Khalid A. Abu-Haimed. MBBS. FRCPC. FAAEM Consultant, Emergency Medicine & Prehospital Care Member of Scfhs Scientific Board for Emergency Medicine
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1 Khalid A. Abu-Haimed. MBBS. FRCPC. FAAEM Consultant, Emergency Medicine & Prehospital Care Member of Scfhs Scientific Board for Emergency Medicine Specialty Chairman of EMS Sub-Committee Kingdom of Saudi Arabia
2 Understand The EMS System in Saudi Arabia and its Evolution The contribution of EMS Systems that are used World Wide into Our National Emergency Medical Services (EMS) System Development Simple Organized Approach
3 National EMS Service Readily Accessible System of Emergency Medical Care Specially Designed and Equipped to Respond & Provide Assistance to any Community Unplanned Health Related Event
4 People Bleed to Death in the Same Way in any Country in the World ( Monkey Valley EMS Summit, Cape Town, South Africa 1998)
5 World Wide Drivers for Emergency Care and EMS System Developments: New World Order- WTO Agreements Increased Morbidity & its Financial Impact Citizens Demand World Spring Political Terrorism Mass Gathering Media Tourism & Business Development Invest in the development of a comprehensive system to Decrease Morbidity Associated with time sensitive illness and injury
6 Scarcity of Resources Challenges of the second Millennium-Growth of Non-Communicable Diseases: CVS, Stroke Injuries, MVAs
7 Significant Investment on Secondary and Tertiary-BUT- Primary & Emergency Medicine Fail to keep PACE: Urbanization Industrialization Technology Produce Time Sensitive Illness & Injury
8 World Wide Definition of Emergency Care Rapid & Appropriate Care of Victims of Medical & Traumatic Emergencies Time Sensitive Illness & Injury
9 Integrated EMS System- Linked and Part of the National Health Care Cycle Bystander Care Pre-Hospital Care Emergency Department Rehabilitation Notification, Dispatching & Response Transportation Definitive Care
10 World Wide Definition of EMS EMS or Pre-Hospital Care is the component of the system necessary to get the patient from point of injury or illness to definitive care Bystander Care Stabilization Packaging Emergency Department Rehabilitation Notification, Dispatching & Response Transportation Definitive Care
11 EMS or Pre-Hospital Emergency Care Services world wide Wide Range No Organized System Transportation Basic Care & Transport Paramedic or Nurse Field Physicians
12 Government Commitment
13 EMS or Pre-Hospital Emergency Care Services National Evolvement
14 First Aid/First Responder Minimal Training Transport Wound Care Splinting Hajj as the Driving Force Mission - Transport Of The Ill & Injured
15 Joint Collaboration with Developed World USA- Paramedic Model Canada Tiered- Paramedic/EMT CPR BLS Scholarships for Formal Training Minimal Onsite Treatment Get Patient to Definitive Care
16 Formal System Universal Services in place Universal- Available to all at all time Personnel Paramedics Based Training EMS Care Specific Equipment Advance Focus Comprehensive Service Providers Mixed
17 Joined Collaboration with Developed World Europeans- UK French & German France, Germany, Quebec Canada- Physician Delivered EMS Model Norway- Physician Directed System, Online Hospital based Netherlands, Other Europeans- Nurse Delivered EMS Model Extensive Onsite Treatment And Stabilization By Passing ED
18 Services in place Universal- Available to all at all time Formal System Universal Personnel First Responder Nurse Physician Equipment Extended from Hospitals Service Providers Private/NGO Governmental & Private Gov Hospital Based Mixed Focus Trauma & Medical Training Minimal Pre-Hospital Care Specific
19 Gulf Wars - Difficulties to Recruit & Retain Local Training SRCS, Scfhs- First EMT Curriculum & Registration & SBEM Trainee, Training Institutes and Training Centers Standards ACLS & ATLS-PHTLS Dispatch & Medical Control Concept More Challenges
20 Range From Mixed Incomplete Formal that is Available to Some to Formal First Responder/BLS EMT with AED ALS Yet to Develop
21 Services in place Universal- Available to all at all time Formal System Universal Personnel Drivers First Responder Basic EMT Equipment Basic AED Service Providers Governmental Focus Trauma Acute Medical Emergencies Training Pre-Hospital Care Specific
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23 Services in place Incomplete- Available to Some at Some time Formal System Incomplete Personnel Drivers First Responder Basic EMT Paramedic Nurse Physician Equipment Rudimentary Basic Advance Service Providers Private/NGO Governmental Hospital Based Mixed Focus Trauma Acute Medical Emergencies Training Limited training Non Pre-Hospital Specific Pre-Hospital Care Specific
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25 Dispatch with no or Minimal Priority Protocol Minimal Criteria Based Dispatch Services in place Access Number Call-Taking System Dispatch System Response care Transportation Best Available Response
26 Services Need Base Hospital Could be mitigated in a Physician-Based Formal System Personnel Staffing Model Physician-Based Taking the Physician to the Patient Non-Physician-Based Basic EMT Paramedic Nurse Medical Control Minimal Protocol & Standing Orders Minimal Direct Medical Control Station & Hospital Based Physicians
27 Requirement Ongoing Maintenance Specific Training for some equipment Formal System Level Training of Personnel Adequacy of equipment Basic Level Basic EMT Training Basic ambulance Backboard Cervical Collar Splint & Bandages Oxygen & AED Advance Level Trained Physician Paramedics Well equipped ambulances Advance Trauma & Cardiac life Support Resuscitation Drugs Cardiac Monitor Defibrillator & External Pacer Ventilator
28 911- Scholarship Fading Local Training Competencies of Trainee, Training Institutes and Training Centers Standards Saudi Board Emergency Medicine & Saudi EM Society Upgrade Public Provider to Authority National EMS Advisory Group for Training & Operation Must Change More Challenges
29 Requirement Ongoing Maintenance Specific Training for some equipment Informal or Incomplete Formal System Level Rudimentary Drivers & First Responder Vehicle with Bed and O2 Tank First Aid Kit Basic Level Basic EMT Training Basic ambulance Backboard Cervical Collar Splint & Bandages Oxygen & AED Advance Level Trained Physician Paramedics Well equipped ambulances Advance Trauma & Cardiac life Support Resuscitation Drugs Cardiac Monitor Defibrillator & External Pacer Ventilator
30 Legislation Standard of Care Laws, Roles & Regulations Policies & Procedures Job Description Authorized Body Funding Resources Manpower Training Communication Transportation Facilities Critical Care Units Public Safety Agencies Consumer Participation Accessibility Transfer of Patients Standard Medical Record Keeping Public information Evaluation Disaster Linkage Mutual aid agreement
31 Comprehensive Public Health Prevention & Public Health Surveillance Acute Emergencies Medical & Trauma Trauma Care
32 National EMS Systems Menu Models Providers Saudi Red Crescent Authority Private Governmental NG, Saudi Aramco, Hospital Based All Can Be Effective
33 National EMS Systems Models Providers Saudi Red Crescent Authority EMT Basic- Intubation, IV & AED
34 National EMS Systems Models Providers Saudi Red Crescent Authority Challenges of Traffic- Hajj & Rush Hours
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36 National EMS Systems Models Providers Saudi Red Crescent Authority Medics- ALS
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38 National EMS Systems Models Providers Saudi Red Crescent Authority Acute Care Transport
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41 Data Driven Change Integration & Overall System Evaluation Cultivate New Solutions Competency Based System Evaluation Provide & Upgrade at the same time New Thinking New Direction
42 National EMS Scientific Board Set the Standards Based on Competencies National EMS Society Support the implementation of the Standards Set National EMS Council Build up the over all System New Thinking New Direction
43 NEMSSB-Competency Based System Development Training Institutes Trainees & Trainers Defined Competencies Clinical Training Centers Products
44 Saudi Council For Health Specialties EMS Education Blue Print Saudi National EMS Program: Ensure that graduates from the Emergency Medical Technology (EMT) program are competent and qualified to provide prehospital care Improve the status and quality of emergency medical care in our communities Supply highly Educated and trained Paramedics. National EMS Scientific Program
45 Saudi Council For Health Specialties EMS Standard Curriculum
46 Saudi Council For Health Specialties EMS Core Competencies Saudi National EMS Program : Require 100 % fulfillment of all required competencies of EMT at Basic and Paramedic Level Reflect all requires knowledge, skills, and behavior needed to provide emergency medical care under medical control
47 Saudi Council For Health Specialties EMS Standard for Accreditation Saudi National Registry: Competencies EMT Basic Paramedic
48 EMS Committee Safety & Security Committee Medical Committee Civil Committee President Vic- President Secretar y Regional & Local EM Authority Org & Planning Education Training Operation PR CQI
49 Implementation Platform Org & Planning CQI System President Training & Education CQM Program PR & Education Operation
50 Data Driven Change- Measurement of what we are doing Resuscitation- Hajj Acute Care Committee- 5 Min Emergency Assessment Pathways: Critical Medical & Surgical Trauma- Trauma Service Cardiac-ACS- PTCA- Cardiac Sweets Heat Stroke- New Treatment Modalities GI- GI Sweets Renal Failure-Dialysis Centers New Thinking New Direction
51 Hajj Chapter under Saudi Society of Emergency Medicine Managing Emergency Medicine Services provided by the Department of Hajj & Omrah Medical Services under the Ministry of Health 1433 Hajj Plan already submitted with many elements to support PAROS Cause New Thinking New Direction
52 First Mass Gathering Training Curriculum- Piloted for Modular Development
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