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11, 15 Sep’12, Pages 4

THE AMBULANCE TIMES ~Touch i ng ever yone as soci ated w it h E mergenc y Med ic a l Ser v ice s~

Court rejects plea of sacked Mumbai doctor MUMBAI: Almost a year after a woman delivered a baby outside Bhabha hospital, the Bombay HC refused to come to the aid of a doctor who was sacked after the newborn died.A division bench of Justices Dhananjay Chandrachud and R D Dhanuka dismissed the plea seeking reinstatement .Pg 2

‘108’ service is all in the ‘samajwadi’ spirit Though delayed by four years, the Emergency Medical Transport (Ambulance) Service Project will take off on Friday. The state government has named it ‘Samajwadi Ambulance Seva’. NRHM mission director Mukesh Meshram said a fleet of 133 ambulances for 13 districts will be launched in the first phase. Pg 3

Man chokes to death at Suvidha Centre Gorakh Nath Sahoo, 40, a resident of Karamsar Colony, died at Suvidha Centre on Monday. The centre was packed beyond capacity when he reached there at 10am to procure his driving licence. Pg 2


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Education vs health: Modi counters Cong’s Laptop poll sop with ambulance service Gujarat/Rajkot: In a step that can appears as a counter to Congress' poll sop, Gujarat Chief Minister Narendra Modi launched two health schemes for the poor. Ahead of the polls in Gujarat, the Modi-led BJP government countered the promise of Congress of free laptops by launching the Mukhyamantri Amrutam Yojana, which provides poor patients with health protection cover up to Rs 2 lakhs. According to reports, Modi claimed that these initiatives were not mere announcements but government's implementation. " These initiatives worth Rs 200 crore are not instant schemes but have been accounted for in the year’s Budg-

et. I want to assure the poor that even in their worst illness, the state Government is with them," he said.

The schemes that are launched are the Mukhyamantri Amrutam Yojana, (which provides poor patients with health protection cover up to Rs. 2 lakhs), the Gujarat Medical Services Corporation and ‘Khilkhilat’, that

celebrates the homecoming of infants and mothers are the delivery. Talking about the 108 Ambulance Service, Modi stated that a 108 Ambulance does not ask if you are Hindu or Muslim, rich or poor, urban or rural, upper caste or not, but it is there only to serve the people. It was learnt that the state government claimed that it was not poll gimmick. On Tuesday Modi launched two health schemes for the poor and inaugurated the Gujarat Medical Services Corporation (GMSC). A similar health sceme was promised by state Congress for the poor and middle class. However, BJP government

countered Congress' promise by reviving Gujarat Housing Board as it announced launch of low cost housing projects. Notably, Continuing with poll promises in the election-bound state, Congress on Tuesday announced it would provide free laptops to every student in Gujarat after class XII. The list of promises in the education sector included payment of 30% of fees for students from poor to middle class families studying in self-financed colleges. Congress will also set up 'Gujarat Olympic Academy' (GOA) to produce world-class players and will appoint best coaches in GOA. Abstracted from : Daily Bhaskar

‘Khilkhilat’van attends its first case in Gandhinagar AHMEDABAD: When Geeta Rawal, 25, a resident of Saheb na Muvada village near Dehgam in Gandhinagar district was taken to a van two days after delivery of her first child, she could not believe that she was to be taken to her residence by this pink van free of cost. Rawal became the first mother to have availed the newly-launched service 'Khilkhilat' on Wednesday afternoon. "As is the case with any new venture, we were excited to attend the first case. Rawal was admitted to the Gandhinagar civil hospital for her delivery. Her relatives did not know about the initiative and asked us that they would take her on their own. However, when they got about the free service and its benefits, they agreed readily. We took her from the hospital to her village and also provided her with nutrition kit for the newlyborn. The kit also included list of vaccines to be given at specific times and informa-

tion about nearby government hospitals," said an EMRI official. 'Khilkhilat', an ambulance for safe homecoming of infants and mothers post-delivery, was one of the three health schemes

5-year-old run over by ambulance AHMEDABAD: A five-year-old girl was run over by an EMRI 108 ambulance in Saraspur on Wednesday. The girl died at Shardaben Hospital. Her parents have filed a complaint against the ambulance driver for the incident. EMRI officials have promised action against the driver. According to police, the incident took place at noon when Chanabhai Patni, a resident of Vikram mill compound in Gomtipur, was passing from Manji ni Chali in Saraspur with his wife and daughter. At that time, the ambulance came from behind, hit the child Rinku and sped away. “The passersby called up 108 after

which an ambulance came to the spot and took the girl to Shardaben Hospital where she was declared brought dead. We have sought help of EMRI to identify the driver who fled from the spot,” said a Shaherkotda police official. TNN Officials said that the husband and wife work as daily wagers on construction sites. When contacted, Jashvant Prajapati, chief operating officer, EMRI 108 Gujarat, he said that it was an unfortunate incident. “108 is synonymous with saving lives and somebody getting hurt by it is a sad phenomenon. We have initiated an inquiry to find out how the incident took place and will take action against the driver if found guilty,” he said. Abstracted from : The Times of India

launched by Gujarat chief minister on September 4 at Mahatma Mandir in Gandhinagar. The ambulances are in fact vehicles that are phased out by the EMRI's flagship emergency service 108 after stipulated time of service. They have been renovated to suit the purpose and fitted with cushions and LCD screen giving information to the mother and her relatives about childcare. The initiative was taken to reduce Infant Mortality Rate (IMR) and Mother Mortality Rate (MMR) in the state. GVK EMRI 108 officials said that they have deployed 20 ambulances across the state in the first phase. The number will reach 124 in six months. "The vans will be equipped with en route video display about newborn care. On the lines of 108 ambulances, the vehicles will be monitored by a central control room," said a senior EMRI official. Abstracted from : The Times of India

ASSAM RIFLES AMBULANCE MOWS DOWN ONE A man was run over by an ambulance (MN 01 2004), belonging to 9 Assam Rifles, Moreh in Manipur, near central jail junction, 4th mile here September 30 at around 6:30 p.m. According to traffic police, the deceased, in his twenties, was cycling when the mishap occurred. The ambulance has been kept under Dimapur Traffic Police custody.





Children pledge to spread Man chokes to death at Suvidha Centre Gorakh Nath Sa- the spot at 12.20pm, the po- Harpreet Kaur of Civil Lines awareness on First Aid LUDHIANA: hoo, 40, a resident of Karam- lice took Gorakh to civil hos- said, “Limited number of ap-

ALLAHABAD: World First Aid Day was observed at New Cantt here on Tuesday by Military Hospital. Maj Gen Bishamber Dayal, GOC extended full support to the programme. Correct first aid provided during the ‘Golden Hour’ of injury can save many lives. To emphasise this point WHO celebrates World First Aid Day every year on September 11. Various programmes and competitions were organised on the occasion for soldiers and their families. Lectures, demonstrations and workshops were organized by expert doctors of Army on common First Aid topics like CPR, burns, bleeding, bandaging, splinting and animal bites, etc. Poster making, slogan writ-

ing and First Aid Box making events were held for schoolchildren. Around 400 students participated in these competitions. Nihal of class X who made a poster on First Aid was adjudged the best in poster making while slogan of Nayantara of class XI C was selected to be the best slogan. Winning candidates were felicitated by Brig SK Kathpalia, Commandant, Military Hospital Allahabad. The programmes ended with a pledge by 400 students to become ambassadors of Red Cross Society and St John’s Ambulance Brigade to spread the message of importance of First Aid Training in the society. Abstracted from : The Times of India

sar Colony, died at Suvidha Centre on Monday. The centre was packed beyond capacity when he reached there at 10am to procure his driving licence. An eyewitness, Kulwant Kaur of Barewal Road, said, “The hall can accommodate 100 people, but there were more than 500 people there. He had been standing in a queue in the chock-a-block hall for an hour. As he felt uneasy and suffocated, he rushed out.” “I was standing outside and having tea when Gorakh came out of the centre. He sat on the premises lawn, loosened his clothes and drank water from his bottle. When he fell unconscious, I dialed 108 at 11am to call an ambulance. As no help came, I again called the ambulance at 11.56am. Before it reached

pital in a gypsy,” she added. A cousin of Gorakh, Hridyesh, said, “When we reached the hospital, we were told that he was no more.” Gorakh had been residing in the city since 20 years. His body was handed over to his family after the postmortem examination. He is survived by his wife and two children. Tempers flared after the incident. Rajeev Kumar, a resident of Ferozepur Road, said, “He died because of the district administration’s mismanagement. The hall has air-conditioners, but these don’t function properly. We were sweating in the packed hall... it was quite suffocating there.” Balwant Singh of Katani Kalan said, “There is no place to stand there and no arrangements have been made to ensure proper ventilation.”

COURT REJECTS PLEA OF SACKED MUMBAI DOCTOR MUMBAI: Almost a year after a woman delivered a baby outside Bhabha hospital, the Bombay HC refused to come to the aid of a

doctor who was sacked after the newborn died. A division bench of Justices Dhananjay Chandrachud and R D Dhanuka dismissed the plea seeking reinstatement by Dr Manorhita Gaikwad, a stipendiary doctor, who was attached to Bhabha hospital as she was pursuing a post-graduate diploma in gynecology and obstetrics. The HC trashed her plea to ask the BMC to issue her a ‘satisfactory’ certificate. “Such a certificate cannot be issued simply because it would not be

truthful,” said the judges. The HC was informed that action was initiated against Dr Atul Kulkarni, who too was involved in the case. Last year on October 10, 19-year-old Tabassum Shaikh had come to Bhabha hospital in full pregnancy. Kulkarni examined her and then referred her to Gaikwad. They decided to send her to Sion hospital for an ultra-sonography. Once the report came in, the duo referred Shaikh to a “higher centre” but did not arrange for an ambulance nor any doctor or nurse to accompany her. Tabassum delivered a baby at the hospital gate. The baby died the same day, following which an inquiry was ordered. Abstracted from : The Times of India

plicants should be allowed to enter Suvidha Center, so that there is no overcrowding.” Ludhiana deputy commissioner Rahul Tewari has marked an inquiry to assistant deputy commissioner (general) Neeru Katyal and sought report within seven days. “Strict action will be taken if anyone is found guilty,” he said. On why the ambulance reached the spot late, Tewari said, “I will look into the matter.” Civil hospital senior medical officer Dr Karanveer Goyal said, “The cause of Gorakh’s death will be clear after further tests. The board that conducted his postmortem has sent samples for further tests. Everything will be clear after a few days.” Abstracted from : The Times of India

KNOW YOUR DRUGS Epinephrine (also known as adrenaline or adrenalin) is a hormone and a neurotransmitter. Epinephrine has many functions in the body, regulating heart rate, blood vessel and air passage diameters, and metabolic shifts Adrenaline is used to treat a number of conditions including: cardiac arrest, anaphylaxis, and superficial bleeding. Some of the adverse effects of local anesthetic use, such as apprehension, tachycardia, and tremor, may be caused by adrenaline.


Elder sister dies trying to save girl NAGPUR: The 28-year-old woman wanted to pull back younger sibling to safety but in the process met with her own end on Tuesday. Sapna Tambe succumbed to head injury while younger sister Soni, 26, sustained a fractured in right leg after both fell from the first floor balcony at their Vijay Nagar residence near Chhaoni. Already suffering from tuberculosis, Sapna’s life had been no less traumatic so far with a broken marriage. Just before the incident, Sapna had returned from a clinic with medicines for herself. Her grieving father Ramu said the medicines were left hanging from a hook on the wall. Sapna was third among five siblings. Her elder brother too had died of tuberculosis a couple of years ago. “She was not well and having a dizzy feeling,” said Ramu. Younger sister Soni was learnt to be creating a scene at home as she was upset over some issue. An angry Soni went and sat on the edge of the balcony that gave the family an impression that she could take a plunge out of frustration. Sapna went near Soni trying to convince her to come inside. Mother Rekha, who was present at home, EMERGENCY MEDICINE PEARLS

said Sapna went and held Soni’s hands trying to convince her to come to safety. “The sisters suddenly lost balance and toppled over. Sapna fell on her head while Soni on the side,” said Rekha. At the time of incident, Ramu and another younger teenage sister were also present at home. “I raised an alarm that attracted neighbours. Someone came to help with a car and another with an auto-rickshaw. We rushed the sisters to a private hospital and later to Mayo hospital,” said Rekha. At the hospital, Sapna was declared dead. Her post mortem was performed at the Mayo hospital. Sadar police have registered the case as accidental death after recording statement of family members. Even after death, dispute seemed not to have left Sapna alone. Her estranged husband had a tiff outside the mortuary with Sapna’s family over shifting the body. He wanted to take the body in his car which was opposed by Sapna’s parents and siblings who wanted to use an ambulance. “After two years, he returned to take the body now,” said an exasperated elder sister of Sapna. Abstracted from : The Times of India




Nearly 2L pregnant women use free 108 ambulance service under JSSY JAIPUR: The 108 ambulance service has been instrumental in Janani Shishu Suraksha Yojna’s (JSSY) success in the state as pregnant women and infants used the free service for transportation to hospitals for institutional deliveries and treatment. This year, from January to July 2012, ambulances provided transportation facility to 3.27 lakh patients in emergency situation. Out of the 3.27 lakh cases, 1.64 lakh cases were related to pregnant women transportation. Around 9,800 cases were related to abdominal pain and 51,470 were accident cases. Around 1 lakh cases were related to chest pain, heart attack and other ailments. The medical health and family welfare department claimed that the JSSY has been successful in attracting women to hospital for institutional deliveries by providing free transportation to

them. Recently, UNICEF and the Indian Institute of Health Management and Research (IIHMR) had conducted a study and found that institutional deliveries have increased to 81.1% after the launch of JSSY. Earlier, the institutional deliveries were close to 70% in the state, a state government official said. According to the data of the 108 ambulance service operator Ziqitza Health Care Limited, the services were being used mostly for transportation of pregnant women especially in the rural areas. The company’s senior manager (marketing) Rishi Sharma said, “The patients made use of ambulances service for emergency services like heart attacks, road accidents, abdominal ailments, drowning and other ailments, but the ambulances were used most for transportation of pregnant women. Many women also

gave birth to babies safely on the way to hospital inside ambulances as the attendants failed to call the ambulance on time.” He said before the launch of the JSSY, the number of pregnant women transportation through 108 ambulance service was not as high as now. The women are using the service for institutional deliveries as they are getting other facilities along with transportation to the hospital free of cost. The JSSK was introduced by the state government in September to encourage institutional deliveries with an aim to reduce maternal mortality ratio and infant mortality rate. The 108 ambulances were also used for the transportation of ailing neo-natal infants. Over, 4,000 neo-natal infants had so far used free transportation of the 108 ambulance service. Abstracted from : The Times of India

‘108’ service is all in the ‘samajwadi’ spirit LUCKNOW: Though delayed by four years, the Emergency Medical Transport (Ambulance) Service Project will take off on Friday. The state government has named it ‘Samajwadi Ambulance Seva’. NRHM mission director Mukesh Meshram said a fleet of 133 ambulances for 13 districts will be launched in the first phase. Incidentally, the districts selected for the first phase have a clear-cut ‘samajwadi’ connection. The Samajwadi bastion of Etawah, Kannauj and Mainpuri got a total of 30 ambulances. Senior SP leader Azam Khan’s native place Rampur gets eight ambulances while health and family welfare minister Ahmed Hasan’s home town

evening and in the remaining 12 districts, it will get functional by Saturday. The dry run of ‘108’ was held on Thursday. Its call center is ready with a capacity of 60 persons. In the subsequent phases, the call center would rope in 300 operators. TOI spoke to a call centre operator who said the training of personnel is complete. “Each ambulance will have a driver, medical technician and a paramedic and we would coordinate by taking the field staff in conference with the caller,” he explained. Citing past experience particularly relating to the traditional helpline number such as that of police, fire or ambulance, officials said 108 has been equipped with caller ID to discourage fake or crank callers. Conceptualised to provide immediate medical response through a network of ambulances to help patients in need, this would provide basic first aid to patients and transport him to the nearest health

Two types of ambulances will be part of the EMTS. The first is called basic life support and the other is called advanced life support. While the first is meant to attend and stabilise patients in emergency situation such as an accident or fire, the other would come in handy in conditions like heart attack. facility.

Ambedkarnagar gets 11 ambulances. Lucknow and the accident-prone district Meerut got their due with 13 and 16 ambulances, respectively. Other districts that benefited include Saharanpur (13), Muzaffarnagar (11), Shyamli (5), Baghpat (8) and Moradabad (10). There is silence over ‘politicisation’ of the public service. “The 108 ambulance network in UP is going to be the biggest in the world,” said Meshram, adding that the department would roll out all the 980 ambulances by January, 2013. He said once 980 vehicles hit the road, UP would have an ambulance for a population of every 2 lakh. But the government plans to provide an ambulance per lakh citizens by adding 1,000 ambulances more to the fleet. “By the end of 2013, there would UP’s ambulance network would be the strongest,” said the officer. He also claimed that ambulance service in Lucknow will be functional by Friday

The project is to be developed on a PPP basis. As per the prevailing norms of an ambulance for over a population of 1.5 lakh, UP needs 1,300 vehicles to cover the entire state. But, the project involves some 980 ambulances. The project’s target was to be achieved in 2008-09, but was delayed. It gained momentum in 2010-11, when the Union health ministry gave UP a second chance. At this time, UP government simply procured the vehicles and ignored the logistics part. As a result, the ambulances collected dust for months inviting the central government’s ire. In July 2011, the state government floated a tender to run the service. Several agencies providing the service in different states participated in the event and the tender was finally awarded to GVK EMRI. Abstracted from : The Times of India


3 pg 3

Green tea helps fight against AIDS Green tea and chocolates may help reduce neurological complications linked to HIV, paving way for effective treatment of HIV-related brain disorders, a new study has found. Research by Joseph Steiner and colleagues from Johns Hopkins University found that a group of plant polyphenols known as catechins, which naturally occur in green tea and the seed of the cacao tree, may help in the prevention of these neurological complications. The study is published in Journal of NeuroVirology. Current drug therapy for patients with HIV is unable to control the complete replication of the virus in the brain, and, therefore, is ineffective in the complications associated with neurocognitive impairment in HIV patients.

They identified a series of compounds, which had the potential to help protect neurons in the brain. Nine of these were related to epicatechin, which is found in cocoa and green tea leaves. The fact that these compounds

Previous research has established the critical role of a protein called brain- readily cross the blood-brain derived neurotroph- barrier further increases their potential, as this is ic factor (BDNF) in therapeutic often a major stumbling block supporting the sur- in the development of therapies directed at the brain. vival and growth of This provides hope neurons in the brain. for patients with HIV, This protein is active in areas of the brain vital to learning, memory and higher thinking. Patients with HIV have been found to have lower levels of BDNF in their brains than healthy individuals suggesting that this could be directly responsible for the cognitive impairment suffered.

as there is currently no neuroprotective therapy available for patients with HIVassociated cognitive impairment.



Wa r m Y o u r W i n t e r with Ginger Tea On cold damp winter days nothing is more warming and soothing than a cup of ginger tea. Ginger is a very versatile herb. In addition to warming us from the inside, ginger tea can also be used to ward off a cold during cold or rainy weather and to stop coughing. Ginger tea also aids the digestive system and is an excellent remedy for nausea. Ginger soaks and compresses can be even used to alleviate pain that worsens during cold damp weather.

Making ginger tea is very easy, but it is more of an art than a science. I have included the basic recipe, but it should be adjusted to suit your taste.




30-year-old Okhla tree gets new life NEW DELHI: It is a fully grown Mulberry tree but a massive termite infestation had left it completely hollow. Two weeks earlier, Jayati Sharma moved to an office right across the road from this tree in the Okhla Industrial Area and decided that it needed urgent help. Recalling an earlier story on tree surgeries she had read in The Times of India, Sharma searched for the NGO, Green Circle of Delhi, which had been involved in the previous operation. On Monday, this 30-year-old tree was given another chance at life. “The tree was completely hollow and could have collapsed at any moment. I tracked down the Green Circle officials and they came with an NDMC team on Monday and performed a tree surgery. Hopefully the tree will recover and live on for many more years,” said Sharma. Suhas Borker, founder member of Green Circle of Delhi said that recently, while the pavement on which the tree is located was be-

ing revamped, a JCB machine had hit the tree and partly broken one branch. “The tree is next to a wall and was resting partly on it. Under the impact, the tree turned slightly and is now leaning towards the road. To bring about a balance, we had to saw off the broken branch. Once that was done, we realized just how massive the termite infestation

was as the tree was completely hollow,” he said. The surgery was carried out by the city’s only tree ambulance, which is operated by NDMC. The joint-operation by NDMC and South Delhi Municipal Corporation took a few hours as not only did the branch have to be

axed, the resultant hollow had to be treated and filled up again in a bid to make the bark regrow. “The hollow that was created by removing the branch was first washed with water and then sprayed with an insecticide to kill all the termites. This cavity was then stuffed with cotton, thermocol and sponge to provide support to the tree. Once completely packed, the opening was then sealed off with a wire mesh, plaster of paris and cement. Within the next 10 days or so, the wood will start growing again,” said sources. Till now, more than 50 trees have been operated upon by the tree ambulance. However, since NDMC is the only agency with such a service, most trees are located in these areas. Borker said that there was an urgent need to have such ambulances all civic and land-owning agencies. Abstracted from : The Times of India

What Type of Toothbrush Should I Use? With so many shapes, sizes and styles of toothbrushes on the market, deciding which kind to buy can be confusing. Here’s what you should look for: Most dental professionals agree that a soft-bristled brush is best for removing plaque and debris from your teeth. Small-headed brushes are also preferable, since they can better reach all areas of

the mouth, including hard-toreach back teeth When it comes to the type of handle (such as non-slip grip or flexible neck), shape of the head (tapered or rectangular) and style of bristles (such as rippled, flat or trimmed to a dome shape), pick whatever is most comfortable for you. The best toothbrush is one that fits your mouth and allows you to reach all teeth easily

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