Guideline: when is an ambulance service required from you?

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Coronavirus Disease Special Guideline for
Ambulance Services 
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• India is a growing country but, most of the
  hospital use ambulance outsourcing.
• The medical sector has a bright future as the
  outsourcing pattern proves to be helpful here for
  every industry.
• The largest corporate houses want dedicated
  ambulances placed at the workplace to provide
  fast medical assistance and employees during an
  emergency.
• Nowadays, expand overall healthcare businesses
  grow, managing their patients and giving
  excellent treatments.

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 1. Identification of possible cases

• Here guidance will support returning services
  using COVID risk pathways which are based on
  transmission risks using the local and national
  data. The identification of different variants of
  matter across parts of the UK must be considered
  in this revision.
• COVID-19 infection should be viewed in all cases
  of respiratory virus.
• If patients meet the rear case definition
  criteria, they are to be listed as a possible
  case
• High temperature (of 37.8C or higher)
• New-onset continuous cough
• A loss of or change in the common sense of taste
  or smell (anosmia)

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2. Infection Prevention and Control Precautions

• Standard infection prevention and control
  precautions (SICPs) All patient
  pathways/settings
• SICPs are basic infection prevention and control
  measures required to reduce the opportunity of
  transmitting infectious agents from both
  recognized and unrecognized sources of infection
  and are tested across ALL COVID-19 pathways.
• Transmission based precautions (TBPs)
• Transmission based precautions are based upon the
  way of transmission and include
• Contact precautions
• Droplet precautions
• Airborne precautions

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3. Personal Protective Equipment

• PPE guidance is for clinical concern situations
  and intended for use while in direct
  communication with patients or patient care
  areas.
• The ambulance sector PPE for COVID-19 is
  categorized into 3 levels
• Level 1
• Standard infection control precautions
• Level 2
• Disposable gloves
• Disposable apron
• Fluid resistant surgical mask
• Level 3
• Disposable gloves
• Fluid repellent coveralls/long sleeved apron/gown
• FFP3 or powered respirator hood
• Eye protection

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4. Aerosol Generating Procedures (AGP)

• AGP is the list of medical ideas for COVID-19
  that have been reported to be aerosol-generating
  and are compared with an increased prospect of
  respiratory transmission

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5. Clinical Application

• The recommended advice for possible COVID-19
  patients with mild symptoms is for them to stay
  at home until they are great. Refer to
  stay-at-home help for more data.
• These patients must not be followed with patients
  who are described as low-risk or approved as
  COVID-19 positive.
• Considerations for cardiac arrests
• Care of the deceased
• All team and additional care workers must manage
  physical distancing of 2 meters where possible.

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6. Conveyance and Patient Handover

• It is great to support the local guidance special
  to the Trust/area.
• As evidence about the risk to these patients
  develops, guidance is likely to evolve changes
  to the approved level of protection should do
  followed
• Utilizing the most appropriate conveying resource
• Use of aviation for transfer of COVID-19 patients
• Hospital Handover
• Post conveyance

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Conclusion

• If a patient is in critical condition or needs to
  be oxygen level, IV fluids, ventilator, or
  medical monitoring due to they have cannot travel
  by normal condition.
• We have to provide Critical Care Ambulance
  Services in Patna for critically sick patients. 
• Critical Care Ambulance services are the best
  providers of a 24/7 response to medical and
  injury emergencies.

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