The HCM City Department of Health plans to set up more satellite emergency stations at public and private hospitals around the city to meet the increasing need for emergency assistance at people’s homes and other locations outside medical facilities.
|A patient gets treated by HCM City motorbike emergency service personnel at home. VNS/Photo Gia Loc|
The stations are managed by the 115 Emergency Centre.
Speaking at a meeting held to review emergency responses outside hospitals on Monday, Dr Nguyen Duy Long, the centre’s deputy head, said there are 31 stations covering all 24 districts of the city.
Of them, six -- the Sai Gon General Hospital, the Thu Duc District Hospital, the District 2 Hospital, the District 4 Hospital, and Linh Xuan and Linh Trung general clinics in Thu Duc District -- have motorcycle emergency services.
In the first six months of this year 13,961 calls were made to 115 seeking emergency assistance compared to 8,787 in the whole of 2015 when the first station was set up at the Sai Gon General Hospital.
When 115 gets a call, the operator transfers it to either the 115 Emergency Centre or a satellite station closest to the location of the caller.
The public can also call the satellite stations directly if they know the number instead of going through 115.
A doctor and a nurse are then dispatched by ambulance or motorbike to treat the patient on the spot or bring them back to the hospital if required.
But Long said: “They still fail to meet the increased demand.”
There is a shortage of ambulances, with only 11 available out of which only five are meant for daily use. The rest are used only during festivals and other major events in the city.
The centre’s connection with the satellite stations was not “good”, Long said.
He called for setting up a smart operation system to strengthen communication between the centre and stations.
This will enable the centre to know which stations have ambulances available at the time and how long the ambulance will take to reach the patient to come to their house and enter feedback on the quality of emergency aid, he said.
The data would be analysed periodically to develop the emergency network effectively, he added.
Dr Nguyen Huy Thang, chairman of the HCM City Stroke Association and head of the cerebrovascular diseases department at the People’s Hospital 115, said it was important to strengthen communication between hospitals and the medical emergency network to save lives, especially those with stroke.
The hospital’s study of more than 1,000 patients with stroke it treated in 2016 found that those brought by ambulance have a higher recovery rate than those brought by other vehicles.
However, only 10 per cent were brought by ambulance.
Le Bao Huy of Thong Nhat Hospital’s emergency department said only 8 per cent of 12,000 patients treated at his department came by ambulance.
Assoc Prof Dr Tang Chi Thuong, deputy head of the city Department of Health, said the department would suggest to the People’s Committee to provide the centre and stations with more ambulances.
The staff at the stations would be trained further and the department would petition the Ministry of Health to approve paramedic training courses at universities, he said.
In the absence of trained paramedics in the country the stations depend on doctors and nurses from the hospitals where they are located.