 Hello everyone, I am Dr. Sushant. I am the Consul in the Head Department of Emergency Medicine at Manipal Hospital, Dwarka. Today on the occasion of World Ambulance Aid that awaits January 2020, I would like to give a following message. Ambulances, as you all know, form a very integral part of any emergency care or any emergency care system. Why an ambulance is important? Because ambulance are the major source which provide the service to the patients in their most acute phase of illness. And why the stress that ambulance care is very important is because they give the support a patient needs in that cold and hard. So what you all must be knowing, you heard about this term called cold and hard. That's an hour post any medical emergency or any trauma emergency where an intervention or the treatment can maximally benefit a patient. So even though the patient is not in the hospital, an ambulance can take a hospital or a hospital kind of setup in the field to the patient. So that could maximally benefit the patient. Another important thing which I would say about Manipal Hospital, Dwarka which is unique to us that we have an integrated ambulance services called MARS. That's Manipal Ambulance Response Services. It's basically a combination of technology and efficient manpower. Where technology, I mean it's a fleet of both basic and advanced cardiac life support ambulances which has GPS enabled technology. We have a surveillance technology and we have a 24-7 emergency command center. So when we get a call for a patient on our emergency command center, we analyze the call and we dispatch the ambulance accordingly. Whether it requires a basic support ambulance or advanced life support ambulance. The uniqueness is that our ambulances are not bugged in the hospital. They are in and around Dwarka region. That is a 10 kilometer radius which we cover, try to cover. And these ambulances are GPS tagged so we can dispatch a nearest ambulance for that particular patient. Another important thing, once the ambulance reach there, the paramedic takes the patients, assesses the patient and the doctor sitting in the command center through the surveillance technology can actually see what's going wrong with the patient. So it's not just the advanced medical treatment but it is also the surveillance that helps treating the patient efficiently in the pre-hospital setting. And also the emergency department at Manipal Hospital Dwarka is simultaneously prepared to receive that patient and we make sure that all the necessary resources are kept ready when a patient, that patient arrives in our hospital. Another unique thing is that it's a free-of-cost pickup. We don't charge anything to the patient and depending on the patient's condition, we treat the patient and shift him to the nearest possible or the best possible way which is required for the patient. So if you think you require an ambulance, you call us on 011 4040 77. Now going further, a cardiac arrest, this is a major cause of deaths in India and you will not believe that more than 60 or 70% of cardiac arrests they happen in out-of-hospital setting. So why the patients are not able to reach the hospital? Because once a patient has a cardiac arrest, the most important thing what can save him is an early CPR, that's called cardiopulmonary resuscitation. In India, if it is said that you have to suppress him or give him a critical breath, that can be done by anywhere, anytime. So what Manipal Hospital Dwarka projects that they wish to train maximum people in the CPR technique so that they can save somebody's life. Also on this world ambulance day, I would give a very important public message that please, please give way to the ambulance whenever his ambulance is on the road. That you might not be okay, that's why it is important because that could save somebody's life. So in the end of this video, we will do a short demonstration of the CPR. So you see that there is a victim which is lying on the floor. The first thing you ensure is seeing safety. Then you check the response of the victim with a spinty responding by tapping his shoulder. He is not responding. You have to pick up the phone and call the emergency response number. Then by the time the help arrives, you check the pulse of the patient. That is a carotid pulse. The pulse is not present. You have to check the pulse in between 5-10 seconds. Then you identify the center of the chest and you need to start giving CPR or chest compressions. The rate of chest compressions should be 30 compressions and then followed by 2 breaths. You can see that they are giving 2 breaths. At least 5 cycles or 2 minutes. Then you check if the pulse is back or not. Another important thing is that if you are not comfortable giving the patient a breath, then you can only give him hands only, CPR or compression only CPR. That could also actually save a patient's life. So in the end, motive is to save somebody's life.