Lokmanya Comprehensive Emergency Medical Services System


In the Year 2001 Mumbai-Pune express highway was made fully operationlised, one of the best roads in India, made for the convenience of public, but In spite of best road engineering experts, 3 lanes made according to the speed of vehicles, there were accidents happening at rate of 5-10 accidents per day. A strong need was felt and Lokmanya pioneered in establishing Comprehensive Emergency Medical System first of its kind in India in the year 2000 with a mission to reduce mortality and morbidity due to Road traffic accidents and injuries, through prevention, improved Pre-hospital trauma care, improved hospital care, proved rehabilitation as also research and training.


There is no legislation for transporting accident victims and ambulance networking during the early phase of inception (1995-96). The people were in sensitive and afraid to help the road accident victims. Further there was lack of multi-sectoral coordination and partnership among all concerned in both public and private sectors, with the involvement of civil society like Hospitals. All stake holders from Medical, Police, media, Fire Dept, NGO’s Highway authorities and Govt. agencies were called for sensitization on Emergency Medical System and encouraged them for establishing Pune EMS consortium.


With the support of participating stakeholders Lokmanya EMS has sustained the effort for the common goal of reduced road accident morbidity and mortality and providing comprehensive trauma care. These sustained efforts have resulted into effective reduction in RTA mortality rate to .003304 on Mumbai – Pune express highways. Lokmanya EMS got quality certification of ISO -9000 -2001. Today Lokmanya EMS is providing this services to the states of Maharashtra, Gujarat and Punjab. Many National and International agencies have recognized the efforts and conferred with Shri Rajiv Gandhi Rashtriya Ratan Award and Mahindra Navistar “Transport Excellence Award 2011” for Alternative Thinking.


comprehensive Emergency & Trauma Care System


Our Mission

To reduce mortality and morbidity due to Road traffic accidents and injuries, through prevention, improved Pre-hospital trauma care, improved hospital care and improved rehabilitation as also research and training.


Our Aim

  • To establish International Standard Accident and Injury Prevention Centre based Research
  • To replicate Lokmanya model of Emergency Medical Services (EMS) in other parts of the country and abroad.
  • To undertake Research ,Training and Education on EMS & Trauma Care
  • To improve the education levels among the paramedics and doctors.
  • To provide EMS services to all National Disaster Medical Relief programmes.
  • To develop a national road safety strategy and plan of action.
  • To establish rapid transport facilities for Air lifting causalities.


Golden Hour Project

The first hour after accident is referred as Golden Hour which is utmost important in management of critically injured patient. Lokmanya launched a project called “Golden Hour Project” a much needed service for accident victims and critically ill patients of Pimpri – Chinchwad Industrial belt. This project was commissioned on December 2000.


The Components of EMS

  • Road Safety Awareness
  • Communication & Tracking (GPRS) Systems
  • Emergency Medical Services & Disaster Management
  • Level I Trauma Centre – Intensive Trauma & Critical Care
  • Rehabilitation

Regions Of Operation:

  • Maharashtra :
    1. Mumbai-Pune Expressway and NH-4 up to Satara.
    2. Pune-Nasik Highway-NH 50 up to Aalephata.
    3. 2 state Highways of 100 km and entire PCMC area approx population 22 lakh.
  • Guajrat :
    1. Dahisar- Surat national highway 260km.
  • Punjab :
    1. Amritsar-pathankot highway
    2. Amritsar-Jalandhar Highway
    3. Amritsar-Harike Highway.

Mobile Trauma Critical Care Units (MTCCU): (commissioned on April 4th ,2002)


The Mobile trauma & Critical Care Units are fully equipped with all necessary life saving equipments of International Standards. The Mobile Trauma Critical Care Units are equipped with all necessary life saving equipments of international standards requirements


Rapid Trauma Rescue Units (RTRU) (Inaugurated on June 17th, 2002)


To maneuver the ambulance in narrow lanes, Scooters were modified into ambulances with the help of Kinetic Engg. Co. RAPID TRAUMA RESCUE UNITS are equipped with necessary life saving equipments as per ATLS norms. It is the most innovative approach

Prevention To Rehabilitation


A. Prevention of Road Accident (Free Services)
B .Communication System Special telecom lines and mobiles are provided to Trauma Centre & MTCCU. Tel. No. 020 – 2765 9000 Mobile : 9822242100
Pune Heart Brigade No. – 1050 (made available for EMS)
C. Rehabilitation: 1.Socio-Medical 2.Psychological 3.Free Medico–legal consultation

Road Safety Awareness, Accident Prevention Programme & EMS Education ( 1996-Ongoing )

Introduction

Since 1999 we have been undertaking National Road Safety awareness programme funded by Ministry of Highways & Road transport to educate general population and school children on road safety, EMT training ,Conducting exhibition ,rally ,educating Doctors on Pre- hospital care and trauma management and conducting Medical examination of highway drivers etc

Activities


Road Safety Training Programme

  • School Awareness programme on Road Safety
  • Heavy Vehicle and Truck Drivers medical checkup
  • Breath Alcohol Testing of Truckers on Highways
  • Training for Highway Police & Local Police

  • Teachers Training
  • Road Safety Awareness programme for Rickshaw Drivers
  • Conducted BLS and ACLS courses at Group of Lokmanya Hospital’s .
  • BLS and FIRST AID training is a continuous activity of our foundation since last 6 years conducting in collaboration with Central Institute of Road Transport Bhosari, Industrial house , Rotary club & Lions Club.

Highway STD Clinic for Truck Drivers on National Highway Road Safety Awareness Programme Ministry of surface transport and shipping sponsored project 1996-2003


  • Health & Eye check-up of Truck Drivers : 5000
  • Road Safety Education to school children : 3,55,000
  • • Group Discussion, Narration of Accidents& Exhibition Charts : 2,50,000
  • Display of Road Safety Information Boards : 50

  • Road Shows for safety awareness (Rally) : 15
  • EMT Training for voluntaries : 10
  • Display of Road Safety Information Boards : 50


Communication Systems

  • Dedicated Emergency Number combined with rapid communication systems enables prompt movements of EMS leading to timely aid resulting in reduction of disability and mortality.
  • Central Control Room with round the clock functioning.
  • GPS has been installed in all the ALS and BLS ambulances that are monitored at control station.

Number In Collaboration With
105700 Government of India
9822242100 Idea Cellular Ltd.
9822498224 Mumbai Pune Expressway-IRB

Commissioned on 4th April’2002

Human Resources


Clinical
Training and Continued Medical Education of EMS Staff On Field Experience Training on Pre-Hospital Trauma Life Support (PHTLS) and National Trauma Management Course (NTMC) for Doctors.
Training on Basic Life Support (BLS) for EMT I Training on Advanced Life Support (ALS) for EMT II

Non-Clinical
Training on Basic Computers, Communication & Counseling Skills, Statistics & Record Management for Control Room Operators.
Training under supervision of RTO & CIRT for Drivers. Training on Basic Life Support for Drivers.

EMS Modus Operandi ……


Statistics

(For the period Jan’2000 To June’2017)

AVERAGE REACH TIME 10.30 minutes

╬ International Standard Reach Time: 8 minutes


Total number of patients rescued 64781
Major
Minor
Fatal 		22381
35,806
6594
Total number of mass casualties incident attended 14
Number of calls attended by Cranes 10204

Disaster Management

The applicability of LCTS module in Disaster Management was further substantiated when it played an enormous role during the Gujarat Earthquake


Date: 28th Jan to 10th Feb. 2001

  • Team: 16 members
  • Place: Anjar, Gujarat
  • Surgeries done: 82
  • Patients treated: 2132

Rehabilitation:

The LCTS believes that no treatment is complete until the patient is reinstated back in the society. Our Rehabilitation Programmes conducted by trained Physiotherapists, psychologists, medico-social workers etc; comprise of physical, psychological and socio-economic restoration of the accident victims.


Medico-Legal Cell (first NGO centre in INDIA)

Established Medico-legal cell for helping accident victims to get interim benefit from Motor accident tribunal court.
Registered cases in the court - 1068
Completed - 652
Cases got first benefit - 380
Free advice given - 4320


Achievements/innovation :

  1. Lokmanya is the first institute in India to start Comprehensive Trauma system.
  2. Lokmanya is probably the first in India to start Emergency Medical services systems.
  3. Lokmanya is first in India to design and run the 2 wheeler rapid rescue units.
  4. Lokmanya has been consultant to Uttarakhand state Government to “Assessment of Emergency and Trauma Care needs and to identify and quantify risk zones resulting from road accidents, adventure sports, tourism, pilgrims and natural disasters for the state of Uttarakhand” and prepared emergency plan for the state including 150 ALS&BLS ambulances. This assignment was funded by World Bank.
  5. Lokmanya is first private organization who has provided EMS free of cost to the community and also provided free life saving treatment to Road accident victims as “we understand LIFE not just TREATMENT”.
  6. Lokmanya is first medico-social organization who was member of National Road Safety Council for 3 years under Ministry of Road Transport and Highways, New Delhi.
  7. Lokmanya has received prestigious National awards like “Rashtriya Ratna Award” and Mahindra Neostar “best alternative thinking”.
  8. Organized International Emergency Medical services conference (EMCON) in Pune with Symbiosis.
  9. Conducted 3 research project in the field of Road Traffic accidents one of it is ongoing and results will be presented in International conference from nov 12.
  10. Collaboration with “National safety council”.


Research papers presented and published

  • “Multi centric Road traffic Injury Surveillance: World Health Organization (WHO) - ICMR project” conducted by B.J Medical College in collaboration with Lokmanya in Pune District 2006-2007 followed by other factors.
  • Assessing Emergency and Trauma Care needs and to identify and quantify risk zones resulting from road accidents, adventure sports, tourism, pilgrims and natural disasters for the State of Uttarakhand in Collaboration with Uttarakhand Health Systems Development Project (UAHSDP) was conducted in 2010-11
  • Conducted Emergency Medical Conference (EMCON) in the year 2003 at Pune where all international and national delegates and faculties had participated.
  • Conducted National Trauma Management Course (NTMC) at CIRT Pune in 2003 with Academy of Traumatology India and the faculty members are from South Africa.
  • Presented paper on “Pre Hospital Trauma Management – Lokmanya Pune Module” at Conference on Road Traffic Injury, Research Network organised by IPHA / WHO / Global Forum for Health Research, Geneva at Mumbai – 2005 by Dr Narendra Vaidya , Director , Lokmanya EMS
  • Participated in Road Safety NGO Workshop – June 2005 organized by Global Road Safety Partnership / WHO / Standard Chartered
  • Presented “Pre Hospital Trauma Management - Lokmanya Pune Model” at Road Safety NGO Workshop organised by CIRT, Bhosari, Pune
  • Attended International Conference on Traumatology, San-Diego, USA – 2001 by Dr Narendra Vaidya , Director , Lokmanya EMS
  • Paper Present on “Polytrauma” at Pune Critical Care Society, Pune – 2000
  • National Safety council, Mumbai (NSC) has recognized Lokmanya as National Awareness and Preparedness for emergencies at local level (NAC- Sub Center).


Awards :


  • Lokmanya Medical Foundation was awarded with ‘ National Mahindra Navistar Transportation Excellence Awards 2011’
  • Shri. Rajiv Gandhi “Rastriya Ratan Puraskar” was awarded to Dr. N.V.Vaidya for the contributions made in the field of Emergency Medical Services”