Naswar Corner

[Armstrong]

Yara, who's this Dr. Nasseer?

Just someone I heard about who, if I heard correctly, was involved in the training of the Rescue 1122 !

 

[ajtr]

Koi Ummeed Bar Nahin Aati

Koi Ummeed Bar Nahin Aati
Koi Soorat Nazar Nahin Aati

Maut Ka Ek Din Muayyan Hai
Need Kyon Raat Bhar Nahin Aati

Aage Aati Thi Hale Dil Pe Hansi
Ab Kisi Baat Par Nahin Aati

Janta Hoon Sababe-Taato-Zahad
Par Tabeeat Idhar Nahin Aati

Hai Kuchh Aisi Hi Baat
Jo Chup Hoon, Varna Kya Baat Kar Nahin Aati

Kyon Na Cheehkoon Ki Yaad Karte Hain
Meri Awaaz Gar Nahin Aati

Marte Hain Aarzoo Me Marne Ki
Maut Aati Hai Par Nahin Aati

Kaba Kis Munh Se Jaoge Ghalib
Sharm Tumko Magar Nahin Aati

 

[A.Rafay]

Thank you very much sir, indeed my background is LE and rescue, i was one of the pioneering officers behind Rescue 15 police and have also been deputed as a trainer to Rescue 1122 in Punjab and KPK.

Rescue 1122 are doing excellent job, are they only in Punjab or all over Pakistan ?? Sindh badly need a good govt rescue service like rescue 1122, edhi and chippa are busy picking bodies in Karachi killed by target killing!

 

[RescueRanger]

Wasn't a Dr.Nasseer involved somewhere higher up in the setting up of the Rescue 1122 ?

Yes Dr. Naseer, Mr.Zarrar and Dr. Malik were instrumental in starting Rescue 1122 in Punjab.

Yara, who's this Dr. Nasseer?

Director General and one of the founders of Rescue 1122

 

[DarkPrince]

Alfaaz Tu Buhut Hain Meri Muhabbat Bayan Karne K Liye

Woh Meri Khamoshi Nahi Samjhta Mere Alfaaz Kahan Samjhe Ga...

 

[RescueRanger]

Rescue 1122 are doing excellent job, are they only in Punjab or all over Pakistan ?? Sindh badly need a good govt rescue service like rescue 1122, edhi and chippa are busy picking bodies in Karachi killed by target killing!

Rescue 1122 exist in Punjab and KPK,
In Islamabad you have CDA cares (due to silly politics):Capital Development Authority

And in Karachi and Sindh you have Amman Foundation (trained by Rescue 1122): Aman Foundation

 

[RescueRanger]

Rescue 1122 is a remarkable service.My salute to the dedication and commitment of those rescue personnel.
You know sir,what really lacks in our system ,is a coordinated approach.There is an excellent rescue service available but still there is not much emphasis on coordination in managing the patients.What i want to say is the (trauma rescue medical units) that should be dispatched right away as a calamity happens.
Doctors(surgeons and medical specialists) can contribute much by being a part of those rescue teams.By doing the triage there,examining them before they reach the trauma bay ,you save a lot of energy, time and focus on the ones who really need your attention.But here,no body is interested.The one with a minor fracture comes first in the ER while the one with a raised ICP is left there unconscious just because he's/she's not making a hue and cry.Then an ER has to do all for what there are big trauma centers all over the world( with helipads and state of the art systems and protocols).All because of lack of interest and coodination.I hate to say that professionalism and duty is not the priority.

You know sir,what really lacks in our system ,is a coordinated approach

yes sadly this is because we don't have a National Incident Command System, this is instrumental in emergency operations. The NDMA is working on a draft, but it has been in the pipelines since 2009.

There is an excellent rescue service available but still there is not much emphasis on coordination in managing the patients.What i want to say is the (trauma rescue medical units) that should be dispatched right away as a calamity happens.

I am impressed by your knowledge, the problem is tiered and not linear. There is a huge disparity between pre-hospital care and in hospital care levels in Pakistan.

For example in developed countries you have people with basic knowledge relating to C Spine Injuries and basic airway management, so they know not to move someone who has had a car crash or fall form height and keep the airway open of someone unconscious. In Pakistan the average bystander will never have such knowledge and this compromises the Golden Hour Golden hour (medicine) - Wikipedia, the free encyclopedia, not only does this compromise the golden hour but also has an impact on the Platinum 10 mins (ambulatory care time) Battlefield Medicine: The Golden Hour and the Platinum Ten | Britannica Blog.

Secondly when trained responders arrive, we are trained to use a system called START: Simple Triage and Rapid Treatment, in addition to doing a Rapid Trauma Assessment or Medical assessment of the patient, the starting the relevant intervention (Load and Go: Serious Trauma to be treated in hospital, or Stay and Play: Basic First Aid provision, non life threatening).

In Rescue 1122, CARES and Aman Foundation ambulances carry basic and intermediate care equipment including Patient Monitoring, AED, O2, Suction, burns kit, IVs, Airway Management etc... The problem really starts when the patient leaves the bubble of care of the ambulance and is received at the A&E dept of a hospital.

When the ambulance arrives at the hospital the crew will do a handover with doctors, this handover will include a PRF: Patient Report Form, which is filled in by the paramedics when they are transporting the patient and includes data important to the Doctor such as SAMPLE: S:Signs & Symptoms, A:Allergies, M: Medications, P: Past Medical History, L: Last meal/oral intake, E: Events leading upto along with a GCS: Glasgow Coma Scale and other vital patient statistics.

As i said, there is a huge disparity in the levels of care provided at Pre-Hospital and in-hospital. Some hospitals do not have doctors or nurses trained in BLS or ALS, let alone trauma care skills, these hospitals are very understaffed and ill equipped. Sadly it is here that the patients start to suffer, as the chain of survival and golden hour becomes compromised.

There is an emphasis on improving hospital response and training for in hosptial staff on International Standars, for example the lifesavers foundation has been providing ALS: Advanced Life Support & BTLS: Basic Trauma Life Support training to doctors and nurses since 2005: Lifesavers Foundation - Home

Furthermore PEER: Program for Enhancement of Emergency Response ( A joint project of NSET and USAID) has been working on improving hospital surge capacity and response capacity for MCI: mass casualty incidents.
http://www.ndma.gov.pk/Docs/BooksAndPublications/PEER/Pakistan_PEER_Complete_Database.pdf

Still a lot needs to be done, but Pakistan is limited because of red tape and lack of funds/interest. Did you know that we started free Basic Life Support training in Rawalpindi and Islamabad and only managed to train 400 volunteers from 2005 to 2010, because a lack of interest, Whereas private trainers charge 2500 to 5000 rupees per person for this training

A lot more needs to be done.

 

[DarkPrince]

Wohi Ishq Jo Tha Kabhi Junoon Se Rozgaar Bana Dia


Kaheen Zakham Baich Ke Aa Gaye Kaheen Shair Koi Suna Dia...

 

[Marshmallow]

 

[Marshmallow]

 

[Marshmallow]

@Hyperion

ajj im in mood to blabber on other threads plz allow me to do little!

 

[Marshmallow]

 

[Armstrong]

@Marshmallow : I'd be visiting Islamabad in about 2 weeks time for a wedding for 3-4 days ! *God I hate weddings*

Tell me about a nice place in Islamabad to have fun ! If I have to go to Hotshots or Manal again...I'd kill someone !

 

[A.Rafay]

@Marshmallow : I'd be visiting Islamabad in about 2 weeks time for a wedding for 3-4 days ! *God I hate weddings*

Tell me about a nice place in Islamabad to have fun ! If I have to go to Hotshots or Manal again...I'd kill someone !

Just visit muree and enjoy snow!!

 

[Armstrong]

Just visit muree and enjoy snow!!

Kiyaa keh rahaa haiii Rafay !

I hate the 'snow' & the cold that comes with it; meraa busss chaleiii touu winters West Indies mein guzaraoon.