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Topics Discussed This Week
As we have interactive sessions on daily
basis in all shifts. This week also all shifts
participated with enthusiasm in all
sessions occurred. Protocols were
T assigned to each emergency medical
dispatcher. This week seven protocols
were assigned. Each day one protocol
H was discussed in every shift
 Breathing Problem
 Diabetic Problems
E 

Falls
Back Pain
 Overdose / Poisoning
 Abdominal Pain
 Stroke
A possible for the maintenance of chain of survival
Feedback Calls
M 1. Attempt to wake victim. If the victim is not
Feedback calls are made to attendants and
A patients. Callers are asked about their service
experiences with Aman Foundation.
Callers gave their valuable feedbacks which can
N be motivation booster for The Aman
Foundation:
 Majority of the callers shared their
suggestion about charges. According to
them if Aman Foundation would have
charged them more, still they would
have used our services. On other hand
F very few said charged should not be
more than two hundred rupees.
 Unsatisfactory comments received
O regarding EVOS driving while
emergencies.
U  Majority of them praised the people of
The Aman Foundation for such a kind,
philanthropic and generous services.
N 
D Best Case Of The Week
E.C # 114506
A Call Time: 0919 Hours
EMD: Lubna
T Chief Complain Protocol: Pregnancy
Total Call Duration: 12 minutes
I Dispatch Code: 24-D-3
Patients Age: 28 years
O Gender: Female
SUMMARY:
N An emergency call was received by an EMD Lubna at
0919 hours from Bhains colony with a complain of
Child Birth in which the patient was having labour
pains with nine months pregnancy, as the caller was
not with the patient on the moment he called so
EMD Lubna took the initiative to seek help to the
patient so she took the number of the person
present with the patient and followed protocol “F”
with great liability.
Although the baby did not get delivered at home but
she still remained on line with the patient till our
ambulance crew arrived which left the caller much
more satisfied with our services.
February 25 to March 3, 2011
Emergencies Analysis For The Month Of February EMD’s of the Month (Feb)
Atif Alam Gil
TOTAL EMERGENCIES 8112
ALPHA 1989 24% Eleven CPR Performed This
BRAVO 1393 17%
CHARLIE 2429 30% Week by Emergency
DELTA
ECHO
2211
45
27%
1% Medical Dispatchers
1%
OMEGA 45
How to perform CPR
These are the steps to perform adult CPR start as soon as
Merab Bramuel
Here's How:
breathing/unconscious (or is just gasping for breath), call 111-
11-2626 immediately and go to step 2. If someone else is
there to help, one of you calls 111-11-2626 while the other
AVERAGE PER DAY EMERGENCIES 290
moves on to step 2.
2. Begin chest compressions. If the victim is unconscious/ not
breathing, place the heel of your hand in the middle of his
AVERAGE PER HOUR 12
chest. Put your other hand on top of the first with your fingers
AVERAGE PER SHIFT 97 interlaced. Compress the chest at least 2 inches (4-5 cm).
Allow the chest to completely recoil before the next
compression. Compress the chest at a rate of at least 100
pushes per minute. Perform 30 compressions at this rate
(should take you about 18 seconds).
CWO of the Month (Feb) If you are not trained in CPR, continue to do chest
Abdul Rauf compressions until help arrives or the victim wakes up.
Protocol Of The Week
Breathing Problem It's normal to feel pops and snaps when you first begin chest
compressions - DON'T STOP! You're not going to make the
victim worse.
The process of respiration, during which air is inhaled into the lungs, through the mouth or nose due to muscle
contraction, and then exhaled due to muscle relaxation. Any problem occurred during this phenomenon is
restively called Breathing Problem
3. Begin rescue breathing. If you have been trained in CPR,
after 30 compressions, open the victim's airway using the
head-tilt, chin-lift method. Pinch the victim's nose and make a
COMMON CAUSES OF Breathing Problem:
 Heart attack
seal over the victim's mouth with yours. Give the victim a
breath big enough to make the chest rise. Let the chest fall,
and then repeat the rescue breath once more. If the chest
 Congestive heart failure doesn't rise on the first breath, reposition the head and try
 Asthma

Pneumonia
Lung disorders
again. Whether it works on the second try or not, go to step 4.
If you don't feel comfortable with this step, just continue to
 Blood clot in the lung or pulmonary embolism
do chest compressions at a rate of at least 100/minute.
 Carbon monoxide poisoning



Asphyxiation caused by smoke inhalation
Anesthesia complications during surgery
Anaphylactic shock syndrome (life threatening allergic reaction)
Raheel Ahmed
4. Repeat chest compressions. Do 30 more chest
compressions just like you did the first time.
 Lack of oxygen to the brain at high altitudes 5. Repeat rescue breaths. Give 2 more breaths just like you
 Drowning, Strangulation


Very low blood pressure
Injury to the neck, chest wall or lung
did 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).
a. Breathing problems are usually more severe in the very young and the very old.
b. Often a patient experiencing a cardiac event such as myocardial infarction (M.I.) will complain of difficulty
7. After 2 minutes of chest compressions and rescue breaths,
stop compressions and recheck victim for breathing. If the
breathing. victim is still not breathing, continue CPR starting with chest
compressions.
c. Breathing problems should always be considered a high level medical emergency.
8. Repeat the process, checking for breathing every 2 minutes
d. The previous medical history should be relayed to the responding units. (5 cycles or so), until help arrives. If the victim wakes up, you
can stop CPR.
3. Common Symptoms Described by Caller (presentation)
a. Difficulty breathing, wheezing, shortness of breath, noisy breathing, "fighting for air," gasping for air, etc.
b. Anxiety, change in skin color.
Tips:
c. Excessive coughing
Shift of The Month (Feb) 1. Chest compressions are extremely important. If you are not
The Aman Warriors comfortable giving rescue breaths, still perform chest
 Instructions Commonly Provided: compressions!
 Keep airway clear
 Do not give food or drink. 2. If the victim is breathing, briskly rub your knuckles against
the victim's sternum. If the victim does not wake, call 111-11-
 Let patient assume position of comfort (usually sitting-up). 2626
 Calm and reassure patient. If the victim wakes up, but is confused or not able to speak,
call 111-11-2626.
 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.