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Dial 108 | | | Vinod Chandrashekhar Dixit
'Dial 108' is meant for public and if it is not answered in emergency, what more we can expect? 108 Ambulance is inaccessible to many citizens who are in distress or is kept on hold. There is no point in having the emergency number if we do not get immediate response. Many also agree that success of 108 emergency medical services usually depend on the well being and respect given to the field-level healthcare workers - first responders in trauma cases. This being a very serious issue what we need is to look into and make the service more effective and efficient. The importance of an effective 'first-response' to emergencies cannot be overstated. Inside the ambulances, emergency medical equipment too needs replacement. The vital medical equipment to save victims of trauma, snake bites, medical pregnancies etc also need replacements. Over the past few years, 108 emergency services have been saddled with strike threats from unhappy employees, uncertainty over funding following bifurcation, an ageing fleet of ambulances, shortcomings in infrastructure and last but not the least, public perception that quality of the ambulances is steadily on the decline. There are instances when BP monitors have shown reading even in dead bodies. Almost all ambulances do not have vital medical equipment like pulse oxymeter, blood pressure monitors and equipment to provide immediate relief to snake bite victims. sometimes, even our stretchers do not work well. There is a need to define the role of EMS, also review the care rendered in the emergency departments like well-trained staff. There is a definite need to address premature mortality and morbidity, which is often preventable with well co-ordinated approach. Don't' we think there is a definite need of a national debate on emergency care and funding and how to upgrade, integrate public and private hospitals care standards. |
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