8 Important Qualities of the Ideal Paramedic

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The wailing siren of the ambulance signals that it has arrived. The door opens, paramedics spill out with a stretcher and approach the patient. Within minutes, the patient is shifted to the ambulance, administered an IV and hooked up to oxygen support. It is only then while traveling in the ambulance with paramedics do we realize how helpless we are without these emergency healthcare professionals.

Not only presence of mind and the willingness to help, efficient paramedics must also possess these traits that make the ideal emergency healthcare professional.

1. Always alert and on call
When a paramedic signs up for his job, he must be mentally prepared to serve emergencies at all odd hours. He should realize that his duty is a “life-saving” affair and requires utmost attention at all times.
Ideal paramedics are readily available at any time of the day and night and keep themselves alert, awake and prepared to rise to every urgent situation.

2. Iron will
Blood, guts, severed limbs, broken bones- these are often the sights that every paramedic sees as part of his duty on a daily basis.
Ideal paramedics do not flinch from such repulsive sights but gear for action instantly. They should have an iron will and strong stomach to perform their duty even if they encounter unpleasant sights like blood and flesh.

3. Never under stress
Emergencies are crises with utter chaos. Ideal paramedics must cope with highly tense situations and stay nonplussed. They should react calmly as they have the responsibility to reassure the aggrieved kin of the patient.

4. Presence of mind
Years of medical school do not count for a paramedic but a quick presence of mind does. An ideal paramedic must know to quickly recognize the patient’s condition and responds accordingly in the fastest manner. He should know what to do next in the case of a heart attack, a stroke or a major accident with multiple injuries. His quickness to respond in the right manner is the factor which decides whether it is life or death for the patient.

5. Physical fitness
Paramedics are emergency healthcare professionals who have to carry and shift patients in and out of ambulances, wheelchairs and stretchers. Their duty calls for lifting heavy patients, bending, kneeling, pushing and wheeling the stretcher etc. Ambulance paramedics might have to lift up to 70-80 kgs, pull up to 75 kgs and push up to 125 kgs.
This is why the ideal paramedic is always in the pink of health and physically strong.

6. Accommodative
Paramedics have to work at all times of the day and night and most often alone. The ideal paramedic executes his duty irrespective of whether the other staff cooperate with him. He learns to operate in stringent conditions, even with lack of facilities and provides the best possible assistance including non-emergency ambulance service.

7. Strong interpersonal skills
Relatives of patients are always distraught during emergencies. An ideal paramedic must possess good communication skills to interact with them, explain the patient’s condition, allay their fears and in still confidence in the service rendered.

8. Clinical expertise
A paramedic is definitely not a doctor, but he should be efficient in what he does. As qualified ambulance paramedics, the ideal paramedic should be skilled in
• administering intravenous canulation
• fluid resuscitation,
• advanced airway management
• fracture and spinal injury management
• burns and bleeding control
• critical cardiac life support etc.
Life throws up sudden emergencies which we are ill-prepared to counter with. At such critical junctures, it is the paramedic who acts as the life-saver. Yes, the emergency medical training of paramedics becomes the decisive factor in minimizing the life-risk of the patient.

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Medical Equipment that Can be Carried by Drones

The actions that you take during the first few minutes of an emergency situation is what determines the difference between life and death. It is critical to take the right course of action to prevent the further escalation.

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There are various instances every minute across the world where people are struggling to get the proper treatment during a medical emergency situation, especially in the underdeveloped and developing countries.

Especially medical conditions such as heart failure, stroke, choking and accidents demand the appropriate kind of first aid or treatment during the initial moments, using the right equipment and medical care.

One such advancement is using the drones as ambulances. Drones are being excessively used in the emergency medical situations to transport the medical equipment, especially in the European countries.

Why Drones for Emergency Medical Equipment Transportation – Even though there are air ambulances that help the patients to reach the hospitals in time, there are some restrictions to use these services. They are not accessible everywhere and it would take time for the air-ambulances to get popular.

  • A drone could be a great substance for the ambulance
  • Drones are faster and arrive the emergency location with ease of access
  • They could be navigated at any kind of location
  • They are compact and portable
  • They could hover in the air like the air-ambulances
  • Drones could land everywhere, including water

Emergency situations are unexpected. The initial steps could be lifesaving provided the medical help and support in time. In order to do that, the life support should be supplied as soon as possible. In the majority of the situations, the times and accessibility to send the medical support could be challenging.

Drones could be of great help in situations like these. They are faster and transport the medical supplies to the precise location. If the idea of transporting medical supplied using the drones works, there will be significantly improved chances to save many lives, especially the ones suffering from heart attack.

  • Automated External Defibrillator (AED) – The automated device checks the heart rhythm and if there are any fluctuations in the heart pulses the device will regulate the heartbeat by sending electric impulses.
  • These are vital to restore the heartbeat. They are widely being used in emergency situations such as cardiac arrest.
  • The electric shot given in the first 3 minutes could be the best shot to address the cardiac arrest.
  • If the drones are used to transport the AED, there are many chances to keep the situation under control as drones are faster than any other transport medium, comparatively.
  • Using the geographic information provided, drones could reach the exact location without much hassle.
  • Not just the AEDs but the medical support that help in arresting the bleeding and other medications that help in emergency situations, can be transported using the drones.

The portability of the current AED devices needs to be altered in order to fit in the drones. This applies to the other medical equipment that researchers are intended to transport. There is still lot research that needs to go into this aspect.

There are various technological changes that are occurring in the field of Patient Logistics, everyday. The way a patient is being transported using the ambulances (both emergency and non-emergency) is changing due to the advancements in this field.

Wide range of medical equipment is being used in patient cabin, the safety features have been improved, the communication between the hospital and the vehicle navigation system have significantly been improved in every way.

Tips for Preventing Infections during a Non-Emergency Medical Transportation

We are living in the times of health complications. Every day is giving birth to a new infection and all our medical knowledge will not come in handy while treating the lives affected by these new infections.

The dawn of these new infections gives us every reason to be on our feet and think about the best ways to prevent them as per the old notion – Prevention is Better than Cure. This is why we have to stress on the need for practising the better infections preventive measures.

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Infection management is essential in large institutions, offices and other infrastructures that will be commonly used by the public. This list includes hospitals and other healthcare related practices that include hospitals, diagnostic labs, nursing homes and the ambulances.

The irony is hospitals and other healthcare practices will have more chances for prevalence of infections. You have to be very careful next time you visiting a hospital or using a laboratory or using an ambulance for both emergency and non-emergency medical transportation.

In order to prevent any sort of infection, you have to be aware of the best practices of prevention. Here, in this blog, we bring you the best prevention management in ambulances during your medical transportation.
Proper Hand Wash

  • Hygiene practices start with your hands as they one may use them unknowingly or knowingly on every occasion.
  • Ensure you wash your hands before and after the ambulance transportation.
  • Use gloves when you are inside the ambulance. Remember that you do not touch your mouth or eat anything with your gloves on.
  • This includes to the caretaker who is aboard along with the patient.

Use Face Mask

  • If the person who is being transported to the hospital, is suffering from the infective condition, make sure you use a face mask all the while.
  • People may become fragile when they are being transported and using a face mask will prevent all the prospective infections.
  • People will get infected through the organs. By wearing a mask, you protect yourself from the infections that enter your body through mouth and nose.

Cleaning and Sterilisation

  • Check if the ambulance is cleaned and the medical equipment are sterilised. These are simple things that you could check with common sense.
  • Ensure the stretcher is neat and clean before using it. Inform the paramedics if you are concerned about the cleanliness of any equipment on-board.
  • Make sure the bed and the sheets are clean before the journey in case if you are availing an ambulance for non-emergency medical transportation.
  • Observe if the medical staff is practising the safe methods while giving injections or infusing the fluids.

Things You Should Do After Availing Non-Emergency Ambulance

  • Dispose the mask and gloves before entering the house. You don’t want your loved ones are affected by the infections you brought from the hospital.
  • If you have just availed the non-emergency medical transportation, take a bath if your health condition allows.
  • In case if your health does not allow you to take a bath, ensure your body is cleaned with a sterilised cloth.
  • You may seek the help of home healthcare providers to ensure hygiene during and after the non-emergency medical transportation.

Non-Emergency Ambulances are the best means of medical transportation for all your medical needs. They are convenient and comfortable, addressing all the health needs a person with low immunity levels may require. However, it is your great responsibility to ensure your loved ones are transported in the safest manner. Follow these tips to provide the best ambulance transportation to your loved ones.

Demand for Non-Emergency Ambulance Service

A recent study has revealed that the total population in India would increase at a rapid pace during the period between 2000 and 2033. As a result, the estimated number of senior citizens will increase by 21%. It is a clear indicator, as we need to gear up in offering utmost medical care for them. One of the effective ways in providing adequate medical treatment for the elderly is to schedule regular appointments with the doctor via non-emergency medical transportation or in short NEMT.

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Most of the senior citizens are facing huge challenges in traveling to longer distances through standard vehicles such as private buses and cars. It is during this period of time where non-emergency ambulance services come into the scene. They will be well equipped with ultra modern medical equipments including oxygen cylinders. The senior citizens will be escorted to their desired location by a team of highly skilled health care professionals and paramedics.

What is meant by the term non-emergency medical transportation?

A non-emergency medical transportation is specially designed to provide comfortable means of transportation of those individuals who are suffering from chronic diseases and mobility issues. The customer services include escorting or transporting a patient back and forth from a health care center. The non-emergency ambulance, which is operated by a professional driver, is well equipped with all basic facilities needed for a patient.

What are the hidden challenges for a non-emergency medical transportation?

As the population across the globe is increasing at an alarming rate, the need for non-emergency medical transportation has become a necessity in our daily life. It is very hard to imagine without the presence of such kind of medical transportation in case of non-emergencies. It has emerged as one of must required medical need, especially amongst the senior citizens and those people who are facing severe health issues.

Owing to time constraints, most of the people wish their parents be transported or escorted to a desired location with the help of non-emergency medical transportation. Most of the people who are raising their kids do require the support of non-emergency ambulance services. It is very essential to keep them physically fit, safe and secure.

Types of non-emergency medical transportation

The non-emergency medical transportation comprises of both private as well as municipal operators, which offer transportation via road and air. They are primarily utilized only in non-emergency circumstances. Both these modes of transportation consist of state-of-the-art life saving medical equipments, which is accompanied by a team of highly qualified doctors as well as nurses.It is an ideal mode of transportation for those people who are below the poverty line and have limited access to various health care clinics and hospitals.

At present, the demand for non-emergency medical transportation is increasing due to rise in population and as a result, this kind of medical services has become a necessity in everyday life of an individual. People who are suffering from chronic diseases requires this mode of transport.

The Different Types of Medical Transportation

The role of medical transportation becomes very significant in an emergency situation, but the non-emergency transport services are equally important for certain population like elderly, people who could not take part in log-distant journeys, or people residing in areas where transportation remains a challenge. In a developing country like India, such situations are common.

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What are the modes of medical transportation?
The mode of medical transportation depends upon the type of service required that is emergency or non-emergency.
Below is a look at some of the different options in this wide-ranging service:

Road Ambulance
Road ambulance is used to transport patients in emergency situation who need immediate medical care and patients who have psychiatric conditions. Ambulances are equipped with paramedical staff trained in providing immediate care. It’s used to transport patients to hospitals during emergencies and to transport patients with psychiatric conditions.

Non-Emergency Ground Ambulance
These are the perfect mode for patients who can walk but are not well and also for patients who are physically impaired. Non-Emergency ground services also serve a good medium for people who need some travel assistance/supervision but does not need the care level of any emergency. These vehicles are equipped with all of the necessary tools required to make your ride comfortable and to provide you with a limited amount of medical care to and from the medical facility. Ambulances for transportation are staffed by trained medical professionals that are accustomed to assisting patients with a variety of different ailments and medical conditions.

Wheelchair Accessible Vehicles
These vehicles can be used by people who are wheelchair bound. Having lifts facility, they ensure that you and your wheelchair arrive at your final destination safely. With the use of an electric lift, the patient can be loaded while they are seated in the wheelchair and remain in the wheelchair for the trip.

Air Ambulance
Air medical dispatch is used to move a patient in emergency needs by an aircraft. It acts as a life saver for people seeking immediate medical care residing in remote areas or in urban areas where medical facilities are not adequate. The air ambulance transfer exposes the patient to additional risks besides involving huge expenses. There should be at least two competent care providers with the patient depending upon the critical care need of the patient.

Non-Emergency Air Ambulance
Used for domestic and international travel, this mode is best suited for patients who are in stable condition, but needs fairly involved transportation assistance and cannot for one reason another use ground transport.

Guidelines for Air Ambulance Medical Dispatch

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What is Air Medical Dispatch?

Air medical dispatch is used to move patient in emergency needs by an aircraft. It acts as a life savior for people seeking immediate medical care residing in remote areas or in urban areas where medical facilities are not adequate.
Air medical dispatch involves a number of risks for the patient that may lead to worsening of the patient’s health status; hence, the discretion for air ambulance need should always be justifiable. There are standard International guidelines for air medical dispatch which is quite difficult to be followed in India mainly due to lack of standardization in medical care across the country. Nevertheless, there are some key guidelines that must be followed while implementing air medical dispatch.

Decision for air medical dispatch

As already discussed, the air ambulance transfer exposes the patient to additional risks besides involving huge expenses. This decision is usually done after an in-depth discussion within the hospital team and the family members.

Stabilization of the patient and adequate preparation for transfer

Before prosecuting any air transfer, it is very important to have the patient into a clinically stabilized condition. This reduces chances of any untoward medical event in the course of journey. Adequate preparation should be done to provide all the resuscitation facility required as per the patient’s condition including ABCDE approach or airway, breathing, circulation and disability approach to treat the patient.

Accompanying the patient

There should be atleast two competent care providers with the patient depending upon the critical care need of the patient. The following guidelines have been laid down to ensure complete safety of the patient:
Level 0: These patients are equivalent to hospital ward patients and do not need to be accompanied by any specialized person.
Level 1: These patients have chances of deterioration in their health condition during the transfer. An acute ward setting is required and they must be accompanied by a competent paramedical staff or a nurse.
Level 2: These include those patients who have single organ failure. They should be under complete observation of competent personnel during the transfer.
Level 3: These are highly critical patients requiring respiratory support and have witnessed two organ system failure. Such patient can only be transferred along with a competent doctor, nurse and paramedical staff.

Continuous Monitoring of the patient

It is very important to continuously monitor the patient and keep the craft equipped with the lifesaving drugs and equipment for resuscitation. This includes all patients within level 1, 2 and 3 critical care. A proper monitoring with the provision of all lifesaving drugs is mandatory for transfer of all patients with level 1, 2 and 3 critical care needs.

Patient Record or documentation

Proper record or documentation should be done for each and every step of the process. Since, this document may be required in case of any legal issues related to the air transfer, all details pertaining to the patient’s status and other details like reason for air dispatch, details of the referring doctor, details of the referred doctor or hospital, any adverse event during the transfer and the treatment given for that; all should be clearly documented.

Temperature

The inside of the aircraft is maintained at a low temperature using the air conditioners. This can lead to hypothermia or sudden fall in body temperature of the patient. Neonates are too susceptible for this condition. Hence, it is very important to cover the patients with blanket to keep their body warm during the air transfer.

Height or the level of the air ambulance

The more the altitude of the craft, lesser is the fraction of inspired oxygen level. The flying levels are different for rotor wing (2000-5000 feet above sea levels) and fixed wing (15000-40000 feet above sea level) air ambulances. The guidelines suggest there should be pressurized air cabins for crafts flying above 10,000 feet above the sea level.