Welcome to Kham Nakorn Rescue & EMS.
We are a ‘Foundation’ (in Western terms, an NGO) based in North East Thailand in Khon Kaen province, in Khon Kaen city, providing First Responder and Ambulance EMT crews working in conjunction with the regional 1669 (Medical Emergency Line) service.
Formed over three years ago, we are working in close partnership with a number of organisations, agencies and governmental bodies in Thailand including a leading private hospital provider, in order to redefine the role of volunteer led pre-hospital emergency care (PHEC). We also have a number of overseas organisations and individuals who are in partnership with us and assisting us in our work and plans including Ruth Lee Ltd who recently granted us £1000 for ambulance refurbishment, Global Fire & Rescue, PAX Bags, Class Professional Publishing, Ambulance Today, South West Ambulance Services NHS Trust & St John Ambulance (London Region Logistics).
Here are some of our sponsors and the equipment/items they have provided us with:
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Here are some recent articles/posts:
RTC Extrication Training
We are pleased to announce that we are now formally preparing the RTC Extrication training program which we hope will be delivered at the end of 2018 or early 2019 in Udon Thani & Khon Kaen.
Working in association with our partners at Global Fire & Rescue, the training will focus on primarily ensuring that both volunteer & paid EMS crews have a safe working knowledge of HOW & WHEN to extricate an injured patient from a motor vehicle. This training will be reinforced with an introduction to ‘Trauma Care’ which will form part of an ongoing training package.
Click here to read the article.
‘An Assessment on Thai Emergency Medical Services Performance: The Patient Perspective’.
Recently published research looked into the patient experience with both EMS and Emergency Departments, with the view to leading to improvements. There were however a number of discouraging findings and these raise questions as to how to address these.
…only 7.28% of respondents where conveyed to hospital by an ambulance but also worrying that the satisfaction levels expressed by patients who had been conveyed by volunteer ambulance crews was noticeably lower than that of the paid hospital based ambulance crews. Only 80% of those surveyed said that they felt safe in a volunteer/foundation ambulance and slightly less that 80% where satisfied with the experience.
There needs to be a policy change and decision made (by the Government) to support Foundations (and state/private operators) in their work IF there is a serious desire to promote pre-hospital emergency care in Thailand. Without such support, there is going to be little movement forwards now or in the future and as a direct result, the healthcare of Thai people will suffer.
84% of volunteer personnel in Thailand are voluntary and receive minimal financial support from the National Institute of Emergency Medical Services (NIEMS). The funding of volunteer led pre-hospital emergency care is in urgent need of reform, review and modernisation. There is also an emergent need for a radical review of the entire First Responder and EMT training & revalidation process in order to modernise the & bring up to date the skills, as well as introduction of a clinical governance and auditing process of training and also the delivery of services and the actual service providers.
Ambulance Design & Safety
We are working in partnership with several private sector organisations in order to review the design aspects, funding and registration of all ambulances in the country. There are a series of critical safety issues requiring urgent attention. Thailand has an unacceptably high number of fatal and serious injury accidents involving accidents, many of which with the correct driver training, compliance with the road laws (eg wearing of seatbelts) & a compliant safe vehicle design could be avoided. We will be participating in the #saferambulance2020 campaign which will be launched later this year (2018) which will be focused around design safety features as well as safer working practices for EMS crews, the aim is to deliver an affordable, safe ambulance which will provide a greater degree of protection to the ambulance crew, their patient and other road users. Details will follow soon…
Training and skills development
2017 saw NIEMS engaging with stakeholders and starting a review of training and governance. We have been asked, in partnership with a nationwide private hospital group, to engage in this process and take part in designing the future of Thailand’s EMSS. As part of our submission, we are engaged in conversations with a number of Foundations in order to discover their training needs and are preparing an outline presentation which will be delivered later in 2018.
The time for change is upon us and needs to be acted upon now! Join us in our work as we strive with our partners to make EMS a safe place to be, with the appropriate skills and necessary support enabling ‘professional volunteers’ to deliver appropriate pre-hospital emergency care to those who are in their time of need.
So, welcome to our website where you will find a vast array of posts relating to our work and the issues identified above.
Updated 01/04/2018 @ 2127 BST