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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
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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.
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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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