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34, 31st August’13, 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~

The Ultimate Ambulance

Girl died from asthma attack after ambulance error, family say Inquiry launched as family of Elouise Keeling, 14, say emergency crew was sent to wrong RAF base The East of England ambulance service trust has launched an inquiry. Elouise Keeling suffered breathing problems at R AF Brampton near Huntingdon, Cambridgeshire, on 25 June. An ambulance was called at 7.44pm but Keeling’s family told the Cambridge News on Tuesday that it was mistakenly sent to RAF Wyton, seven miles away, and did not arrive until 8.03pm. Her family called for an investigation.

continued to page - 4 Marine rescue ambulance on the anvil KOCHI: The Fisheries Department and Marine Enforcement Wing are looking forward to induct high-tech Marine Rescue Ambulances to their force. They will not only assist in carrying out rescue operations but also function as sea ambulances. The Finance Depar tment has sanctioned Rs 2 crore for Marine Ambulance, but the officials of the Marine Enforcement Wing has given a proposal for a medium capacity multi-role ambulance vessel.

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The Ultimate Ambulance: BMW X6 xDrive50i – 407 horsepower Usually an ambulance is not something anyone should get excited about out, but when that emergency vehicle turns out to be a “mon-

ster on four wheels”, then things change. The high-end X6 model, xDrive50i, has been converted into an ambulance which features all the necessary emergency equipment along with all the associated external visual emergency lights. The BMW X6 is powered by a 4.4 liter V8 engine producing 407 horsepower. And since in the end it’s still a medical emergency vehicle, the car runs from 0-60 in 5.4 seconds and has a top speed of 155 mph. Source: BMW Blog

BMW Ambulance

REVAMPING AMBULANCE SERVICE: GOVT MAY ROPE IN NEW PRIVATE FIRMS New Delhi: With reports of ill- equipped ambulances in the Capital, the Health Department of the Delhi Government has proposed to rope in a fresh private company for overhauling the ambulance service. Even St Johns’ ambulance, which is now training ambulance s t af f, will be changed. Fresh tender will be floated for parties willing to provide training to them. T h e d e c ision was taken at a recent meeting, that was held last week at the Delhi Secretariat. Until now, these ambulances were grossly lacking in basic life support equipment like oxygen cylinders, suction pumps, pulse oxy-meters and even first aid boxes. Currently, around 150 ambulances under Delhi Health Department are plying in the city. According to a report prepared by the de-

partment, more than half of the ambulances are lacking in life support equipments. The report further states that the hospitals have been using ambulances mainly for bringing medicines from the market, dropping doctors at their residences or hospi-

tals, carrying dead bodies to the mortuary and collecting cash from the bank. To add to the grim state of affairs, the report further mentioned that ambulances were procured from the funds of National Rural Health Mission (NRHM) and around Rs 11 crore was sanctioned for purchasing the ambulances under Centralised Accident and Trauma Services (CATS). SCL Das,

Maharashtra gets emergency medical care -Thanks to Indian-American Doctor. New Delhi/Mumbai, Aug 18 (IANS) The Maharashtra government is set to roll out over 900 fully-equipped ambulances across the state to provide emergency care to accident and trauma victims in the critical initial moments, thanks to the p e r s i s te nt initiative of an Indian American urologist. Noted Indian American urologist Navin Shah has been regularly meeting top state officials in Maharashtra over the years to persuade them about the impor tance of launching emergency medical services (EMS). “Annually, Mumbai records 8,600 accident deaths, including 4,000 in railway accidents; 12,600 deaths due to heart attacks, 6,200 infant deaths and over 300,000 serious emergency patients,” the Maryland-based expert,

who is also former president of the American Association of Physicians of Indian Origin, told IANS from Washington. The EMS would have 937 advanced and basic life support ambulances o p e rative across t h e state based on the principle of Golde n Hour - wherein a patient is to be shifted within the first hour of an accident or incident to the nearest hospital, critical to save lives and health. For the emergency medical service, the state government will procure 927 ambulances and create 47 trauma centres with a budget of Rs.1,000 crore ($200 million). The Maharashtra government has begun training police personnel in trauma care..continued to page - 2

India gives 20 ambulances, four buses to Nepal

Principal Secretary (Health), confirmed the development saying the decision has been taken to replace the nonfunctional ambulances and upgrade the facilities. “A robust ambulance service is a must to ensure that a patient or accident victim needing urgent medical attention is safely transpor ted to the nearest hospital. The past decade has seen rapid advancement in t h e G overnment ’s u n d e r standing of the need for good ambulance services in the Capital. The pace at which the population and its requirements have grown, have been phenomenal and we haven’t been able to provide the required number of ambulances for this expanding number of users,” said MC Mishra, director of AIIMS trauma care center.

Twenty ambulances and four buses were Thursday gifted by India to various hospitals, non-profit organisations and educational institutions in Nepal, on the occasion of India’s Independence Day. Indian Ambassador to Nepal Jayant Prasad hoisted the national flag and read out the address by President Pranab Mukherjee at a function held in the embassy premises in Kathmandu. The speech stressed on India’s support to peace, stability and development in its neighbourhood. The Indian ambassador presented 14 ambulances and three buses to recipient organisations from 16 districts in Nepal. The remaining six ambulances and one bus were gifted by the Consulate General of India in Birgunj to organisations under its consular jurisdiction. Ambassador Prasad also presented books to 50 educational and training institutions located across Nepal. Since 1994, India has gifted 402 ambulances to various organisations across 70 districts in Nepal. “This has helped in bringing healthcare services to the doorstep of thousands

Source: the pioneer

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News

THE AMBULANCE TIMES

The Art of The Nasopharyngeal Airway Nasophar yngeal air way (NPA) as one of the most under-rated / under-utilized pieces of equipment in the EMT bag of tricks. They’re useful, simple and versatile. As a group, we tend to do a pretty good job oxygenating our patients.

Most of the unresponsive or semi-responsive patients should be arriving at the ER with an NPA in place. If you’re bagging a patient they should have one … maybe two NPAs in place. Know where they are kept : Cheq your bag and keep them handy . Grab the right size Big adults – grab the 8-9mm (24-27 french). Regular sized adults get a 7-8mm (21-24 french). Small adults get a 6-7mm (18-21 french). Kids start at 5mm and work down. When deciding if a patient is “big” or “regular” use their height as a guide, not their weight. Xylocain Jelly is your friend, but time is not. That little package of lubricant does help these things go in faster and it reduces damage to the nasal mucosa but don’t waste too much time coating the NPA. Back and forth, back and forth, they DOWN Once you reach the mid-point of the NPA you should be

able to just sink it. And your patient will thank you for it later. The wiggling may facilitate the advance of the device but it isn’t terribly comfortable on the patients nose. And speaking of down. For the record these things aren’t going up the patient’s nose. They go strait back in to the nasal cavity and turn downward toward the posterior pharynx. Don’t worry to much about the bevel. Pick the largest nare It’s worth noting that there are some potential complications to NPA use. They are more likely after prolonged use and include:  Mucosal irritation  Sinusitis  Retropharyngeal ulcers  Temporary vocacord paralysis  Temporary deafness Don’t let that list of complications go and scare you off. The NPA is a safe and

useful tool. It stays in the airway bag far too often when the patient could benefit from its use. Source: The EMT Spot.com by steve white head

Marine rescue ambulance on the anvil

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According to officials of the Marine Enforcement Department, they have given a proposal for a vessel equipped with facilities to carry out both rescue operations and offer medical aid. “The department has planned a bigger vessel in which 15 officials can board and transport more than 40 persons, with facilities such as officials’ rest cabin, toilets and kitchen for longer stay on sea. The vessel will also have ICU and three to four beds and dinghies for rescue operations in the areas closer to the coast. It will be fitted with heavy cranes to lift wrecked fishing vessels,” officials said. Demand for a modern communication system and high powered flashlights for rescue operations and night vision system has been made. The government gave the financial nod for the longpending demand this year and the department plans to purchase the vessel before the next fiscal. One ambulance each will be allotted to the five units of Marine Enforcement Wing attached to five fisheries station in V izhinjam, Ne endakar a, Vypeen, Beypore and Kannur. “We will soon float the tender for the high capacity multi-role vessel for which paper work is almost complete,” a Fisheries Department official said. Source : The New Indian Express

108 ambulance service back on track BANGALORE: Employees of 108 Arogya Kavacha will resume work at 8 am on Friday, GVK Emergency Management and Research Institute (GVK-EMRI) said.

government on August 14. The company submitted that it will release the PF amount pending since 2010 to its employees. Also, a 24/7 complaint cell will be set

A memo submitted to the Karnataka High Court by GVK-EMR I on Thur sday stated the ambulance workers promised to meet the conditions of the employment after a meeting with representatives of the state

up to hear the grievances of the employees. The salaries of the employees will also be revised. In addition, the 194 employees, who were sacked, will get back their jobs. These employees will be employed without any

discrimination in the larger interest, it added. The state government, in its memo, stated that a meeting has been arranged between GVK-EMR I and its employees in the presence of the health minister to solve the issues faced by the staff of Arogya Kavacha and a decision will be taken. Following the submission by the state government and GVK-EMRI, a division bench comprising Justices K L Manjunath and Ravi V Malimath disposed of a PIL filed by Dr Kodur Venkatesh of Arise India Foundation, an NGO which had sought a direction to the Health and Family Welfare Department and the private firm to ensure the immediate restoration of ambulance services. The service was affected since July 26 owing to the employee strike. Source: The New Indian Express

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Ambulance employees resume stir Bangalore: Employees of Arogya Kavacha, the ‘108’ emergency ambulance services, have again absented themselves from work and this time for receiving less salary. The employees, who received their payment on Monday, have received Rs 1,500 to Rs 2,000 less than their expected salary. When asked, the GVK EMRI (Emergency Management Research Institute) told the employees that their salaries were deducted for the days they had boycotted work during the strike. The employees were on strike from July 26 to August 9. R Sridhar, president of the Arogya Kavacha employees’ association, said that their

working days are calculated from 20th to 21st of every month, and they had gone on strike from July 26. “We have to ideally receive salary for the days that we have worked and the deduction should happen for the next month. But EMRI has deducted the amount from this month’s salary itself. We will be at work, but will not attend to any emergency cases,” he added. Jagadish Patil, head of operations, EMRI said that as per the Supreme Court’s directions, employees are not to be paid for the days they have boycotted the services. The salaries are paid as per calendar month and not calculated from the middle of the month, he added. Source: Deccan Herald

Maharashtra gets emergency medical care - Thanks to Indian-American Doctor. continued from page - 1

The medical emergencies include road accidents, natural calamities, outbreak of epidemic, serious Illness and allied problems, as well as emergencies related to pregnant women and neonates. The ambulances will be equipped with GPS (Global Positioning System) and AVL (Automatic Vehicle Location System) among other gadgets to help the vehicles reach the patients fast and also transport them to the nearest hospital equipped to handle the requirement,

he said. A toll free number - 108 - is being assigned for the Emergency Medical Services. The cost is to be shared by the National Rural Health Mission (NRHM) and the state government. The state government has decided to set up a Central Control Room at Chest Hospital, Aundh, Pune. The All India Institute of Medical Sciences in New Delhi is to provide consultancy through an exper t medical team. Source : IANS

Ultra Modern Ambulance Soon Bhopal: Another cheer to the city’s resident. Now, one of the ultra modern ambulances is going to be included in the fleet of 108 ambulance services, which can treat some of the most serious patients in the first aid and then admit him in the hospital. The cost of this ambulance is about half a crore and it will contain all such equipments which are necessary for first aid. The ambulance equipped with advance life support menace would be included in the fleet of 108 ambulances. The ambulance of Janani Suraksha Seva and Deen Dayal mobile hospital would be the part of 108 ambulance service. This facility would start from August 15. The Minister in charge would announce the inauguration of service after taking salute of the August 15 parade. There are 13 vehicles in the 108 ambulance service and its number is soon going to increase up to 20 with the new ones. The decision of increasing the fleet is taken according to the figures of patients saved

by the 108 ambulance. By the end of June 2013, around 6,383 people were sent to the patients by the ambulance service. With the introduction of ambulance equipped with most modern means would utilise the one hour time which is most important time of an accident to treat the patient. It would reduce the motility rate. The advance life support ambulance would be equipped with ventilator, ECG machine, oxygen cylinder, spine guard, trauma and high tech critical pre hospital facility. Such ambulances were given for each district and two more vehicles would be included in this fleet. The regional manager of 108 ambulance service Kalyan Singh said that advance life support ambulance would be included in the 108 ambulance fleet on 15 August. The government has taken the decision to include Janani Seva, Deen Dayal mobile service and police mobile PCR would be included in the 108 ambulance service by 15 August. Source: The Pioneer

Recommended EMS sites : http://www.ccpem.com Critical Care Perspectives in Emergency Medicine is an audio program dedicated to the intersection of Emergency Medicine and Critical Care.


News

THE AMBULANCE TIMES

Akhilesh keeps SP tag on ambulances In what could pave the way for a direct confrontation with the Centre, the Akhilesh Yadav government in Uttar Pradesh has decided to retain the “Samajwadi” name and logo on 108 ambulance services currently being run under the National Rural Health Mission (NRHM) schemes. An official release said the state Cabinet had decided to continue with t h e S amajwa di Swasthya Sewa and the ser vice would not be run with state government funds and a sum of `87.44 crore would be earmarked for this purpose in the state budget. In a letter sent to the state government in June, the Centre had objected to the naming of the Emergency Medical Transport Service

being run under NRHM as the Samajwadi Swasthya Sewa. The Centre had clearly stated that all ambulances and mobile medical units running under NRHM would be branded as the National

Ambulance Service and National Medical Mobile Unit. The Union health ministry also issued guidelines on the colour, design and logo for the two services and officials said that this has been done to prevent the states from “hijacking” NRHM schemes. In Uttar Pradesh, the am-

bulances run under the 108 scheme are known as Samajwadi Swasthya Sewa while the scheme for mobile medical units is called Mukhya Mantri Maha Maya Sachal Aspatal Yojana. Chief minister Akhilesh Yadav has now rejected the Centre’s guidelines, saying that the state government too has an equal right over the scheme and will run the services with our own funds. However, consultants in NRHM’s state programme management unit say that the decision could spell trouble since the Union health ministry has already laid certain essential conditions to release the funds. “Till we meet these conditions, they will not disburse the funds,” said a senior official. Source : The Asian Age

Bantwal: Ambulance workers’ strike results in newborn’s death Bantwal: The ongoing ambulance workers’ protest has even reached rural areas, and has claimed the life of a baby. In a heart-rending incident, ‘Jeevarakshaka Ambulance’ for which KSRTC drivers have been temporarily employed reportedly did not provide adequate medical facilities and as a result, a new born died in the ambulance. The poor family that lost the baby is in pain. It is said that the baby was born to the couple after 11 years of marriage. Dharnappa Poojary and Babi from Koyyur in Bantwal are the parents of the deceased baby. Babi who was pregnant was frequently going for checkup to Ujire hospital and the doctors had given the due date as August 6. Babi during her pregnancy was living in her maternal house at Shibaje. On June 26 at around 3.30

am, she developed labour pain and soon the family members called 108 ambulance. As the ambulance delayed in reaching the spot, Babi was taken in a private vehicle for about 6 km. After some time, the ambulance arrived and while on the way to a hospital at Mangalore, Babi gave birth to a baby boy.The baby was taken in the same ambulance to Wenlock hospital, but it died on August 2 evening.

What was the reason? ‘Jeevarakshaka Ambulance’ drivers and staff have been on protest, hence the government temporarily appointed KSRTC drivers for ambulance. But government had failed to provide medical assistants, nurses from health department as assured earlier. This incident took place in the absence of trained staff. There was only one government-appointed

Fastest ambulance is a motorcycle When Eli Beer was a child in Jerusalem, he witnessed a bus explode in a terror attack. This brutal awakening to the violence around

his home led him into the medical field, starting as an EMT at 15 years old. In Jerusalem. That takes guts for anyone, let alone a 15-yearold kid. During his work, he realized

that their huge ambulances rarely had a chance of getting through Jerusalem’s traffic in time to save patients. This struck the young Israeli, who founded a company called United Hatzalah (hatzalah is Hebrew for “rescue”). This rapid response team of volunteers is responding to medical emergencies in three minutes, sustaining patients until ambulances can arrive. How are they doing that, besides on foot? Motorscooters, called ambucycles, loaded out with everything that an ambulance has, short of a gurney. Source: Autoblog

KSRTC driver in the ambulance all the way from Udane to Mangalore and no other staff. Babi did not get treatment during delivery which ultimately lea to the death of the newborn, it is learnt. Dharnappa Poojary and Babi are from a poor family. Their elder daughter is now 11 year-old. She is perusing her 6th standard in Koyyur government school. Babi became pregnant after 11 years and the family members were keenly looking forward to the arrival of the new member in the family. As many as 2,400 employees of GVK-Emergency Management and Research Institute (EMRI) drivers and emergency medical staff who operate 517 ambulances in the state have been on strike since last week demanding a salary hike and regularisation of their services. Source: Daijiworld.com

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Why You Should Eat Breakfast ? Keeping track of what you’re supposed to eat to stay healthy can already be overwhelming, but it turns out that when you eat what can also be important for keeping your weight in control and for warding off chronic disease.

It turns out Mom was right: you should eat break fast. And if you don’t believe Mom, a growing body of studies shows that a good meal in the morning can help your body prepare for the day to come, and lower your risk of heart disease, diabetes and obesity. But what about the rest of the day’s meals? Here’s what nutrition experts say about the best times to eat and why.

Morning

Don’t skip breakfast. Repor ting in the American

Heart Association journal Circulation, Harvard School of Public Health researchers studied the health outcomes of 26,902 male health professionals ages 45 to 82 over a 16-year period. They discovered that the men who skipped breakfast had a 27% higher risk of heart attack or death from heart disease than those who honored the morning meal. According to the scientists, skipping breakfast may make you hungrier and more likely to eat larger meals, which leads to a surge in blood sugar. Such spikes can pave the way for diabetes, high blood pressure and high cholesterol levels, all risk factors that can snowball into a heart attack. To ease your body into a more consistent blood-sugar pattern, try some oatmeal, whole-wheat toast with almond butter, or an omelette with spinach and avocado. Caplan’s favorite breakfast is a baked sweet potato with a little bit of cinnamon and a small bit of butter. Who says you have to eat just cereal in the morning

Situation: A patient with impaired glucose regulation came for a dietary consultation.

Dr. BAD

Dr. GOOD

Lesson: The proportion of carbohydrate in breakfast contributes to glucose excursions in the normal glucose tolerance (NGT) and impaired glucose regulation (IGR) subjects. In the IGR subjects, a highcarbohydrate (carbohydrate >65%)meal should be avoided and a lowcarbohydrate (LC) carbohydrate <45%) meal should be recommended to prevent development of diabetes. (Diabetes Technol Ther 2013 Apr 17. [Epub ahead of print]) [Dr. K K Aggarwal, Padma Shri and Dr. B C Roy National Awardee; Chairman Legal Cell India Academy of Echocardiography; Editor e Medinew S and President Heart Care Foundation of India]

CENTRE ASKS STATE GOVT TO CLARIFY REPORTS ON MISUSE OF AMBULANCE Chandigarh: In what comes as a major embarrassment for SAD-BJP led State Government, the Centre on Friday asked Punjab Government to clarify its position on reports regarding alleged misuse of ambulance vans and medicines in the State. Union Minister of State for Health and Family Welfare Santosh Chowdhary has shot off a communique to Punjab Health and Family Welfare Minister Madan Mohan Mittal pointing out that vehicles provided to the State by the Centre under “108 Ambulance Emergency Van” service were allegedly used to

carry liquor and money for distribution to voters during elections. Chowdhary and Mittal had a detailed meeting on July 17 to discuss the alleged misuse of ambulances in the State. The Union Minister also quoted a media report which claimed that Mittal himself caught an ambulance carrying large quantity of drugs in nine bags and later six more bags, at Kiratpur in his own Assembly Constituency Anandpur Sahib. She also sought details about the quantity and value of medicines purchased during the last two years and

of these, how many have not been distributed to the patients due to expiry of dates with the reasons thereof. Chowdhary asked whether any inquiry has been done regarding the racket of siphoning-off of medicines which were to be distributed to the poor and taking them to the market. “Such medicines have to be destroyed as per the procedure,” she said. The Union Minister has also asked for action against the erring official for the gross misconduct and immediate remedial steps in this regard. Source: the pioneer


THE AMBULANCE TIMES

News

News

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Meet Paulo Machado, the man who For STEMI Skip ED, Go Right to Cath Lab has lived in hospital for 45 years Paulo Henrique Machado has lived almost his entire life in hospital. As a baby he suffered infantile paralysis brought on by polio, and he is still hooked up to an artificial respirator 24 hours a day. But despite this, he has trained as a computer

But by 1992, some of the children had begun to deteriorate - one by one, his friends began to die. “It was difficult,” says Machado. “Each loss was like a dismembering, you know, physical… like a mutilation,” he says. “Now, there’s just

got older, Zagui and Machado are prepared to take more risks “I knew the beach only from photos, films, postcards, stories from other people so I had built up an image in my mind of what the sea and the beach would be like,” she recalls. “They took us out of the vehicles, Paulo was in a wheelchair and they pushed my bed onto the sand. She remembers feeling the sea water with her hands for the first time. “You enjoy these little moments, that many people take for granted. They don’t stop to marvel like we do,” she says. Source: BBC News Magazine

animator and is now creating a television series about his life. The Brazilian’s first memories are of exploring the hospital he has lived in for 45 years by wheelchair. “I explored up and down the corridors, going into the rooms of other children that were here - that is how I discovered my ‘universe’,” he says. “For me, playing football or with normal toys wasn’t an option, so it was more about using my imagination.” With very limited mobility, Machado’s world formed around the friends he made on the ward. “There was me, Eliana, Pedrinho, Anderson, Claudia, Luciana and Tania. They were here for a good length of time too, more than 10 years,” he says. With the innocence of childhood, he never imagined that they would be parted.

two of us left - me and Elaina.” Machado and Zagui (L) have grown up together Doctors don’t quite understand why the pair outlived their peers by so long, but now every day in the ward, Machado wakes up with his bed facing that of his remaining friend and lifelong neighbor, Eliana Zagui. He says their relationship is crucial. “Some people think we are like husband and wife, but we are more like brother and sister,” he says. The danger of infec tion means that they have to live in hospital. Trips outside are rare but memorable, says Machado, who estimates that he has been outside of the hospital at least 50 times in total, more in recent years. Advances in medical technology mean that going out involves less heavy equipment and less medical supervision - and as they have

What’s happening behind the driver seat in the Ambulances Worldwide? The back of the ambulance is becoming a digital hub these days monitoring equipment recording patient data, and transmission of this information between h e al t h c a r e providers. IN Mexico Red Cross, and we have ambulances that are ipad equipped. The driver has a ipad on the dash for all the lights, siren and controls everything on the ambulance on the ipad. At the hospital they know the ambulances location and arrival time, In Dubai they have electronic pcr with caremonix and its connected to ekg machine so that when we reach hospital it’s already there.The

India gives 20 ambulances, four buses to Nepal continued from page - 1

of people who do not have access to such services,” said a statement from the embassy. India has also gifted 78 buses to various educational and welfare institutions in 24 districts of Nepal, making access to education easier for thousands of students. Gifting of ambulances and buses is a part of the India-Nepal Development Partnership, with an overall outlay of over NRs.65 billion. The cooperation consists of 450 large and small projects in health, education and infrastructure development sectors. Source: Webindia123

Mr. Chris Kaise Bypassing the emergency department (ED) and heading straight to the cath lab resulted in faster reperfusion times for more patients with a severe heart attack, a statewide analysis found. The time from first medical contact to angioplasty was a median 75 minutes for those who bypassed the ED, versus 90 minutes for those triaged in the ED before going to

the cath lab (P<0.001), they wrote in the study published online in Circulation: Cardiovascular Interventions. “In Europe, chest pain patients call for an ambulance, but in the U.S., only half of them do. The remainders drive themselves to the ED or are driven by family members,” They noted that the “3030-30” rule has been suggested as a way to achieve the 90-minute benchmark: 30 minutes spent by emergency medical services, 30 minutes in the ED, and 30 minutes in the cath lab. But in this study, even when researchers excluded those who needed resuscitation or intubation before PCI, “patients still spent more than 30 minutes in the ED.” Source : Medpage today

Girl died from asthma attack after ambulance error, family say continued from page - 1

A spokesman for the ambulance trust said it was aware of the complaint, which was a “complex” matter.

The family of a 14-year-old girl who died from an asthma attack after collapsing during an air cadets sports day say an ambulance went to the wrong RAF base.

The trust would not comment on whether the ambulance went to an incorrect address.

The spokesman added: “We were called on June 25 to reports of an unconscious 14-year-old who had suffered an asthma attack at RAF Brampton. “A rapid response vehicle, a land ambulance and an air ambulance attended but sadly the girl was pronounced deceased at the scene. “The incident is currently undergoing a full internal investigation. “The patient’s family are being kept fully informed throughout the process.” Source: theguardian

JOBS ~ MEDICAL EQUIPMENTS ~ HEALTH SERVICES

ER also can evaluate the ekg & can watch the compression graphs of cpr....... I think it will not interfere pt. Care, than it’s very helpful... T R E AT T HE PAT I E N T, NOT THE MACHINES. I had some modern e quip b ac k when, but the priorit y was the patient. SOAP, Treat, monitor , call the Doc, report, all while in transit. Arrived at the hospital assisted in care, then wrote my report complete. There wasn’t enough room to work in the back to start with. What next, portable x-ray? Source: www.facebook.com

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RNI No. DELENG/2012/41958. PRINTED AND PUBLISHED BY : Satish Kumar Bhardwaj, EDITOR: Satish Kumar Bhardwaj, PUBLISHED AT: M-2, Greater Kailash-1, New Delhi - 110048, PRINTED AT: Intergraphic reproductions Pvt. Ltd. A11 DDA Sheds, Okhla Industrial area, Phase-1, New Delhi - 110020

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