- Providing Immediate Medial assistance:
- Stabilizing the patient
- Immediate Transportation to the Emergency & Trauma Center
AMARS ( Ambulance Mobike And Rescue Services)
AMARS was launched in November 2004 and operates from within the Accident and Emergency Department at CMC. This service is the first of its kind in the country and has its own call centre at in the hospital, and its own emergency phone number – 98148-29302. AMARS provides rescue and immediate first aid to trauma victims in and around the city. The project is specifically tuned to take care of the first ‘golden hour’ of trauma. It also attend to medical emergencies.
Research Before launching this project lot of research work was done by us and some shocking facts were discovered: In the last few years, the number of motor vehicles in Punjab has risen but the width of the roads in the state is still the same.
In the last six years, 24,839 accidents have been reported in the state with 21,104 injured and as many as 14,912 dead.
The number of deaths due to road accidents in the state is four times the deaths due to murders.
Motor-vehicle-related incidents, including pedestrian-caused and bicyclist-caused accidents, are the most common causes of road traffic accident deaths.. But with right pre-hospitalization management, which includes care in first one hour of the injury, can help save precious lives and this is the main aim of AMARS unit
What led to the development of AMARS: Road accidents affect the rich and the poor alike. The delay in reaching a hospital and poor initial management in trauma care causes inevitable complications. The management of trauma has made great strides worldwide in recent years, especially in more affluent countries, as the importance of pre-hospital care has been recognized. Yet, so little attention is being paid to pre-hospital trauma care in our country. Ludhiana is a city of contrasts comprising many wealthy industrialists living alongside a large number of poor immigrant laborers seeking work. There is an increasing density of population and a rising number of road traffic accidents. Motor-vehicle-related incidents, including pedestrian-caused and bicyclist-caused accidents, are the most common causes of road traffic accident deaths. But with right pre-hospitalisation management, which includes care in first one hour of the injury, can help save precious lives and this is the main aim of AMARS unit,
AMARS has all the facilities for Critical Care Transport — The level of transport care that is provided to patients with an immediate life-threatening illness or injuries associated with single or multiple organ system failure. This level of care requires an expert level of provider knowledge and skills, a setting providing necessary equipment, and the ability to handle the added challenge of transport. Critical care transport requires a high level of medical direction and sophistication of care because of the patient’s complex medical problems.
Mission : The mission of AMARS is to reduce death and disability by providing the much needed care during the Golden Hour of Trauma.
Aim: The benefits of successful implementation of this plan helps in achieving the following aims: (1) a reduction in deaths caused by trauma; (2) a reduction in the number and severity of disabilities caused by trauma; (3) an increase in the number of productive working years through reduction of death and disability; (4) a decrease in the costs associated with initial treatment and continued rehabilitation of trauma victims; (5) a decrease in the impact of the disease on "second trauma" victims – families. This is an urgent call for action. When it comes to trauma, time is truly a life and death matter.
Facilities: To ensure rapid evacuation and transport of such injured persons to hospital, CMCH has procured two ambulances and two mobikes at the cost of Rs. 10 lakh. These ambulances and mobikes have equipment like defibrillator, pulse oximeter, cardiac monitors, portable suction, oxygen cylinders, central air-conditioning system, portable ventilator and specially designed stretcher-cum-trolleys at a further cost of Rs 14 lakh. All emergency medical drugs, dressing splints, spine boards and cervical collars are also being stocked in these ambulances and mobikes.
An amount of Rs 52 lakh had been invested in the project. The funds were raised by the Friends of Ludhiana in U.S.A & UK.
The AMARS team is able to reach even the congested localities without any loss of time on mobikes. The mobikes have played a crucial role in making the project a success. They are equipped with oxygen, resuscitation and access kit, cervical collar, ECG and saturation monitor, endotracheal tube, stilletes and airways, and medicines. Mobile phones are also provided for communicating with the control room and the ambulance team. A number, 98148-29302 has also been assigned for easy access of the service to the city residents. This has been done to avoid wasting even a single minute waiting to get connected to the department.
Employees: The team of AMARS includes trained professionals. We have Chief Casuality Medical Officer, Co-ordinators, Trainers, Ambulance Paramedics in the team.
Training: Appropriate training to emergency service personnel and proper equipping of their vehicles is the key to ensure effective pre-hospital care. CMCH had taken the help of the UK Ambulance Services to run a special course for team members involved in the care of these patients. The six-week training program was conducted in September, 2003. Miss Zena Hart and Mr. Adam from the were here to impart training to the personnel involved in the project.
The British team had made periodic visits to the CMCH for proper follow-up in the intervening period since they intended to adopt the project as a model for developing ambulance services in other countries.
The paramedics have been given training by Gerry Carpinini from West Country Ambulance Services, NHS, .Capriani, himself a paramedic, has been imparting training for the past 15 years in the . The team is being taught skills relevant to trauma, namely airway management, oxygen therapy, fluid resuscitation, spinal immobilization, monitoring, extrication and maintenance of normal body temperature. The team will be visiting regularly for training purposes and intends to adopt the CMCH as a model for developing ambulance services in countries not having these services.
The AMARS control room receives distress call and take down location, the motorbike team sets off to reach site, stabilizes and resuscitates the patient and inform the ambulance team. The ambulance reaches the site, retrieves and informs the Emergency department about the status and requirements
The patient will be shifted to which hospital is decided according to the condition and patients requirements and attendants choice. If the patient is shifted to CMC , emergency and trauma centre team gets ready to receive the patients by the time the ambulance reaches the hospital premises.
Trauma Centre: CMC has the state of the art North India ’s first Emergency and trauma centre. The centre is the meticulous blend of professional acumen and technological ingenuity, equipped with contemporary patient care equipment offering a gamut of world class facilities to deal with multiple traumas. Compressed over an area of seven thousand one hundred square feet, the trauma centre has 25 beds with provision made for expansion in case of disasters, 2 fully equipped resuscitation rooms and 12 beds with cardiac monitors. There is a separate pediatric area, specially equipped suturing room, orthopedic room and a room for the treatment of burn patients for the patients requiring emergency services.
Training the Community:
CMC also believes that every individual has an important role to play in saving precious lives. Therefore it has been CMC endeavor to educate the common public. AMARS department is running a training program for the PCR .Till now several persons have been given training. Future Projections:
To increase the number of Mobikes and Ambulances to 12 each.
To be able to cover the whole of Punjab .
To integrate these services with like minded organizations
To be able to launch Air Rescue in the next five years