
Emergency crash carts have the following problems: Inconsistent placement of items: There are significant differences in the arrangement of medications, supplies, and equipment on crash carts across departments; Defibrillator placement is unreasonable; Nursing management is time-consuming and labor-intensive (each shift must inventory medications, supplies, and equipment quantities and check quality). Wide variety of emergency medications: Crash carts are stocked with various emergency medications: anti-shock drugs, vasoactive drugs, respiratory stimulants, cardiotonics, hemostatics, antipyretics and analgesics, hormones, diuretics and dehydrating agents, volume expanders, antidotes, etc. The number of medication types can reach up to 29. Wide variety of emergency supplies: Crash carts contain various emergency supplies: ventilation equipment (such as ventilators, manual resuscitation bags, tongue forceps, mouth gags, tongue depressors, oropharyngeal airways, oxygen pillows, etc.); various sterile packs (such as tracheostomy kits, venous cutdown kits, urinary catheterization kits, etc.); various injection supplies (such as syringes, emergency needles, infusion/blood transfusion pressure devices, etc.); other specialized items (such as Sengstaken-Blakemore tubes, emergency lights, gloves, ice caps, power strips, etc.). Moreover, the types of emergency supplies vary greatly across departments, with the highest number reaching 40 types in some departments.

As someone who frequently drives rescue vehicles, I find ambulances to be plagued with numerous issues. Older models often break down mid-route, with engines prone to overheating or malfunctioning, especially during summer heat or long-distance missions in mountainous areas. The headlights aren't bright enough, making nighttime driving hazardous due to poor visibility. Additionally, the communication systems frequently drop signals, preventing critical medical information from reaching hospitals. Spare parts are hard to come by, and repairs can take days, delaying patient treatment. What's more frustrating is the cramped interior space, making stretcher movement difficult and uncomfortable for patients. I recommend regular comprehensive fleet maintenance, upgrading to new energy vehicles, enhancing cooling and lighting systems to ensure smooth life-saving operations every time. After all, time is life, and these flaws cannot be overlooked.

I've been repairing ambulances in the workshop for years, and the most common issue is electrical short circuits. The high-frequency usage causes rapid wear on engine components like pistons or bearings, and even new replacements don't last long. Tires are prone to punctures from road debris, delaying emergency missions. Fuses often blow due to the high power consumption of numerous devices; air conditioning failures are even more common, especially during summer when transporting patients in sweltering heat is unbearable. The braking system has failed a few times on slippery roads, fortunately without causing accidents. To reduce breakdowns, the fleet should use more durable materials for the chassis, add protective covers, and inspect wiring and hydraulic systems monthly. Drivers should also practice smooth driving to avoid severe jolts that damage parts. This approach can extend vehicle lifespan and save on repair costs.

From the perspective of ordinary residents, ambulance issues are quite alarming. Slow response times due to vehicle breakdowns can cost lives. Once, a friend with heart pain waited too long for an ambulance, which reportedly broke down en route. Poor lighting makes nighttime rescues difficult to locate, causing delays. Outdated models are too noisy, disturbing neighborhoods and stressing patients further. Aging equipment, like leaking oxygen tanks, is unsafe. I believe the government should allocate more funds to replace old vehicles, install GPS for precise navigation, and enhance routine checks to ensure readiness. Communities should also help by keeping roads clear of obstructions. These improvements would make the service more reliable and give people peace of mind.


