Management of Medical Emergencies- Dr Shakil Malik
for Paramedics in Pakistan
HEALTH EDUCATION AWARESNESS WORKSHOPS
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A medical emergency is an injury or illness that is acute and poses an immediate risk to a person’s life or long term health. These emergencies may require assistance from another person, who should ideally be suitably qualified to do so, although some of these emergencies can be dealt with by the victim themselves.
COMMON MEDICAL EMERGENCIES IN PAKISTAN
1-Gun Shot/Blast/Road traffic Accidents
5-Abdominal Pain/obstruction/ectopic pregnancy/urinary retention.
Any response to an emergency medical situation will depend strongly on the situation, the patient involved and availability of resources to help them.
Dependent on the severity of the emergency, and the quality of any treatment given, it may require the involvement of multiple levels of care, from a first aider to an emergency physician through to specialist surgeons.
CHAIN OF SURVIVAL
This involves the four stages of Early access, Early CPR, Early defibrillation and Early advanced life support.
Vision -Safe communities where all citizens are provided the right to timely emergency response and care without discrimination.
Mission -Establishment of an effective system for emergency preparedness, response, protection & prevention; while contributing towards building socially responsible, healthy, resilient, and safer communities.
1. Provision of the right to timely emergency care by providing quality emergency services as per international standards.
2. Undertake research to recommend evidence based measures to related organizations for prevention of emergencies.
3. Contribute towards the establishment of socially responsible community emergency response teams through awareness, enrollment, training & organizing volunteers for emergency preparedness, response & prevention.
The Punjab Emergency Service (Rescue 1122) is the leading emergency humanitarian service of Pakistan with infrastructure in all 36 districts of Punjab and is providing technical assistance to other provinces. Rescue 1122 has rescued millions victims of emergencies through its Emergency Ambulance, Rescue & Fire services and Community Emergency Response Teams while maintaining its average response time of 7 minutes and standards in all districts of Punjab province with an estimated population of over 100 million.
Rescue 1122 is not just providing the emergency victims with the basic right to timely emergency care but believes in “saving lives and changing minds”. This is vividly reflected in the mission statement of the Service which is “development of safer communities through establishment of an effective system for emergency preparedness, response and prevention”.
Emergency Services Academy has been established for sustainable human resource development in the field of emergency management which has been long neglected in Pakistan. This Academy is now imparting training not only to the emergency officials of Punjab but also to other provinces of Pakistan. The Academy imparts training in the fields of emergency medical training, fire fighting, fire prevention & investigation, urban search & rescue, high angle rescue, confined space rescue, water rescue and other emergency management skills.
The limited capacity to deal with emergencies and disasters was putting the lives and properties of the citizens at risk. This was evident from the fact that there were over 95% chances that in case of emergency; the victim will not get an ambulance for transportation, let alone timely emergency care by trained professionals.
Therefore, it was quite clear that emergency management has been long neglected in Pakistan and there are no trained emergency paramedics even in the emergency departments of teaching hospitals. Moreover, pre-hospital emergency ambulance, rescue and trained fire services or a disaster response force were virtually non-existent which was blatantly exposed during October, 2005 earthquake in Pakistan. A few ambulances available with the NGOs lacked essential equipment and trained staff. Thus, the citizens of Pakistan were denied even the basic right to timely emergency care in case of any emergency or a disaster.
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