Background
Federal Road Safety Commission (FRSC)
National Emergency Management Agency (NEMA), Abuja Nigeria
MAITAMA hospital Abuja
Methods
Documentation of published and unpublished materials
Qualitative methods
Participant observations, interviews and time measurements (qualitative/ quantitative)
Questionnaire survey and data analysis
Ethical considerations/statement
Results
INST/ORG | FOUNDING YEAR | SERVICES | AMBULANCE TYPES | NO OF STAFF AND % GENDER DISTRIBUTION | ||
---|---|---|---|---|---|---|
FRSC | 1988 | Road safety | ICU Buses | 19,000 | Female (35.3%) | Male (64.7%) |
NEMA | 1999 | Disaster Mgt. | ICU Buses, Helicopters, Boats, motorbikes. | 700 | Female (35.3%) | Male (64.7%) |
MAITAMA | 2001 | General health services. | . ICU Buses | 762 | Female (72.3%) | Male (27.7%) |
Item | FRSC | NEMA | MAITAMA |
---|---|---|---|
Number of Call Centres | 1 | 1 | 1 |
No of Ambulances & other vehicles. | 8 ICU Buses | ICU 8, Special ICU Vehicles 8, Helicopters 4, Boats, 10 | 7 ICU functional ambulances (21 grounded) |
No. of Bay post | 13 | 10 | 0 |
No. of staff per Bay post | 10 | 20 | 25(only at call Centre) |
EMRS Basic equipment in ambulances | 7/8 | 30/30 | 7/7 |
No. and % of trained staff/year | 1 (10%) | 6 (30%) | 4 (8%) |
Staff with Trained skills in ACLS, ATLS | 5 (50%) | 7 (35%) | 4 (16). |
Magnitude of medical emergencies and response by EMRS organizations
The magnitude of medical emergencies and outcomes during the 14-days observation period
The magnitude of medical emergencies and outcome during the 14-days observation period in each institution
INSTITUTION /ORGANIZATION | NO.OF CALLS PER DAY | TYPE OF EMERGENCY | TOTAL NO. OF EMRS | L IVES SAVED | DEATHS (%) (CFR) | DISABILITY (%) | ||
---|---|---|---|---|---|---|---|---|
NCD | RTI | OTHER | ||||||
FRSC | 80–192 | 2 | 190 | – | 192 | 125 | 7 (3.6%) | 17 (8.9%) |
NEMA | 50–87 | 84 | 3 | – | 87 | 75 | 7 (8%) | 5 (5.7%) |
MAITAMA | 500–1107 | 707 | 400 | – | 1107 | 1027 | 46 (4.1%) | 110 (9.9%) |
TOTAL | 1386 | 793 | 593 | 1386 | 1227 | 60 (4.8%) | 132 (10.8%) |
Delay times of pre-clinical care (“transport delay”from call to arrival of ambulance at scene)
INSTITUTION | AMBULANCE TYPE | EMERGENCY TYPE NO.& GENDER OF VICTIMS | DEATHS (CFR) | RESPONSE TIME (Average Mins). (± SD) | |||
---|---|---|---|---|---|---|---|
TOTAL M F | |||||||
FRSC (VR) | ICU BUS | RTA | 192 | 50 | 142 | 7 (3.6%) | 35(±7) |
NEMA (VR) | ICU/SP.BOAT | NCD/RTA | 84 | 34 | 50 | 7 (8.3%) | 16(±7) |
MAITAMA (VR) | ICU BUS | NCD/RTA | 1107 | 300 | 807 | 46 (4.2%) | 15(±7) |