Emergency ambulance service

Emergency ambulance service Community health nursing

1. PRESENTED BY,
MR. KAILASH NAGAR
ASSIST. PROF.
DEPT. OF COMMUNITY HEALTH NSG.
DINSHA PATEL COLLEGE OF NURSING, NADIAD

3. INTRODUCTION
•Anambulanceisavehiclefortransportationofsick
orinjuredpeopleto,fromorbetweenplacesof
treatmentforanillnessORinjuryandinsomeinstances
willalsoprovideoutofhospitalmedicalcaretothe
patient.
•Thewordisoftenassociatedwithroadgoing
emergencyambulanceswhichformpartofan
emergencymedicalservice,administeringemergencycare
tothosewithacutemedicalproblems.
•Thetermambulancedoes,however,extendtoawider
rangeofvehiclesotherthanthosewithflashingwarning
lightsandsirens.Thetermalsoincludesalargenumber
ofnon-urgentambulanceswhicharefortransportof
patientswithoutanurgentacutecondition.

4. •ThetermambulancecomesfromtheLatin
word"ambulare"asmeaning"towalkor
moveaboutwhichisareferencetoearly
medicalcarewherepatientsweremovedby
liftingorwheeling.Thewordoriginallymeant
amovinghospital,whichfollowsanarmyin
itsmovements.

5. •TYPES OFAMBULANCES
•Ambulancescanbegroupedintotypes
dependingonwhetherornottheytransport
patients,andunderwhatconditions.
Emergencyambulance–Themost
commontypeofambulance,which
providecaretopatientswithanacute
illnessorinjury.Thesecanberoad-going
vans,boats,helicopters,fixed-wingaircraft
(knownasairambulances).

6. Patienttransportambulance–
Avehicle,whichhasthejobof
transportingpatientsto,fromorbetween
placesofmedicaltreatment,suchas
hospitalordialysiscenter,fornon-urgent
care.Thesecanbevans,busesorother
vehicles.
Responseunit–Alsoknownasafly-car
ora[QuickResponseVehicle],whichis
avehiclewhichisusedtoreachanacutely
illpatientquickly,andprovideonscene
care.

7. •Bariatricambulance–Aspecialtypeof
patienttransportambulancedesignedfor
extremelyobesepatientsequippedwiththe
appropriatetoolstomoveandmanage
thesepatients.

8. Equipment
•In addition to the equipment directly used for the treatment of
patients, ambulancesmaybefittedwitharangeofadditionalequipment
whichisused in order to facilitate patient care. This couldinclude
•Two-wayradio–andcanallowthecrewtopassinformation
backtocontrolortothehospital.
•Traumalighting–Inadditiontonormalworkinglighting,
ambulancescanbefittedwithspeciallighting.
•Airconditioning–Thishelpstomaintainanappropriate
temperatureforanypatientsbeingtreated,butmayalsofeature
additionalfeaturessuchasfilteringagainstairbornepathogens.
•DataRecorders–Theseareoftenplacedinambulancesto
recordsuchinformationasspeed,brakingpowerandtime,
activationofactiveemergencywarningssuchaslightsandsirens,
aswellasseatbeltusage.

9. Audiblewarnings
•In addition to visual warnings, ambulances
can be fitted with audible warnings,
sometimesknownassirens,whichcanalert
peopleandvehiclesto the presence of an
ambulance before they can beseen.

10. •Serviceproviders
•GovernmentAmbulanceService–Operatingseparately
from(althoughalongside)thefireandpoliceserviceofthe
area,theseambulancesarefundedbylocalornational
government.
•VolunteerAmbulanceService–Charitiesornon-profit
companiesoperateambulances,bothinanemergencyand
patienttransportfunction.
•PrivateAmbulanceService–Normalcommercial
companieswithpaidemployees,butoftenoncontracttothe
localornationalgovernment.Privatecompaniesmayprovide
onlythepatienttransportelementsofambulancecare.
•CharityAmbulance–Thisspecialtypeof
ambulanceisprovidedbyacharityforthepurposeof
takingsickchildrenoradultsonotherhospital.

11. CardiacAmbulance
Cardiacambulancecontains:-
Doctor
E. C.G.
Defibrillator
Suction machine
Oxygen
Resuscitationkit
SyringePump
PaceMaker
TrainedNurse
CardiacMonitor
Portable
Ventilator
PulseOxymeter
Emergency
Medicines
Nebuliser
Bipap
SpineBoard

12. 108 EmergencyService

13. •How itworks:-
•Whenanemergencyisreportedthrough108,
thecalltakergatherstheneededbasic
informationanddispatchesappropriateservices.
Basicinformationobtainedincludes:-
Wherethecallisplacedfrom.(district/taluka/city/
town/exactlocation/landmark)
Thetypeofemergency.
Numberofpeopleinjuredandtheconditionofthe
injured.
Thecaller'snameandcontactnumber–for
locationguidanceifrequired.

14. •Emergencyhelpdispatchedthroughthis
processisexpectedtoreachthesiteofthe
emergencyinanaverageof18minutes.Pre-
hospitalcarewillbegiventopatientsbeing
transportedtothenearesthospital.The
serviceisnormallyfreetopatients.
•108ismanagedbytheEMRI(Emergency
ManagementandResearchInstitute)across
morethantenstatesinIndia.

15. •Duringanemergencysituation,knowingwhattodomight
savesomeone’slife.Hereareafewtipsonwhatyoushould
telltheemergencydispatcherwhilecallingforanambulance:
1.Be calm and tell the emergency operator the details about the
typeof emergency
2.You will be asked to tell him/her the address to where the
ambulance should reach, including postalcode.
3.Your phone number may also be asked for, in case the operator
needs to contact you fordirections.
4.He/she will also require the patient’s age, sex and any medical
history you might remember.
5.The operator will also need to know if the person is
bleeding, if he/she is conscious, has chest pain and is
breathing.
6.You will also be asked to explain the type of injury or
emergency and what caused theincident.