MAHARASHTRA EMERGENCY MEDICAL SERVICES MEMS-“Emergency Medical Service on Call”

Introduction –

Maharashtra Emergency Medical Services (MEMS) project under Public Health Department provides pre-hospital health services to patients through life support ambulances to nearby hospitals for further treatment. This includes patients suffering from Road accidents, all critical diseases, critical pregnant women, Neonates related diseases, Patients suffering from an epidemic, Natural calamities and Manmade Hazards, Critical heart patients, snake bite, all accidents, food poisoning, respiratory diseases, brain diseases etc.

• Toll free number108has been assigned for provision under Maharshtra Emergency Medical Services (MEMS).
• Strategy based on “Golden Hour Theory” – Patient to be shifted within first hour to nearest hospital is being applied through a dedicated toll free number 108. These services are available 24 X 7 in a year and offered ‘free of cost’ to the patient.
• Integrated approach to provide emergency response services which includes Computer technology integration, voice logger system, GIS (Geographic Information System), GPS (Geographic Position System) AVLT (Automatic Vehicle Location System) & Mobile Communication System (MCS).
• Ambulances procured in the scheme includes well equipped Advance Life Support Ambulances (ALS) and Basic Life Support Ambulances(BLS).
• The service providerhas procured medical equipments for both ALS & BLS ambulances as per list and specifications given in the Tender Document.
• Medical Equipments include Ambulance cot, Scoop Strecher, Bi-Phasic Defibrillator cum Cardiac Monitor with Recorder (For ALS only), Transport Ventilator (For ALS only), Pulse Oximeter (For BLS only), Suction Pump (Manual & Electronic), Oxygen Cylinder Etc.
• Ambulances are being operated through trained drivers&trained EMSO’s (Emergency Medical Service Officers)

 

 

Goals & Objectives –

1.To provide First aid to preserve life, prevent further injury & promote recovery.

2. To provide comprehensive 24X7 hours emergency response services by direct calling 108 Toll free number from any network in Maharashtra.
3. System to leverage all the stake holders to offer comprehensive range of services in emergencies.

 

 

Deployment of Ambulances–

Under Maharashtra Emergency Medical Services (MEMS) project total 937 ambulances are provided phase wise across the State (233 ALS & 704 BLS)

 

 

Call Centre –

• Central Control Room/Emergency Response Centre (ERC) is established at Chest Hospital, Aundh, Pune.
• Real time location of ambulances using GPS-GPRS technology is being monitored from call center.
• 24X7 trained Call takers& call dispatchers are available for emergency response.

 

 

Training –

• Comprehensive training for all Doctors has been provided.
• Training for ambulance driver is also provided for emergency response service.
• Training provided to call taker, call dispatcher for operationalization of EMS.

 

 

 

Doctor

• Qualification: A.M.S & B.U.M.S
• Training given: ALS (Advance Life Support)

BLS (Basic Life Support)

Disaster Management etc.

 

Driver

• Qualification: As per Gov. rule for driving of heavy vehicle
• Training given: Vehicular Safety Checks, Ambulance Driving

Techniques, Accident Avoidance & Crash

Procedures, Basic Life Support & Disaster

Management Protocols

 

CALL ASSISTANT

 

• Qualification: ANY graduate

 

• Training given:

Communication Officer– Priority Dispatch System & Telecommunication Essentials.

 

Protocol Instruction and Practice & Roles of the Communication Officer –

Operations, Legal issues, Dispatch Stress & Quality Improvement

 

Dispatch Officer – The science of prioritized dispatch & Ethical and Medical Legal issue, Dispatch Life Support.

 

Current Status:

As on today, all 937 ambulances are operational, out of which 704 are BLS ambulances and 233 are ALS ambulances.

 

District wise deployment of ambulances is as follows:

 

District Wise Ambulance Count
District	ALS	BLS	Grand Total
Ahmednagar	9	31	40
Akola	4	12	16
Amravati	6	25	31
Aurangabad	8	23	31
Beed	5	14	19
Bhandara	3	8	11
Buldhana	5	18	23
Chandrapur	7	16	23
Dhule	4	14	18
Gadchiroli	2	8	10
Gondia	3	12	15
Hingoli	3	9	12
Jalgaon	9	26	35
Jalna	4	11	15
Kolhapur	8	28	36
Latur	5	15	20
Mumbai	26	65	91
Nagpur	9	31	40
Nanded	6	19	25
Nandurbar	3	11	14
Nashik	11	35	46
Osmanabad	4	11	15
Palghar	6	23	29
Parbhani	4	9	13
Pune	24	58	82
Raigad	4	19	23
Ratnagiri	4	13	17
Sangli	5	19	24
Satara	6	26	32
Sindhudurga	3	9	12
Solapur	10	25	35
Thane	12	27	39
Wardha	3	8	11
Washim	3	8	11
Yavatmal	5	18	23
Grand Total	233	704	937

 

Beneficiary:

People

Benefits:

To provide First aid to preserve life, prevent further injury & promote recovery.