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36, 30 th September’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~

Dengue Page 1 or 2

Bike ambulances provide relief for several devotees When and elderly woman passed out after a wooden column fell on her during the immersion procession near Shanipar, she was one of the several to be treated by the bike ambulance in the city on Wednesday. Due to the large crowds present, the four-wheeler ambulance was having trouble reaching her, following which a message was relayed to the new two-wheeler messiahs who reached the spot within minutes and provided her medical treatment.

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Ambulance for animals in distress at Vandalur zoo CHENNA I: T he Arignar Anna Zoological Park in Vandalur now has an ambulance facility for animals. Inaugurated in mid-July, the ambulance with stateof-the-art facilities to help animals in distress has so far helped a pair of tigers, an Indian Gaur, a hyena, a barking deer and a langur. While the Indian Gaur suffered sudden fatigue due to dehydration, the hyena was anaemic and required blood transfusion. The deer was injured and the langur was attacked by other primates inside its enclosure.

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Badal refuses UPA funds for photo on ambulances

Vanity dies hard they say, with sense being the first casualty. The decision of the cashstrapped Punjab government to retain the photo of Punjab Chief Minister Parkash Singh Badal on the Central government-funded 108 ambulance service at the cost of losing Central funding is a case in point. The Centre-funded 108 ambulance service is run under the National Rural Health Mission (NRHM). The state government, which hardly has funds to pay its employees, has taken inprinciple decision to run all 240 such ambulances on its own, with Badal’s photo on it. State Principal Secretary (H e al t h) V ini Mahajan said,

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Centre stops funding of ambulances with Badal’s picture NEW DELHI: Display of chief minister Parkash Singh Badal’s pictures on partly central-fundedambulances in Punjab has drawn the ire of the Centre, which has stopped funds to the state on this account. In its recent tranche of central funds released to Punjab under its flagship National Rural Health Mission (NRHM) scheme, the health ministry has not included the amount under a scheme for providing free referral transport system. Sources say the sealing of funds to Punjab follows repeated complaints to the ministry of health and family welfare on the dilution of NRHM guidelines by the state on ensuring national branding of the National Ambulance Service (NAS) and uniformity in the display on ambulances. They said all ambulances funded by the Centre in Punjab dis-

play photographs of chief minister Badal. With Lok Sabha elections not far away, the action is being seen as a bid to prevent UPA’s

to remove pictures of its chief minister saying it will continue to do so as the state government is providing majority of the funds. Pun-

flagship programmes from being hijacked by states. Union minister of state for health Santosh Chaudhary, who is an MP from Hoshiarpur in Punjab, also raised objections on the display of Badal’s photos on ambulances funded by Centre. A defiant Punjab has refused

jab health minister Madan Mittal said, “We will not remove pictures of chief minister Badal displayed on the ambulances. If the central government had objections to the display of his pictures, it should have raised objections earlier. Why now?” The state provides 80% of the

CATS ambulance staff refuse to transport ill girl to IHBAS

New Delhi: The staff of a CATS ambulance allegedly refused to take a 15-yearold mentally-challenged girl, whose condition was critical, to a hospital. The ambulance staff also clashed with the local police and PCR staff saying it was not their responsibility to

The ambulance reached the spot but the staff refused to take the girl to hospital. The girl’s father then called PCR and narrated the incident. Local police from the Kotwali police station and PCR personnel reached the spot. “They said that it was not

rush a mentally-challenged person to hospital. Finally, the police called their quick response vehicle (QRV) and rushed the victim to Institute of Human Behaviour and Allied Sciences (IHBAS). According to information, the victim who hails from Khurja, UP, comes with her father Rajender Singh to Delhi for treatment every month. On Wednesday, after her check up at IHBAS, her father took her to Old Delhi Railway Station to return home. But the girl fell semiunconscious outside the station and started frothing. Her father made a call on 102.

their duty to take a mentally challenged girl to a mental hospital. We tried to persuade them that we are not trained paramedical personnel and anything could happen to girl on the way but they were not ready to listen anything,” said a police source. A top official, requesting anonymity, said they daily transfer around 250 calls to them, but the ambulance don’t come on time. “We earlier requested them to deploy an ambulance with the PCR but they refused,” said the official. Source: The Asian Age

funds and the Centre only 20%, he added. “We have been asking states to follow ministry guidelines in this regard to ensure national branding of the National Ambulance Service and uniformity in the display on ambulances supported by central funds,” said Manoj Jhalani, joint secretary in the Union health ministry. He said funds have been halted till states conform to guidelines. Punjab is set to lose over Rs 10 crore in central funds under the scheme in the next three years, in case the Centre totally discontinues its funding to ambulances. “We will lose around Rs 3.5 crore per year of if all central funds are stopped under this scheme,” a Punjab Health official said. Punjab gets about Rs 475 crore central funds from health ministry. Source: The Times of India

Over 1,000 dengue cases in Delhi in 3 weeks NEW DELHI: More than 1,000 dengue cases were reported in the past three we ek s, under lining the alarming spread of the disease in the city. Of these, 443 cases have come in the last four days alone. By con-

trast, there were 66 dengue cases in the whole of last year and 245 in 2011. “This year’s dengue count stands at 1,355 cases so far. The number of cases in September alone is 1,193,”

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News

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Dilip Kumar’s health condition stable: Hospital ICML’s Extreme Ambulance scores high Veteran actor Dilip Kumar, who has been ailing for some days, was on space, mileage, comfort and price admitted to a suburban hospital in Mumbai on Sunday

“Dilip Kumar has been admitted to our hospital, he is in the intensive care unit (ICU) and his condition is stable,” Lilavati Hospital spokesperson Dr Naresh Trivedi told reporters. The veteran actor was br ought to L ilavati Hospital in suburban Bandra (West), at around 9 P.M., after he complained of breathlessness, sources said. “There is no need to be worried,” said Uday Tara, family friend and biographer of the actor. She told reporters outside the hospital, “He is stable, he had mild fever and felt little discomfort. Family and doctors had decided to keep him under observation in the hospital for safety.” When asked about the reports of heart attack, she said “there is nothing like that and he is conscious and is also eating food now.” Kumar had suffered a stroke in 1999. Right now his family, including wife Saira Banu, is with the actor.

Meanwhile, Saira Banu came outside the hospital and briefed the reporters about t h e health of her

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superintendents have been asked to constitute special inquiry committees in case of deaths,” said A K Walia, Delhi’s health minister. Walia held a meeting of top officials of the civic bodies and senior officers of the National Vector Borne Dis-

husband. “He is stable, and we are praying that he recovers fully. On 13th of this month he had viral fever for one day and today he felt a little discomfort and we decided to bring him to hospital and right now he is conscious. He had undergone open heart

surgery 14 years ago,” the actress said. The legendary actor, known for his memorable roles in films like Mughal-e-Azam, Madhumati, Devdas, Ganga Jamuna to name a few, turned 90 last December. Born as Muhammad Yusuf Khan on December 11, 1922, in Peshawar (now in Pak i s t an), Dilip Kumar was the first to receive Filmfare Best Actor honour when the awards were started in 1954 and, with eight wins, shares with Shahrukh Khan the record for the most number of Filmfare awards won in that category. He was honoured with the Padma Bhushan in 1991 and the Dadasaheb Phalke Award in 1994 for his outstanding contribution to Indian cinema. He was also nominated to Rajya Sabha for a term from 2000 to 2006. In 1998, he was awarded the Nishan-e-Imtiaz, the highest civilian award conferred by the government of Pakistan. Source: Samay. live

Over 1,000 dengue cases in Delhi in 3 weeks

said a senior municipal official, adding that September was the peak season for the spread of the disease. The actual number of patients is certainly higher. The official system of reporting is based on voluntary disclosures from hospitals, some of which do not send in reports. Moreover, many hospitals rely on the rapid kit test for confirmation of the disease, which is not recognized by the government. N corpn records most cases Although five people have died due to dengue this year, the official toll is two because these were confirmed positive through the government-recognized Elisa test. Although the number of cases are not yet high enough for the government to declare an ‘outbreak’, clearly the spike in the past few weeks has the government worried. “The spurt in dengue cases is alarming. I have directed all hospitals to create dedicated facilities for treatment. Medical

ease Control Program on Monday to assess the situation. The North Corporation has reported maximum 663 dengue cases, followed by South (351) and East (238). Rohini, Narela, Najafgarh, Karol Bagh and Civil Lines are among the worst affected. “Fumigation and anti-larval routines are being carried out. Because of construc-

tion activities in the north, more cases are being reported from there. We are regularly holding sensitization programmes and health c amp s,” s aid Yo ge ndr a Singh Mann, spokesperson of North Delhi and East Delhi corporations. Those who have died of the disease, confirmed by the civic body, are Phool Singh (47), a resident of Ashok Nagar area, and Priyanka of Pratap Nagar area who died on September 5 and 9, respectively. Victims put under the ‘suspected death’ category include Tarun Indooria (28), a contract employee with the corporation working as a domestic breeder checker and was the first death reported this year. Others under the category are Sunita (35) of Sujan Singh Park and Dr Raman Arora (56) from Sarita Vihar. Source: The Times of India

Hyderabad: September 16th 2013: International Cars & Motors Limited (ICML), a Sonalika Group company launched its ‘Extreme Ambulance’ in all over India today. Touted as a ‘friend in need’ for the medical fraternity, this new ambulance scores high on space, comfort, mileage and is designed to be extremely reliable on bad roads and rough weather. There is no AC Ambulance in price band of Rs 4 Lakh to Rs 8 Lakh which gives Extrerme Ambulance an edge by launching of this Ambulance in the market.

This best-in-class ambulance is available both in A/C and non A/C variants will be up for sale throughout India by October 2013. Moderately priced at Rs. 6,15,000 lakh to R s.6,58,000(exshowroom price), makes ICML India’s only company to have an Ambulance at such a competitive price, extreme ambulance comes well-equipped with all the paraphernalia necessar y for a patient and medical personnel as well. With a 4 cycl.turbo charged 120 bhp category powerful engine, its top speed can go upto 165kmph making it probably the fastest and the most advanced ambulance available in the Indian market today. Speaking on the launch Mr Rakesh Tiwari, - Country Head ICML (International Cars & Motor Limited) said,Ambulance has a pivotal role to play during medical emergencies. Infact, the premilanary treatment and care starts inside the ambulance and hence we have left no stone unturned by converting our ambulance into a ‘Patient Carrier’. He fur ther said, “Reliability, mileage and efficiency are the hallmarks of a well-designed ambulance. In sync with the name, our extreme ambulance is packed with all these features and much more. The attractive price coupled with innumerable features is sure to create a tremendous impact in the Indian market both in terms of sales and augmenting our market position”.

IC ML’s E x t r e me A mbulance is designed to easily maneuver the vehicle even in heavy traffic congestions. The ambulance’ 50 liters fuel capacity ensures continuous use and by providing better quality windows and doors the company has made sure that the medical personnel can perform their duties undisturbed. With a 4+1 seating capacity, this ambulance comes well-equipped with a stretcher, revolving light, hook for glucose bottle, oxygen cylinder holder, a water dispenser holder and a medical box. The company also provides a 24x7 roadside assistance through a toll free number (1800-419-0580). About ICML International Cars & Motors Limited (ICML), is a venture of Rs 5000 Crores SONALIKA GROUP. The Company is headed by Mr. L.D.Mittal, Chairman, Mr. A.S.Mittal, Vice Chairman & Mr. Deepak Mittal, Managing Director, who have substantial experience in manufacturing of tractors, Farm machines & Automobiles. The company consists of world class production facility, with centrally air-conditioned, dust & pollution free environment, to manufacture multi-utility vehicles / sports - utility vehicles, in Amb, Himachal Pradesh. The company holds the installed capacity to produce 2000 MUVs per month that comes to 24000 MUVs in a year. Source: News Wala

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.


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News

Badal refuses UPA funds for photo on ambulances

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“The Union Government has agreed to our decision. If we don’t accept the national format, we will not be eligible for the Central funds for this scheme but will get Central grants for other Central-sponsored schemes. We have decided to retain the chief minister’s photo on the ambulances.” However, the chief minister

has taken a strong exception to the entire controversy. Badal demanded the removal of what he described as “illogical and utterly unrealistic conditions”, imposed by the Centre as riders on the release of Central funds for schemes, programmes and initiatives being carried out by the state governments. With this decision, the state government will have to bear Rs 36 crore annually to run these ambulances by itself; the running cost of each ambulance is Rs 1.25 lakh per month. The Central government had warned the state government to stop the

grant to run these ambulances if Badal’s photo was not removed from them. The blue cards given to 14 lakh BPL families of the state, under the Antyodaya Yojana, already carry Badal’s picture on them. As during its previous tenure (2007-2012), the Shiromani Akali Dal (SAD)-BJP government will provide 1.50 lakh bicycles to schoolgirls under

the state-run Mai Bhago Vidya Scheme with Badal’s photo on them. The state government has placed an order of 1.50 lakh bicycles to three Ludhianabased factories worth `42 crore. These bicycles will be presented to girls of Class IX to XII from November and the entire lot of bicycles will be distributed by year-end. Earlier they had spent Rs 30 crore on bicycles given to 1.05 lakh girl students. Many girls had refused to take the bicycles with Badal’s picture on them. Source: The Sunday Standard

Ambulance services standing by Pune traffic police, with help of NGOs, has arranged ambulance services and other medical emergency facilities at 12 different locations in the city for the Ganesh visarjan procession on Wednesday and Thursday The locations are Hirabaug chowk, SP College, Sahitya Parishad chowk, NMV High School, Faraskhana police station, Narayan Peth police chowky, Khadak police sta-

Columbus and Sai Ambulance service -- will have facilities like first-aid, saline, oxygen cylinders, etc, said deputy commissioner of police (traffic) Vishwas

tion, Gadikhana chowk, Shanipar, Sonya Maruti chowk, Kasba Peth police chowky and Nagnathpar. An expert doctor, nursing staff, activists of Action For Pune Development and Rotary Club will accompany every ambulance at these places. The vehicles -- provided by

Pandhare. Poona hospital, Jehangir hospital, Siddharth hospital, Ruby hospital and Deenanath Mangeshkar hospital would also be providing their ambulance services in emergency situations, said Pandhare. Source: Mid day

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Ambulance to be parked near sea during Ganesh immersion Worried about the danger posed by stingrays during immersion of Ganesha idols in sea tomorrow, the Brihanmumbai Municipal Corporation (BMC) will keep an ambulance stationed at Girgaum chowpatty to counter any eventuality. “Our officials visited Girgaum chowpatty yesterday. There is no threat of stingrays now. Stingrays came at the sea-shore (earlier) due to change in climatic patterns,” a senior BMC official said. L a s t we e k , s eve r al devotees complained of being bitten by s t i n g r ay s w h i l e immersing idols in the sea here. “We have decided to deploy a cardiac van to treat people if they get bitten by stingray or any suspicious thing and may have a heart related ailment,” he said. Children, in particular, would be asked to refrain from entering the waters, the official said. “The cardiac van will comprise of paramedical staff of two doctors and two nurs-

es,” he said. Ganesha mandals will not face difficulty in bidding adieu to their favourite de-

ity, as roads from where immersion processions pass would be free of potholes, he assured. “The BMC has done its duty to fill potholes on the roads where processions will take place,” the official said.

About two lakh Ganesh idols from pandals and households would be immersed in sea and artificial ponds tomorrow during the conclusion of the ten-day Ganesh festival. “Special ar rangement s have been made by the civic body wherein announcements would be made asking people to adopt caution while venturing in deep sea. 67 additional employees of ‘D’ ward have been deployed on special duty. They have also been given a red uniform, which will help people to identify them during any emergency,” he said. The BMC employees will also be armed with walkie talkies to address any emergency situation, he added. Source: Midday

Ambulance for animals in distress at Vandalur zoo

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On August 7, the ambulance was used to carry two injured tigers to the veterinary hospital on the zoo premises. Sathya, a white tigress, attacked Sembian during mating. “Both were griev-

ously injured and were carried immediately to the hospital. While Sembian died, Sathya, who was bleeding profusely, was saved,” said a zoo official. The ambulance is equipped

with an oxygen cylinder, pulse monitor, critical care monitor, stretcher, surgical tools, small cages, tranquilizing darts and emergency medicines. Source: The Times of India

Bike ambulances provide relief for several devotees contiuned from page - 1

Thanks to the Pune Regional Transport Office, which in its first experimental initiative used the bike ambulances to treat medical emergencies during the imeersion procession, the woman was back on her feet. Inspired by the Uttarakhand rescue operation, 15 medically armed bikes with as many as 36 doctors were seen helping devotees in need of medical emergencies during the immer sion pr ocess. “Our main motive behind using these bikes was to reach any corner of the immersion routes of Laxmi Road, Tilak Road, and Alka Chowk, which is chocka-block with devotees. Fourwheeler ambulances have a tough time making their way through the crowds,” said Anand Valwi, deputy RTO officer. Prior to the festival, RTO assembled more than 400 city

bikers and formed a group, naming it ‘Street Sense’ to spread awareness among the citizens regarding various traffic related issues. “We didn’t want to limit our-

selves only with spreading traffic awareness and therefore we planned to provide emergency medical services through the bike ambulance to the needy during the immersion procession,” added Valwi. According to Dr Shamsundar Jagtap, who was heading the

team of these 36 doctors, they tended to as many as 20 emergency cases and provided immediate relief to the patients during the procession. “The bikes were armed with a firstaid kit, which included emergency drugs, necessary i nj e c t i o n s, a n d oral rehydration solution. The bikes have all features of the four-wheele r ambulanc e s, and are equipped with a siren and fire extinguisher,” said Dr Jagtap who treated a 32-year old man whose fingers were injured. A professional biker, Baljeet Singh said that like any other ambulance driver his work was to take an emergency call and then provide the pickup and drop facility to the doctors for the emergency medical services. Source: Midday


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Bella Hellings inquest: Baby died after ambulance fuel stop A baby girl died after an emergency response car got lost and an ambulance stopped for fuel, an inquest has heard. Three-month-old Bella Hellings stopped breathing after she suffered a fit at her home in Thetford, Norfolk on 3 March. She died later

in hospital. Coroner William Armstong said paramedics had been delayed by a “catalogue of catastrophes”. He said the “wholly indefensible” delays reduced Bella’s chances of survival. ‘Insufficient resources’ “Start Quote Controllers failed to tell them that an air ambulance had also been dispatched, meaning they would not have needed to refuel. Paramedic Sharon Jaggard said that had they known about the helicopter, “we would have got straight to the property.” Bella, who was born five weeks premature, did not arrive at West Suffolk Hospital in Bury St Edmunds until 12:10, an hour after the 999 call was made. Mr Armstrong recorded a narrative verdict, concluding that Bella died from congenital heart disease after delays in medical assistance which reduced the prospects of her survival.

“By anyone’s standard this was a grave emergency what happened here was a long, long way from the eight-minute response target,” he said. “We are told that at the time the ambulance service was experiencing significant demand and there were apparently insufficient resources to meet that demand. “Twenty-six minutes in this situation is a very, very long period of time indeed.” He said the delay was “wholly indefensible” and that there had been a “catalogue of catastrophes and a chaotic response.” ‘Specific measures’ After the inquest, Bella’s family said they would “always believe in our hearts that Bella was let down by the health services when she was at her most vulnerable and when she needed help the most”. John Martin, interim director of clinical quality, said the service’s response to Bella was “delayed for a number of factors, primarily the difficulty in locating the address due to it being a newbuild”. “As a result, a number of specific measures have been put in place, and the trust has raised the problems of the delay in new buildings and developments appearing on maps and sat nav systems on a national level.” He added that the trust was also recruiting more frontline staff and getting more ambulances on the road. Source : BBC News England

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Air ambulance lands on A3 after woman hit by car Police said the pedestrian was struck by a silver Toyota on the southbound carriageway near Burpham A person was hit by a car on the A3 near Burpham o n We d n e s d ay af ternoon, with the road closed in both directions for more than halfan-hour to allow the air ambulance to land at the scene. Surrey Police said the female pedestrian was struck by a silver Toyota just before 2pm. South East Coast Ambulance Service said it sent two crews to the scene. The woman was airlifted to the major trauma centre at King’s College Hospital

in London with “potentially serious injuries”, a spokesman said. The A3 was shut both ways

just north of Guildford, with the northbound carriageway reopened by 3pm. Southbound traffic was initially diverted off at the Burpham slip road and through Guildford, with a “queue back to Wisley services” and

motorists being advised to avoid the area @SurreyRoadCops tweeted at 4.20pm that the southbound carriageway had been fully reopened. Anyone with information on the incident is asked to call 101 and quote r efer ence P13285498. It followed t wo other crashes on Wednesday morning - a three-car accident at the M25’s junction with the A3, in which one driver suffered spinal injuries, and then a collision between a motorbike and a car on the A3 northbound near Wisley services. Source: get surrey

Ambulance ban and patient services affected after hospital computer system failure MONTREAL – A Montreal hospital had to turn away ambulances and patients on Thursday after a server malfunction shut the computer system down. “T he ser ver and computer system room at the Jewish General Hospital overheated and s ub s e qu e nt l y all systems went offline at appr oximately 7:30 a.m.,” the hospital confirmed in a statement. The computer system failure affected many patientrelated services, including the hospital’s test centre,

elective medical imaging services such as X-ray and CT scans.

An ambulance ban was also put in place until later in the afternoon on Thursday. “The hospital is doing its best to minimize inconveniences for its patients and

visitors . . . there has been absolutely no compromise to patient safety.” The hospital also noted that all elective medical imaging appointment s that were cancelled due to the shutdown would be recouped over the next three weekends. Repairs to the computer ser ver and system are underway, and according to recent updates, the hospital hopes repairs will be completed by 7 p.m. Source: Global News

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