injuryhas
India been witnessing and registering a huge increase in
deaths, hospitalizations and disabilities in recent years.
Today injuries are a major public health problem across Indian
cities and villages. Emergency management (or disaster
management) is the discipline of dealing with and avoiding
risks.
 Every year, nearly a million deaths occur due to road
traffic injuries, falls, burns, poisoning, drowning, suicide,
work place/occupational injuries, disasters, violence, and
others. For every death, nearly 30-50 people are
hospitalised and 50-100 require emergency medical care.
 An injury, by definition, means “the occurrence of tissue or
organ damage due to sudden transfer of energy from
physical, chemical, mechanical, thermal and radiant forces
beyond the physiological tolerance of an individual.
108 – EMRI services in the city

GVK EMRI (Emergency Management and Research

Institute) is a professional organization operating in the
Public Private Partnership (PPP) mode, to provide
emergency service.
 
 It handles medical, police and fire emergencies
through the “108 Emergency service”. This is a free
service delivered through emergency call response
centres and has over 1900 ambulances across several
states of India.
 In Bangalore, it provides emergency service, whenever
called upon and transfers patients to nearby hospitals.
(http://www.emri.in/)
Prehospital care

Prehospital care includes several related activities like effective

communication, first aid and stabilisation, safe transportation,
early triaging, proper referral along with proper documentation
of information.
 
 Acute in-hospital care aims at immediate management of
injured through recognition of injuries, triaging, investigative
and managerial care, and facilitating recovery.
 
 The standard steps of initial assessment, emergency care,
critical management, and appropriate referral should be
followed. Many supportive factors like public education, data
collection and research play a vital role in shaping and
improving quality of care.
List of Emergency Numbers

Fire                                                        101
Ambulance                                              102
Comprehensive Trauma Consortium           1062 / 25202222
Jayadeva Heart Brigade                            1051
Rotary Life Saving Brigade                        1050
EMRI                                                       108
Helping Hand                                           23535787
Makkala Sahayavani                                  1098
Senior Citizens                                         1090
Suicide Prevention – SAHAI                        25497777
Vanitha Sahayavani                                   1091
A Cure For Incurables Clinic                       22229141
Asha Foundation                                       23543333
Freedom Foundation                                25440135 / 25443101
Many other ambulance services exist
 
Ambulance services in India
• Centralised Accident and Trauma Services  – Delhi
• Highway traffic Aid Centre      – Haryana
• Highway trauma centers – basic & advance  in Tamilnadu
• Lifeline foundation – Gujarat, Maharashtra, West Bengal, Kerala,
Uttarakhand and Rajasthan.
• 1298 Ambulance service, Mumbai
• Pune Heart brigade
• Mumbai Ambulance Access For All – off. agency for EMS Mumbai
• Apollo Hospitals emergency care services
• Kerala – Ambulance Access for All
• EMRI – Ambulance services across states
• Comprehensive trauma Consortium – Bangalore,
   Vellore and Coimbatore
• Arogya Kavatcha- Karnataka
• Disaster Management Authority Facilities
   
 First aid skills
Certain skills are considered essential to the provision of first
aid. To remember what they are the memnonic ABCD’s is used.
 
 The first three stand for Airway, Breathing, and Circulation,
which is the same memnonic (a word, symbol, or image
trigger to help you remember) used by emergency health
professionals.
 
 Attention must be first brought to the airway passage to
ensure it is clear. Choking, is a life threatening emergency, so
do learn the Heimlich Maneuver to address it.
 
 Circulation is now usually carried out for patients who are not
breathing using mouth to mouth CPR, and going straight to
the chest to apply chest compression strokes.
 

 
  

Tongue blocking airways -- In case of tongue fallen

backwards, blocking the airway, it is necessary to
hyperextend the head and pull up the chin, so that
the tongue lifts and clears the airway.
 

 
Prevent Further Harm
The overriding aim of all medical care including First Aid, is to save
lives.First -aid kit playing very important role in emergency management .
 
 A FIRST AID KIT that is large enough to include: iodine, gauze, large-
small bandaids, insecticide, antibacterial spray, antibiotic, wound
healing medicine, ace bandage, sterile cotton, Q-Tips, aspirin (or
alternative you prefer).
 
 To this KIT add: hot and cold packs (the ones you crunch to activate)
bone setting items, wound suturing items, organic Lavender Essential
Oil (soothing, calming),  the cream for burns, sprains, bruises, the
extract drops on the tongue for shock and acute symptoms ,safety
pins, needle and thread, magnifying glass, anything else you like in
your first aid kit.
 
 ADDITIONAL ITEMS - Include battery-powered and  ham radio (if
possible ), extra batteries, trash bags, regional maps, personal
sanitation or specific family needs, extra towels, handkerchiefs, space
blankets for each family member ,two blue tarps, rope, string, 2 large
match boxes, and medical masks to protect against air-quality
problems and infections.
 Aniruddha’s Academy of
Disaster Management    (AADM)
Aniruddha’s Academy of Disaster Management (AADM) a
premier non-government organization  holding 7 days
certificate course in Disaster & Emergency Management at its
Central Office Mumbai on monthly basis at totally free of cost
 The course would cover basic disaster management topics
from academic and practical perspective viz., First-Aid,
Fire Fighting, Bandages, Casualty Lifting Methods, CPCR
(Cardio-Pulmonary & Cerebral Resuscitation),
Search & Rescue, Crowd Control, Communication & Co-
ordination, Leadership, Situation Reaction, Nuclear-Chemical-
Biological Warfare, Psychological Counseling, Animal Attack
Cases, etc.