EMS World

JUL 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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EMSWORLD.com | JULY 2018 19 a two-tiered fire-based EMS system. One of these employs van- based ambulances to handle a range of medical emergencies. The other uses 30 FRMs on motorcycles "who respond to fire and high-acuity medical cases," says associate professor Marcus Ong, UPEC's medical director, a senior consultant and clinician scientist in Singapore General Hospital's Department of Emergency Medicine and coauthor of "Prehospital Trauma Care in Singapore." "They're not paramedics," says Ng. "We want [the FRMs] to be fast and start CPR, maybe even just use an AED." In terms of infrastructure, "We have 19 land fire stations and two marine stations," says Ong. "Our ambulances are deployed in 17 of the land fire stations. We also have 27 fire posts, which are small dispatch points closer to the community. EMS services are provided to all callers through our 9-9-5 operations center and free to all." The SCDF EMS' mission is aided by Singapore's highly central- ized, well-deployed IT infrastructure, comprehensive government prehospital care programs, and commitment to ongoing innovation. This makes it easier for EMS to reach patients faster and deliver the types of care they need. Among the SCDF's EMS innovations are: • Crowd-sourcing of volunteer CPR/AED responders in the com- munity (via the SCDF myResponder mobile app); • A national residential public-access defibrillation program to provide fast aid to patients before EMS arrives; • Cross-trained motorcycle fire and EMT first responders to increase the level of fast response available at incident scenes. Worth noting: Singapore leases its AEDs from a third-party pro- vider, who is responsible for keeping these devices serviced and ready for use in public locations. They chose this option to avoid the problems commonly associated with AED ownership. The SCDF EMS is acquiring fire-medical hybrid vehicles that can respond to fire cases while providing EMS patient transport. It is also funding research to examine the operational and clinical impact of new EMS interventions, says Ong. Challenges Ahead Looking ahead, Ng sees three challenges facing Singapore's EMS operations: the costs associated with serving the country's aging population; the government's push to increase the state's popula- tion for economic reasons; and staffing the SCDF sufficiently in the years to come despite Singapore's low national birth rate. The bottom line, though, is that Singapore's EMS capabilities are highly sophisticated, adaptable, and truly cutting-edge. The former British trading outpost has come a long way from having its hospital housed in a wooden shed and a single ambulance to serve everyone in the community. REFERENCE 1. Ho AF, Chew D, Wong TH, et al. Prehospital trauma care in Singapore. Prehosp Emerg Care, 2015 Jul–Sep; 19(3): 409–15. ABOUT THE AUTHOR James Careless is a freelance writer and frequent contributor to EMS World. For More Information Circle 20 on Reader Service Card EMERGENCY MEDICAL SCIENCE Paramedic Certification (Hybrid Program) • Fully CAAHEP Accredited • Hybrid Paramedic program offered through LCC Continuing Education Department. Only four on-site visits required for skills training and evaluations. All coursework is done online. Tuition is $360. • Clinicals can be completed in your area. Contact LCC regarding available areas. • Different course options that allow currently credentialed EMTs, AEMTs, or individuals with no certification to train for their Paramedic certification. • Graduates are eligible for the NCOEMS Paramedic exam and the National Registry Paramedic exam. Associate Degree in Emergency Medical Science — Bridging • All degree classes offered 100% online. • Currently credentialed state and national Paramedics earn up to 45 credits toward their degree just for being certified! • Designed for demanding EMS work schedules. Complete the degree at your own pace! Earn Your Degree Online! 231 Hwy. 58 South, Kinston, NC www.lenoircc.edu (252) 527-6223, ext. 115 jgtilghman38@lenoircc.edu Ranked Second in the Nation by bestcolleges.com!

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