Sunday, September 09, 2007

SJAM North-South Expressway Emergency Ambulance Service (Part 1)

Date : 8th September 2007
Time : 2pm - 10pm
Venue : SJAM National Headquater, Jalan Shelley, Off Jalan Peel, Kuala Lumpur

2.00 pm Approach Pre-Hospital Trauma Victim
3.00 pm The Proper Way of Using & Handling Ambulance
4.00 pm Hazardous Material (HAZMAT) Indetification & Management
5.15 pm Triage Management
7.00 pm Dinner
8.00 pm Skill Station (Airway Management, Collar Application, Oxygen Administration, Spinal Board - Scoop Sretcher and Kendrick Extrication Devices (KED)

Today went to attend a training course of Expressway Emergency Ambulance Service (Exp Emas). It's was my first time attend such course in national level as previous years i only attend in area level only. There is a lot of new things to learn especially handling the equipment and most important ambulance handling.

The first lecture was "Approach Pre-Hospital Trauma Victim" by Dr. Ismail from Hospital University Kebangsaan Malaysia (HUKM). To summarize, it's only have a few easy step which is "Scene Size-Up", "Basic Trauma Survey", "Critical Interventions & Transport Decision" and "Detail & Ongoing Examination". In this topic, came across a funny but yet a knowledgeable phrase, which is called "U HENTAM". Sound like want to beat somebody else. Actually it's a procedure to do during "Scene Size-UP". The "U HENTAM" stand for :

U - Universal Precaution
H - Hazard Presence
E - Extra Help Needed
N - Number of Victim
T - Type of Incident
A - Accessibility to Victim
M - Mechanism of Injury (MOI)

Besides, the lecturer explained to us bout the aim of it, what need to be do, the important tips, the initial assessment, how to do a rapid trauma survey & focus examination, what priority to be given when transporting patient and decision on type of transportation.

Then came to second lecture about ambulance which was giving by Mr. Nah. He is one of the trainer who provide training for ambulance driver in KL for St. John Ambulans Member especially those in Emergency Ambulance Service (EMAS). He told us bout the history of ambulance. (I never know the history of ambulance before) According to him, ambulance first started during American civil war where that time it's using the man power to carry the casualty to sickbay in their military base. Then it's was upgraded by using horse power then finally to motor arcade power after the motor engine was invented. An Ambulance mean a vehicle with special equipment, used for taking sick & injured people to the hospital. In his lecture, he strongly told us not to race & overload the ambulance eventhough it's during emergency. Own safety come first. If one drive ambulance so fast, might end up ownself to get accident. Instead of saving people, other people have to come save them. There is one phrase that he say which is "Get the right patient, to the right place, with the right time". *ROFLMAO*

Then, follow by Mr. Andy giving the lecture on "Hazardous Material (HAZMAT) Indetification & Management". This lecture kinda boring cos it's alot of terms in chemistry and some i dont even know what the heck is that. Therefore, i'm not going to say this more.

Then we have the last lecture of the day which is "Triage Management" by Dr. Siva. (He can speak cantonese and mandarin VERY fluent). Basically "triage" is mean sorting out or priority. We have to use the method Respiration, Pulse & Mental Status (RPM) to determine it. It's have colour to determine which patient need to give priority. The colour are red, yellow, green and white or black.

RED TAG - INTERMEDIATE - all patients whose RPM is altered
YELLOW TAG - DELAYED - those whose RPM is intact and includes those with significant MOI
GREEN TAG - MINOR - These are the "walking-wounded"
BLACK/WHITE TAG - DEAD / DYING - MOrtally wounded and probably will die despite effort

There is a lot more which i couldn't remember as too many terms. Anyhow, they will give us a CD of a lecturer. Therefore, we don't need to make much notes.

A set of Manikin for Airway Management Training.
Then we break for dinner and continue the course with some pratical and skill training. We learn bout the oxygen administration, Immobilize Set (Spinal Board, Cervical Collar & Neck Collar) and Airway Management. Anyhow, tomolo i will update more pictures and and Part 2.

Spinal Board Special For Spinal Injury

An adjustable
Cervical Collar

A Kendrick Extrication Devices

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