BACKGROUND
As EMS Legislation has become
a reality in India in the state of Gujarat,
formal state wide EMS (Emergency Medical Services) system will evolve. EMS legislation
will mandate training of personnel involved in emergency care and a cadre of
trained personnel will be required to man the ambulances and emergency
department at various hospitals providing emergency care.
The modern Emergency Medical
Services (EMS) system has been developed to provide what is known as
“Prehospital” or “out-of-hospital” care. Its purpose is to get trained
personnel to the patient as quickly as possible and to provide emergency care on
the scene, en route to the hospital, and at the hospital. The Emergency Medical
Technician (EMT) is a key member of the EMS team.
Internationally, there are set
standards for the skills and knowledge which an EMT (Emergency Medical
Technician) should possess in order to provide life support to the patient
before he reaches the hospital. There is a licensing authority to certify their
training and required skill set. There are paramedic Schools which provide basic
education and training to the EMT at different level.
CURRICULUM
DEVELOPMENT
There are no
Paramedic Schools in India and no formal agreement on the standards of education
that needs to be provided to EMT in India. “First National Consultation of
Trauma System Development in India” held by Government of Gujarat and attended
by national and international experts, medical colleges, public health experts
and WHO representatives debated on this issue. WHO guidelines were reviewed at
this consultation and consensus was reached on the level of training that should
be imparted to EMT in India.
Further to this
the EMT training institutions in USA were approached and partnership with New
York EMS with Long Island Jewish Health System, USA was worked out. A
preliminary field visits by US faculty was facilitated by R. Tolat-Apollo
Institute of Health Sciences in March 2006. This included hospital visits,
meeting with EMS Council of Ahmedabad, interview of the field personnel and
inspection of ambulances. The
US
faculty also met Commissioner of Health, Government of Gujarat. Subsequently in
consultation with local experts the curriculum was developed keeping in mind the
local requirements and capabilities. The curriculum is described later in the
document.
FACULTY
The faculty for
EMT course include senior US and Indian faculty members.
The US faculty
include the following:
Dr. Dario Gonzalez (Medical
Director, EMS New York)
Dr.
Peter Moyer (Medical Director, EMS
Boston)
Dr.
Kinjal Nanavati Sethuraman (Associate Director, International EM, NY LIJ
Hospital)
The Indian
faculty pool consists of about 20 local experts who offer NTMC and ACLS courses
for doctors in India. They include
COURSE STRUCTURE,
ELIGIBILITY & ENDORSEMENT
The Emergency
Medical Technician Course is a 6 months full time course which includes 3 months
internship with emergency departments at the leading hospitals in Ahmedabad
under supervision of the faculty. First three months are devoted to class room
teaching with skill training on models and manikins.
Eligibility
requirements are Graduation in any streams or Registered Nursing diploma.
The course is endorsed and
jointly certified by Long Island Jewish Health System and R. Tolat-Apollo
Institute of Health Sciences.