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VENKAT
Beginner
Joined: Oct 20, 2003
Last Visited: Oct 20, 2003
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Posted: Mon Oct 20, 2003 1:40 am
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IiN aUSTRALIA
There are a number of trains and number of passengers.
While travelling, if any passenger falls sick, what is the system?
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Do you carry a railway doctor in all important trains to take care
of the passengers in case they fall sick?
or
in such a situation, what is their fate?
Venkat
laliram@satyam.net.in
I am from the Indian Rlys a retired officer from Varanasi.
Venkat
Diesel Locomotive Works(Retd)
Varanasi,India
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Bwana
Chief Commissioner
Joined: Jul 21, 2003
Last Visited: Dec 2, 2008
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Posted: Mon Oct 20, 2003 8:12 am
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Can't say for sure this is the case on all trains, but in most the guard will ring for an ambulance to meet the train at the next station. The guard is, however, also generally trained in first aid.
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VENKAT
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Posted: Tue Oct 21, 2003 2:24 am
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Thanks for your reply.
We have one million passengers travelling daily in our country in India.
We thought that one doctor should travel in the train just to assist the passenger when they fall sick in the train.
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We want to inow how the other railwys in the world are doing.
First aid and ambulanace are always there. But a doctor exclusively is a question.
Venkat
Venkat
Diesel Locomotive Works(Retd)
Varanasi,India
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standard_gauge
Dr Beeching
Joined: Apr 13, 2004
Last Visited: Oct 26, 2008
Location: Outside the toilet, waiting for Della Bosca to come out !!
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Posted: Tue Oct 21, 2003 9:58 am
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| VENKAT wrote: | Thanks for your reply.
We have one million passengers travelling daily in our country in India.
We thought that one doctor should travel in the train just to assist the passenger when they fall sick in the train.
=====
We want to inow how the other railwys in the world are doing.
First aid and ambulanace are always there. But a doctor exclusively is a question.
Venkat |
Apart from that our trains don't normally carry as many people I believe, not even the suburban train in Sydney. But this may interest you, in the outback desert, the transcontinental "Indian Pacific" had a few occasion when passenger sick, they called Flying Doctors http://www.rfds.org.au/ to asssit passengers.
Hey?..whatever happen to my warning level?
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pennoes
Chief Train Controller
Joined: Jun 12, 2003
Last Visited: Oct 3, 2007
Location: Tamworth, NSW
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Posted: Wed Oct 22, 2003 10:56 am
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I guess there just isn't the demand for a doctor on all long-distance trains, although I wonder if it wouldn't be a bad idea to provide at least a registered nurse?
Perhaps even this person may be like the remote area health nurses who are given the ability to prescribe basic drugs, especially if the trip was on the Indian Pacific eg.
In terms of saving lives, probably the most useful piece of equipment that could be put on long-distance trains would be an automatic defibrillator - these can be placed on the patient, detect the heart's rhythm and shock them if it is in a rhythm that would respond to defibrillation!
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DavidB
Site Admin
Joined: Jan 11, 2003
Last Visited: Jan 25, 2007
Location: Canberra
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Posted: Wed Oct 22, 2003 3:54 pm
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| pennoes wrote: | I guess there just isn't the demand for a doctor on all long-distance trains, although I wonder if it wouldn't be a bad idea to provide at least a registered nurse?
In terms of saving lives, probably the most useful piece of equipment that could be put on long-distance trains would be an automatic defibrillator - these can be placed on the patient, detect the heart's rhythm and shock them if it is in a rhythm that would respond to defibrillation! |
Probably not necessary to have a nurse on the train, but I agree on the defibrilator. You don't need very advanced training to work a modern automated defibrillator. You'll find that major shopping centres have them and they can be operated by people with advanced first aid training.
IIRC GSR and QR give their staff first aid training to roughly the same standard as airline cabin crew. This is necessary for them since they are often a long way from a population centre (hence a hospital), and there are lot of passengers over 65. They are able to deal with heat attacks and the like and I'm pretty sure they carry medical oxygen and defibrillators. But there have been a few instances of the Indian Pacific being met by the Flying Doctor out in the middle of nowhere.
Countrylink and V/Line (and Tranz Scenic) also provide advanced first aid training for the cews, but not quite to the same level as they're never all that far from a place they can meet an ambulance. I have seen this in action twice.
Doing Christchurch - Greymouth on the Tranz Alpine last year, a passenger thought he sprained his ankle jumping off to have a smoke at one of the wayside stations. But it was extremely painful and probably a minor fracture. The conductor did evreything necessary to immobilise the leg until they got to Greymouth.
The most serious medical emergency I've personally seen was a passenger who suffered an apparent burst appendix on a V/Line Melbourne - Albury train. The conductor did an awesome job in providing first aid for around 20 min until the train was met by an ambulance at Seymour. I was only a few seats back and saw the whole incident. The conductor got a rather stirring round of applause from the passengers when it was all over.
Cheers
David
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