The internal mobile 2315 (Alfa 31) is the new ambulance of the municipal emergency service 107 that presented an “excessive loss of oxygen” due to a failure in the “oxygen flow and suction system” of the unit. It happened when they were transferring Trinidad to the Cordoba Emergency Hospital on Sunday, July 9.
The unexpected inconvenience in the ambulance happened while the doctor Verónica Beautte and the nurse Sebastián Díaz were assisting the adolescent who suffered very serious injuries from the attack of two bulldogs in the Estación Flores neighborhood that Sunday at noon.
The driver Marcos Londero was driving the unit to the Municipal Emergency Hospital. Once blocks before arriving, Trinidad “goes into cardiac arrest” and the professionals began with CPR maneuvers. At that moment, when they required oxygen for the patient, the failure occurred.
As stated in a note sent to the Directorate of the Emergency Service 107 to which he had access CORDOBA PROFILE“The O2 flow (NdeR: oxygen) and suction system installed in the internal mobile 2315 does not work as it should, which caused the excessive loss of O2 by the panel, running out of O2 and without aspiration in a situation that did not escalate due to its proximity to the Emergency Hospital”.
They also indicated that the lack of oxygen in the ambulance’s central system “was resolved by using the ultra-light O2 tube to replace the central O2”, which “has no support and moved around the box during the march.”
In the letter, they pointed out that this succession of inconveniences “He put the life of the patient at risk and also put the crew at risk.”
The note was written and signed by the crew on the same day, July 9, and received at the Emergency Service Directorate 107 on the 11th. Trinidad died in the Emergency Hospital on Monday the 10th at dawnas a consequence of injuries caused by dog bites.
in dialogue with CORDOBA PROFILEthe director of the 107 service, Daniel Giraudorecognized that the fault was detected “in an oxygen reducer” informed by the crew and “immediately the ambulance stopped for the technical review”.
“We also decided to stop and review the other three new ambulances that recently joined the fleet. TSS company engineers came and The central system was changed in each of the units”, he assured. Logistics personnel had detected the same loss in two other ambulances.
Giraudo clarified that the patient who was being transferred when the failure occurred “he did not die for this matter” and that “he was never at risk due to lack of oxygen.”
“The units have all the backup elements for the corresponding care, which were the ones used by the professionals at that time. They are two portable oxygen tubes that support the coverage of any emergency ”, explained the director of 107.
After this unexpected event, professional personnel from the municipal emergency service also submitted a request for a report to management to find out what technical conditions the other mobiles that make up the fleet are in.
sensitive issue in cordoba
A failure of these characteristics causes the inevitable memory of the tragedy of September 26, 2006, when an ambulance from the Municipal Emergency Service 107 exploded on Amadeo Sabattini avenue.
For this fact, the nurse Ada Camozzi, the doctor Gustavo Botta and the police officers Rodrigo López and María del Valle José Padilla appeared. Police officers were injured in a collision between a patrol car and a bus. The ambulance driver, Rubén Peralta, and the policeman Luis Monserrat survived.
Time before the explosion, during the municipal management of Luis Juez, the personnel of 107 had sent repeated notifications to the authorities due to the deficiencies in the emergency units.
for the tragedy Seven people were tried: six were convicted and one was acquitted.
In the grounds of the judgment, dated September 15, 2017, the Court required:
“The primary and efficient cause of the accident was the high oxygen enrichment of the environment inside the ambulance, due to deficiencies in the oxygen distribution network, which led to a drastic reduction in the activation energy necessary to start a fire process and a change in the speed of flame propagation of the materials that make up the ambulance furniture, lining and facilities, plus an energy contribution of electrical, physical or mechanical origin (although with a high probability that it originated from one of the multiple deficiencies detected in the electrical installation of the unit). This is directly and causally related to the negligent, imprudent, reckless and illegal performance (violating the IRAM FAAA AB37217: 1997 standards of the year 1997 that regulates the “non-flammable medical gas distribution network” and the international standard ISO10524-1 of the month of February 2006) of the bodywork of the ambulance as such, made by the company VALLÉ SRL located at Avenida Renault Nº 2221 of the Barrio Santa Isabel, First Section of this city of Córdoba”.
The complete note raised to the authorities of the municipal unit: