HEALTHY VILLAGE, HEALTHY NATION
 » Emergency Medical & Referral Services (EMS)

MAHARASHTRA EMERGENCY MEDICAL SERVICES
(MEMS)
“Emergency Medical Service On Call”
“ आपत्‍कालीन वैदयकीय सेवा आपल्‍या दारी”
Introduction -


  1. Maharashtra Emergency Medical Services (MEMS) project under National Health Mission 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.

Financial provision for the project is being made under ‘National Health Mission’ and ‘Government of Maharshtra’.

  • Toll free number 108 has 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 will be 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 to be procured in the scheme includes well equipped Advance Life Support Ambulances (ALS) and Basic Life Support Ambulances (BLS).
    • The service provider has 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) who are Doctors.

    Internal View of ambulance

    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.
    4.   Expected 20% reduction in mortality & reduce morbidity.

    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.
    • Daily, weekly & monthly MIS reports can be generated from call center.
    • There are total 60 call assistants deployed per shift at ERC, Pune.

    Emergency Response Centre (ERC) Located at Aundh, Pune:

    Training –

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

      Doctor

    • Qualification:                          B.A.M.S & B.U.M.S
    • Training given:                        ALS (Advance Life Support)
    • BLS (Basic Life Support)       Disaster Management etc.  
    • Training program :                   18 DAYS /BATCH
    • Total doctors        =                1985 (Approximately) 


    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

      • Driver Training:  7DAYS/BATCH                  
      • Total drivers:       1985 (Approximately)
      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.

        • CALL ASSISTANCE TRAINING   = 3 DAYS /BATCH
        • Total call assistants = 120 (Approximately) 
        • ALSO training given to Ambulance Control Officer, Emergency Physicians Online Medical Control, Supervisors & other Administrative Staff

         

        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

         

         

         

         

         

         

         

         

         

         

        From 1st Feb, 2014 to 31st January’2024 total 9542039 of Emergency patients have been served by MEMS ambulances. Detailed report is as follows:

         

        MEMS Type of Emergencies Served
        From 1st Feb 2014 to 31st Jan’2024



        Sr.No.

        Emergency Type

        Number of Medical Emergencies Served


        1

        Accident(Vehicle)

        513591


        2

        Assault

        79500


        3

        Burns

        28429


        4

        Cardiac

        67850


        5

        Fall

        158263


        6

        Intoxication/Poisoning

        222878


        7

        Labour/ Pregnancy

        1612555


        8

        Lightening/Electrocution

        6810


        9

        Mass casualty

        23721


        10

        Medical

        5724997


        11

        Others

        900674


        12

        Poly Trauma

        195867


        13

        Suicide/Self Inflicted Injury

        6904


        Total

        9542039


         

         

         


        Sr. No

        Type

        No. of Cases



        1

        Ventilator

        3951


        2

        Defibrillation

        156


        3

        Births in Ambulances

        39796


         

         

         

         

         

         

         

         

        MEMS District wise Emergency Patient's Served Status From


        1st Feb 2014 to 31st Jan’2024


        Sr. No

        District

        No of Emergency Served



        1

        Ahmednagar

        364795


        2

        Akola

        173027


        3

        Amravati

        371542


        4

        Aurangabad

        315854


        5

        Beed

        226463


        6

        Bhandara

        133951


        7

        Buldhana

        240901


        8

        Chandrapur

        313885


        9

        Dhule

        160037


        10

        Gadchiroli

        125357


        11

        Gondia

        168590


        12

        Hingoli

        133249


        13

        Jalgaon

        285422


        14

        Jalna

        148708


        15

        Kolhapur

        385960


        16

        Latur

        210868


        17

        Mumbai

        641903


        18

        Nagpur

        465371


        19

        Nanded

        258813


        20

        Nandurbar

        126277


        21

        Nashik

        357798


        22

        Osmanabad

        191417


        23

        Palghar

        234354


        24

        Parbhani

        133311


        25

        Pune

        882452


        26

        Raigad

        172183


        27

        Ratnagiri

        201520


        28

        Sangli

        261968


        29

        Satara

        370773


        30

        Sindhudurga

        134676


        31

        Solapur

        521872


        32

        Thane

        323169


        33

        Wardha

        129199


        34

        Washim

        127118


        35

        Yavatmal

        249256


        Total

        9542039


        Contract Agreement

         

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