MAHARASHTRA EMERGENCY MEDICAL SERVICES MEMS

Introduction

Maharashtra Emergency Medical Services (MEMS) project under Public Health Department provides pre-hospital health services to patients through life support ambulances to nearby hospitals for further treatment. This includes patients suffering from Road accidents, all critical diseases, critical pregnant women, Neonates related diseases, Patients suffering from an epidemic, Natural calamities and Manmade Hazards, Critical heart patients, snake bite, all accidents, food poisoning, respiratory diseases, brain diseases etc.

• Toll free number 108 has been assigned for provision under Maharashtra Emergency Medical Services (MEMS).
• Strategy based on “Golden Hour Theory” – Patient to be shifted within first hour to nearest hospital is being applied through a dedicated toll free number 108. These services are available 24 X 7 in a year and offered ‘free of cost’ to the patient.
• Integrated approach to provide emergency response services which includes Computer technology integration, voice logger system, GIS (Geographic Information System), GPS (Geographic Position System) AVLT (Automatic Vehicle Location System) & Mobile Communication System (MCS).
• Ambulances procured in the scheme includes well equipped Advance Life Support Ambulances (ALS) and Basic Life Support Ambulances (BLS).
• The service provider has procured medical equipments for both ALS & BLS ambulances as per list and specifications given in the Tender Document.
• Medical Equipments include Ambulance cot, Scoop Strecher, Bi-Phasic Defibrillator cum Cardiac Monitor with Recorder (For ALS only), Transport Ventilator (For ALS only), Pulse Oximeter (For BLS only), Suction Pump (Manual & Electronic), Oxygen Cylinder Etc.
• Ambulances are being operated through trained drivers & trained EMSO’s (Emergency Medical Service Officers).

Goals & Objectives

• To provide First aid to preserve life, prevent further injury & promote recovery.
• To provide comprehensive 24X7 hours emergency response services by direct calling 108 Toll free number from any network in Maharashtra.
• System to leverage all the stakeholders to offer a comprehensive range of services in emergencies.

Deployment of Ambulances

Under Maharashtra Emergency Medical Services (MEMS) project total 937 ambulances are provided phase wise across the State (233 ALS & 704 BLS).

Call Centre

• Central Control Room/Emergency Response Centre (ERC) is established at Chest Hospital, Aundh, Pune.
• Real-time location of ambulances using GPS-GPRS technology is being monitored from call center.
• 24X7 trained Call takers & call dispatchers are available for emergency response.

Training

• Comprehensive training for all Doctors has been provided.
• Training for ambulance drivers is also provided for emergency response service.
• Training provided to call taker, call dispatcher for operationalization of EMS.

Doctor

• Qualification: B.A.M.S & B.U.M.S
• Training given: ALS (Advance Life Support), BLS (Basic Life Support), Disaster Management etc.

Driver

• Qualification: As per Government rule for driving of heavy vehicle
• Training given: Vehicular Safety Checks, Ambulance Driving Techniques, Accident Avoidance & Crash Procedures, Basic Life Support & Disaster Management Protocols

CALL ASSISTANT

• Qualification: Any graduate
• Training given: Communication Officer – Priority Dispatch System & Telecommunication Essentials.

Protocol Instruction and Practice & Roles of the Communication Officer – Operations, Legal issues, Dispatch Stress & Quality Improvement

Dispatch Officer – The science of prioritized dispatch & Ethical and Medical Legal issue, Dispatch Life Support.

Current Status:

As on today, all 937 ambulances are operational, out of which 704 are BLS ambulances and 233 are ALS ambulances.

District wise deployment of ambulances is as follows:

District Wise Deployment of Ambulances

District	ALS	BLS	Grand Total
Ahmednagar	9	31	40
Akola	4	12	16
Amravati	6	25	31
Aurangabad	8	23	31
Beed	5	14	19
Bhandara	3	8	11
Buldhana	5	18	23
Chandrapur	7	16	23
Dhule	4	14	18
Gadchiroli	2	8	10
Gondia	3	12	15
Hingoli	3	9	12
Jalgaon	9	26	35
Jalna	4	11	15
Kolhapur	8	28	36
Latur	5	15	20
Mumbai	26	65	91
Nagpur	9	31	40
Nanded	6	19	25
Nandurbar	3	11	14
Nashik	11	35	46
Osmanabad	4	11	15
Palghar	6	23	29
Parbhani	4	9	13
Pune	24	58	82
Raigad	4	19	23
Ratnagiri	4	13	17
Sangli	5	19	24
Satara	6	26	32
Sindhudurg	3	9	12
Solapur	10	25	35
Thane	12	27	39
Wardha	3	8	11
Washim	3	8	11
Yavatmal	5	18	23
Grand Total	233	704	937

From 1st February 2014 to 31st December 2024, a total of 1,05,35,248 emergency patients have been served by MEMS ambulances. A detailed report is as follows:

MEMS Type of Emergencies Served
From 1st February 2014 to 31st December 2024

S.No.	Emergency Type	Number of Medical Emergencies Served
1	Accident(Vehicle)	530824
2	Assault	86920
3	Burns	30174
4	Cardiac	85107
5	Fall	159334
6	Intoxication/Poisoning	245371
7	Labour/Pregnancy	1707907
8	Lighting/Electrocution	7104
9	Medical	6428719
10	Others	949397
11	Poly Trauma	296815
12	Suicide/Self Inflicted Injury	7576
Total		10535248

MEMS Type of Emergencies Served
From 1st February 2014 to 31st December 2024

S.No.	Type	No. of Cases
1	Ventilator	4143
2	Defibrillation	156
3	Births in Ambulances	40714

MEMS District wise Emergency Patient’s Served Status From
1st February 2014 to 31st December 2024

S.No.	District	No of Emergencies Served
1	Ahmednagar	415455
2	Akola	184567
3	Amravati	413883
4	Aurangabad	350086
5	Beed	252531
6	Bhandara	147133
7	Buldhana	261617
8	Chandrapur	340106
9	Dhule	170959
10	Gadchiroli	133256
11	Gondia	181702
12	Hingoli	148726
13	Jalgaon	315664
14	Jalna	166039
15	Kolhapur	439651
16	Latur	236042
17	Mumbai	705603
18	Nagpur	526403
19	Nanded	294847
20	Nandurbar	134144
21	Nashik	382335
22	Osmanabad	208516
23	Palghar	257890
24	Parbhani	145110
25	Pune	965803
26	Raigad	189790
27	Ratnagiri	224843
28	Sangli	301064
29	Satara	404281
30	Sindhudurg	152287
31	Solapur	575380
32	Thane	356892
33	Wardha	145640
34	Washim	135836
35	Yavatmal	271169
	Total	10535248

Beneficiary:

as mentioned above

Benefits:

as mentioned above