Karachi, the largest city of Pakistan lacks an organized public ambulance response system and medical aid to trauma patients at the scene or in the ambulance during transfer to a hospital is minimal or non-existent. Patients are mostly taken to the nearest hospital by relatives or bystanders; transport of a trauma patient by an untrained person may eventually result in a poorer outcome. The situation becomes even worse in cases of transfer delays.
A review of studies in Europe concluded that about 50% of road traffic deaths occur within a few minutes at the scene of the crash or on the way to a hospital, 15% at the hospital within 4 hours of the crash and 35% after 4 hours. A study comparing road traffic deaths across a range of countries found that the vast majority of deaths in low income and middle-income countries occur before reaching the hospital. The same study also found that the probability of dying before reaching the hospital increases as the socio-economic status of the victim decreases.
Studies worldwide have shown that death could be prevented in many cases in which people died before reaching a hospital. Many complications resulting in disability could also be prevented pre-hospital.
Developing countries such as Pakistan have a decentralized ambulance system. Decentralized ambulance services often provide only pre-hospital transport, but no medical care (Gaitan et al., 1998).
An absence of emergency medical transport is a common barrier to care. This may arise because of any of several factors, including the lack of appropriate vehicles, the absence or the inadequacy of roads, and the inability to pay for transport services. The consequences of a lack of transport can be grave.
There is empirical evidence that providing emergency transport saves lives. In Sierra Leone, investment in a vehicle and an improved communication system led to a doubling of the utilization of emergency obstetric services and a 50% reduction in case fatalities. In Monterrey, Mexico, an increase in the number of sites of ambulance dispatch from two to four and the provision of basic skills training in trauma care reduced deaths among patients en route to hospital (World Health Organization).
In a survey of community leaders in both rural and urban areas of Pakistan, the most common set of expectations by the participants during a healthcare visit in an emergency were reported to be: competent emergency care staff 27/37(73%), and free availability of medicines 10/37 (27%). At the same time, responses on the most common problems in the emergency care system in the area were: lack of equipment 24/43 (56%), lack of ambulance system 21/43 (49%) and substandard services 10/43 (23%). While responding to the request for suggestions on improving the emergency care system; 29/44 (66%) mentioned the importance of communication and an organized network of ambulances; and 26/44 (59%) emphasized the importance of fully equipped emergency units.
AMWT® Free Ambulance Service
Al Mustafa Welfare Trust® also have ambulances readily available to attend medical emergencies in different cities throughout Pakistan including Islamabad, Rawalpindi, Lahore, Peshawar, Quetta and Kashmir.
The daily routine of the ambulance service is to attend to people involved in accidents as well as help those that are poor and vulnerable and are unable to travel, therefore requiring transport from rural areas to the city hospital.
Al-Mustafa Welfare Trust® is looking to purchase 100 Ambulances this year for the following countries:
Each Ambulance will cost £7,000 and can will serve 5,000 people upwards on annual basis. These Ambulances will be distributed in each country based on the demand and population size. Pakistan and Bangladesh have higher population numbers and therefore the need will be greater in these two countries. However, Palestine is also a high priority due to last years bombing campaign that destroyed several hospitals and destroyed many ambulances.
Our Free Ambulance Service campaign hashtags on facebook, google+, instagram, flickr and twitter is: #freeambulance #ambulances-saves-lives #100-ambulances
How your donations can help
Make your Monthly or One-Off Donation
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Free Ambulance Monthly Donation
To make a one-time donation simply choose the amount from the drop down list, click “add to cart” then you will be directed to your shopping cart page where you can view/amend your cart and then click “proceed to checkout”. If you wish to enter your own amount then choose “Other” from the Amount dropdown list.
Free Ambulance One-Off Donation
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Donate via SMS
You can make an SMS donation to our free ambulance service by texting the following codes to 70070:
AMBL10 £10 for a £10 donation to contribute towards the cost of purchasing an ambulance
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