Emergency, Trauma and Acute CareDepartment for Management of NCDs, Disability, Violence and Injury Prevention
Essential Resources for
(Emergencies and)
emergency care
3rd Global Forum on
Medical Devices
Teri Reynolds & Ian Norton
May 2017
Calls on member states and WHO to assess, establish and monitor integrated prehospital and facility-based emergency care systems…
Calls on member states and WHO to strengthen national emergency mitigation, preparedness, response and recovery programmes…
Calls on member states and WHO to ensure the resilience and self-reliance of the health system, which is critical for minimizing health hazards and vulnerabilities and delivering effective response and recovery in emergencies and disasters…
Emergency, Trauma and Acute CareDepartment for Management of NCDs, Disability, Violence and Injury Prevention
Event
Emergency, Trauma and Acute CareDepartment for Management of NCDs, Disability, Violence and Injury Prevention
Scene
Emergency, Trauma and Acute CareDepartment for Management of NCDs, Disability, Violence and Injury Prevention
Transport
Emergency, Trauma and Acute CareDepartment for Management of NCDs, Disability, Violence and Injury Prevention
Facility arrival
Emergency, Trauma and Acute CareDepartment for Management of NCDs, Disability, Violence and Injury Prevention
Facility-based care
(Surgical
programme)
Emergency Medical Teams Initiative
Dr. Ian Norton , WHO
EMT’s are groups of health professionals providing direct clinical care to populations affected by disasters or outbreaks and emergencies as
surge capacity to support the local health system
Medical equipment and devices for field response by emergency medical teams is specialized and rapidly evolving
Emergency Medical Team Overview May 201714 |
Portability and Self Sufficiency
Emergency Medical Team Overview May 201715 |
Storage and rapid deployment
All-hazards
Emergency, Trauma and Acute CareDepartment for Management of NCDs, Disability, Violence and Injury Prevention
WHO Essential Resources for
Emergency Care (EREC)
Create a list of candidate resources for basic care of
acute conditions
Serve as a foundation for both everyday
emergency care and emergency response
Allow for rapid restoration and
maintenance of basic emergency care✚
Emergency, Trauma and Acute CareDepartment for Management of NCDs, Disability, Violence and Injury Prevention
Review and integration of
existing essential
resource lists(WHO, ICRC, MSF, DCP3...)
Consensus based expert consultation
including NGOs,
academia
Candidate list~450 items organized
according to ECS
framework
Emergency units in
resource-limited
settings (multicountry
review)
Emergency Response
(field specification)
1 2 3
4
4
EREC: Process
www.who.int/emergencycare
https://extranet.who.int/emt/
Emergency, Trauma and Acute CareDepartment for Management of NCDs, Disability, Violence and Injury Prevention
ECS Framework
Site Primary Function Function Component Detailed Activities
WHO Health System Building Blocks
Human
Resources and
Training
Essential Medical
Products,
Technologies and
Infrastructure
Information and
ResearchLeadership and Governance
Bystander
Response
System Activation
Bystander +/-
community-based
training (including
first aid, education
on system
activation and
care-seeking
behaviour)
Universal access
number or activation
system; centralized
call processing
Legislative mandate for universal activation of
system; legislation regarding telephone company
responsibility for UAN calls
Bystander Care
Patient protection at
scene
Limited assistance
for immediate threats
Basic lay provider kit
of local materials
Laws on theft/assault of the injured. Training
accreditation for lay providers. Bystander
protection (Good Samaritan Laws)
Dispatch
Instructions to BystandersInformation to aid
patientDispatch operator
Communication
technologies,
including a form of
centralized call
processing; system
should be
redundant by design
Data collection for
performance metrics
(time to call, time to
dispatch, time to scene)
Protocols, regulations, and guidelines for dispatch
(including jurisdiction, remote care direction,
destination triage, coordination of public and
private ambulance services). Protocols for
coordination with other emergency response
agencies, and essential resource suppliers.
Dispatch of PersonnelLaws addressing access to emergency care
without regard to ability to pay.
Provider
Response
Scene ControlPatient and provider
scene safety
Providers may
include formally
trained lay
responders (e.g.
EFAR, police);
professional
responders (e.g.
EMT, paramedic,
nurse, doctor)
Basic provider kit
Screening surveillance
EMS Director.
Minimum standards of care, treatment protocols.
Regulation/legislation to create certification
process for designated pre-hospital cadreScene Care
Initial assessment
Initial resuscitation
and stabilisation
Packaging of patient
Preliminary
diagnoses
Clinical documentation
(including chief
complaint and
diagnosis), process
measures, performance
metrics
Field to Facility
Communication Field and facility
based providers,
technical experts
Communication
structure in field unit
and receiving facility
Referral and transport protocols, including base
hospital advising protocols
Destination TriageFacility certification: regionalization of care, centre
designation
WHO Emergency Care Systems Framework
Sc
en
e
Emergency, Trauma and Acute CareDepartment for Management of NCDs, Disability, Violence and Injury Prevention
ECS Framework
