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– but plans apace to introduce National Emergency Response UnitThe act of transporting incapacitated accident victims to hospital,Pa Konate Sweden Jersey, by non-medical public spirited citizens,Javier Hernandez Mexico Jersey,Dr. Zulfikar Bux, Emergency Medicine Specialisthas over the years proven to be both helpful and harmful.  However,Blank Uruguay Jersey, local medical experts are not prepared to discourage Good Samaritans, family members and friends from removing injured persons from accident scenes.This was a notion supported by Head of the Accident and Emergency Unit, of the Georgetown Public Hospital Corporation (GPHC), Dr. Zulfikar Bux. “I have seen cases where public-spirited citizens have done a good job in bringing patients in a timely manner and we have actually managed to save their lives; that intervention was actually more good than bad.”But according to Dr. Bux,Marcus Rohden Sweden Jersey, “I have seen situations where public spirited citizens actually caused more harm by transporting patients who had spinal injuries and caused them to become paralysed or even die as a result of them trying to help.”Dr. Bux has been at the helm of Emergency Medicine at the GPHC for a few years and has ambitious plans to eventually have measures in place to reduce the instances of injured persons being assisted by non-medical persons, be it at vehicular accident scenes,Orbelin Pineda Mexico Jersey, work sites or even at home.However, it is non-medical responders who are often the first on scenes of many accidents. Dr. Bux, speculated that not responding is usually not an option for some people on the scene of accidents.“As a public spirited citizen you are placed in a setting where you have to choose between watching people suffer and waiting for help to come or doing something to help an injured person,” noted the Emergency Specialist.While there is currently no national medical response Unit, GPHC offers an emergency response service around the city. This Unit was in fact implemented by Dr. Bux with support from experts of the Vanderbilt University in the United States and has thus far seen the training of 16 Emergency Medical Technicians (EMTs)/Paramedics.These trained individuals are dispatched in two ambulances to respond to medical emergencies around Georgetown.  “They tend to respond to accidents but that depends on if they are called,” informed Dr. Bux.CALL FOR HELPBut there are many citizens who are not aware that this service even exists. “At this point in time there are members of the public who don’t know that they can call for help and we’re working on making this a national system…we are working on communicating with members of the public to let them know how it works too,” related Dr. Bux.Currently the known medical emergency number – 913 – is not operational. Instead persons, can access the emergency service by dialling 226-9449.In several overseas territories EMTs are often the first responders at scenes of accidents.“You call 911 and these guys come and do their jobs. In Guyana we do not have a national system like that as yet but I am optimistic that we will get that soon; there is strong support for it and we are planning to bring this through the Guyana Fire Service.“Instead of duplicating our resources we are going to team up with the Guyana Fire Service guys who need to be there to help to extract injured people properly and train them and more EMTs,” Dr. Bux shared.The existing state of affairs locally is that “once our ambulances are available persons can have our emergency service respond in Georgetown within 10 minutes. Our goal is to get better at that…but one of the things we need to do is to make the 913 number accessible again,Matias Fernandez Chile Jersey,” Dr. Bux stressed.An approach that is being considered to improve the local emergency medical service is to possibly use a single number to access all emergency services including: police (911),Carlos Pena Mexico Jersey, fire (912) and medical emergency (913). It is anticipated that once a single number is functional, an operator would be tasked with routing the calls to the respective responders.SAFE SCENEIt is Dr. Bux’s expectation that within the next five years the necessary training will be completed and a national emergency response Unit will be in place.But in the interim, he is appealing to those rendering assistance, “You need to get patients to the right place in a safe manner.’’He noted that while it is no easy task to explain a safe process without a physical demonstration,Claudio Bravo Chile Jersey, persons should always bear in mind that it is imperative to determine that the scene is safe before responding.“You do not go into an accident scene without ensuring that it is safe for you, because you cannot save someone if you are injured or dead. Once the scene is safe then you try to get that person in a safe environment until help arrives, but if help does not arrive transport the injured as best as you can to the hospital. And for the most part that is what is happening right now,” Dr. Bux observed.To help make the first responder process as safe as possible, Dr. Bux has designed a course to help improve the response efforts by lay persons. This course is administered through the Guyana Police Force and the Civil Defence Commission. It was based on a need to have more first responders trained.Ensuring that first responders are trained is in fact a requirement of Emergency Medicine, according to Dr. Bux. The first response setting,Miguel Layun Mexico Jersey, according to him, is described as the pre-hospital emergency medical response.And this, he noted, is particularly important for a developing country that is seeking to embrace medical tourism. “I have been pushing for our national emergency response system and we have gotten verbal support and we are galvanising more support to get things done,” related an optimistic Dr. Bux.