Posts

24)Revealed: What to expect on Republic Morning 2021and what not to

India Republic Day -- Republic Day 2021: In 2020it was the agitation resistant to the Citizenship Amendment Act (CAA). Nowthousands of farmerstypically from Punjab and Haryanahave been camping at the region of Delhi for more than eight weeksdemanding the Centre repeal the three farm laws. For that second year in a lineRepublic Day celebrations from the national capital will be placed under the shadow of impetuous protests against laws handed by the Centre. In 2020it was the agitation resistant to the Citizenship Amendment Act (CAA). This timethousands of farmerstypically from Punjab and Haryanahave been camping at the region of Delhi for more than eight weeksdemanding the Centre repeal the three farm laws. That years Republic Day attend will also be the first major general public event in pandemic moments. What is new this year The even t will be pared down in terms of the number of spectatorsthe size of walking in line contingents and other side interesting attractions. The spectat...

Emergency medical services

Image
Emergency medical services ( EMS ), also known as ambulance services or paramedic services , are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS. In most places, the EMS can be summoned by members of the public (as well as medical facilities, other emergency services, businesses and authorities) via an emergency telephone number which puts them in contact with a control facility, which will then dispatch a suitable resource for the situation. Ambulances are the primary vehicles for delivering EMS, though some also use cars, motorcycles, aircraft, or boats. EMS agencies may also operate a non-emergency patient transport service, and some have rescue squads to provide technical rescue services. As a first resort, the EMS prov...

History

Image
Precursors edit Emergency care in the field has been rendered in different forms since the beginning of recorded history. The New Testament contains the parable of the Good Samaritan, in which a man who has been beaten is cared for by a passing Samaritan. Luke 10:34 (NIV) – "He went to him and bandaged his wounds, pouring on oil and wine. Then he put the man on his own donkey, took him to an inn and took care of him." During the Middle Ages, the Knights Hospitaller were known for rendering assistance to wounded soldiers in the battlefield. The first use of the ambulance as a specialized vehicle, in battle came about with the ambulances volantes designed by Dominique Jean Larrey (1766–1842), Napoleon Bonaparte's chief surgeon. Larrey was present at the battle of Spires, between the French and Prussians, and was distressed by the fact that wounded soldiers were not picked up by the numerous ambulances (which Napoleon required to be stationed two and half miles back from th...

Organization

Image
Depending on country, area within country, or clinical need, emergency medical services may be provided by one or more different types of organization. This variation may lead to large differences in levels of care and expected scope of practice. Some countries closely regulate the industry (and may require anyone working on an ambulance to be qualified to a set level), whereas others allow quite wide differences between types of operator. Government ambulance service edit Operating separately from (although alongside) the fire and police services of the area, these ambulances are funded by local, provincial or national governments. In some countries, these only tend to be found in big cities, whereas in countries such as the United Kingdom, almost all emergency ambulances are part of a national health system. In the United States, ambulance services provided by a local government are often referred to as "third service" EMS (the fire department, police department, and separa...

Purpose

Image
Emergency medical services exists to fulfill the basic principles of first aid, which are to Preserve Life, Prevent Further Injury, and Promote Recovery. This common theme in medicine is demonstrated by the "star of life". The Star of Life shown here, where each of the 'arms' to the star represent one of the six points, are used to represent the six stages of high quality pre-hospital care, which are: Early detection – members of the public, or another agency, find the incident and understand the problem Early reporting – the first persons on scene make a call to the emergency medical services (911) and provide details to enable a response to be mounted Early response – the first professional (EMS) rescuers are dispatched and arrive on scene as quickly as possible, enabling care to begin Good on-scene/ field care – the emergency medical service provides appropriate and timely interventions to treat the patient at the scene of the incident without doing further ...

Strategies for delivering care

Image
Although a variety of differing philosophical approaches are used in the provision of EMS care around the world, they can generally be placed into one of two categories; one physician-led and the other led by pre-hospital allied health staff such as emergency medical technicians or paramedics. These models are commonly referred to as the Franco-German model and Anglo-American model . Studies have been inconclusive as to whether one model delivers better results than the other. A 2010 study in the Oman Medical Journal suggested that rapid transport was a better strategy for trauma cases, while stabilization at the scene was a better strategy for cardiac arrests. Levels of care edit Many systems have tiers of response for medical emergencies. For example, a common arrangement in the United States is that fire engines or volunteers are sent to provide a rapid initial response to a medical emergency, while an ambulance is sent to provide advanced treatment and transport the patient. In Fr...

Personnel

Image
Ambulance personnel are generally professionals and in some countries their use is controlled through training and registration. While these job titles are protected by legislation in some countries, this protection is by no means universal, and anyone might, for example, call themselves an 'EMT' or a 'paramedic', regardless of their training, or the lack of it. In some jurisdictions, both technicians and paramedics may be further defined by the environment in which they operate, including such designations as 'Wilderness', 'Tactical', and so on. citation needed A unique aspect of EMS is that there are two hierarchies of authority, as the chain of command is separate to medical authority. Basic life support (BLS) edit First responder edit Certified first responders may be sent to provide first aid, sometimes to an advanced level. Their duties include the provision of immediate life-saving care in the event of a medical emergency; commonly advanced first...