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Maharashtra Emergency Medical Services (MEMS)

Maharashtra Emergency Medical Services (MEMS). INTRODUCTION ---------------------------------------------------------------

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Maharashtra Emergency Medical Services (MEMS)

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  1. Maharashtra Emergency Medical Services (MEMS)

  2. INTRODUCTION --------------------------------------------------------------- • The well-equipped high-tech ambulances under this project provides comprehensive 24 x 7 hours emergency response services by direct calling three digit toll free number (108) from any network in Maharashtra. • Project is being implemented across the state with total 937 ambulances whereas 704 will be of Basic Life Support (BLS) & 233 will be of Advanced Life Support (ALS). • The project strategy is based on “Golden Hour Theory” – Patient to be shifted within first hour to nearest hospital. • Ambulances are being deployed in rural areas as 1 ambulance for 1 lakh population & for urban areas 1 ambulance for 2 lakhs population. • One centralized Emergency Response Centre (ERC) located at Aundh, Pune monitors all the ambulances flow through GPS, GPRS, AVLTS system.

  3. Goals & Objectives: • To provide first aid to preserve life, shifting of patient in EMS vehicle to appropriate hospital, prevent further injury and promote recovery. • System to leverage all the stake holders to offer comprehensive range of services in emergencies. • Expected 20% reduction in mortality and reduce morbidity.

  4. EMS under NRHM provides pre-hospital medical services (Life support Ambulance) & transfers the patient to nearby hospitals for further treatment: This includes patients suffering from • Patients suffering from Road accidents • Critical pregnant women • Neonates related diseases • Patients suffering from an epidemic • Natural calamities • Manmade Hazards • Critical heart patients • Snake bite • Food poisoning • Respiratory diseases • Brain diseases • Burns

  5. Centralised Control Room • All 937 ambulances movement are being monitored from this central control room. • One toll free no. (108) is provided to the beneficiaries to get the accesses. • There are 10 parallel lines per district to avoid call congestion • Central Control Room is situated at Chest Hospital, Aundh, Pune. • 24 X 7 trained Call taker & call dispatchers are available for emergency responce.

  6. Work Flow of ERC -

  7. Roles of Civil Surgeons, District Health Officers & EMS Coordinator 1. Roles of Civil Surgeons: • Overall supervision, monitoring and evaluation of the functioning of MEMS in the districts. • The C.S & DHO will form a committee of ambulance inspection team on district level with the help of EMS coordinator, DPM, CPM,etc. • This committee will conduct regular inspections of MEMS ambulances & report to the C.S • In Urban areas, the Civil Surgeons will visit and inspect the ambulances by himself on regular basis. • The C.S will conduct a monthly review meeting of the committee. • Submit the monthly report of MEMS on district level to the SHS, NRHM, Mumbai office no later than 5th working day of the next month. • Monitoring and analyze of MEMS monthly report generated by the service provider M/S BVG India Ltd.

  8. Continued.. • Conducting monthly review of MEMS project in district with DHO & representative of M/S BVG India Ltd. • Ensuring EMS service is being provided to people within given timeline (i.e. within 20 min in urban area & within 30 min in rural area) • Should arrange surprise visits to ambulances • Conducting visits to Empanelled hospitals under MEMS to ensure good quality of services being provided to patients. • Ensuring the IEC of MEMS project is being done properly in District. It should include the Govt. Hospitals, Gram Panchayat, Bus stands, highways, etc. • Suggestions should be given for better implementation of EMS project in district if any.

  9. 2. Roles of District Health Officers: • Overall supervision, monitoring and evaluation of the functioning of ambulances in the district. • Conducting weekly review of EMS project in district with DPM, M & E officer & M/S BVG India Ltd. Representative. • Conducting audit of vehicles, i.e. cleanliness, KM running, etc. with the help of M&E officer. • Organizing surprise visits to ambulances. • Ensuring all biomedical equipment are there & in a proper working condition in all ambulances. • Providing free parking and battery charging facilities for ambulances.

  10. Continued.. • Providing free office and seating arrangements for drivers and Doctors posted with ambulances. Also extend all the necessary co-operation to the staff and representatives of BVG India Ltd. • Ensuring all medicines & consumables are available in all ambulances. • Conducting visits to Empanelled hospitals under MEMS to ensure good quality of services being provided to the patients. • To ensure no malpractice (e.g. acceptance of tips/gifts) is being conducted by Service provider. • Suggestions should be given for better implementation of EMS project in district if any.

  11. 3. Roles of EMS Coordinator for MEMS: • To conduct the inspection of MEMS ambulances on daily basis • Reporting to the DHO & C.S. • Ensuring that doctors & drivers are available 24 X 7 • Ensuring all biomedical equipments are available & in a proper working condition in all ambulances. • Ensuring all medicines & consumables are available in all ambulances. • Conducting audit of MEMS ambulance vehicles, i.e. to check cleanliness, KM running, attendance of Doctors & Drivers. • To ensure no malpractice (e.g. acceptance of tips/gifts) is being conducted by Service provider. • Also to provide assistance for referral transport & mobile medical unit programs.

  12. Role out of Ambulances

  13. Continued..

  14. Inner view of ambulance

  15. 937 AMBULANCES (233 ALS AND 704 BLS) Medical care equipment (Defibrillator, Glucometer, Digital BP monitor) Trauma Care equipment (Cervical collars, splints, forceps dressing material) Ventilator - Drager Germany Defibrillator Corpulse - Germany O2 Delivery System - Hershill Spain Disposable delivery kit • Key Features of Ambulance • First ambulance in the country to have Medical Oxygen Delivery System • MEMS ambulance can address all type of emergencies including trauma, ObGy and environmental emergencies • Best in the class equipment with defibrillator, ventilator, syringe pump, infusion pump etc. Lifting & moving equipment (Ambulance stretcher, Scoop, spine board, transfer sheet, wheel chair) Airway equipment (Oxygen delivery system, Suction apparatus, BVM, Advanced airway kit and transport Ventilator) Fluid resuscitation (volumetric infusion pump, syringe pump) Rescue equipments

  16. THANKS

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