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PAGE 360 February 25 to March 3, 2011Topics Discussed This Week

As we have interactive sessions on dailybasis in all shifts. This week also all shiftsparticipated with enthusiasm in allsessions occurred. Protocols were

assigned to each emergency medicaldispatcher. This week seven protocolswere assigned. Each day one protocolwas discussed in every shift

Breathing ProblemDiabetic ProblemsFallsBack PainOverdose / PoisoningAbdominal PainStroke

Best Case Of The Week

E.C # 114506

Call Time: 0919 Hours

EMD: Lubna

Chief Complain Protocol: Pregnancy

Total Call Duration: 12 minutes

Dispatch Code: 24-D-3

Patients Age: 28 years

Gender: Female

SUMMARY:

An emergency call was received by an EMD Lubna at0919 hours from Bhains colony with a complain of Child Birth in which the patient was having labourpains with nine months pregnancy, as the caller wasnot with the patient on the moment he called soEMD Lubna took the initiative to seek help to thepatient so she took the number of the personpresent with the patient and followed protocol Fwith great liability.

Although the baby did not get delivered at home butshe still remained on line with the patient till our

ambulance crew arrived which left the caller muchmore satisfied with our services.

Emergencies Analysis For The Month Of February

TOTAL EMERGENCIES 8112ALPHA 1989 24%BRAVO 1393 17%CHARLIE 2429 30%DELTA 2211 27%ECHO 45 1%OMEGA 45 1%

AVERAGE PER DAY EMERGENCIES 290AVERAGE PER HOUR 12AVERAGE PER SHIFT 97

Protocol Of The WeekBreathing Problem

The process of respiration, during which air is inhaled into the lungs, through the mouth or nose due to musclecontraction, and then exhaled due to muscle relaxation. Any problem occurred during this phenomenon isrestively called Breathing Problem

COMMON CAUSES OF Breathing Problem:

Heart attackCongestive heart failureAsthmaPneumoniaLung disorders

Blood clot in the lung or pulmonary embolismCarbon monoxide poisoningAsphyxiation caused by smoke inhalationAnesthesia complications during surgeryAnaphylactic shock syndrome (life threatening allergic reaction)Lack of oxygen to the brain at high altitudesDrowning, StrangulationVery low blood pressureInjury to the neck, chest wall or lung

a. Breathing problems are usually more severe in the very young and the very old.

b. Often a patient exper iencing a cardiac event such as myocardial infarction (M.I.) will complain of difficultybreathing.

c. Breathing problems should always be considered a high level medical emergency.

d. The previous medical history should be relayed to the responding units.

3. Common Symptoms Described by Caller (presentation)a. Difficulty breathing, wheezing, shortness of br eath, noisy breathing, "fighting for air," gasping for air, etc.b. Anxiety, change in skin color.c. Excessive coughing

Instructions Commonly Provided:

Keep airway clear

Do not give food or drink.

Let patient assume position of comfort (usually sitting-up).

Calm and reassure patient.

Keep the patient warm (maintain body temperature).Call back if the patient's condition changes before help arrives.

Lock all pets away because they may interfere with instructions given or attack responding personnel.

EMDs of the Month (Feb)

Atif Alam Gil

Merab Bramuel

CWO of the Month (Feb)Abdul Rauf

Raheel Ahmed

Shift of The Month (Feb)The Aman Warriors

How to perform CPR

These are the steps to perform adult CPR start as soon aspossible for the maintenance of chain of survival

Here's How:

1. Attempt to wake victim. If the victim is notbreathing/unconscious (or is just gasping for breath), call 111-11-2626 immediately and go to step 2. If someone else isthere to help, one of you calls 111-11-2626 while the othermoves on to step 2.

2. Begin chest compressions. If the victim is unconscious/ notbreathing, place the heel of your hand in the middle of hischest. Put your other hand on top of the first with your fingersinterlaced. Compress the chest at least 2 inches (4-5 cm).Allow the chest to completely recoil before the nextcompression. Compress the chest at a rate of at least 100pushes per minute. Perform 30 compressions at this rate(should take you about 18 seconds).

If you are not trained in CPR, continue to do chestcompressions until help arrives or the victim wakes up.

It's normal to feel pops and snaps when you first begin chestcompressions - DON'T STOP! You're not going to make thevictim worse.

3. Begin rescue breathing. If you have been trained in CPR,after 30 compressions, open the victim's airway using thehead-tilt, chin-lift method. Pinch the victim's nose and make aseal over the victim's mouth with yours. Give the victim abreath big enough to make the chest rise. Let the chest fall,and then repeat the rescue breath once more. If the chestdoesn't rise on the first breath, reposition the head and tryagain. Whether it works on the second try or not, go to step 4.

If you don't feel comfortable with this step, just continue todo chest compressions at a rate o f at least 100/minute.

4. Repeat chest compressions. Do 30 more chestcompressions just like you did the first time.

5. Repeat rescue breaths. Give 2 more breaths just like youdid in step 3 (unless you're skipping the rescue breaths).

6. Keep going. Repeat steps 4 and 5 for about two minutes(about 5 cycles of 30 compressions and 2 rescue breaths).

7. After 2 minutes of chest compressions and rescue breaths,stop compressions and recheck victim for breathing. If thevictim is still not breathing, continue CPR starting with chestcompressions.

8. Repeat the process, checking for breathing every 2 minutes(5 cycles or so), until help arrives. If the victim wakes up, you

can stop CPR.

Tips:

1. Chest compressions are extremely important. If you are notcomfortable giving rescue breaths, still perform chestcompressions!

2. If the victim is breathing, b riskly rub your knuckles againstthe victim's sternum. If the victim does not wake, call 111-11-2626

If the victim wakes up, but is confused or not able to speak,call 111-11-2626.

Feedback Calls

Feedback calls are made to attendants andpatients. Callers are asked about their serviceexperiences with Aman Foundation.

Callers gave their valuable feedbacks which canbe motivation booster for The AmanFoundation:

Majority of the callers shared theirsuggestion about charges. According tothem if Aman Foundation would havecharged them more, still they wouldhave used our services. On other handvery few said charged should not bemore than two hundred rupees.

Unsatisfactory comments receivedregarding EVOS driving whileemergencies.

Majority of them praised the people of The Aman Foundation for such a kind,philanthropic and generous services.

Eleven CPR Performed ThisWeek by EmergencyMedical Dispatchers