In life,
there are so many important things – the most important thing is LIFE
itself.
We know that it takes days
and months for accomplishing feats ~ ‘Metro train comes into being only after
years’ – yet, we come across ‘just a second / just a minute’ ~ though second is a miniscule part of minute,
these are used almost interchangeably !!
- the hard truth is that there
just aren't quick fixes for most things in life. It takes time to gain
experience and build up an expertise in most fields. Yet lot could happen or be done in shortest
span of time !!
Safety is everybody’s
concern ~ accidents unfortunately do occur – lot many of them could be avoided by observing safety and many lives
saved by immediately attending to them.
All users of a road including
pedestrians, cyclists, motorists, passengers in vehicles, its drivers and
others face risk on road. Best-practice
road safety strategies focus upon the prevention of serious injury and death.
Safe road design is now about providing a road environment which ensures
vehicle speeds will be within the human tolerances for serious injury and death
wherever conflict points exist. Unfortunately, in our country, some roads are
bad and when roads are good, people tend to drive fast and end up with more
accidents.
Nearer home, we have
Kasturba Gandhi hospital [popularly Gosha hospital] which dates back to 1890s.
The Madras government took over the management of this hospital in 1921. Inside this century old institution, a wonderful
service functioned – tens of thousands of calls made everyday seeking emergency
aid lands here, it was the Office and call centre of 108 Ambulance
services – that has since moved to more spacious premises at Teynampet. In what could be described as fine blend
of Govt Private joint entrepreneurship.
GVK Emergency Management and Research Institute (GVK EMRI), the major corporate
social responsibility arm of GVK, was established in April, 2005. It provides
integrated Emergency Response services promptly responding to millions of emergencies and save lives
nationally. This service is spread
across 15 states (Andhra Pradesh, Telangana, Gujarat, Uttarakhand, Goa, Tamil
Nadu, Karnataka, Assam, Meghalaya, Madhya Pradesh, Himachal Pradesh,
Chhattisgarh, Uttar Pradesh, Rajasthan and Kerala) and two Union Territories
(Diu Daman and Dadra Nagar Haveli);
equipped with more than 11,000 ambulances, over 45 million cases have
been attended to and over 1.5 million lives have been saved.
For accident
victims, it was earlier – ‘Golden hour’ – 108 service redefined and made us
aware of ‘Platinum minutes’ too. Any tragedy can be taken to either success or
failure within the first 10 minutes of medical attention, they say. In this crucial period, quick and timely help would ensure that the victim is saved so that appropriate treatment can be
made available from the nearby hospital. Golden Hour according to medindia.net
is defined as the period during which
all efforts are made to save a life before irreversible pathological changes
can occur thereby reducing or preventing death in the second and third phase.
This period may range from the time of injury to definitive treatment in a
hospital. The first platinum 10 minutes becomes important to make this golden
hour effective and should be distributed as follows to make it fruitful.
Aimed at serving accident
victims timely, Tamil Nadu Govt on 8th Feb 2016 launched two-wheeler ambulance service that
would be positioned in vital junctions in the city. Chief Minister Ms.
Jayalalithaa flagged off 41 two-wheeler ambulances, worth about Rs. 70 lakh, at
a function in the Secretariat.Whenever you see an accident or somebody in dire
need of medical attention, do not panic..try and assist the victim in some
possible manner.. the simplest is to call the Emergency Service (108) and
inform them clearly of the need, probable requirement and the place where their attendance is required.
I am
attracted to anything on 108 service and was so happy to read today’s Chennai
Express Supplement of The New Indian Express titled ‘Help within 10 minutes’ by
Abinaya Kalyanasundaram~ more so for the nice graphic depiction and the
reference to friend Sri B Prabhudoss.
Here is the article reproduced as it is :
Mr B Prabhudoss addressing SYMA Growth students & Parents
CHENNAI: A
deafening crash cuts through the cacophony of horns on the busy highway — the
speeding car is reduced to scrap metal by the tanker lorry in no time.
Shattered glass shards sparkle on the black tar, mingled with specks of bright
red. The man behind the wheel is severely injured. Some hands reach inside the
vehicle to pull him out, while others look for a phone to dial 108.
Strategic
distribution :Ambulances are distributed and strategically located closer to
the hotspots where accidents occur frequently based on research data and also
information gathered from the police. Places like Poonamallee-Bangalore highway
and Chengalpattu-Tiruchy highway are a few of those.
The ‘Sense’
team :At the Emergency Response Centre in Chennai, the call is answered and a
3-minute countdown begins. “Vanakkam 108, Sollunga enna
emergency”, answers an Emergency Response Officer (ERO). Deciphering all the details of the accident — where, when, how,
and who, is the victim conscious, etc — the ERO has to handle the situation
calmly by gathering all vital
information from the sometimes panicking
caller.
The type of
emergency is categorised — accident trauma.The ambulance closest to the
location is identified and dispatched. If the ambulance is busy, then the next
available ambulance is alerted.The call is disconnected after reassuring the
caller of prompt service, to be free for the next call. The counter clock reads
2.30 minutes. The ERO has done their job well.
“We need to
be careful when we note down details. Phonetic sounds are tricky to decipher;
for instance, Kancheepuram and Gandhipuram may sound the same, so clarification
is required. Also, if they say Gemini Bridge, there is one each in Nungambakkam
as well as in Coimbatore; so a thorough geographical familiarity and alertness
while on call is mandatory,” says an ERO.Average handling time should not cross
three minutes. EROs work in six-hour shifts, so that 40 EROs are available to
attend calls at any given time.
The ‘Reach
and Care’ team :The ambulance pilot receives the call, notes down the location
and immediately starts the engine to reach the spot within 10 minutes (Average
Response Time).Once at the spot, the on-board Emergency Medical Technician
(EMT) scans the situation — heavy blood loss, an airway compromise etc is
analysed, and responds immediately.
In the first
‘Platinum 10’ minutes, three things have to be done — assessing the emergency,
immobilising the patient (in case of a fracture) and then in case of no
response, immediately reviving the patient using cardiopulmonary
resuscitation.This is the protocol —despite the urgency to rush to the
hospital. If done successfully, the survival rate increases substantially.The
EMT and the ambulance pilot transfer the immobilised patient into the ambulance
carefully to avoid worsening injury.Once inside, the EMT works on bleeding
control, starts an IV line and gives additional pre-hospital care.
A conference
call is made to the Emergency Response Centre physician, and all vital details
of patient — BP, sugar levels, saturation levels, pulse rate etc are conveyed.
The doctor provides guidance.Once the ambulance transfers the patient to the
closest hospital, it returns to its original stand-by location, ready for the
next call. Ambulance pilots work in 12-hour shifts.
~ they are ready for the next call – not caring to know, whether the
common man appreciates or not – the warriors, nay Saviours.
With regards – S.
Sampathkumar
15th
Ma 2017.