Issue 1 Volume 4, 30 MAY, 2012
The Ambulance Times
The Ambulance Times
Touching everyone associated with Emergency Medical Services Registered Newspaper - RNI No. DELENG/2012/41958
E-way to get air ambulance
High blood pressure chief reason for heart diseases - WHO
10 lives could’ve been saved in golden hour MUMBAI: Many lives could have because we lack the required medical been saved on Monday had there facilities on the Expressway, said been trauma cen tres and ambulances assistant RTO K S Jad hav. “We could have saved eight to 10 victims of the Monday mishap if there were trauma centres and am bulances on the E-way .” The accident occurred near Khalapur toll plaza which is 42 km from Panvel and around 90 km from Pune From there, the nearest public hospital with proper along the Mumbai-Pune Express way trauma care facilities on the Mumbai to offer quick medical help, experts side is Sion Hospital and on the Pune side is Sassoon Hos pital. But the said. “We lose accident victims while time taken to travel to these hospitals ferrying them to hos pitals far away means that the crucial first hour from
the mishap, known as the golden hour, is lost. After the Expressway was commissioned in 2001, there were plans to set up trauma centres along it. “But, for the past 11 years, the state has been sitting on the project, said Abeed Poonawala, who travels frequently between Mumbai and Pune. Incidentally, just two days ago, the MSRDC had invited bids for a trauma centre, with air ambulance facility, near Lonavla. Currently, the Indian Road Builders, which main tains roads against collection of toll, has a fleet of four ambulances, one hearse van three big cranes, two Contd. on Pg4
No driver to take injured football player to hospital The Mumbai District Football Association (MDFA) tournaments have taken its toll on the players this summer. Most of the matches are played during afternoon when the sun beats down on the players. Tensions are high and there are chances of a player collapsing due to dehydration. No such case of a player collapse has been reported. But recently, a player was at the receiving end of extreme weather during a game between Companeroes and Maharashtra State Police. The player, who refused to reveal his identity, ended up with back spasms after the match ended. The authorities at the venue tried taking him to the hospital, but the driver for the ambulance was not
available. AP Rodrigues, MDFA spasms and nothing major happened,” committee member who was present he said. at the venue, corroborated the Goodmans Rescue provides medically trained incident. “The player in question and certified staff for on-site pre-hospital refused to go to the hospital as the medical care for ambulance was not available. He • Events, • Film shooting requested that we call a cab and that • Corporate • Road Show conference • Small gathering he be sent home. He was doing a night • Wedding • Sports etc. shift and said that he would manage. ceremony However, when we checked on him, we realised that he had a loss of salt from his body.” MDFA secretary Souter Vaz was critical of the ambulance driver. “As he is supposed to be around during the course of the match, it was irresponsible behaviour on his All Equipment Ready Trained Rescue Team part. We plan to take him to task. Contact: 011-29230685, 29231665 Thankfully, it was just a case of back
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Five killed in ambulance-truck collision in Haryana Research (PGIMER) in Chandigarh for treatment as he had developed complications after birth. The father of the infant, two relatives and the ambulance driver were among those killed in the accident, police officials said.
At least five people, including a oneday-old infant, were killed when an ambulance in which they were travelling collided with a speeding truck on the Hisar-Ambala highway in Haryana early Tuesday, police said. Police officials said that the accident took place about 150km from Chandigarh. The victims, who were coming from Kaithal side, were taking the infant to Post Graduate Institute of Medical Education and
E-way to get air ambulance MUMBAI: The government is working on a plan to air-lift people injured in accidents on theMumbai-Pune Expressway to a trauma-care hospital in 1520 minutes. Concerned over the number of fatalities—many of which occur due to non-availability of emergency medical facilities— the authorities have woken up to the need for such a service as well as the need to set up a traumacare hospital on the E-way. The plan also envisages having better and swifter road ambulance service, too. It is, however, not yet clear if the air ambulanceservice will be free. The Maharashtra State Road Development Corporation (MSRDC), which maintains the 92km road, has invited expressions of interest from health establishments to set up a trauma-care centre with a heliport. Officials expect an
investment of Rs 30-40 crore for the project. “The operator should have minimum 5 acres of land along the expressway close to the Talegaon toll naka, which is around 25 km from Pune and 68 km from Panvel. The bidder is also supposed to suggest ways of recovering the investment without
charging fees from the accident victims,” said a senior MSRDC engineer. The bidders should have one commercial pilot licence holder from a DGCA-affiliated institution and should also be able to provide the helicopter service. “We have proposed it to be a free-of-cost
centre, but would like to know from companies if certain charges would have to be levied to recover the investment. A commercial component would be provided for activities around the hospital that would help recover the investment,” an MSRDC official said. “We expect the proposals to come up by June 10. Within the next three months, we may shortlist one of the firms whose offer will match our expectations. After a few years, the investor has to transfer the property to the MSRDC after recovering the investment. The construction should not take more than a year as we want the facilities to be provided at the earliest,” he explained. The official said they have suggested that people using the air ambulance should not be charged. “We hope to get a suitable model to implement the project,” added the official.
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Unhappy patients opt to shift to Pune MUMBAI: A day after the accident on the Pune-Mumbai expressway that claimed 27 lives and injured nearly 29, all nine patients admitted to the Ashtavinayak hospital in Khanda colony opted to shift to their hometown, Pune, medical director Dr Akshdeep Agarwal confirmed on Tuesday. At Panvel’s Panacea hospital, the staff was waiting for the arrival of relatives from Pune to shift the six children admitted. With no central body or clear policy to decide which hospitals are wellequipped and economical to handle trauma patients, ambulances take the victims to the nearest private hospital. Non-availability of emergency medical facilities during the crucial first hour, the golden hour, adds to fatalities, experts said. A prime reason cited by relatives for shifting patients was lack of proper
services at the two private hospitals. They alleged that the hospitals did not follow the standard procedure in administering first-aid. When Shamu Shaikh brought his employees Amol More (29), Fayyaz Shaikh (22) and Amir Shaikh (19), all mechanics, to Ashtavinayak hospital, its helpers were missing. “There were only two beds in the room. I carried the patients and a third bed upstairs. The hospital needs more attentive staff,” he said. The mechanics, who were repairing the first 17-seater minibus that broke down, sustained severe injuries on their feet. When TOI met More on Monday, he pointed to his two big toes, all that remained unharmed of his feet. His wound was bleeding and the bed-sheet was soaked in blood. “I complained, but no one has changed the bed-sheets,” he said.
The biggest charitable private hospital on the route is MGM at Kalamboli Circle, with 640 sanctioned beds, of which 400 are operational, but none of the patients was taken there. MGM medical superintendent Dr P P Doke said better communication between hospitals and rescue staff at the spot, trained staff in ambulances and faster transportation of patients would go a long way in saving lives. “We have round-the-clock resident and guest doctors and all tertiary services. If patients are brought here, they get complete treatment,” he said. From the Khalapur toll plaza, which is 42 km from Panvel and around 90 km from Pune, the nearest public hospital with proper trauma care facilities on the Mumbai side is Sion hospital and on the Pune side is Sassoon hospital. QUICK TIPS
Both hospitals lacked blood banks and the staff admitted they sourced blood from the Rotary Club blood bank in Khanda colony and Sri Sai blood bank in Old Panvel. The hospitals have a 50-bed capacity and two operation theatres each, but they are not among the best in the field. So why were the patients taken there, relatives asked. Sanjay Tandel, manager at Panacea, denied any tieup with the ambulance service. He said, “The ambulances bring patients to the nearest hospitals. From the old highway, ours is the nearest.” Exorbitant fees also irked the relatives, who argued with the hospital staff. They heaved a sigh of relief only after former parliamentarian Ramsheth Thakur assured Rs 1 lakh for expenses incurred by hospitals in treating the patients.
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High blood pressure-the highest risk factor for heart disease affects every 1 in 3 worldwide-WHO.
is the decision making body of the WHO is going to meet in Geneva from May 21-26 to fix new targets on cutting down the cases of heart and lung diseases, diabetes and cancer. Contd. from Pg1 Ten live could have been spared in golden hour
GENEVA: World health experts warned that every one in three of adults are affected by high blood pressure, a risk factor that commonly trigger heart disease. They, however noticed that the number of cases is on rise in developing countries. According to WHO’s finding that Canada and United States are in the lowest risk category, affected by less than 20 percent of adults, whereas WHO estimates the figure to 50 percent. Previously the wealthier countries were associated with chronic diseases due to increased life expectancy and the condition is now affecting the lower income or undeveloped countries. “We are being successful in reducing the impact of infectious diseases and child mortality is coming down — that means more people are surviving to advanced ages when noncommunicable diseases develop,” said Colin Mathers, coordinator of the WHO’s mortality and burden of disease unit Mathers expressed the views that people living longer are more prone to chronic diseases and he pointed out that both obesity and smoking are the two culprits play the role in increasing the risk factors in undeveloped countries. However, he explained that growing
countries reduce the risk rate by improved income and calories. He blamed the fast spread of fast food, salt added and processed are the reasons behind the cardiovascular and cancer risks. It is the fact that Australia, the developed nation had its peak heart problems during 1960 and 1970 where people diagnosed and given treatment and such treatments are not available at African countries. Nigeria, Malawi and Mozambique are the countries that are mostly affected with high blood pressure by having 50.3, nearly 44.5 and 46.3 percent respectively. The WHO world health statistics, on Wednesday for the first time released the raised blood pressure, raised blood glucose level conditions associated with diabetes. WHO director general Margaret Chan said that the present report is the further evidence that provides information that low and middle income group of countries are under threat of increased risk conditions for heart and other chronic illness. The WHO said deaths in children aged under five years dropped from almost 10 million in 2000 to 7.6 million a decade later, with the decline in deaths from measles and diarrhoea-related disease “particularly striking.” The World Health Assembly which
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towing vans and 50 staffers for emer gency response. Those working in the field of emergency medicine say the need of the hour is full fledged emergency medical services and not just a few ambulances or a hospital. Di rector of Life Supporters In stitute of Health Science Dr Paresh Navalkar said, “We need trained personnel, well equipped ambulances and prepared emergency room Currently, nothing exists and that leads to loss of lives.”