Medical Emergency Response Services in the State of Kerala—Evaluation Report
Anne George, Snigdha S. Babu, M. P. Ajithkumar, Sabu Thomas in Holistic Healthcare. Volume 2: Possibilities and Challenges, 2019
A fleet of Advance Life Support Ambulances will be parked in different strategic locations in the district to provide 24 χ 7 prehospital emergency response ambulance service accessible to all. The ambulance will have sophisticated equipment to tackle all kinds of emergencies, medicines, and consumables required for stabilizing the life of the patient including oxygen. All the ambulances will be monitored and controlled through a 24 χ 7 Emergency Response Center (control room) with the help of GPS and GPRS network. This prehospital emergency service is accessible to all the people of Thiruvananthapuram through a toll-free number 108. When a call is received, the nearest ambulance will be located by the control room and will be dispatched immediately to the location with the help of the information provided by the caller and with Geographic Information System. In case of road traffic accidents, the patient will be taken to the nearest government hospital to stabilize the patient depending upon the condition of the patient. In case of other emergencies, the patient will be admitted to any hospital of their choice and may be charged only if they opt for a private hospital. This rate for transport to a private hospital will be finalized later. The service under KEMP will be available for only prehospital emergency and not for shifting the patient from the hospitals. This service will also be not available for transferring dead bodies.
Education and training
Jan de Boer, Marcel Dubouloz in Handbook of Disaster Medicine, 2020
Levels of knowledge and practical skill are def nedfor the following grades:Co-ordinator = medical off~cer in charge of planning and co-ordination at the scene of accident/disaster or in the hospital.Doctor, specialist within the relevant field/topic.Doctor other than (b).Nurse with special training/experience in emergency medicine or anaesthesiology, participating in ‘field teams’.Nurse other than (d).Paramedic = ambulance crew with special training in resuscitation and emergency medicine.Ambulance staff other than (f).
How the Logics of Biomedical Practice Travel
Lenore Manderson, Elizabeth Cartwright, Anita Hardon in The Routledge Handbook of Medical Anthropology, 2016
The difficulty of enticing health care professionals to work in rural areas has been addressed in part by transporting patients to the nearest urban center with some semblance of hospital facilities. Transporting patients to urban hospitals can be difficult, dangerous, and expensive; untrained taxi and bus drivers often provide patient transport because there are no medically outfitted ambulances—let alone functioning emergency medical systems (EMS) that include medics, communication, triage and supportive medical decision making and treatment during the long hours of transport to the nearest, best-equipped hospital. Even those urban hospitals are often incapable of treating the patients that arrive at their doorsteps, due to lack of facilities, general medical staff, specialist skills, medications, and supplies. Moreover, poor conditions of employment and limited opportunities for on-the-job training make it difficult for personnel to do their jobs well. These deficiencies create clinical landscapes that have meager assemblages of possibilities—both physical and intellectual.
A decision framework model for hospital selection in COVID-19 pandemic: A FIS approach
Published in International Journal of Healthcare Management, 2023
Naveen Jain, Manish R. K. Sahu, A. R. Singh, Prateek Sharma
Further, Hunter [17] emphasized that during the pandemic outbreak the requirement of ventilators and personal protective equipment is crucial and hence identified them as major criteria for hospital selection. Chauhan, Sharma, and Sagar [18] conducted an empirical survey among the patients of private and public hospitals in India and identified quality of treatment, cleanliness, hospital reputation, and amenities like payment and food facilities as important patient choice factors [18]. Abroad countries like Australia also emphasize Public Health Insurance as criteria for the selection of public or private hospitals [19]. Hashemkhani Zolfani et al. [20] pointed out that the distance of the hospital, accessibility via roads, traffic congestion, and local regulation, are the major criteria. Also, Ambulance services of the hospitals play a major role in bringing the patients to hospitals [21]. The ambulance services should provide services to the patients with the least response time possible [16]. Another criterion in hospital selection is the availability of beds for admission during the pandemic [17]. The demand for beds in the hospital during the pandemic is uncertain and needs to be addressed very carefully [18]. Other vital criteria as reported by the authors are blood testing facilities and the blood banks in hospital [19].
Emergency Medical Services Clinicians Have a High Prevalence of Metabolic Syndrome
Published in Prehospital Emergency Care, 2023
Michael W. Supples, Nancy K. Glober, Thomas A. Lardaro, Simon A. Mahler, Jason P. Stopyra
The three departments each include both fire and EMS divisions. All members work 24 hours on-duty followed by 48 hours off-duty with a Kelly day (extra day off) every 9th shift. Members of the EMS division are exclusively responsible for transport 9-1-1 services (i.e., ambulance operations) and do not work as firefighters, whereas members of the fire division participate in traditional firefighting operations as well as medical first response, but do not staff ambulances. Ambulances offer advanced life support (staffed with at least one paramedic), and the paramedic’s partner may be another paramedic or an emergency medical technician (EMT). All firefighters hold at least EMT certification, and some hold paramedic certification. The Advanced EMT certification is not used in any of the departments. The distinct fire and EMS divisions of these departments work the same shifts lengths, in the same response areas, and respond from the same stations, but they have unique job roles. This study was approved by a university institutional review board (Protocol #13940).
The Impact of a Novel Operational Readiness Response Model on the Environmental Cleanliness of Emergency Ambulances
Published in Prehospital Emergency Care, 2022
David Morris, Giuseppe Fierravanti, Adam Schrieber, Sarah Johnson, Damien Bartolo, Kate Hipsley, Tanya Somani, Robin Pap, Kingsley Agho, Liz Thyer, Paul M. Simpson
What is known of HAIs is largely in the context of healthcare settings such as hospitals or aged care facilities; HAI in the ‘out-of-hospital’ setting in the environment of paramedic practice is not well described (3). Paramedics working in ambulance services play a significant but frequently unrecognized role in contemporary healthcare systems. While once a trauma based transport service, paramedicine has evolved into a specialization in its own right in which paramedics provide urgent and non-urgent unscheduled care to patients with illness or injury across the spectrum of acuity (4). Although not all paramedics work in ambulance services, the majority do; this sees them responding to these cases and when required transporting patients to hospital, in an ambulance vehicle. Despite common perception, the majority of patient care provided by paramedics happens outside the ambulance vehicle; public spaces, domestic residences, and healthcare facilities are examples of the diverse, unpredictable and generally uncontrolled settings in which paramedics work. While the settings in which paramedics operate change from patient to patient, the environment that remains constant is the interior of the ambulance. As paramedics can provide care to multiple patients in a given shift, the ambulance and the equipment within it may contribute to the carriage and transmission of HAIs if they are not cleaned to an appropriate standard between patients and at the conclusion of a shift (5, 6).
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