“ There is nothing new in world except the history you do not know.” – Harry Truman

Not only is medical care dismal in hospitals, even the emergency care is pathetic

Valley Lacks Critical Care Ambulances

Srinagar: Timely medical help during emergencies can make a
difference between life and death. Ambulances equipped with
life-saving facilities, therefore, assume key role in saving lives.
Despite the high incidence of casualties in the valley, there is an
acute dearth of critical care ambulances. Those available lack
necessary facilities and are just used for carrying the patients.
Director Health Services Kashmir, Muhammad Amin Wani told Rising
Kashmir that though ambulances with basic facilities are available in
every primary health centre, sub-district and district hospital, the
critical care ambulances are not available. “We have sent the proposal
to the government for approval of a critical care ambulance worth 35
lakhs rupees to every district,” he said.

Wani says the valley is short of nearly 30 ambulances. “Health
department cannot provide ambulances at every place,” he added.
Meanwhile, experts believe the ambulances provided by health
department are simply “carrier vehicles”.

‘The number of ambulances provided by health department is not
sufficient to cater to the needs. Even during cross-firing, blasts or
encounters, the injured are generally ferried in police or civilian
cars in the absence of proper ambulance service,” they said.
Besides, there is also lack of proper emergency service in the state
unlike most other states.

Director Health says the department is in talks with some private
agencies to provide 24-hour ambulance services.

“We will establish a control room soon in Srinagar, first as a pilot
project. If private sector cooperation will not mature we will
introduce a hotline number for ambulances at government level,” said
Wani.

To filter fake calls, he added, a software package will be used.
In 12 states of India- Gujarat, Andhra Pradesh, Uttarakhand, Tamil
Nadu, Rajasthan, Goa, Assam, Karnataka, Madhya Pradesh, Meghalaya,
Punjab- emergency ambulance services are just a call away. Call 108, a
hotline number, an ambulance will arrive at your door step in these
states.

These emergency ambulances run by GVK¬-Emergency Management and
Research Institute in association with the state governments are
accompanied by trained Emergency Medical Technician (EMT) responsible
for pre-hospital care while transporting the patient to a hospital for
stabilization. If required, the technician can contact the in-house
Emergency Response Care Physician (ERCP) who is a qualified medical
practitioner available 24/7 to support the EMT as and when required
through cell phone.

Ghulam Muhammad from Wagoora, accompanying a patient at SMHS hospital,
paid Rs 650 for ambulance from sub-district hospital Sopore to SMHS.
“There is no first-aid, no trained paramedic in the ambulances.
Patients are left unattended throughout the journey. Many patients
lose their lives on way to hospital due to lack of transport or
immediate treatment,” Ghulam Muhammad told Rising Kashmir.
Ambulances should ideally have facilities including proper couch for
patients, splints for immobilization of fractures, first-aid kits,
emergency care equipment and supplies like airway care, oxygen
cylinders, masks, blood transfusion facilities, ECG machine, external
cardiac compression, prevention and treatment of shock, life saving
drugs and injections, IV fluids, drip sets, blood pints and blood
transfusion sets.

Besides this, refrigeration facility, communication facility,
emergency childbirth and transportation of newly born infants are
necessary for an ambulance. For immediate treatment of serious
patients a highly trained paramedic staff should also be onboard.