Shape the Emergency Medical Services in India

Emergency Medical Services (EMS) in India: A Detailed Note

Emergency Medical Services (EMS) in India: A Detailed Note - The Coverage In India, EMS is evolving rapidly, though it still faces challenges of reach, quality, integration, and affordability especially in rural and semi-urban areas.

https://thecoverage.net/how-to-strengthen-emergency-medical-services-in-rural-india-a-roadmap-for-action/

How to Strengthen Emergency Medical Services in Rural India: A Roadmap for Action - The Coverage Despite growing focus on healthcare, rural India still lacks timely emergency medical services (EMS). This article explores low-cost, community-driven solutions to build a responsive EMS system—from training local first responders to leveraging mobile tech and Panchayats.

https://thecoverage.net/emts-the-unsung-heroes-saving-lives-on-indias-roads/

EMTs: The Unsung Heroes Saving Lives on India’s Roads - The Coverage Emergency Medical Technicians (EMTs) are the first responders at road accident sites in India, providing life-saving care. Learn how their rapid action and expertise help reduce fatalities and why they deserve greater recognition.

https://thecoverage.net/empowering-youth-to-save-lives-trauma-first-aid-and-hands-only-cpr-training-at-shepa-college/

Empowering Youth to Save Lives: Trauma First Aid and Hands-Only CPR Training at SHEPA College - The Coverage Dr. Daud Husami conducted a vital trauma first aid and hands-only CPR training at SHEPA College, Varanasi. Empowering youth as first responders, the session supports India's mission for safer roads and resilient communities.

The National Ambulance Code (NAC) classifies ambulances based on their design, equipment, and the level of care they provide. In India, for example, the National Ambulance Code outlines three primary types of ambulances:
1. Type A (Basic Life Support - BLS):
• Provides basic emergency medical care.
• Equipped with basic life-saving equipment like stretchers, first aid kits, oxygen, etc.
• Typically used for transporting non-critical patients.
2. Type B (Advanced Life Support - ALS):
• Equipped with advanced medical equipment to provide critical care, including defibrillators, medications, and specialized monitoring equipment.
• Suitable for patients requiring advanced care during transport.
3. Type C (Patient Transport Ambulance):
• Primarily used for non-emergency patient transport.
• Provides comfort for patients who do not require medical intervention during transport but may need assistance.

These classifications help ensure that ambulances are appropriately equipped to handle the level of care required for different medical emergencies.

The absence of Automated External Defibrillators (AEDs) in 108 Basic Life Support (BLS) ambulances in India, despite being mandatory under the National Ambulance Code (AIS-125), is a critical issue. AEDs are essential for treating cardiac arrests, as they restore heart rhythm and improve survival chances during emergencies. However, factors such as cost constraints, lack of training, and weak enforcement of regulations contribute to non-compliance. Strengthening monitoring, providing funding support, and ensuring training for emergency medical technicians (EMTs) are vital steps to address this gap and improve pre-hospital emergency care.

Dear All,

Hope you all are doing well.

🔜🔆 **Sept 2023 PGDEMS 1st Batch in Eminent Noida UP Campus.*

Dear All,

Hope you all are doing well.

Good News is we have been Starting PGDEMS In Noida Symbioisis campus North side.

Please do *circulate* to your Colleagues, Friends your college Faculties.

Symbiosis have tried to make bridge and maximise the *EMS learning Platform* by opening New PGDEMS in Eminent Noida UP campus

New batch is going to commence in sept 2023.

*Addmission* have been *started* so please do request to your friends to registers and enhance live saving skills.

Just click and Enroll

https://siu.ishinfo.com/SCHSPGY22/Register/RegistrationDetails.aspx

Regards

*Dr. Munindra Sawant*
9823330088

Neurescue: A mini balloon occluding device for cardiac arrest revival.

Jul 10, 2022
(Adapted from a blog by Dr. Venkatesan Sangareddi)

Cardio-Pulmonary Resuscitation (CPR) techniques using Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) methods are time tested. In this regard, the Automatic External Defibrillator (AED) has been a real breakthrough. Still, complete recovery even in "in-hospital cardiac arrest" is at best 10-15 % (Brindley PG, CMAJ. 2002).

Here is a technology in-progress which FDA has approved recently, for emergency resuscitation in cardiac arrest.
( https://player.cnbc.com/p/gZWlPC/cnbc_global?playertype=synd&byGuid=7000170512 )
The principle is simple. In the early minutes following cardiac arrest, it is the survival of the myocardium and brain that matters. So, occluding Aorta transiently and continuing CPR infuses more life into the brain and heart, and the possibility of revival they say is significantly increased.

Mind you, this is not for the layperson or public but can become a game-changer for the ER crew and in ambulances or even in the cath lab. Emergency insertion of ECMO is never easy and a "Neurescue" balloon may come in handy in the meantime.

The attraction is the simplicity of the device, just inserted through the femoral artery. Don't know how successful we would be, in centering the collapsed femoral artery though. The balloon actually doesn't really impede the lower limb flow.It senses and relaxes as and when necessary.

Final message

The concept behind neurescue looks like a bedside emergency partial IABP-like (IABO-Intra aortic balloon occluder, rather) but appears promising. What I understood grossly is, that potential extremity Ischemia is acceptable if it's going to save a life! Also realize, it is not a magic device that brings back life in every cardiac arrest. It gives us more time to act so that we can do other measures to bring back circulation.

player.cnbc.com