MAHARASHTRA EMERGENCY MEDICAL SERVICES
(MEMS)
“Emergency Medical Service On Call”
“ आपत्कालीन वैदयकीय सेवा आपल्या दारी”
Introduction -
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
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:
Sr
No. |
DISTRICT |
Total Ambulances Deployed |
ALS |
BLS |
TOTAL |
1 |
AHAMADNAGAR |
9 |
31 |
40 |
2 |
AKOLA |
4 |
12 |
16 |
3 |
AMRAVATI |
06 |
25 |
31 |
4 |
AURANGABAD |
08 |
23 |
31 |
5 |
BEED |
05 |
14 |
19 |
6 |
BHANDARA |
03 |
08 |
11 |
7 |
BULDHANA |
05 |
18 |
23 |
8 |
CHANDRAPUR |
07 |
16 |
23 |
9 |
DHULE |
04 |
14 |
18 |
10 |
GADCHIROLI |
02 |
08 |
10 |
11 |
GONDIYA |
03 |
12 |
15 |
12 |
HINGOLI |
03 |
09 |
12 |
13 |
JALGAON |
09 |
26 |
35 |
14 |
JALNA |
04 |
11 |
15 |
15 |
KOLHAPUR |
08 |
28 |
36 |
16 |
LATUR |
05 |
15 |
25 |
17 |
MUMBAI |
26 |
65 |
91 |
18 |
NAGPUR |
09 |
31 |
40 |
19 |
NANDED |
06 |
19 |
25 |
20 |
NANDURBAR |
03 |
11 |
14 |
21 |
NASIK |
11 |
35 |
46 |
22 |
OSMANABAD |
04 |
11 |
15 |
23 |
PALGHAR |
06 |
23 |
29 |
24 |
PARBHANI |
04 |
09 |
23 |
25 |
PUNE |
24 |
58 |
82 |
26 |
RAIGAD |
04 |
19 |
23 |
27 |
RATNAGIRI |
04 |
13 |
17 |
28 |
SANGALI |
05 |
19 |
24 |
29 |
SATARA |
06 |
26 |
32 |
30 |
SINDHUDURG |
03 |
09 |
12 |
31 |
SOLAPUR |
10 |
25 |
35 |
32 |
THANE |
12 |
27 |
39 |
33 |
WARDHA |
03 |
08 |
11 |
34 |
WASHIM |
03 |
08 |
11 |
35 |
YAVATMAL |
05 |
18 |
23 |
Grand Total |
233 |
704 |
937 |
From 1st Feb, 2014 to 31stJuly 2022 total 7583904 of Emergency patients have been served by MEMS ambulances. Detailed report is as follows:
MEMS Type of Emergencies Served
From 1st Feb 2014 to 31th July' 2022 |
S.No |
Emergency Type |
Number of Medical Emergencies Served |
01 |
Accidient(Vehicle) |
471650 |
02 |
Assault |
69022 |
03 |
Burns |
24963 |
04 |
Cardiac |
28650 |
05 |
Fall |
148419 |
06 |
Intoxication/Poisoning |
187430 |
07 |
Labour/ Pregnancy |
1380707 |
08 |
Lighting/Electrocution |
6329 |
09 |
Mass casualty |
23615 |
10 |
Medical |
4356311 |
11 |
Others |
826054 |
12 |
Poly Trauma |
54835 |
13 |
Suicide/Self Inflicted Injury |
5919 |
Total |
7583904 |
S.No |
Type |
No.of Cases |
1 |
Ventilator |
3835 |
2 |
Defibrillation |
156 |
3 |
Births in Ambulances |
37872
|
Contract Agreement
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