Ambulance Services: A Changed Perspective
A medical emergency can occur anywhere and anytime. The first thing on the mind of the victim’s well wishers is that he should be taken to the hospital. Vehicles that are specifically meant to transport patients from one place to another are called ambulances. In Delhi / NCR, most ambulance services operate through phone calls, hospital receptions, while some operate via net calling.
The meaning of ambulance has changed substantially over the years. The traditional ambulance that we usually imagine, as we hear it, is the term a small four wheeler van with a stretcher and oxygen support for the patient and a loud siren to alert people ahead on the road. Such ambulances are called Basic Life Support (BLS) vehicles.
With advances in technology and the increasing need for continuous machinery support for critically ill patients, ambulance systems have met with drastic innovation. Ambulances are now being built entirely with the ICU system. Such ambulance machinery includes ventilator support, advanced monitoring system, suction pump, defibrillator, syringe pump, oxygen support, all emergency medicine, etc. Ambulances equipped with such modern machinery are known as advanced cardiac life support (ACLS) systems.
In addition to machinery, these vehicles already have patient comfort. The vehicle is fully air conditioned, fully equipped with adequate equipment and space to manage any situation of emergency during transportation in the presence of a specialist ALS doctor and a technician / para-medicine staff and very well Is maintained from. Many doctors share their experiences with some very critically ill patients whom they transferred safely and survived.
“Realizing and diagnosing severe myocardial infarction, I could immediately give thrombolytic therapy to the patient without any delay inside the ambulance,” as reported by one of the doctors. In another incident, a gasping patient was admitted to the patient’s home and then transferred to a safe hospital.
The story does not end here. More and more innovative ideas are being incorporated within the ambulance to make them more patient compatible. Instead of the usual ‘Tempo Traveler’ which carries ACLS equipment, larger vehicles are being fabricated in ambulances. Apart from the normal vehicle, this vehicle carries a hospital bed in it. There is a separate room for the patient’s attendant, in which comfortable travel can be made for long distances with the patient. All the international standards and norms set by the Government of India meet these vehicles.
But this is only one side of the story. Any innovation, comfort, technical support and equipment is useful only when it is available at the right time and at the right place. Overseas, all major roads are provided with special lanes for fast movement of emergency vehicles. In India, especially in a metropolitan city like Delhi, such streets are deliberately needed. These roads are almost 24×7 full of traffic and traffic makes its way through the roads. Vehicles in front of ambulances cannot even show the path of ambulance behind them as there is no scope to change lanes at peak hours. If one lane is left empty for such vehicles, it causes traffic jams on the rest of the road. An attempt in this direction has also failed in the past.
A solution to this problem can be launched as ‘support only during transit’, in which the driver of the vehicle can interact directly with the traffic police on extremely busy roads with a very sick patient in the vehicle to make the route easier. Can go Cross fast
To ensure the safety of life, one must also take care and responsibility.
Dr. Amit Jindal,
Attending Consultant, Cardiology,
Sir Ganga Ram Hospital
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