Emergency Medical Services in India: The Present and Future

Sharma, Mohit; Brandler, Ethan S.

doi:10.1017/s1049023x14000296

Cited by 55 publications

(55 citation statements)

References 8 publications

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“…'Golden Hour' -the first hour after trauma, is vital from heath systems research perspective. Currently in India, the emergency medical services (EMS) are fragmented and a few states have recently implemented a version of EMS that responds to a toll-free call for the medical emergencies (21). The concepts of 'pre-hospital care' and 'golden hour' are still nonexistent especially in the rural, remote and resource poor regions (22).…”

Section: Resultsmentioning

confidence: 99%

Health systems research initiative to tackle growing road traffic injuries in India

Babu

Sharma

2018

J Emerg Pract Trauma

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Road traffic injuries (RTIs) are the sixth leading cause of deaths in India and about 400 deaths take place every day due to road traffic accidents. The present paper analyses the data of the India’s National Crime Record Bureau (NCRB) to assess the burden of RTI. In addition, it reports the health systems research initiated by the Indian Council of Medical Research (ICMR). As per NCRB data, in 2015, 6.3 million persons (50 persons per 10 million population) injured and out of them 1.4 million (11 persons per 10 million population) died in India. Except the NCRB data, there are no nation-wide data on RTI and the data remain poorly collected and sporadic in India. Hence, ICMR has initiated a multi-centric study to establish an electronic-based comprehensive and integrated RTI surveillance system. The second issue on which ICMR undertake research is timely and quality care of RTI patients as many deaths occur either at the scene or en route to the hospital. There is a clear survival and functional benefit for critically injured patients to receive appropriate care within the first 60 minutes of injury (‘golden hour’). Hence, this multicentric study has been initiated to standardize structured evidence-based intervention for safety, efficacy and quality of post-crash pre-hospital and in-hospital trauma care services to improve the outcome in RTI victims. An android-based trauma registry is being built and will be used to assess the impact of interventions. These studies will provide first comprehensive estimates on various epidemiological issues related to RTI. Also, an evidence of improvement through quality post-crash prehospital and in-hospital trauma care services will emerge. These results will contribute to the setting of research and investment priorities and to formulate policies and guidelines.

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Section: Resultsmentioning

confidence: 99%

Health systems research initiative to tackle growing road traffic injuries in India

Babu

Sharma

2018

J Emerg Pract Trauma

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“…EMS services should be optimized for a more satisfactory prehospital emergency care system, particularly for road traffic accidents, which were the most common injury in our study [34]. Recommendations to improve EMS include the administration of EMS at a more local level, providing improved training opportunities, optimizing the role of private sector in prehospital care, and improving public awareness on how to avail oneself of ambulance services [34].…”

Section: Discussionmentioning

confidence: 99%

First Aid Practices and Health Seeking Behaviors of Caregivers for Unintentional Childhood Injuries in Ujjain, India: A Community Based Cross-Sectional Study

Pathak¹,

Agrawal²,

Mehra³

et al. 2018

Preprint

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Data on types of community first aid use and treatment provided post-injury from many low-middle-income countries, including India, are lacking. This cross-sectional study was conducted among children aged one month to 18 years of age, in Ujjain, India, to understand types of first aid given and health-seeking post-injury. A total of 1087 injuries in 1049 children were identified in the past year. A total of 729 (67%) injured children received first aid and 758 (70%) sought some form of health care. Children with burns received the most (86%) first aid, and most children (84%) with road traffic accidents (RTA) sought health care. Most children (52%) sought health care from a private health care facility; most children (65%) were transported to a health care facility within the golden hour. Motorbikes were the most preferred (50%) mode of transport. Only 1% of the injured used ambulance services. Commonly reported methods or substances for first aid included the use of coconut oil on wounds from falls (38%) and burns (44%), the use of antiseptic cream on wounds from RTA (31%), the application of turmeric for wounds from falls (16%), and rubbing of metal on a bitten area (47%). For most injuries, appropriate, locally available substances were used. Potentially harmful substances applied included lime, toothpaste, clay, and mud. The findings will help design community interventions to increase the provision of appropriate first aid for childhood injuries.

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“…The Mobile Emergency Care Service (MECS) is characterized by assisting people in emergencies, whether clinical or traumatic [1]. In the scenes in which these events occur, the service prioritizes ensuring early and adequate care in the prehospital environment as well as access to the health system [2].…”

Section: Introductionmentioning

confidence: 99%

“…MECSs have been used worldwide as an effective means to increase the chances of good prognosis in emergency cases, from trauma cases (the most frequent emergencies) to situations of unusual risk pregnanciesand enable the reduction in mortality ratesand length of hospital stay [1,2]. A study conducted in the Netherlands shows that MECS, allied with the assertive screening process, increased the chances of survival after a critical event [4].…”

Section: Introductionmentioning

confidence: 99%

Mobile Emergency Care Service For Pregnant Adolescents: A Population-Based Study

Freitas

EleutérioJr.

Gonçalves

2020

Preprint

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Background MECS (Mobile Emergency Care Services) are used worldwide as an effective means to increase the chances of good prognosis in emergency cases, working with anything from trauma cases to unusual risk situations; they enablea reduction in mortality ratesand length of hospital stay. This study aimed to investigate obstetric occurrences in adolescents performed by MECS. Methods This is a population-based study with 352 adolescent pregnant women (10 - 19 years old) treated by the public emergency mobile care system in a medium-sized city, Brazil. Descriptive analysis was performed using measurements of central tendency and dispersion of the numerical variables and the categorical variables, and using these measurements the frequency of occurrences was verified. Additionally, a two-stage cluster analysis was performed to identify divisions in the starting group based on the obstetric characteristics of pregnant women. Results The prevalence of occurrences with adolescents was 28%, corresponding to 352 of the 1258 pregnant women. Among the services provided to pregnant women, the average age of the patients was 17 yearsold (± 1.53). The cluster analysis identified a segmentation of the sample divided into two groups, the first consisting of adolescents with gestational age (GA) over 36 weeks and presenting as main complaints: childbirth, inter-hospital transfer and hypertensive syndromes; and the second composed of patients with less than 36 weeks of GA who complained of hemorrhagic syndromes, premature birth and lower abdominal pain. Conclusion MECS enable adequate and prompt care, which can reduce the consequences of complications for adolescent pregnant women and their babies, reducing mortality rates in developing countries.

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Emergency Medical Services in India: The Present and Future

Cited by 55 publications

References 8 publications

Health systems research initiative to tackle growing road traffic injuries in India

Health systems research initiative to tackle growing road traffic injuries in India

First Aid Practices and Health Seeking Behaviors of Caregivers for Unintentional Childhood Injuries in Ujjain, India: A Community Based Cross-Sectional Study

Mobile Emergency Care Service For Pregnant Adolescents: A Population-Based Study

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