European Stars And Stripes (Newspaper) - January 22, 1986, Darmstadt, Hesse                                Pago 8 the stars and stripes wednesday january 22, 19b6 Lack of Money workload cited non specialists staff emergency rooms a by Judy s Aras Ohff medical writer n a a is Eipl in e .irrisi1. Riih ill sunni  Nils in nit ii in the Amer ill Irwin i in in i Rue  ii a liken . , Kiel   i or inc Mia t imn cil Ului Lurn i oui in ivc ,  satisfied with her  Ciocu though lifter tests or. I  a Irr in Lytis is cd Iii in return in tilt morning to he Sien i .1 . I Don t Lillryn Limi. I did l  Vilutis i re Jahni me. Thui Vivret Tiitu  knit tvs  in,1 . Ribisi in list prom nil is pot Cilli in a Mellil id it disc be. My he needed Mure  in. In could be Dune it Nihl a .1  i. I for Sil Nalion was nil unusual. In is. Military lispi. L in Amer unc ii minis in l Tir pm so  and their t inn liurnmi/n.1 tre seen a general  Doc Sorsor  Ritli unrelated Spucci antics if i he fee  trebling a particular injury or illness. The doctors  cult on  with exper Tise or Send he paid pm to i military or civilian Hospital i or Mure comprehensive care. Sufficient funding is finl i Rill Bill lol of Llie or iun1 i Nims Bilhl nil Eik y  Chi i is a Neil Inry incl it la Nhok i Ruvii Ruth a army. Air i orce and Havy i in h is trim up Neil Lunic say they cd Tow Siruc a cilia ii ii Wojicik in or ctn urgent cases Fiat cd Siddi visit a Neil Murning. Rev Siosi ital a Dri uni on civilian Dwors car  Cranor Ponc Roum shift More to Ian he Oiler entices. Bill ill in Rex ervits pc Nerhy operate a lib in officer in charge and alter military Delors sharing air our in Iris and in Lida duly.  usually Art Given less Ernut Tincy room duty  of Buir Fri sent Niphol term deliveries. Bucior Dun l Jill a mar Elny Noin duty at the Ihrck play if Ian rho Pill in Ira Khon. In Clec. Medics Muff the emergency room Al night and notify the Dottor on Call when a patient arrives.  also gel Kielp for Torii dec Lars Al no lick military facilities. Air Turce doctors from the Kam Stcin a. In Many. Clinic pull emergency duly at the nearby army Iii Sposat in Landsi uhf a Navy duller from Nua make. Cirecie helps but at he air i Urce Hospital Al hell Nikon Al and Duclus Funni jul lying army clinics Assisi at i lie Amu Lisp ill at Nuernberg. Niosi of Llie Doc inns arc nol hippy Uilah the Eicr in a n oni july parity because it is requires them to work i outside a Lief specially. "1 hey spent ii a years training me to be a cardiologist. Nol to Sec Eye Nuses and the exits said a military ten Cir who did Mil want o be identified. A Rudin Lump Iii in nol have Lou Cheti a Polien Siwiec incl ical  valid or. A i  William Smith Northu medic surgeon and Deputy cumin under for clinical service ill the army he Pital at . Ier Nuny. Most of us have been away from that kind of  Ivor some  Roberts the Der Mittl Nisi said. We Fel Abi ibid by having to work Duun there although we real inc a have to someone has  however doctors working in the emergency Rimini arc required to pass to rain emergency realm Cal tests. The Mariie hospitals try la fair Doci Urs who ire uneasy with their emergency cure skills with those with More experience. Al the air h uric Hospital Al . Doctors to have been us Tsitle direct a Lien i cure such As a radiologist or pathologist must work with a supervising phys Cun until they  to Murk in the emergency Rin Hii. Sunie miliary official believe strongly in having All doctors Ike turns ill working the emergency room in order to improve their military readiness. It s Parl of their training said or col James j. James cum under of Floc army Hospital Al Uerlin. Ambulance Lake woman with Chest pains to the is Daluh emergency room. Us pm t v t jct Aaker Fulling Call in the emergency room often adds to u doctor s work Load despite Hospital policies or command ers efforts 10 give the physician time off the following any. In two Yean 1 have never gotten the next afternoon off said or. Maj Kenneth Hieke chief of general surgery and Quality Assurance doctor at Bremerhaven. Al Wiesbaden the doctor on duly from 9 30 . La 7 1 5 . Hus already worked his own Job during the Day no Hospital can  Cal by emergency Simiu Avion. Military officials said Ili arc in t enough Money or a i cavy enough Turkki Iii Lou Sci y every Lype of doctor that alight be needed at each Hospital. Muni military Hospital full in the Range of Small Community facilities which in the states also Tould refer patients to bigger hospitals liven the Frankfurt and wies in Dan hospitals Minisi Send serious head wounds to . Which bus Llie Only neurosurgery capability in the  healer or 10 a civilian Hospital. Medical officials prefer in Send patients to one of the major military medical centers in Germany Wiesbaden a rank Furi or  if they Cari i handle the emergency. Rut if time is of the essence the Hospital will Send the Pazicni to he Nta Rusi civilian Itti spinal. Or example if die Navy Hospital Al Kola Spain Commil provide the necessary care bul the emergency padm can travel. The Pazicni is Sibili de and flown to Cic Many. If the patient needs immediate treatment he is taken to the civilian trauma Center in Seville an ambit Lance drive of about us minutes. A in Ciurlik a Turkey if More care is needed Han can be provided to an Emer Tience Pai enl no the air Force Hospital the Pai Ieni is flown to Cic Ninny. Aboul a  process if a medical evacuation prime is Al ready at the base. When the plane is nol available in life or a Cash emergencies patients Are flown by a Lull to a civilian Hospital in Israel. While the Highl to Tel Aviv is Only two hours it pm like up to four hours for clearance a Hospital official said. One of the great i Frusti rations of people who work in emergency rooms is the number of non emergency cases. Just about every Hospital reports an overwhelm ing majority of non emergency complaints in emergency rooms after  duly hours. Hospital personnel said the emergency rooms have been turned into after hours  without he non emergency cases Hospital personnel would have More Lime for important training they said. The danger is Well see so Many non emergencies that when a real i a conies through the door us re not As prepared for it a we should be said t tipi John o Kiriy. Hand emergency room nurse Al the no Erna g hos Pilpil. He said trauma personnel Are aware of the problem ind be fight it hut Al tic same Lime the medical personnel know they Are the Only game in  they Dnn i have the knowledge i know it s nol an emergency we have to remind ourselves of  said or. Mite James Richard a family practice doctor Al the air a orce Hospital Al Rak upper Llcy Uril. James of the ber1.in Hospital said. We re the doctors who Are supposed to exercise professional judgment 1 Don t expect a i Mear old Mother Vilh a screw Niino child at 4 . To use Crisc Judi mint Phil it snip be Cutic and can  i3r. Col Wynn Mabry com