Establishing a successful pre-hospital emergency service in a developing country: experience from Rescue 1122 service in Pakistan

Waseem, Hunniya; Naseer, Rizwan; Razzak, Junaid Abdul

doi:10.1136/emj.2010.096271

Cited by 54 publications

(54 citation statements)

References 15 publications

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“…They used locally available infrastructure for all ambulances and other hardware. The pre-hospital assessment of stroke is not incorporated in this system [25]. …”

Section: Resultsmentioning

confidence: 99%

Strategies to Improve Stroke Care Services in Low- and Middle-Income Countries: A Systematic Review

et al. 2017

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Background: The burden of stroke in low- and middle-income countries (LMICs) is large and increasing, challenging the already stretched health-care services. Aims and Objectives: To determine the quality of existing stroke-care services in LMICs and to highlight indigenous, inexpensive, evidence-based implementable strategies being used in stroke-care. Methods: A detailed literature search was undertaken using PubMed and Google scholar from January 1966 to October 2015 using a range of search terms. Of 921 publications, 373 papers were shortlisted and 31 articles on existing stroke-services were included. Results: We identified efficient models of ambulance transport and pre-notification. Stroke Units (SU) are available in some countries, but are relatively sparse and mostly provided by the private sector. Very few patients were thrombolysed; this could be increased with telemedicine and governmental subsidies. Adherence to secondary preventive drugs is affected by limited availability and affordability, emphasizing the importance of primary prevention. Training of paramedics, care-givers and nurses in post-stroke care is feasible. Conclusion: In this systematic review, we found several reports on evidence-based implementable stroke services in LMICs. Some strategies are economic, feasible and reproducible but remain untested. Data on their outcomes and sustainability is limited. Further research on implementation of locally and regionally adapted stroke-services and cost-effective secondary prevention programs should be a priority.

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“…They used locally available infrastructure for all ambulances and other hardware. The pre-hospital assessment of stroke is not incorporated in this system [25]. …”

Section: Resultsmentioning

confidence: 99%

Strategies to Improve Stroke Care Services in Low- and Middle-Income Countries: A Systematic Review

et al. 2017

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“…These initiatives have involved formal and informal EMS systems, including research on ambulance systems and the provision of first aid courses to first responders. For example, a descriptive study from Pakistan showed neglect of EMS systems (82), and a prospective study from Nigeria showed that most RTI patients are brought to the hospital by relatives (71). Other prehospital studies in LMICs have investigated the training of EMS providers (7,47) and the community knowledge of available EMS services (6).…”

Section: Interventions For Unintentional Injuriesmentioning

confidence: 99%

Unintentional Injuries: Magnitude, Prevention, and Control

Ramirez

Hyder

Herbert

et al. 2012

Annu. Rev. Public Health

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The World Health Organization estimates injuries accounted for more than 5 million deaths in 2004, significantly impacting the global burden of disease. Nearly 3.9 million of these deaths were due to unintentional injury, a cause also responsible for more than 138 million disabilityadjusted life years (DALYs) lost in the same year. More than 90% of the DALYs lost occur in low-and middle-income countries (LMICs), highlighting the disproportionate burden that injuries place on developing countries. This article examines the health and social impact of injury, injury data availability, and injury prevention interventions. By proposing initiatives to minimize the magnitude of death and disability due to unintentional injuries, particularly in LMICs, this review serves as a call to action for further investment in injury surveillance, prevention interventions, and health systems strengthening.

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“…Rescue 1122 is an emergency service that offers ambulance, fire, emergency response teams, water rescue and safer community programme to over 80 million people in the Punjab [20,21]. The Punjab is the largest province of Pakistan, with 36 districts.…”

Section: Study Settingmentioning

confidence: 99%

“…The service operates in urban settings and works through a toll-free number 1122. It is state funded and operates over 24 hours, 7 days a week [20,21].…”

Section: Study Settingmentioning

confidence: 99%

Road traffic crashes in Ramadan: an observational study

Mn¹,

Macassa²,

Ah³

et al. 2013

East Mediterr Health J

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The aim of this study was to investigate trends in road traffic crashes (RTCs) managed by an emergency service, Rescue 1122, in 2011 in Punjab, Pakistan. RTC data were collected from 35 districts of Punjab and reviewed retrospectively. Data analysis revealed that the service responded to 12 969 RTC emergencies during August 2011 (Ramadan), compared with an average of 11 573 RTCs per month from January to August 2011. The younger age group (11-27 years) was victims in 29% of RTCs; 39% were due to speeding and 43% occurred in peak rush hours (14:00-18:00) before iftar (breakfast).Results of the study showed that Rescue 1122 faced more RTCs during Ramadan compared with the preceding months. Road safety is an important public health issue in Pakistan. Although there have been great improvements in roads in the past few years, much work needs to be done to deal with mounting trends in RTCs. Public awareness, political will and stringent law enforcement are key factors. Si des améliorations majeures ont été observées sur les routes ces dernières années, il reste beaucoup à faire pour s'attaquer à l'augmentation croissante des accidents de la circulation. Les facteurs clés sont la sensibilisation du public, une volonté politique et une stricte application de la loi. ‫رصد‬ ‫دراسة‬ ‫رمضان

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Establishing a successful pre-hospital emergency service in a developing country: experience from Rescue 1122 service in Pakistan

Cited by 54 publications

References 15 publications

Strategies to Improve Stroke Care Services in Low- and Middle-Income Countries: A Systematic Review

Strategies to Improve Stroke Care Services in Low- and Middle-Income Countries: A Systematic Review

Unintentional Injuries: Magnitude, Prevention, and Control

Road traffic crashes in Ramadan: an observational study

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