Without evidence of benefit, an intervention should not be presumed to be beneficial or safe.

- Rogue Medic

More on Ambulance Waiting Time at the Hospital – Australian Edition

A different way of trying to deal with the same problem we were talking about on the recent EMS Garage podcast – How Much is that Patient in the Window?[1] – only on the other side of the world.

Ambulance officers across SA yesterday began protesting against “ramping” – keeping patients waiting on ambulance stretchers at the FMC – by giving “free rides” to patients.[2]

On the podcast, Rob Theriault mentioned many of the problems with a punitive-only approach to this problem. Will this work out any better than what is being attempted in Canada?

This also has the potential for dramatic unintended consequences.[3]

“There will always be situations where we have a peak of demand and we have several ambulances which arrive at the same time.”

Ms Hanson said additional nursing staff and three extra barouches had been moved into the ED to help combat the problem.[2]

Barouche? I am not familiar with that word and a search of dictionaries does not help. Unless this is what is meant.

A barouche was a fashionable type of horse-drawn carriage in the 19th century. Developed from the calash of the 18th century,[1] it was a four-wheeled, shallow vehicle with two double seats inside, arranged vis-à-vis, so that the sitters on the front seat faced those on the back seat.[4]

If someone familiar with the Australian use could explain, I would appreciate it. I suppose that the term refers to a bed or chair, but I am only guessing.


[1] How Much is that Patient in the Window?: EMS Garage Episode 135
EMS Garage

[2] $200,000 ambulance officers’ protest hits home
Health Reporter Jordanna Schriever
The Advertiser
June 02, 2011 11:00pm
Article and picture

[3] Unintended consequences

[4] Barouche
Article and image



  1. I work in Australia and I’ve never heard of a barouche until now. However I’ve found one – it appears to be a trolley / gurney: