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"type": "speech",
"speaker_name": "Hon. (Prof.) Nyikal",
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"speaker": {
"id": 434,
"legal_name": "James Nyikal",
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"content": "The care needed for this is urgent. It needs very special skills and many times it is something which, if one is well trained, will save lives and avoid long term disability by very simple measures. For those who are critically ill, that simple measure, if taken in time, will stabilise the patient and make it possible for the patient to get proper treatment and recover well. We cannot assume that all trained medical personnel, be they doctors, nurses or physiotherapists, are equipped with the skills that are required. They have general skills. In any case, depending on the level of those available, we need to train people at all levels, even those who attend to accidents by the roadside. The ambulance drivers, technicians and staff escorting people in ambulances; it is an extremely important element of care. To give an example, a simple thigh fracture which should not cause death, because of the bleeding that will be associated with it, can kill somebody within hours if nothing is done. Somebody who gets a simple fracture of the back of the spine, if not properly transported will be paralyzed for life. It is, therefore, important that we get people trained. We need to train staff starting with those receiving the patients, at the point of injury or the point of sudden illness to those transporting them and those taking care of them while they are in hospital. Another requirement is the availability of equipment. Although this Motion does not speak to that, it is important that even by the roadside, equipment should be in the ambulances that will help in saving life. When people reach hospitals, it is important that they have life- saving equipment such as Intensive Care Units equipment and ventilators. Hon. Deputy Speaker, this is extremely important. Many people who may have been maimed or died could have their lives saved, if an efficient and harmonized system was in place. Therefore, it is important that we have an efficient and harmonised referral system. I know that the Ministry is making an attempt. We need to have a proper referral system so that when a patient is moved from the road, by the time he or she arrives at the hospital, the staff in that hospital should be aware that they are about to receive a patient with such and such kind of injury, which should be given such and such kind of treatment. When patients arrive in hospital, they need this or that kind of treatment. In the ideal situation, as soon as a patient arrives in the hospital, everything should be ready for that patient’s treatment."
}