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Group name : SapphirePresentation on 108Emergency service

Roll No. Name5125 Dhara Prajapati

5138 Khushboo Shah

5139 Monali Shah

5146 Heli Sodagar

5150 Urmila Taral

5154 Kalpana Vaghela

5157 Arpita Vora

5206 Neha Purswani

5214 Dhara Shah

5220 Rimmi Shah

PEM (Hiral Mam)

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Medical Emergencies Police Emergencies Fire EmergenciesSerious Injuries Robbery / Theft /Burglary Burns

Cardiac arrests Street Fights Fire breakoutsStroke Property Conflicts Industrial fire hazards

Respiratory Self - inflicted injuries /Attempted suicidesDiabetics Theft

Maternal/Neonatal/Pediatric Fighting

Epilepsy Public NuisanceUnconsciousness Missing

Animal bites Kidnappings

High Fever

Traffic Problems(Traffic Jams or

Rallies, raasta rokosetc)

Introduction to 108 Service

Integrated Emergency Response Services for Medical, Police and Fireemergencieswith single universal toll-free number 108

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Free services (no cost to citizen) for 24*7

PPP i.e. Public Private Partnership framework

Government provides funds for Opex & Capex

Private Partner brings leadership, innovation, execution andtechnological capabilities

Conducting Research and building capability in Emergency

Medicine and Management

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History Timeline of 108 service

The first record of ambulances being used

for emergency purposes was the use by

Queen Isabella of Spain

Ambulance was designed by Dominique

Jean Larrey (17661842), Napoleon

Bonapartes chief physician during Spireswar to carry wounded soldiers from

battlefield.

In America Ambulance service first started

in 1928,the name of first ambulance there

was Buick Hearse

In 2005 ,in INDIA first ambulance servicestarted in Andhra Pradesh, joint venture of

AP state &EMRI.

108 is a no of emergency services to call

in the Indian statesAndhra Pradesh,

Gujarat, Punjab, Uttarakhand, Goa,

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To deliver services at global standards through Leadership,

Innovation, Technology and Research & Training

To become One Of Eight Wonders of the World

Leadership R & TInnovation Technology

Vision of GVK EMRI

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Political will, Public Servants commitment and Public

Support

100% of Capital expenditure and Operational expenses by

Government (Public)

GVK funds Leadership, Innovation (Infrastructure, Process),

Collaborations, Research and Training, Knowledge transfer

and Quality assurance

Mahindra Satyam provides free IT solutions as technology

partner

GVK EMRI manages and leverages government resources

for better outcomes

Partnershi involvin Pain and Pleasure

Successfully Implemented by

GVK EMRI

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collaboration for Knowledge andTechnology know how, Best practices,

Research & Training

Singapore HealthServices

American Assoc

of PhysiciansOf Indian Origin(AAPI)

Shock TraumaCenter,

USA

Stanford University,USA

American

Academy forEmergencyMedicine in India

Carnegie MellonUniversity,

USA

Geomed Research

Public HealthFoundation of India

http://images.google.co.in/imgres?imgurl=http://www.mil.ufl.edu/mav/images/cmu_logo.jpg&imgrefurl=http://www.mil.ufl.edu/mav/affiliates.php&h=119&w=120&sz=23&hl=en&start=9&tbnid=lA-mZVyD6_SEHM:&tbnh=87&tbnw=88&prev=/images?q=CMU+Logo&gbv=2&hl=en

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Building Blocks of GVK EMRIs

Innovation

Three digit toll-free No.

Accessible from Land lines

and Mobile phones

Cost effective

ambulances

to provide quality

care

for Indianemergencies

with facilities for

rescuing and

balancing patient

care with public

safety and patients

relatives comfort Trained personnel

Modern, spacious and open ERCGIS / GPS to locate victim /

ambulance and hospital

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The communication channel connecting all the links including ERCP

Communication Officer

(CO) collects facts

Dispatch Officer (DO)

scopes emergency and

assigns strategically located

vehicle

(Ambulance/Police/Fire)

Vehicle(s) to reach the site

Emergency Medical

Technician (EMT) to

provide pre-hospital care

while transporting patient /

victim to appropriate

hospital for stabilization

Sense Reach Care

Innovative Process

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SRC Model of 108

Sense Reach Care Follow upafter 48 hrs

Developed detailed process understanding and well defined

responsibilities through out the organization

Maintained all information related to emergency in PatientCare Records (PCRs)

Patient information is shared with the hospital on arrival

48 hour follow up with the patients admitted to hospital

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Innovative use of Technology

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Innovative Pre-Hospital Care

Emergency Medical Technician (EMT) in

the ambulance is trained not only to provide

pre-hospital care but also to handle

emergency situations

EMT gets support over phone from

qualified medical practitioner called ERCP

(Emergency Response Centre Physician)

located at the ERC

ERCPs are in the ERC round the clock to

provide support to EMT and to people at

emergency scene until ambulance arrives

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Ambulance

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Advanced Life Saving Ambulance

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S T R E T C H E R S

E X T R I C A T I O N T O O L S

AUTOLOADER

WHEEL CHAIR

SCOOP

SPIINE BOARD

AIR LIFTING

AMBULANCE EQUIPMENT

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MEDICAL EQUIPMENT

SUCTION APPARATUS AUTOMATED EXTERNAL DEFIBRILLATOR

VENTILATOR VACUUM SPLINTS

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Triage and onsite treatment techniques

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Particulars

Present no. of ambulances 402

MOU/contract period 5yrs renewable

Average no. of trips per

ambulance per day

4.31

Distance travelled per trip 30 km

Ambulances dispatched as

percentage of calls received

8.24%

Total Capital cost per

Ambulance

11.18 lacs

Total Operating cost per

ambulance (annualised)

6.68 lacs

Operating cost per trip 635 rs.

DATA REGARDING THE EMERGENCY RESPONSE

SERVICES IN GUJARAT

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Capital Cost 28.27 Lack rs.

The operating cost per trip average of 4.31 trips per day and 402

ambulances

Rs. 635 per trip.

Administrative overheads 30 to 35%.

Cost of 108 Ambulance

service:-

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Initially funds were come from Mr. Ramalinga Raju CEO of Satyam

Technologies.

But now, All 100% of

capital costs and operationalcosts are borne by the government.

Sources of Finance :-

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public RELATIONS AND

ADVERTISING

It includes all the tools and methods that an

organization uses to communicate with

public and its stakeholders

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Customer relation

Employee relation

Relations with General public Relations with press, media, institutions like

hospitals

Marketing activities

Tools of PR and advertising

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1. Immediate help Toll free number Call received within 3 rings Connect to the respective division after understanding the nature ofEmergency 2.Virtual Hand holding

The dispatch officer-identifies nearest site, guides the driver to the mishap site Caller is put on conference call and virtual help is also assigned to him withthe help of EMT emergency medical technician)

Customer relation

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3. serving the rural areas The 108 ambulance servicehas proved beneficial for

transporting pregnant women in the district especially inrural pockets. Officials claimed that since the ambulance services havestarted, it has also proved beneficial in checking infant andmaternal mortality rate in different districts of the state

including Allahabad. Ambulances have been assigned the task to take patients tonearby medical units or district hospitals for better treatmentin case of road mishap, fire burn), animal bite, cardiacinjuries, pediatric and other emergencies.

http://timesofindia.indiatimes.com/topic/108-ambulance-servicehttp://timesofindia.indiatimes.com/topic/108-ambulance-service

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GVK EMRI has a world class emergency medicine learningcenter (EMLC)

A dedicated team of highly qualified emergency medical

professionals. GVK EMRI has collaborated with Stanford school ofmedicine USA,Adam Cowley shock trauma center

university of Maryland, Carnegie Mellon university anddisaster management authorities among others to build,

enhance and benchmark thetraining programs atinternational standards.

Employee relation

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Sending useful information through newsletters

Useful information is made readily available on

websites, newspapers, blogs, magazines, vernaculartelevision channels etc.

Communicating with general

public

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Gvk maintains a network of press, media to

communicate with general public

It also has good relations with hospitals, who help attime of emergency

Relations with external

parties

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1. Ambulance Road shows: At major cross roads, film theatres, bus stations, railway

stations and major temple, mosque and churches.

2 .Pre planned Village/Town Meetings: Participate in village meetings to drive awareness

communicate program benefits. Ambulance demonstration (govt offices, schools, colleges,

industries & auto unions display GVK EMRI slides at film

theatres/short film (concept movies). Cable TV, radio

Marketing activities:

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3.Hoardings Near bus stations, film theatres and railway stations (small 12X4

flexes). Important junctions in big villages/towns.

Flexes in buses/major maternity centers/hospitals

4.Co Branding: Bulk sms free of cost about GVK EMRI services with

BSNL, TATA, Airtel , Aircel, Idea, Vodafone, Reliance, Uninor etc.people for co branding of hoardings,

leaflets and bus branding also.

5.Sharing best cases with Media: Each ambulance at the end of the day shares the best case with media

along with photograph. The emphasis here is on local and vernacularmedia

Best cases are published and circulated to media and other keystakeholders monthly across the country

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6.Beneficiaries meets: Beneficiaries are the best ambassadors so they conduct

monthly beneficiaries meets and share the info with media

7.Coordinated Visits: School children, key government officials, foreign

dignitaries, major opinion makers in society to GVK EMRI

emergency response center

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special track on the roads

Special Service by helicopters

The number 108 should dialed even in lock andswitch off mobile phones.

108 should be equipped with necessary instrumentsfor emergency treatment

Preparedness for departure

Scope forimprovement:

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Infrastructure related to 108 & hospitals on Highways

Awareness of services

Numbers of ambulance should be increased

Lenient traffic rules for 108

Continue..

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