Frequently Asked Questions
1. General information
Emergency medical care is provided to people in cases where urgent intervention is required — in diseases, accidents, injuries, poisoning and other emergency situations.
To call an ambulance, you need to call the number “103".
Ambulance crews can include both paramedics and doctors:
The paramedic team consists of a paramedic and a driver, who can also be a paramedic.
The medical team includes a doctor, a paramedic and a paramedic driver. Drivers are trained in first aid.
Upon arrival of the ambulance team, a paramedic or a doctor assesses the patient's condition and decides whether he needs to be hospitalized or can be left at home. If hospitalization is not required, they will give recommendations on how to proceed and can transfer the information to your clinic for follow-up.
It is important to know:
Order of the Ministry of Health of the Republic of Kazakhstan dated November 30, 2020 No. KR DSM-225/2020.
https://adilet.zan.kz/rus/docs/V2000021713#z241
To call an ambulance, you need to call the number “103".
Ambulance crews can include both paramedics and doctors:
The paramedic team consists of a paramedic and a driver, who can also be a paramedic.
The medical team includes a doctor, a paramedic and a paramedic driver. Drivers are trained in first aid.
Upon arrival of the ambulance team, a paramedic or a doctor assesses the patient's condition and decides whether he needs to be hospitalized or can be left at home. If hospitalization is not required, they will give recommendations on how to proceed and can transfer the information to your clinic for follow-up.
It is important to know:
- When calling an ambulance, prescriptions for medicines are not written out and sick leave is not given.
- Ambulance staff do not issue a death certificate and do not check for alcohol or drug intoxication.
- If there is a threat to the safety of ambulance workers, the call is handled with the support of the police
Order of the Ministry of Health of the Republic of Kazakhstan dated November 30, 2020 No. KR DSM-225/2020.
https://adilet.zan.kz/rus/docs/V2000021713#z241
2. The time of arrival of the ambulance
When calling an ambulance, the dispatcher, depending on the patient's condition, classifies the call into 4 categories of urgency.
The time of arrival of the team depends on the category of urgency of the call.
Categories of urgency:
Category 1 (up to 10 minutes):
Threat to life: loss of consciousness, respiratory/cardiac arrest, shock, convulsions, chest pain, multiple injuries, burns, bites (threat of anaphylactic shock), electric trauma, vomiting with blood, complicated childbirth.
Category 2 (up to 15 minutes):
Potential threat to life: impaired consciousness, heavy breathing, unstable hemodynamics, rash at high temperature, poisoning, atypical pain, psychosis.
Category 3 (up to 30 minutes):
Threat to health: isolated injuries, acute abdomen, high fever in children and pregnant women, physiological childbirth, limited burns, vomiting and diarrhea with mild dehydration.
Category 4 (up to 60 minutes): Acute and chronic conditions without threat to life: inflammatory and allergic diseases, minor injuries, pain syndrome, vomiting in pregnant women, urinary retention, urine with blood, inflammation after childbirth/abortion, animal and insect bites, hypertension, high fever.
Source: On the approval of the rules for the provision of emergency medical care, including with the involvement of medical aviation
The time of arrival of the team depends on the category of urgency of the call.
Categories of urgency:
Category 1 (up to 10 minutes):
Threat to life: loss of consciousness, respiratory/cardiac arrest, shock, convulsions, chest pain, multiple injuries, burns, bites (threat of anaphylactic shock), electric trauma, vomiting with blood, complicated childbirth.
Category 2 (up to 15 minutes):
Potential threat to life: impaired consciousness, heavy breathing, unstable hemodynamics, rash at high temperature, poisoning, atypical pain, psychosis.
Category 3 (up to 30 minutes):
Threat to health: isolated injuries, acute abdomen, high fever in children and pregnant women, physiological childbirth, limited burns, vomiting and diarrhea with mild dehydration.
Category 4 (up to 60 minutes): Acute and chronic conditions without threat to life: inflammatory and allergic diseases, minor injuries, pain syndrome, vomiting in pregnant women, urinary retention, urine with blood, inflammation after childbirth/abortion, animal and insect bites, hypertension, high fever.
Source: On the approval of the rules for the provision of emergency medical care, including with the involvement of medical aviation
3. What should I do if the ambulance does not take me to the hospital?
The decision of the team to transport the patient to the hospital depends on the severity of his condition and the established diagnosis.
Clear indications for such a decision are defined in the guidelines for doctors and paramedics of emergency and emergency care.
Source: According to paragraph 29 of Order No. KR DSM-225/2020 dated November 30, 2020.
Clear indications for such a decision are defined in the guidelines for doctors and paramedics of emergency and emergency care.
Source: According to paragraph 29 of Order No. KR DSM-225/2020 dated November 30, 2020.
4. How many people can accompany a sick patient in an ambulance?
If hospitalization is necessary, relatives or friends can accompany the patient only with the permission of an ambulance doctor and no more than one person.
Source: According to paragraph 22 of Order No. KR DSM-225/2020 dated November 30, 2020
Source: According to paragraph 22 of Order No. KR DSM-225/2020 dated November 30, 2020
5. Should paramedics take off their shoes or put on shoe covers?
Current laws and other regulatory legal acts do not establish the obligation of emergency medical workers to take off their shoes or put on shoe covers when arriving at a call.
According to the order of the Minister of Health of the Republic of Kazakhstan dated November 30, 2020 No. KR DSM-225/2020, emergency medical care is a system for organizing medical care in an emergency and urgent form for acute diseases and life-threatening conditions, as well as to prevent significant harm to health at the scene and (or) en route to a medical organization.In the interests of the patient (victim), before the arrival of the NSR team, it is advisable to take measures to ensure the fastest and unhindered access to his location.
According to the order of the Minister of Health of the Republic of Kazakhstan dated November 30, 2020 No. KR DSM-225/2020, emergency medical care is a system for organizing medical care in an emergency and urgent form for acute diseases and life-threatening conditions, as well as to prevent significant harm to health at the scene and (or) en route to a medical organization.In the interests of the patient (victim), before the arrival of the NSR team, it is advisable to take measures to ensure the fastest and unhindered access to his location.
6. What should I do if I can't reach an ambulance for a long time?
Try calling again. Sometimes the connection can be overloaded, and a repeat call helps.
Dial "9103" for smartphones from certain manufacturers. If a direct call to 103 does not work, this number may be an alternative. If the connection is successful, they will first specify your number so that they can call you back in case of a connection failure.
Use other devices. If you can't get through from your mobile, try a landline phone or another operator's phone.
Ask for help from others. Someone nearby can successfully call an ambulance.
Contact a hospital or clinic. If you can't get in touch with the ambulance, call the medical facility directly.
Call the rescue service or the police on 112. In critical situations, they can provide assistance and promptly contact an ambulance.
In an emergency, it is important to act quickly and use all available means to call for help
Dial "9103" for smartphones from certain manufacturers. If a direct call to 103 does not work, this number may be an alternative. If the connection is successful, they will first specify your number so that they can call you back in case of a connection failure.
Use other devices. If you can't get through from your mobile, try a landline phone or another operator's phone.
Ask for help from others. Someone nearby can successfully call an ambulance.
Contact a hospital or clinic. If you can't get in touch with the ambulance, call the medical facility directly.
Call the rescue service or the police on 112. In critical situations, they can provide assistance and promptly contact an ambulance.
In an emergency, it is important to act quickly and use all available means to call for help
7. Medical aviation
Medical aviation is emergency medical care in conditions of poor transport accessibility or great distance from medical institutions for the rapid transportation of patients and injured or the delivery of medical workers to them when the severity of the patient's condition requires it.
A doctor can be brought to the patient through medical aviation for on-site consultation or surgery.
A doctor can be brought to the patient through medical aviation for on-site consultation or surgery.