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Although poised for immense improvement in the area of emergency medicine care,Wholesale Jerseys USA, there is still need for grave enhancement in the ambulatory service offered by the public health sector.  This disclosure was amplified recently by officials during a Rotary Club of Georgetown press briefing, which was aimed at unveiling a project to train 25 public health nurses as Emergency Medicine Technicians (EMTs). Speaking to the need for an improved ambulatory care service, Kit Nacimento, who chaired the forum, said that “obviously it needs a great deal of enhancing,” even as he pointed to the fact that while the training project is aimed at training persons who man ambulances, “the infrastructure is poor and it needs help; we don’t have nearly as many ambulances as we would like to have in the country and that is a big problem.”“I don’t know if Rotary could address this but it is possible that Rotary can start a project which could perhaps provide an ambulance…but those are very big projects which may be out of the range of Rotary,” he said,NFL Jerseys Wholesale, adding that “the service right now is not good and needs improving.”The training project,Cheap Jerseys USA, which commenced Monday and is expected to conclude today, is being undertaken through the collaborative effort of the Rotary Club, the Ministry of Health and the Paul Gallagher founded Global Emergency Medicine Initiative (GEMINI),Cheap NBA Jerseys China, which has as its mission to improve the quality of emergency medicine in developing countries.The project is valued at some US$46,500 and is intended to help enhance the emergency medical capacity of public health service,Cheap NBA Jerseys China, particularly that provided by the Georgetown Public Hospital Corporation.The aim of the project is to put in place highly skilled support at the point of accident, injury or urgent need so that life can be sustained while patients are being transported in ambulances to the hospital’s Emergency Room.Since Monday, GEMINI has been facilitating training sessions, but according to Gallagher, “We are not able to do the master projects. They have to come from the Government…” He explained that after the GEMINI-recruited doctors came to Guyana and met officials from the Ministry of Health and the Georgetown Public Hospital Corporation, a finite project was defined. In this regard, he noted that the focus was to train persons specifically in the area of emergency medicince  skills.“We expect and intend to accomplish this. We don’t know to what scope but at the end we would have put teaching skills and emergency medicine skills into many  people’s heads and hands and that is a tool that hopefully would be used as part of larger projects…The Rotoary Club is fantastic in the projects that it does and perhaps it could provide an ambulance, but a good ambulance service is what is needed… and while it may need improvement, it is not in the scope of our project,” Gallagher asserted.However, Dr Ovid Fraser, who had been affiliated with GEMINI over the years,NFL Jerseys Sale, pointed out that while a good ambulance service is essential, the most difficult aspect and the most difficult thing to achieve are the human skills. “Ambulances are things that can be bought and inputed into the system at any point but if you have ambulances and you don’t have the technical skills to run the service, there will be a bottleneck, so we are hoping that at the least, we will have a core of knowledge that becomes a Guyanese possession and this will always be here for when the ambulances are bought,” he stressed.