Pre-hospital medical care in India is a game-changer: Insight by Ziqitza Healthcare

Many studies around the world have shown that many patients with injuries or life-threatening conditions die within an hour of their injury or illness. During this hour, there is a greater chance of saving the patient or minimizing their disabilities. Therefore, it is often called “Golden Hour”. Stabilization of a patient can be carried out in an ambulance providing first aid and primary treatment. For this reason, prehospital care is particularly important in reducing mortality, complications and disability.

A team of doctors from Ziqitza analyzed the data concerning the emergency cases treated. The average of the data from these states shows that the top emergencies handled are pregnancy-related emergencies, trauma (traffic accidents and other injuries), gastrointestinal issues, chest pain or respiratory issues, and transfers between establishments (i.e. transfers between two hospitals). Transport of suspected or confirmed cases of COVID-19 has been excluded.

The importance of prehospital care is discussed in these emergencies.

Pregnancy-related emergencies can be deadly to both mother and unborn fetus. They include severe bleeding, prolonged or obstructed labor, high blood pressure during pregnancy, or infections. Unsafe abortions also contribute to maternal mortality. The newborn may be at risk due to prolonged labor, low birth weight, or respiratory failure immediately after birth.

The incidence of death and disability from road traffic accidents and other injuries is also remarkably high. Injuries to the head, chest and abdomen, major bleeding, aggression, burns, electric shocks are the main causes. Wounds can become infected if not cleaned immediately and later can cause serious infection that can kill the patient.

Sometimes the patient needs to be referred to a tertiary care hospital as the manpower and facilities may not be adequate in a primary care hospital. Life-saving surgeries for head, chest and abdomen injuries, need for blood transfusions or medical conditions such as heart attacks, life-threatening infections can be treated at a hospital where advanced facilities are available .

Any sudden difficulty breathing or severe allergy or chest pain indicating a heart attack are serious medical emergencies and require prompt transport to hospital to save lives. Gastrointestinal problems, especially severe diarrhea and vomiting, can be fatal, especially in children, as they lead to severe dehydration and low BP. Giving oral rehydration solution or IV fluids can be lifesaving. Similar observations were made by the Ziqitza Rajasthan team.

Ziqitza Health Care Limited regularly partners with state governments and the National Health Mission (NHM) to operate the 108 medical emergency hotline for the general public. 108 ambulance services are operated by the respective state governments in all states. This is a free service available to the public for emergency transportation. Anyone who needs an ambulance can call the free number “108”. Call center executives record the necessary details and, depending on the nature of the emergency, assign an ambulance to the case. The ambulance is led by a qualified emergency medical technician and a driver trained in first aid. The patient is taken to the nearest public health care facility for management. The service is also used for inter-facility transfer from a primary healthcare facility to a higher center when the patient requires more advanced care. The EMT may also contact a doctor on call for advice.

Mr. Jitendra Sharma – Government Affairs Manager of Ziqitza Healthcare Ltd remarked, “Our paramedics stationed in the 108 arriving ambulances assess the patient and initiate patient management at the scene and during transport. If necessary, a doctor on call is consulted for further assistance to the patient on board. When it comes to medical emergencies, every second counts to save a precious life. The first seconds after a serious accident or other illness emergency are of the utmost importance and can be a difference of life or death in most cases. In such unfortunate situations, emergency ambulance services can be proven as lifesavers in several aspects. “

About Ziqitza Healthcare Limited

Ziqitza HealthCare Limited (ZHL) has been one of the leading players in the Emergency Medical Services industry in India since 2005. Ziqitza Limited Rajasthan and ZHL Rajasthan also appreciated the Jharkhand team for their achievements. Ziqitza Limited is a “one-stop integrated healthcare solution” for businesses or governments that includes integrated emergency services and corporate healthcare solutions. The service network includes 3,300 ambulances, state-of-the-art helplines and mobile medical units that serve 2 customers every second in India. We work with several state governments and 75 corporate clients in India and the Gulf. Ziqitza is a winner of the Global Real Impact Awards and the Times Social Impact Award.

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