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EMRI

The Tamil Nadu Government has signed a MoU with EMRI Hyderabad to provide integrated Emergency Response Management Services bringing together the departments of Health and Family Welfare, Police and Fire Prevention.

Objectives of the Scheme:-

  • To provide comprehensive Emergency Response Services to the entire population of Tamilnadu.

  • To improve access to police, fire and healthcare services

  • To assist the state to achieve the critical Millennium Development Goals in the health sector

Process :-

  • Government of Tamil Nadu called for expressions of interest and appointed EMRI as the private agency to operationalize Emergency Response services in the state. The agency would provide management services, training and technical expertise for implementing the programme.

  • The scheme provides comprehensive Emergency Management (Medical, Police& Fire) using a single number(108),

  • The ambulances under the scheme would be deployed in a phased manner based on the demand.

  • The scheme will be run professionally on a no-loss & no-profit basis

The Tamil Nadu – Emergency Management Research Institute is in operation from 15.09.2008 and a Emergency Response Centre has been established at the Government Kasthuriba Gandhi Hospital for Women and Children, Chennai – 5.

Strengthening of EMRI Vehicle with Neonatal support system

Since 70% of the infant deaths occur in the early neonatal period (0 to 7 days of life), lives cannot be saved unless an emergency transport system is provided to carry the neonate to the appropriate referral centres. It has been decided to utilize the existing 108 EMRI Services to deal with neonatal emergencies.

The existing EMRI vehicle (one per district) will be augmented with neonatal support system with resuscitation equipments such as Neonatal incubator, Oxygen Cylinder, Air cylinder, IV syringe infusion pump with stand (battery operated), Pulse oxymeter, resuscitation kits etc. ,

During this year 2011-12 one existing vehicle/district will be strengthened for 29 districts.

EMRI in Tribal Districts

The state has a well established emergency referral transport system established through EMRI. However it is seen that the existing EMRI vehicles are not able to reach the tribal hamlets due to the size of the vehicles and the poor condition of the roads. The golden hour is thus lost in all emergency treatment including obstetric emergencies.

Out of the existing 385 ambulances under EMRI, none of them have four wheel drive. To improve the emergency service in hilly and hard to reach areas, four wheel drive vehicles have been proposed by EMRI based on experience in other states. It is proposed to add four wheel drive vehicles suitably equipped as ambulances in 24 identified points in order to reach those tribal areas which are presently inaccessible to the EMRI ambulances. It is expected that this will make it possible for the tribal population to make better use of emergency care both for general cases as well as delivery.

Ambulance Services for the Emergency Transport of MothersaAnd Children

6 Ambulances were provided by the UNICEF during TSUNAMI to the six PHCs in the district of Nagapattinam, Kancheepuram, and Cuddalore district to transport infants requiring emergency care from Primary Health centres to larger district hospitals for higher level of care. The Neonatal transport Units are well equipped to stabilize the clinical status of the infants en route. It has been recently decided that these ambulances will be stationed at the NICU centre (Medical College Hospital/District head quarters / sub district hospital) in the district with their staff for their maximum utilization.

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