BOZYAKA EDUCATION AND RESEARCH HOSPITAL

EMERGENCY HEALTH SERVICES BRANCH OFFICE

Duties:

1. Planning and conducting health services throughout province in the field of  prehospital emergency health  services,
2. Constituting unite belonged to prehospital emergency health services and managing them, integrating with emergency hospital services if required, entegrating with emergency hospital services, monitoring activities of related unites, evaluating, providing transfort and dispacth coordination of the patient ,
3. Providing the supply,appropriation, administration of ground ambulances in accordance with the permission of ministry,
4. Providing emergency health services for disasters in province in tandem with all parties,
5. Participating in activities of health and humanitarian assistance  for disasters occured in abroad and emergency situation in tandem with  national and international organizations and non-governmental organisation in accordance with instruction of Ministry.
6. Conducting the activities of planning, supply, distribution and storage intended communication, medication,  medical and technical equipment needed  for emergency  health service delivery,
7. Planning and conducting the activities of training required in order to help society improve their first aid knowledge and skill.
8. Preparing and performing  a training programme and to train the personel related duties and responsibilities area in tandem with  related organizations and institutes,
9. Making drill organizations by permission of ministry, participating in national and international drills,
10. Coordinating and inspecting integrated works of 112 emergency health services and emergency hospital services,
11. Inspecting issues  including assigned area necessarily,
12. Performing related duties given by Provincial Director.

İzmir Ambulance Service performs depending upon this branch.

İzmir Ambulance Service

We have worked 24/7 continuously in order to provide emergency health service of our people living in ThePearlofAegean, İzmir.

Who are we?

İzmir Ambulance Service (izAS) performs a service depending upon Ministry of Health and İzmir Local Health Authority. There are 108 ambulances, 2 newborn infant(baby) ambulances, 2intensive care ambulances, 2  trauma ambulances (four-sedan chair), 2 ambulances featured ground ( snow-tracked), 1 helicopter ambulance and 6 motorcycle teams at 90 Emergency Aid Stations  in order to carry out a duty at all districts of İzmir under 112 Command and Control Centre.

In addition to this,  1 Air Ambulance is deployed in Adnan Menderes Airport depending upon Ministry of Health.

-          We have been the third largest of Turkey in terms of delivery of free nursing and treatment  since then emergency patient started to get services as well we have been the largest ambulance service of Aegean

-          Emergency medical personnel over 1.300 trained specially about service perform duties.

-          We have performed a service for the population which is over 4 millions at 11,97 km² area.

-          Our service which receives a call over 10.000 daily has conveyed emergency health service to 184.612 events in 2012.

-          Arriving rate to emergency events in ten minutes is 91%.

Our Duty

Calls making with 112 phone for patients or casualties who need emergency health service within the borders of İzmir have reached to command and control centre and these calls have been evaluated as well our ambulances which are the nearest scene of event have been directed. While this organization is making, significant technical infrastructure has been used.  All ambulances have been monitored by means of satellite at center, route of ambulance, speed, address information have been seen thanks to digital maps. Millions of record has been able to stored in our computer system at the center, it can be reached to this information retrospectively.

• We have performed  a service as 24/7 uninterruptedly by the way of ground, air and sea in emergency health conditions which put life in danger.

• We have realized referring to the most suitable hospital for interhospital emergency patient transfer by being coordinated with health institution with the aid of computer system.

• In addition to this, we have performed services of emergency health  as a precautionary measure at the organizations of expo, meeting, demonstration, carnival.

• We have made an effort about promotion of first aid and 112 emergency health services for people from İzmir.

Our Team

Command and Control Centre (CCC)

One piece of 112 command and control centre managing all ambulances performing a duty in İzmir are available.

The centre located in Narlıdere is average 250m² has computer, telephone andradiotelephone produced with higher technology.

This centre gives an answer when 112 is called within the borders of İzmir. All ambulances depending upon izAS are managed by this centre. Command and control centre have an authority to task private ambulance services and private hospital ambulances for scene of event at some situations legally.

Doctor, emergency medical technician (EMT) and nurses are discharged at izAS Command and Control Centre. Employees working at centre are trained in CCC simulation before starting the duty.

Employees having EMT and nurse title meet received call and assign ambulance. In addition to this, they enter data given by ambulance and patient information into computer programme. Statistics of entered information

Are taken and evaluated.

Doctors performing a medical consulting service in the centre by evaluating calls directed by call receiver

facilitate coordination required for the transfer of interhospital patient. In addition to this, these doctors give information about first aid to patient relatives in the emergency medical situations which have a risk of death until ambulance teams reach.

It shall be communicated  with 155 Police Station in the case of  traffic accident involving personal injury, judicial events ( injury of shooting, suicide, fatal injuries, unexpected death, taking hostage ect..), attacking to ambulance teams;

It shall be communicated with 110 Fire Station in the case of inner city forest fire, stuck-inside vehicle accidents,

reaching to patient difficultly ( wells, high buildings, under the debris etc..).  Our works are maintained to be made this contact as some European countries (England, Germany, France) via computer using at these centres in terms of written and image.

112 Command and Control Centre has kept 24/7 communication with GovernorshipCrisis Management Centre,Ministry of Health Disaster Coordination Center(MHDC), Ministry of Health Communications Centre (MHCC), International Consulting Centre (ICC), International Coordination Centre (ICC), Air Operation Centre.

Emergency Health Station

There are stations where ambulance teams wait for starting events considering that population of province, emergency event density, transportation, estimated temporal and geographic data,durations of reaching to scene of event within the body of İzmir Ambulance Service(izAS). The greater part of these stations is self-contained and it has places where the personnel provide dressing and harbouring demands, material store, communication devices (phone, radiotelephone, computer, internet), ambulance parking area. There buildings consist of earthquake-resistant prefabricated structure preferably. Stations are within the body of hospital due to location, however, these stations perform a service independently of the hospital.

Authority and Responsibility of the Personnel

A great number of the personnel differing in terms of authority and responsibility  works in İzmir Ambulance Service (izAS).  You can meet different team and personnel in emergency situation due to the fact that this personel generally works with the system of guard and shift. For instance, motorcycle team can come to scene of the accident at first after a traffic accident. A helicopter ambulance can intervene by air. You can meet a special trained team carrying a newborn infant in the incubator.

A Special trained team can intervene the patient who experienced stuck-inside vehicle accident or fell from high.               

a doctor, a paramedic, an emergency medical technician and a nurse can be included in these teams according to situation of the patient and the event. All personnel who work in izAS shall participate  in training programmes about this service in addition to their knowledge and skills.

Doctors; participated in certificated special training programmes about the issues of correct usage of all medical equipment at ambulance, carrying methods, intubation ( introducer to windpipe),  cardiac resuscitation, helping birthing emergency, usage of oxygen, infusing drug and serum delivery in addition to their medical information at healthcare organizations. Doctors work alone with motorcycle teams; they work with medical personnel at ambulances. A paramedic, an emergency medical technician, a nurse or driver personnel can be near the doctor at ground ambulances. A paramedic  and 2 pilots work with the doctor at helicopter ambulance.

Paramedics; are graduated from programmes of vocational schools of higher education for ‘ Ambulance Emergency Care Technician which is a new job in our country. This education lasts 2 years and these personnel working at ambulances called as paramedic same as the world have similar authorities with doctors prehospital. In addition to this, they can work in an ambulance without a doctor and they participated in some certificated speacial training programmes including some issues like correct usage of all medical equipment at ambulance, carrying methods, intubation ( introducer to windpipe),  cardiac resuscitation, electroshock therapy, fracture-dislocation and sprain applications, , helping birthing emergency, usage of oxygen, infusing drug and serum delivery. However, they shall receive approval and consult doctors at 112 Command and Control Centre about the issues of some medical application and medication. These negotations and applications in all are recorded. These personnel are authorized and trained specially about use of ground ambulances.

Emergency Medical Technician(EMT); Works in ambulance and emergency service in terms of working area of these personnel by graduating from ‘Ambulance and Emergency Care Technician Department’ of medical vocational high school and the education lasts 4 years. They shall participate in certificated emergency training programmes witin the body of ambulance service after their education. They generally work with doctors and paramedics at ambulances. They participated in certificated spacial training programmes including the issues of correct usage of all medical equipment at ambulance, carrying methods, intubation ( introducer to windpipe),  cardiac resuscitation, electroshock therapy(with semiautomatic and automatic devices), fracture-dislocation and sprain applications , helping birthing emergency, usage of oxygen, infusing drug and serum delivery. However, they shall receive approval and consult doctors about the issues of some medical application and medication. These negotations and applications in all are recorded. These personnel are authorized and trained specially about use of ground ambulances.

Doctors,  paramedrics, emergency medical technicians and nurses are discharged as a call receiver, a  redirector and a medical advisor by participating in various training programmes at command and control centres of ambulance services.

WE RESCUE LIFE..