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Emergency medical services in Sri Lanka is being established using a public/private system aimed at the provision of emergency ambulance service, including emergency care and transportation to hospitals. The Pre-Hospital Care Committee is part of the Trauma Secretariat () of the Sri Lanka Ministry of Healthcare and Nutrition and was established following the 2004 tsunami. The goal of the Pre-Hospital Care Sub-Committee is “During this generation and continuing for future generations, everyone in Sri Lanka will have access to trained pre-hospital medical personnel, ambulances are available to transport the sick and injured safely to hospitals, complications from harmful or inadequate pre-hospital care is eliminated so physician and nursing personnel at hospitals are delivered patients they are able to professionally treat and rehabilitate back to society as contributing citizens.” Pre-Hospital care is an essential, core component of trauma system.〔(【引用サイトリンク】title=Trauma Secretariat website )〕 The emergency access number for Emergency Medical Services, reserved by the Telecommunications Regulatory Commission, for Sri Lanka is 1-1-0 and is operational in the districts of Colombo, Galle, Kandy, and Jaffna with plans to expand to provide national coverage. In February 2009, the Jaffna District 1-1-0 communications center was opened with the opening call placed by Mr. James Moore, the Deputy Chief of Mission for the United States Embassy (Sri Lanka).〔(【引用サイトリンク】title=Voice of America website )〕〔(【引用サイトリンク】title=United States Embassy, Sri Lanka Press Release )〕 ==EMS Training== The pre-hospital care sub-committee has established minimum standards for EMT education in Sri Lanka. Currently, EMTs and Pre-Hospital personnel are currently working in four distinct areas: Fire Brigades, Hospitals, Community Based Organizations, and Private Services. All Sri Lankan EMTs are trained on international EMS standards adopted by the Trauma Secretariat of the Ministry of Healthcare & Nutrition. The Sri Lankan standards are comparable to the National Registry of EMTs of USA (United States Department of Transportation Guidelines), the Australasia Registry of EMTs,〔(【引用サイトリンク】title=Australasian Registry of Emnergency Medical Technicians Website )〕 and the UK College of Emergency Medicine standards. EMT training in Sri Lanka is divided into four training levels. EMT-Level 1: The Sri Lanka EMT-Level 1 is the first level of EMS training beyond community responders (First Aid and Advanced First Aid). Some countries refer to this level as Medical First Responders. Typically, first responders may be fire fighters, police officers, lifeguards, coaches, or teachers. Level 1 EMTs are trained in basic rescue, oxygen use, CPR, splinting, and safe ambulance operations. EMT-Level 2: Level 2 EMTs are sometimes referred to as EMT-Basics or EMT-Ambulance Officers in other countries. Training at this level ideally requires 120–160 hours of classroom and clinical education for students to demonstrate the knowledge, attitude and skills required. Some examples of the skills of an EMT include: - Airway management with the use of oral and nasal airways - Automatic External Defibrillators - Extrication of Trauma Patients with spinal injuries - Medical & Trauma Patient Assessments - Assisting patients with prescribed medications (NTG (), Asprin, salbuterol inhalers) - Spinal Immobalization - Assessment of Vital Signs - Assisting with unexpected emergency deliveries during transport EMT-Level 3: Level 3 EMTs or EMT-Intermediate Level is a more advanced professional level of pre-hospital care providers. Typically, level 3 EMTs are more senior and experienced EMTs and also have additional training in establishing IV cannulation, and in some areas limited access to lifesaving medications and advanced emergency airway management. EMT-Level 4: Internationally, EMT-Paramedic represents the highest level pre-hospital care professionals. The skills, education, and protocols of Paramedics vary country to country. Although Sri Lanka will have Level-4 EMTs in the future, currently EMT-Paramedics, or Level-4 EMTs are not being trained in Sri Lanka. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Emergency medical services in Sri Lanka」の詳細全文を読む スポンサード リンク
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