المؤلفون: Mac PA; Centre for Medicine & Society (Global Health), University Medical Centre Freiburg, 79014, Freiburg, Germany. pasaga123x@gmail.com.; Institute of Human Virology, University Medical Centre Freiburg, Freiburg, Germany. pasaga123x@gmail.com., Kroeger A; Centre for Medicine & Society (Global Health), University Medical Centre Freiburg, 79014, Freiburg, Germany., Airiohuodion PE; Department of Paediatrics, Zankli Medical Centre, Abuja, Nigeria.

المصدر: BMC emergency medicine [BMC Emerg Med] 2019 Dec 05; Vol. 19 (1), pp. 78. Date of Electronic Publication: 2019 Dec 05.

نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't

بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968543 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-227X (Electronic) Linking ISSN: 1471227X NLM ISO Abbreviation: BMC Emerg Med Subsets: MEDLINE

مواضيع طبية MeSH: Ambulances/*organization & administration , Ambulances/*statistics & numerical data , Emergency Medical Services/*statistics & numerical data, Ambulances/economics ; Ambulances/standards ; Capacity Building/organization & administration ; Emergency Medical Services/standards ; Humans ; Needs Assessment ; Nigeria ; Time Factors

مستخلص: Background: Nigeria is ranked second highest in the rate of road accidents and other emergencies (Deaths, disabilities) among 193 countries of the world. There is therefore the need for analyzing Emergency Medical Rescue Services (EMRS) in the country to identify options for improvement.
Method: The study was conducted from February, 2016 to March, 2017 in three EMRS organizations (FRSC, NEMA and MAITAMA Hospital) located in Abuja. The structure, resources, process of EMRS activities and outcome (delay times, case fatality as well as victims and service-providers satisfaction with services) were assessed through observation, time measurements and interviews.
Results: FRSC and NEMA offers (Road Traffic Injury) RTI and Disaster services, the ambulances consist of Intensive Care Unit(ICU) buses, Helicopters, Speed boats, motorbikes and other specialized vehicles. Mortality and morbidity recorded for 2016 was 1.1 and 2% respectively. MAITAMA is a specialist centre that offers general medical services. A total number 1227(88.8%) lives were saved during the observational period by three organizations, 60(4.9%) deaths, 132 (9.6%) disabilities, 793 (57.2%) NCDs and 593(42.8%) RTI.
Conclusion: Non-communicable diseases (NCDs) cause many deaths and morbidities in the developing world compared to infectious diseases. There is need for total revamping and education of EMRS institutions in Nigeria and Low- Middle Income Countries (LMICs). Abuja and its surroundings suffers from delays in rapid emergency services, lack of adequate awareness, functional ambulances, minimal specialists and inadequate consumables lead to the loss of many lives.