Situation Analysis of EMS at Kham Thale So Hospital, Nakhon Ratchasima - การประเมินสถานการณ์การดำเนินงาน ระบบบริการการแพทย์ฉุกเฉินของ โรงพยาบาลขามทะเลสอ จังหวัดนครราชสีมา

บทคัดย่อ

                       The objective of this descriptive study was an of Emergency Medical Service EMS situation analysis which included problem identification, proposed suggestion and strategy improvement through secondary data review.  In a series of interview, EMS volunteers, nurses, community leaders, and local organization administrators were stakeholders and their opinions were considered crucial. Service networks were established by Kham Thale So hospital in 2 levels : hospital and subdistrict level. At the hospital level, there were 2 higher levels, Advance Life Support-ALS and Basic Life Support-BLS. For subdistrict level, there were 5 First Responder Service-FRS situated in 5 subdistricts.  Both levels were funded by Narenthorn Center and the National Health Security Office.

                        In 2007, there were a total of 8,387 patients. Only 889 patients (10.60%) were rescued by EMS (average 2.43 rescued patients per day).  Approximately 95.43 percent of all rescued patients received qualified service. Considering rescue time, 94.91 percent of all rescued patients were rescued within 5 minutes. In conclusion, there were 6 major problems : 1) insufficient vehicles, 2) insufficient staffs 3) people lack of EMS knowledge, 4) lack of connection at subdistrict level, 5) financial problem of subdistrict level and 6) lack of radio communication. Suggestions ware proposed related to 4 issues. First of all, management system should define EMS frameworks. Secondly, all EMS volunteers should be audited at least twice a year. Thirdly, people should be encouraged to call 1669. Finally staffers should be trained to improve their communication skills and, EMS skill.

Key words:      emergency medical service-EMS, traffic accident, accident site