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Watching a documentary series about UK ambulances, I noticed a difference in questions from the emergency call center compared to the Dutch system.

In the UK:

Operator: "Is the patient breathing?"
Caller: "No" / "Very shallowly"
Operator: "I need you to do <insert fairly long set of first aid instructions>. By the way, where are you?"
Caller: *gives location*
Operator: *Searches for the closest available ambulance and alerts it, then continues giving instructions to the caller*

In the Netherlands:

Operator: "What is the location of your emergency?"
Caller: *answers*
Dispatcher: *Looks for the closest available ambulance, inputs the address and hovers over the Enter key while the operator gathers more information*
Operator: "What is going on?"
Caller: *answers*
Operator: *Gives a hand signal to the dispatcher to either hit Enter if an ambulance is indeed needed or press cancel to prepare for another incident, then starts giving first aid instructions*

Conclusion
I'm honestly not sure which system I prefer. The UK system quickly provides first aid instructions, but takes a fair bit longer for professional help to be alerted, let alone arrive. The Dutch system focuses on getting professional help there much sooner, but delays instructions for first aid with an extra question.

I believe starting proper first aid a few seconds sooner can make more of a difference than an ambulance arriving a minute earlier. But it is a bit of a gamble how helpful instructions to an inexperienced person will be, and the extra question of the Dutch system doesn't delay first aid that much. It may very well be case dependent which system turns out to be better, and without knowing the exact situation in advance, both approaches may very well be equally effective on average. But I found the difference interesting regardless.
Now, this all depends on context... if you're the only one present to perform CPR, you'll be thankful for the ambulance to get there sooner - similarly, if your patient has anaphylaxis, the sooner you can get the antidote in them, the better.

I don't know if this is the case in the Netherlands or not, but here in the UK, it can be difficult to get someone to pop a pill out of a blister pack so you can swallow it yourself - and your hands are too swollen for you to pop the blister unaided. You have to wait for an ambulance, hoping that your veins don't collapse before they can get a line into you to administer the pill introvenously. It's the same stuff in both forms.

I would rather have the ambulance there faster because, if you aren't going to pop me a pill, you are useless to me.

I know all the medical advice regarding CPR and the management of anaphylaxis as well as they do, I don't need to be talked though it again... but I do need that ambulance. I can't get it by myself.
@HootyTheNightOwl It is definitely case dependent. If a patient needs drugs only an ambulance carries, no instructions to a bystander are going to make a difference and every second the ambulance arrives sooner improves the outcome. But if someone is suffering a cardiac arrest, any amount of blood flow a passer-by can accomplish right away is going to prevent more damage than an ambulance arriving after 10 minutes of no blood flow whatsoever instead of 11.

When an ambulance is the only source of help, the operator's first question should be where the ambulance needs to go. When first aid is more urgent, the operator's first question should be what's happening in order to advise. But at the start of the call, it's unknown what scenario is going on and it's anyone's guess which question would turn out to be the most relevant in hindsight. That makes either approach a hit and a miss, but they have to start somewhere quickly.
@NerdyPotato That's where both systems are equally right and wrong, though.

If you look at the case of my anaphylaxis... they have never given me anything on the ambulance, if I'm lucky, they may get a line in so that the hospital can treat me - but the only time I remember being in hospital with a line in was when my mother took me to minor injuries and they got a line in before they called for an ambulance.

The only thing that they will tell you is to not let me go to sleep and don't give me anything to eat or drink. Like... just give me a pill and let that be taking effect while I'm waiting. I know that I won't be fully recovered by the time the ambulance gets to me but anything is better than nothing.

10 minutes without blood flow sounds a bit extreme, though... it doesn't usually take that long to get an address - and I think that they typically assume that they are talking to someone other than the person who is performing first aid to the patient until they are told otherwise.
Lilnonames · F
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@Lilnonames That's me indeed!

 
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