on the care of patients in general at the level of UPU and SMURD.
The attached film will explain these aspects more, and along the way, as I promised, I will come with other explanations!"
