ABHIMANYU: THE SOCIAL INITIATIVE BY STUDENTS OF AMITY UNIVERSITY :CONCEPT PAPER

                                              ABHIMANYU

[Go Left, Save Life]

                               Concept Paper

                       

   A Social Initiative by Amity International Business School, Amity University, AUUP

First Copy

NOIDA, 14^TH Feb 2016

                                                                                                                                        

A. Introduction:

Concerns about impact of massive traffic on ambulance is immense. The capital has had to deal with a massive slowdown of its daily traffic thanks to a tremendous explosion of vehicular traffic. And although the number of motor vehicles has increased by 28 times between 1971 and 2011, the road length has increased by only four times. This has meant that traffic has slowed down at many places to 5 km/h in the city.Amity University students wishes to unite and stand for the social cause and organize its strengths to see what best solution can be delivered in the name of give back to the society.  

B. Context :

1. Reduction in vehicle Speed due to design constraints of Roads: In a survey of the busiest junctions in Delhi, it found that of 170 locations surveyed in the city, the vehicular traffic on several sections was more than they were designed for; while at 32 other locations traffic levels had crossed 80% of capacity, which is also way beyond normalcy as per international road standards. If we neglect transport planning in this city, we are headed for trouble. The gridlock is for real. Seven years from now, that queue would have touched every border of the capital, and the city would be surrounded by stationary vehicles — unless the government moves with a renewed sense of urgency.

C. Current scenario:

The National Ambulance Code classifies road ambulances into four types (A, B, C & D) that is First Responder, Patient Transport, Basic Life Support and Advanced Life Support, respectively. In spite of the presence of government policies, ambulance system like EMRI, CATS, private ambulance, the question still remains: is it meeting the requirements? The answer is no. Though there has been a considerable improvement in emergency services in India, but there is still a long way to go before a comprehensive emergency system is implemented across the country. Available emergency services are not sufficient to meet the demand as one ambulance is needed to cover a population of 50,000 to 100,000.

India should have far more accessible and reliable emergency medical services irrespective of geographical factors. Still numerous deficiencies exist in the emergency services across the country. (1) In most of the cases it takes a lot of time for the ambulance to reach the spot. (2) Moreover, there are police formalities before that. During that the injured person dies in most of the accident cases. (3) Most of the people don't stop their vehicles and take initiative to take the injured people by their own.  (4) The Delhi government is aware of the magnitude of the problem. A couple of the measures taken to deal with vehicular traffic include encouraging construction of parking lots under public private partnership schemes and hiking parking fees. (5) Government is also considering asking for a proof of parking space from any person who may wish to buy a car in the city. Thus only people who can show they have the required parking space would be eligible to buy a car. This is under consideration and various experts are studying its pros and cons.

Definite Corollary :

(a)   Pollution: When vehicles slow down due to congestion they emit more. Free flow of traffic helps prevent that.  The massive growth in vehicular traffic has ensured an increase in sulphur dioxide and nitrogen dioxide; and at least 10% of the population in Delhi shows signs of lung-related conditions such as bronchitis and asthma. This means that there are 16 lakh people in the city who would be suffering from asthma and acute bronchitis at the same time. At least 10% of these would need nebulisers or non-invasive ventilators to just ensure that they get access to oxygen. Most of the traffic policemen who serve in congested areas such as Chandini Chowk are all in bad state; they cannot breathe properly, lungs damaged.

The Global Initiative for Chronic Lung Disease has predicted that India would rank No. 1 in bronchitis patients by 2030. More than 70% of the air pollution in the city is attributed to vehicular pollution. The Delhi administration has tried to address the problem by pioneering new modes of public transport such as the Delhi Metro and Bus Rapid Transit Systems. However, despite these initiatives, the massive increase in the number of privately owned cars has made it impossible to decongest the city.

(b)   People’s participation : People’s participation in ambulance management system is as  

important as blood donation and such cooperation is an important aspect of emergency medical relief service. Methods, technology, personal skills need to be standardized to provide protection for the providers. The importance of a reliable EMS cannot be over-emphasized, especially in India where the government has the responsibility of caring for a majority of the population. It can be argued that a nation of a billion people has been deprived of a decent EMS for too long now and it is high time the government takes definitive action

D. Situational Analysis:

Over 1,37,000 people were killed in road accidents in India in 2013 alone, that is more than the number of people killed in all our wars put together. 16 children die on Indian roads daily. 5 lives end on Delhi’s roads everyday where vehicle population ratio - 1:2.  

Ironically, Delhi is the one city that has pioneered alternative modes of transport such as the Metro and the Bus Rapid Transit System. And despite the availability of varied means of travel, the roads here appear to be more clogged than ever before. But if you think that the situation is alarming, then you need to understand the importance of the year 2020. Experts who have used forecasting techniques to understand the extent of the traffic distress in the future say that in seven years every single inch of road space available in the city would be occupied by a vehicle leading to traffic jams that could last for days.¹

At the office of the Delhi Integrated Multi-Modal Transit System (DIMTS), a joint venture between the Delhi government and IDFC, which is trying to work out traffic solutions for the city, a senior transport specialist says that the apocalyptic future has already been seen. "It's here," she says pointing to a page on a thick report on traffic projections for the future. The share of public transport has fallen from 60% 10 years ago to 45%, and that is the fundamental reason for the pathetic condition of daily commuting in Delhi. The capital has around 81 lakh vehicles with over 1,400 new ones getting registered everyday.

The Delhi Masterplan aims for an 80:20 mix of public and private transport for 2021, but the officer says that setting up public transportation networks to that extent would be a tough ask. Delhi govt. is looking at a 72:28 ratio with significant expansion of the Metro and bus corridors apart from a mono rail network. There is also a plan to set up 'intelligent traffic corridors' that would be able to make real-time interventions to ensure that vehicles of varying speeds are carried forward to the next intersection without wasting too much time.

Traffic Related Facts in India

·         One serious road accident in the country occurs every minute and 16 die on roads / hr.

·         1214 road crashes occur every day in India.

·         Two wheelers account for 25% of total road crash deaths.

·         20 children under the age of 14 die every day due to road crashes in in the country.

·         377 people die every day, equivalent to a jumbo jet crashing every day.

·         Two people die / hr in Uttar Pradesh – (State with maximum number of road deaths)

·         Tamil Nadu is the state with the maximum number of road crash injuries

·         Top 10 Cities with the highest number of Road Crash Deaths (Rank –Wise):²

1.      Delhi (City)

2.      Chennai

3.      Jaipur

4.      Bengaluru

5.      Mumbai

6.      Kanpur

7.      Lucknow

8.      Agra

9.      Hyderabad

10.  Pune

1.      http://articles.economictimes.indiatimes.com/2013-03-17/news/37787203_1_traffic-road-ambulance-driver

2.      National Crime Records Bureau, Ministry of Road Transport & Highway, Law commission of India, Global status report on road safety 2013

3.      http://www.crridom.gov.in/

E. Need and Relevance:

The Delhi Police had recently set up cameras to monitor traffic movement at select parts of the city and in the first look just at a distance of 400 metres and within eight hours, they spotted 4,500 violations. One violation is sufficient at any day to delay the ambulance by hours and may become the leading hidden reason for delaying in doctor attention for the patient.

Now all Doctors and citizens in India agrees upon a common need that there should be a model where the hospital can coordinate with police and common citizens till the patient is picked up from the scene and reaches the hospital in short time. Scarcity of ambulance, increase in traffic, insensitivity of drivers on road towards ambulance, lack of support for ambulance drivers for ordinary patients, ongoing strikes on hospitals, busy schedules of policy makers in rallies for upcoming elections and many other reasons makes this project a special task to be undertaken to face and attempt to optimize the situation on multiple fronts of physical, intellectual, social, psychological, political and cultural level.

F. Proposed Campaign Details:

·         Social Campaign Vision: Creating Voluntarily a Green corridor for ordinary citizens.

·         Social Campaign Punch Line: Go Left, Save Life.

·         Long Term Social Campaign Objective:

1. To reduce the travel time of ambulance to minimize the casualties of patients on road.
2. To coordinate movement of ambulance, volunteers, scarecrows, & traffic police.
3. To connect the missing dots in the Corporate Social Responsibility (CSR), Government Social Responsibility (GSR) and Individual Social Responsibility (ISR) w.r.t this dire basic need of “caring patients on road”.

·         Key Supporters: Students of Universities/Institutes; NGOs;  Organizations; Government bodies and ordinary citizens of India.

·         Funding: A Self Sustainable Social Campaign with the help and blessings from key supporters.

·         Geographical Region: Noida to NCR to Pan India (wherever Amity University has presence physically before touching other states) to spread the social message.

·         Key Activities: On Campus Nukkad Natak, Radio Talk Shows, Video Talk Shows, On Road Public Awareness, Particiapting in various social events promoting the Campaign (CII, FICCI and various corporate / govt. Events as a dnwhen opportunity arises)

·         Time frame: 9 months with renewal in different states and intensifying the different phases as required.  

·         About the Campaign : Abhimanyu [Go Left, Save Life]

ABHIMANYU (Go Left, Save Life) will be a national campaign to increase public awareness of importance of giving way to Ambulance on road to reduce the time taken in reaching to patient or hospital. Amity International Business School, (AIBS) will be sending request for Corporate partnership / NGO partnership / College partnership / Hospital partnership w.r.t. this social Initiative. This social initiative will unite the efforts of delhi police, traffic police, universities, hospitals, patient groups, government agencies, service organizations, professional associations, and schools from around the delhi in a nine month long campaign.  The key volunteers will run and steer the campaign through various modes of communications taking help of citizens in and around NCR in initial stages before making the campaign national.

During the campaign, AIBS will organize on ground drills and activities to coordinate commuters with ambulance movement. All Social Campaign Partners (Corporate / NGO/ College/ Hospital) will be requested to bring to the campaign their own unique perspectives and messages about the ambulance sensitive issue: an interest in a specific area in delhi or other states where any hospital is located, support for developing an app; support in providing digital marketing expertise; support for volunteers; a commitment to maximizing human potential; or sharing potential resources that might be of importance for the campaign. The campaign will offer its partners an opportunity to focus attention on these specific messages within the broader context of the optimizing the movement of ambulance and realizing a vision of green corridor for ordinary citizens. This collaborative effort gives each of us a means to focus national and international attention on our common societal interests in a way that our individual activities seldom can. 

Prof. Nitin Arora

Amity International Business School , Amity University, Noida

narora4@amity.edu

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ABHIMANYU

[Go Left, Save Life]

A Social Initiative standing for the Rights of Ambulance 

by students of Amity University, AUUP

Human Values

Human values are closely integrated with human life. They are intertwined with our day to day chores. No human life is possible without values. Yes every living human being lives by certain values. It is only the proportion and combination of negative and positive values which separates a noble human being from a not so noble human being.

The positive values are Honesty, Compassion, Integrity, Forgiveness, Love, Knowledge, Discipline, Faith, and Leadership. The negative values like prejudice, hatred, greed, selfishness, and others need not be discussed here.

Every human being is born neutral and is like a clean slate and no mindset. How much of virtues and vices are filled in depends solely on the parents, teachers, circumstances, environment, and sometimes even geographic location.

However everyone can be inculcated with human values by the parents, teachers, friends, well wishers and even strangers. Self education of human values is also possible by meeting, learning, and reading about, great individuals living a holistic life. This article includes a video which consists of highly enlightened conversation between two highly respected human beings and noble laureates. 

Which is also a good source of learning and inculcating human values?

Broadly there are three types of human beings in existence in reference to human values

The first kind is the ones who think, what rightfully belongs to others, is other’s property, and even what belongs to them is also meant for others. An attitude of supreme sacrifice and renunciation, these human beings are closer to divinity than humanity.

The second kind is the one that thinks, what belongs to others is other’s property, but what belongs to them is their sole property and theirs by right. These classes of humans are more of human and less of divine, but they are of no harm to the society. they are very close to being perfect human beings.

The third type is the one which think that whatever exists on this planet belongs to them and they should get it by means fair or foul. These types of people are one with the least human values and they are a danger to the society.

The Inculcation of human values is a process that aims to take a person to the second stage, so that a person can lead a normal life with virtuous human values and continuously emancipate and elevate himself from that level and steadily proceed towards the first level.

By: Tanu Aggarwal

Student BBA Sem 4

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ABHIMANYU

[Go Left, Save Life]

A Social Initiative standing for the Rights of Ambulance 

by students of Amity University, AUUP

GO LEFT, SAVE A LIFE

                                                                

                                                                  GO LEFT, SAVE A LIFE

You know that somewhere, something is wrong in the psyche of this country when a “laal-batti ki gadi” is always given the right of way, unless the said car is an Ambulance.  The attitude towards an ambulance ranges from passive indifference to mild suspicion.  In fact, the belief that a speeding ambulance is acting as a Taxi, is gaining wide popularity.  Drivers on Indian roads rarely, if ever, clear a way for the ambulance.  These same drivers, however, would instantly pull aside if a white ambassador with a siren honks at them.  This attitude poses a serious threat to not only the patients that are being transported by these ambulances but also by the paramedics who are generally bound by a very strict time-frame.  

It is common sense that ambulances are used to either

        A)     Insure quick medical aid to accident victims or ill people and

        B)     Transport critically ill patients to a hospital.

In any case, an ambulance with a siren on signifies that someone is in dire need of help.  But people today choose to oversee this.  It is saddening to see that so many people each day lose their life because they couldn’t get help on time. It is a pity that we need to go to insane length to tell people that an ambulance needs the right of way; to tell people that an ambulance by virtue of being an ambulance caters to people who need immediate medical attention. We Indians love to crib about everything. We crib about the traffic jams, about air pollution, about corruption, about inept political leaders. In the unfortunate event that we ourselves, would have to call upon an ambulance, we crib that it’s never on time. But while on the roads, we rarely give a second thought to the ambulance behind us.  Instead of moving over to give the ambulance way, we crib about how today people use an ambulance as a taxi and how the particular ambulance driver behind us is probably making a quick buck.

Of course, some ambulance drivers do misuse the ambulance and do use it as a taxi, but to block the passage of every ambulance on the suspicion of it not carrying any sick patients is a very dangerous attitude to have.

Timely medical aid is a must for a growing country like India.  So the next time you find yourself blocking the way of an ambulance, go left. You might save a life.   

Saad Ibrahim

BBA Sem 4

ABHIMANYU

[Go Left, Save Life]

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A Social Initiative standing for the Rights of Ambulance 

by students of Amity University, AUUP

NEED OF VALUE EDUCATION IN MODERN ERA

NEED OF VALUE EDUCATION IN MODERN ERA

Values are the concepts that describe human behavior. They are desirable ideals and goals, which are intrinsic and when achieved, in fact, evoke a deep sense of the fulfillment. These days in continuous changing conditions, values are left far behind and there is gross erosion of values of individual to keep pace with the society in order to fulfill one’s desire to be at the top. The erosion of human values of truth, co-operation, non violence, peace, love, respect for parents, elders, authority and hard work is leading to the decay of moral and social fabric of society at a speed never witnessed in the history of civilization. Our stress is too much on standards of living and not on standards of life. 

Though the problem of decreasing values extends to the whole range of human activities, education field is regarded as the proper place to inculcate positive values. The Indian culture is deeply rooted in spiritual and ethical values, unless these values find their way into the life of students, education will lose its significance and will not fulfill its aim. Though we have made progress in knowledge but still we are not above the levels of our past generations in ethical and spiritual life. In some, we have declined from their standards. Today we have been successful in making professionals but not the human beings. 

Thus, inculcation of human values is to be stressed up on in our system of modern education to prevent and combat world terrorism, tension, diversities, self centered vision and violence. Through quality education restoring of humane values (viz., Social, Moral, Spiritual, Environmental, Economical, Political and Work values) is possible. The main aim of value education is to reform attitude and behaviour, to promote healthy lifestyle, to shape the high moral character and to develop refined personality of younger generation, who can prove themselves as the best citizen of a nation. 

Karmesh Bhatia

BBA IB Sem 4

Importance of Values

Importance of Values

Values are like a vade mecum present in the mind of all individuals. They control our decisions, actions and behavior. We use them subconsciously, in our day to day lives. Thus individuals act in accordance to their personal values or what they consider to be important.

In general, people use their values as weighing scales to weigh out the potential alternatives, in terms of what is acceptable and what isn’t and whether an action should be undertaken or refrained from doing so. Hence values filter the individuals’ observations and work in congruence with their emotions to guide their choices. For example, a person who values family and relationships will keep them as his top priority; on the other hand, a person who values his career above anything else, will refrain from investing too much time in relationships. From this example it can be inferred that humans value other humans, ideas, objects, activities etc. based on their perceived significance in their own lives.

By nature, values are universal and are shared by all humans through their consciousness, thus breaking all cultural, religious, gender and race barriers. Additionally, they induce consideration for others, whether it is in the form of respect, loyalty or care. However values different from ethics, since they are inherent in characteristic. Therefore, usually individuals do not deviate from them, irrespective of whether someone is watching their actions. On the other hand, ethics are like rules that are established within a society or organization, which people have an obligation to follow. Thus the two differ because values are present on an individual level, while ethics is present on a societal level. Nevertheless, the society is unlikely to function smoothly unless there are shared values that guide the behavior of people in that society, in both good and bad times. Similarly, in an organization environment, values act as the foundation of the attitudes, motivations, and expectations of the employees; thereby, determining their behavior. This system of shared values and beliefs, which influences how people behave in the organization, formulates the organization culture.

Hence it can be deduced that values are the pillar of any society or institution and ensure that they function well. Thus they must be diffused, boosted and perpetuated.

By: Falguni Jain

Student : BBA IB Sem 4

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ABHIMANYU

[Go Left, Save Life]

A Social Initiative standing for the Rights of Ambulance 

by students of Amity University, AUUP

Importance of Ambulance

Importance of Ambulance

 The primary role of all ambulance services is emergency pre-hospital medical care, although they generally provide both emergency response and patient transfer on behalf of the health sector. They provide easy access to health services, particularly out of hours, and contribute significantly to telephone triage and telephone health services through sophisticated communications infrastructure. In recent times it has become apparent that increasing health system pressures cannot be resolved only by adding resources, but must also be addressed with new methods of service delivery.

The ambulance service is ideally placed to be part of the first line in the continuum of health care, and can significantly contribute to ‘treat and transfer’ or ‘treat and leave’ programs. If ambulance services can develop towards an out-of-hospital, clinical care service rather than merely pre-hospital clinical care, they could substantially add to functionality of the health system. This could be through more efficient transfer of patient information; more efficient movement of patients; an ambulance service with a public service – rather than profit driven – philosophy; and patient treatment regimes consistent with the broader health system.

By integrating ambulance services into the health system generally, their respective strategic agenda are aligned, increasing efficiency, and providing an opportunity for an ambulance service, with its relevant expertise, to influence the outcome of ‘health’ initiatives.

THE SERVICE

Ambulance services are the primary providers of a 24/7 response to medical and trauma related emergencies. They provide a disciplined and organised system, allowing a timely response of appropriately qualified health care workers – often to potential or confirmed medical emergencies. Although medical retrieval teams are provided by the major trauma centres, coordination of the team and rescue helicopter is provided by the ambulance communications centre, and also crewed in most instances with intensive care paramedics.

Ambulance services provide the equipment, expertise and experience in the emergency intervention, assessment, management and transport of patients in a variety of controlled, uncontrolled, and disaster environments. Whilst a wide variety of both professional and non-professional people can provide individual aspects of this service to varying levels, ambulance services are in the best position to deliver these services on the whole. In addition, modern ambulance services operate state of the art, 24/7 communication centres with experienced and highly trained telephonists, call takers, dispatchers and clinicians. This makes them ideally suited to co-ordinate the ad-hoc crew requests being placed on the health system. In doing so, they can co-ordinate the response of the health system to ensure the right clinical/medical resources are provided to the right patient within the right timeframe for their medical needs.

Given the pre-hospital clinical environment of ambulance operations, being part of the health system ensures consistent patient care from the home or event to the hospital, i.e. a “system” approach to health care rather than individual health units working in isolation from – and sometimes opposition to – one another. An ambulance service provides the first point of contact with an incident, as well as a patient, therefore it provides early warning to the health system of its operating environment as a whole. This enables a degree of flexibility in the health system response to an event, allowing flows of patients to be adjusted or anticipated according to system performance. This provides a more efficient model in terms of resources and cost and can enable the redeployment of resources to other areas of the system, e.g. lower on-site staffing levels and higher on-call capacity. Continuous, seamless patient management from an initial incident to definitive care and recovery work well when all components are part of one system.

Currently, ambulance services make a huge range of unmeasured contributions to patient outcomes. These include the minimisation of clinical harm; the early reduction of myocardial workload and hyoidea in myocardial infarction; the early defibrillation in sudden cardiac arrest; the early restoration of vital organ perfusion in major trauma, the rapid transportation of the time critical patient, to definitive care, and so on. Anecdotal opinion is that the activity of interventions, length of stay, and morbidity all decrease with the early intervention of paramedic care. To consider ambulance as anything other than integral to a health system is wrong.

THE PROFESSION

An ambulance service provides paramedics who operate in an autonomous environment, remote from the backup and support of a full hospital. Long gone are the days when “ambos’” were simply “stretcher bearers”.

Today’s paramedic is a highly trained clinician, and a fundamental link in the delivery and continuity of patient care. Defining the place of paramedics within health and the health service continuum, establishes them as professionals operating within a professional entity.

Paramedics are able to provide appropriate treatment to patients in their own and immediate locality, taking the treatment to the patient rather than patient to treatment. This is regardless of whether the patient is suffering a minor wound or illness, chronic illness or major trauma. Paramedics will become increasingly well placed to provide out of hospital care, thanks to advances in Intensive Care education and training, and the introduction of practitioners or extended care paramedics.

The integration of ambulance services within health has not reduced its responsibilities for emergency response, nor its role in the State Disaster Response plan. Paramedics often respond with and work alongside emergency service organisations and play a vital role within the emergency management framework. However, the prime reason that they are involved is the potential for a patient to require clinical care. Consequently ambulance services maintain and enhance the relationships between other emergency service agencies and the health system as a whole.

Whilst ‘paramedic’ is a unique specialist area of health care provision, so is podiatry, chiropractic, nursing, etc. All are accepted as part of this health continuum, and therefore it appears there is no functional reason why paramedics should not be part of this model. Paramedics ultimately deliver patients to other health providers who then take over their care, and this suggests the requirement of an integrated approach.

THE COMMUNITY

Recently, the role of ambulance services has evolved from the traditional ‘treat and always transport’ to many programs that encourage ambulance services to ‘treat and leave’ or – more likely – refer the patient to health services more appropriate than the hospital emergency department.

In rural areas, new health care models with flexible workforce roles are emerging to meet the community needs. The view amongst ambulance services is that the introduction of extended care practices for paramedics benefits health care, especially in rural and remote communities. To better understand this issue, a study was commissioned to review and analyse this expanded role of the ambulance paramedic in rural and regional Australia.

The study examined information evolving pre-hospital practices in the United Kingdom, Canada and the United States, health workforce issues and projections in rural and remote Australia, and the current issues affecting health systems. The findings confirm that paramedics are becoming the first line of primary health care providers – particularly in small rural communities – because of stretched hospital emergency departments and the diminishing capacity of medical practitioners to attend patients outside their surgeries.

Thus the provision of integrated pre-hospital clinical care by ambulance services, local health care providers and other stakeholders has high potential to enhance health services for rural communities. There is an obvious national benefit of fully evolving and integrating these expanded-scope paramedic models into the health care system, in terms of health resource efficiency, continuity of care and quality of patient outcomes.

THE HEALTH CONTINUUM

The transition of a patient from ambulance care into the hospital or other health facility needs to be seamless. Treatment regimes should be complimentary across health providers. The patient should experience a smooth transition whereby the care of the paramedic does not differ from the care of the receiving or referred facility.

By being part of the care continuum, a patient’s personal, and event and treatment histories can be transferred from one health professional to another, in a smooth, efficient process. This is vital for appropriate patient care and can avoid repetitious, wasteful diagnostic procedures. It allows the receiving facility to gain a complete history of the patient’s event from the home or first contact, ensuring the transfer of significant information that may seem irrelevant to the patient. In time-critical circumstances, this can speed the patient’s movement through the system.

Of course, a patient is involved in the delivery of health care from the moment they are first sick (and recognise it) or injured, until they are restored to stable health. They have no time for cross portfolio/inter-professional pettiness, and have the expectation that the entire health system will work toward making them better. The patient journey from home or event into the receiving facility must be seamless. Anything else indicates system inefficiency and deficient patient care.

Another contribution to the “continuum” is the movement or flow of patients through and from the health system. Ambulance and hospitals are now working together to provide solutions to patient flow blocks. As ambulance delivers and removes patients from facilities, it is now understood that they can play an integral role in creating efficient patient movements.

There have been significant improvements in efficiencies of patient flow within the health system, with initiatives such as electronic booking systems, web based patient transfer status boards, prioritising patient discharge movements and altering timings of patient movement events (pre discharge examinations, etc.). In an environment of critical bed block issues; this reaffirms the need for health and ambulance to be on a continuum.

Following the care provided to patients, ambulance services are ideally placed to co-ordinate their most efficient and effective movement when required. A whole of Health approach means that paramedics are now emerging as major players in the continuum of care and systems.

Ambulance services will continue to identify and explore opportunities to contribute to the health care continuum and optimise patient outcomes. The focus will be to build organisational capacity for rapid and appropriate emergency response; (the far more prevalent) provision of urgent advice or treatment, and treating or moving those otherwise unable to access health care services.

CONCLUSION

The ambulance service is the natural extension of the health system to inaccessible and/or traumatised members of the community, whether through ‘treat and transfer’ or ‘treat and leave’ programs. Given the site-based limitations of General Practitioners and the untenable burden on hospitals, ambulances can substantially add to the mobility and capacity of the health system. Through integration, strategic agendas, resource allocation and treatment regimes can all be aligned. For patients, timeliness, continuity of care and consequent health outcomes can all be enhanced.

By: Kanal Goyal Sec A

BBA Sem 4

                                                                 ABHIMANYU

[Go Left, Save Life]

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