12/11/08

Introduction: Community Ambulance

Today, we would like to introduce Medic 42, our community ambulance.






There was a so-called "Ambulance" in the community. We heard it was a donation from a Rotary Club. Unfortunately, community didn't have proper management system to maintain this ambulance.


When this ambulance was seriously broken and nobody in the community could cover the cost for repair, we suggested that we can pay for the cost but we would like to supervise the management of this ambulance. Since then, we have been keeping our eyes on this ambulance so that the ambulance is properly maintained and used as "Ambulance" but not for any other purpose. We have also been paying for ambulance driver's salary.

[Community Ambulance; Before TICO's modification]

It used to equip a stretcher only. We could transfer patients but could not do much to keep patients stable. TICO, a Japanese NGO, our good partner in Cambodia, modified and equipped this community ambulance with necessary Basic Life Suport equipment in this year. Now we can provide at least basic prehospital care before and during transferring patient to a hospital.

[It used to be like this; had only stretcher]



[Now our community ambulance can provide Basic Life Support]



Our Health Center has not yet started operation, but we have been transferring number of patients from our area to Phnom Penh.


Since we started cooperation with TICO, we have been working together on patients' transfer from National Road No.4, where our site locates, to Phnom Penh. It takes at least 1 hour in emergency drive from our area to Phnom Penh. If we transfer a patient to Phnom Penh by our ambulance, we cannot respond to any other case for next 2 hours. There is no other ambulance available in 30 km radious of our area. Also, fuel cost for 2 hours round trip was a big burden.


In order to minimize those negative factors, TICO and we established link-up system. When we receive a patient, we communicate with TICO and TICO arrange a public ambulance in Phnom Penh and it comes along the National Road No.4 towards our area. We meet in the halfway point and pass the patient to the ambulance from Phnom Penh.

[Working together with TICO "Life Saving Project" team]


In this way, we can share the travel distance and travel cost. We can return to the base within an hour and can prepare for the next response. Cooperation with public ambulances through TICO "Life Saving Project" significantly ameliorate Emergency Medical Response along National Road No.4.

Emergency Medical Response System in Phnom Penh City is currently dramatically improved with the effort of Cambodian Government and also guidance from TICO. Now we can communicate with Phnom Penh City Emergency Call Center and they dispatch appropriate public ambulance from Phnom Penh.

After our Health Center starts operation, we will be able to improve our emergency medical response system more.