Emergency Medical Services in India: The Present and Future

Emergency Medical Services in India: The Present and Future
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DOI:
10.1017/s1049023x14000296
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发表时间:
2014-06-01
影响因子:
2.2
通讯作者:
Brandler, Ethan S.
Brandler, Ethan S.
中科院分区:
医学4区
文献类型:
--
作者:
Sharma, Mohit;Brandler, Ethan S.

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印度是世界上人口第二多的国家。目前,印度没有一个中央机构为紧急医疗服务的培训和运作提供指导方针。紧急医疗服务支离破碎,无法在全国各地提供。大多数人不知道在紧急情况下拨打的号码;拨打108/102/1298救护车,中央事故和创伤服务(CATS)和私人救护车模型等服务存在其调度和运输能力的广泛差异。EMS教育标准也存在差异,最近设立了紧急医疗技术员-基本/高级、护理人员、院前创伤技术员、创伤技术员文凭和EMS研究生文凭等课程。本报告重点介绍了已提出的建议,以帮助优化印度院前急救护理系统,包括EMS的区域化,更好的培训机会,预算规定,并提高公众的认识。报告中讨论的印度在实施有组织的院前护理系统方面公私伙伴关系的重要性可能是改善其他发展中国家EMS的合理解决方案。
India is the second most populous country in the world. Currently, India does not have a centralized body which provides guidelines for training and operation of Emergency Medical Services (EMS). Emergency Medical Services are fragmented and not accessible throughout the country. Most people do not know the number to call in case of an emergency; services such as Dial 108/102/1298 Ambulances, Centralized Accident and Trauma Service (CATS), and private ambulance models exist with wide variability in their dispatch and transport capabilities. Variability also exists in EMS education standards with the recent establishment of courses like Emergency Medical Technician-Basic/Advanced, Paramedic, Prehospital Trauma Technician, Diploma Trauma Technician, and Postgraduate Diploma in EMS. This report highlights recommendations that have been put forth to help optimize the Indian prehospital emergency care system, including regionalization of EMS, better training opportunities, budgetary provisions, and improving awareness among the general community. The importance of public and private partnerships in implementing an organized prehospital care system in India discussed in the report may be a reasonable solution for improved EMS in other developing countries.