Prehospital Emergency Medical Services in Malaysia

Hisamuddin, N A R Nik; Hamzah, Mohd S. Che; Holliman, C. James

doi:10.1016/j.jemermed.2006.08.021

Cited by 36 publications

(30 citation statements)

References 7 publications

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“…The system was made to be public friendly and has proven to be very useful for early activation of the emergency medical services in cases of emergencies including disasters [28]. Nonetheless, since the launching of this number there was higher prevalence of prank calls as compared to actual emergency.…”

Section: 21universal Emergency Numbermentioning

confidence: 99%

Challenges of communication system during emergency disaster response in Malaysia: A review

Azmani¹,

Juliana²,

Idrose³

et al. 2018

J. Fundam and Appl Sci.

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The purpose of this review is to provide the overview of available systems and potential future systems for communication during disaster in Malaysia. Electronic searches in major subject loci databases such as MEDLINE (via PUBMED), Ovid, Science Direct, Scopus, IEEE Xplore digital library and Springer are used in conducting the reviews. The major challenge is to integrate between readily available communications systems at pre-disaster, during disaster and post-disaster. Therefore, this review will further provide information for the policy makers, responsible personnel as well as researchers on the vulnerability of the communication systems during disaster and the future direction of effective communication system in Malaysia.

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Section: 21universal Emergency Numbermentioning

confidence: 99%

Challenges of communication system during emergency disaster response in Malaysia: A review

Azmani¹,

Juliana²,

Idrose³

et al. 2018

J. Fundam and Appl Sci.

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“…Chest compression without mouthto-mouth ventilation is perhaps more acceptable to the public and easier to perform and teach. Studies on the prevalence of bystander CPR in Kota Bharu community in Kelantan, Malaysia, showed poor public response to initiate early CPR following OHCA and poor outcome (Hisamuddin et al 2007;Chew et al 2008a The aim of the present study was to determine the prevalence of bystander OHCA CPR and to identify the baseline survival rate of OHCA patients managed in the ED of Universiti Kebangsaan Malaysia Medical Centre (UKMMC).…”

Section: Introductionmentioning

confidence: 92%

Outcome of Early Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest Managed in Universiti Kebangsaan Malaysia Medical Centre

Ismail¹

2016

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ABSTRAK Mangsa serangan jantung di luar hospital (OHCA) memerlukan bantuan bantu mula jantung (CPR) dan defibrilasi dengan segera sebelum ketibaan di Jabatan ABSTRACTOut-of-hospital cardiac arrest (OHCA) patients require immediate cardiopulmonary resuscitation (CPR). Early initiation of CPR and defibrillation before arrival at Emergency Department (ED) increases the chance of survival from sudden cardiac arrest. The main objective of this study was to identify the factors that influenced the outcome of early cardiopulmonary resuscitation (CPR) in out-of-hospital cardiac arrest (OHCA) patients managed at the ED of Universiti Kebangsaan Malaysia Medical Centre (UKMMC). The second objective was to determine the incidence of CPR initiated by the public prior to ambulance arrival. The present study was a one-year cross-sectional study. The OHCA patients were identified from the ED resuscitation logbook. Patients' medical records were used to obtain details of the resuscitation. Factors recorded included: aetiology of arrest, initiation of on-scene CPR, use of automated external defibrillators (AEDs), mode of transportation and the incidence of return of spontaneous circulation (ROSC) in the ED. Categorical data was analysed using chi-square and Fisher exact tests. Nine patients out of 98 had early CPR. Three patients achieved ROSC. Gender was significantly associated with ROSC (p-value=0.015). More patients who received early CPR achieved ROSC compared to those who received late CPR. The provision of early CPR and usage of AEDs by the public is still low. Female gender had a positive influence on ROSC. Efforts are required to increase the awareness and involvement of the public in initiating early CPR prior to the arrival of ambulance service.

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“…The paramedics staffing the ambulances have formal training in general paramedical sciences, but are not necessarily trained in prehospital care (Hisamuddin et al 2007). Most of the time, the driver has no formal medical training and neither is he a specifically trained to handle ambulances or EMS vehicles.…”

Section: Trainingmentioning

confidence: 99%

“…Another problem that we face is the lack of uniformed EMS communication between different agencies. Each individual agency is relying on their own communication system of call-receiving and dispatching of EMS teams (Hisamuddin et al, 2007). This can potentially result in incoordination, inappropriate transfer, overlapping and wastage of resources (for example, when more than one ambulance arrives at the site of accident to transport one victim).…”

Section: Communicationmentioning

confidence: 99%

“…However, the ambulance response time in Malaysia varies from approximately 15.2 min to Clinical 25.6 min depending on the location and traffic congestion (Hisamuddin et al, 2007) which may indicate that public members play a crucial role in starting bystander CPR prior to the arrival of ambulances. In a small recent study, we found that bystander CPR was only performed in 9% of outof-hospital non-traumatic adult cardiac arrest cases (Chew et al, 2008b).…”

Section: Introduction To Malaysiamentioning

confidence: 99%

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Prehospital care in Malaysia: issues and challenges

Chew

Chan

2011

International Paramedic Practice

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Prehospital care is defined as the phase of patient care from the point of injury or illness to the place of definitive treatment. As such, it is imperative that the right patient is transported to the right place of care within the right time frame via the right mode of transportation by the right personnel. In this article, the authors explore seven components that are essential in the initial stage of any prehospital care system development, viz., the components of manpower, training, communication, transportation, facilities, access to care and coordinated patient record keeping. The authors then address issues and challenges in these seven components within the Malaysian context. Because of geopolitlcal and logistic differences from one locality with another, it is not possible for a "one-size-fit-all" solution to these issues and challenges within Malaysia. Ultimately, any effort to develop the prehospital care system should not be a mere stop gap measure, rather, it should address fundamental root problems in order to ensure sustainability and continuity of effort.

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Prehospital Emergency Medical Services in Malaysia

Cited by 36 publications

References 7 publications

Challenges of communication system during emergency disaster response in Malaysia: A review

Challenges of communication system during emergency disaster response in Malaysia: A review

Outcome of Early Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest Managed in Universiti Kebangsaan Malaysia Medical Centre

Prehospital care in Malaysia: issues and challenges

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