Emergency Medicine

International Emergency Medicine Projects

EMRI-India

About
The Emergency Management and Research Institute (EMRI) is a nonprofit organization that was established in India in 2005. The goal of EMRI is to provide comprehensive emergency management services to people in Andhra Pradesh, India using a single toll-free number ∗108∗. This number was approved by the Government of India as the centralized helpline for medical, police, and fire emergencies. In just 2 years, EMRI ambulances have responded to over 10 million calls and 500,000 emergencies, with an estimated 20,000 lives saved. EMRI plans to extend the 108 emergency service throughout India to serve entire population of 1 billion by 2009.

Stanford University has partnered with EMRI to provide a 2 year full time Post-Graduate Program in Emergency Care (EMT-A). This program is the first of its kind in India that will deliver the highest quality education and comprehensive training in the field of emergency care services. Stanford Emergency Medicine International has created a comprehensive 2 year course to train India's first new group of advanced paramedics. Stanford is also training a highly qualified group of paramedic educators comprised of former paramedics with extensive field experience as well as physicians. These paramedic educators will carry on the task of instructing the next generation of advanced emergency medical technicians. Currently, 160 paramedic students and 25 paramedic instructors (ACEs) are enrolled.

ACEs (Advanced Clinical Educators)
The Advanced Clinical Educator group is comprised of a group of highly motivated former paramedics with extensive field experience, as well as physicians with special interest in EMS. They assist in the teaching of clinical skills in the hospital and ambulance rotations, as well as teach basic sciences such as anatomy in cadaver lab. The ACEs attend special workshops by the Stanford faculty to further enhance their speaking, teaching, and administrative abilities, as they will be responsible for teaching the next generations of paramedics to come.

Press/News
9/17/07: India's former president visits Stanford to discuss emergency medical project
5/16/07: Joint effort to build emergency medical system for India 
5/9/07:   Stanford pumps life into effort to build India's emergency medical system


Hospitalito Atitlan, Guatemala

About
Hospitalito Atitlan is a small non-denominational hospital on the shores of beautiful Lake Atitlan
in the highlands of Guatemala. The Hospitalito serves a medically indigent and
under-served population of 45,000 Tzutujil Mayans who live more than 90 minutes from the closest hospital.
Services provided include 24/7 emergency and inpatient services, obstetrics (including surgical obstetrics), and an outpatient clinic.  The Hospitalito averages 150 ER visits, 15-20 vaginal deliveries, and approximately 4 C-section deliveries per month; in addition to 700 outpatient clinic visits per month.  The Hospitalito also has a functional emergency room, operating room, and a pharmacy as well as basic laboratory and radiology services.

There is a unique collaboration of volunteers and Guatemalan physicians and staff with international volunteers, making this a truly unique experience. This is an excellent learning opportunity for medical students, residents, and attending physicians alike.

Volunteer Prerequisites
• Resident and/or board-certified physicians: Emergency Medicine and Family Practice physicians with obstetrical skills are ideal; Internists and Pediatricians are also needed. 
• Spanish language skills are highly recommended, though not 100% mandatory for more advanced residents/attendings. 
• 4 week rotation

A long-term physician volunteer to act as Chief of Staff, to split clinical supervisory and administrative roles is also needed.  A stipend and free housing may be offered to those offering more than 6 months of service.

Other health professionals, including nurses, physicians assistants, nurse practitioners, nurse midwives, and paramedics are also welcome; and have historically been significant contributors to the Hospitalito.  Senior medical students who have completed their core clinical rotations are also welcome.

Contacts
For more information email: volunteer@puebloapueblo.org 
Website:  http://www.puebloapueblo.org/ha.html
The Hospitalito's up-to-the-minute volunteer calendar is available online at:   http://www.puebloapueblo.org/calendar.html


Papua New Guinea Medical Project

About
A dire lack of basic health care currently exists in large parts of the island nation of Papua New Guinea. Through the collaboration of Stanford University students and faculty with the indigenous people of the Sepik River Basin and the Central Highlands, we are establishing a system of health care stations along the Sepik River and in the Enga highlands. Our projects endeavor to build enduring and committed relationships with the communities in these areas via small, reproducible health care delivery programs. Ultimately, our goal is to create an independent healthcare system - fully staffed, supported, and sustained by the local villages, with no need for outside influence or direction. Not only does this PNG project provide an invaluable learning experience for Stanford students, housestaff, and faculty; but it has provided crucial medical service for the people native to this region.

Project
PNGMPThere are three primary components of the medical project. The medical component includes establishing clinics along the Sepik River Basin and in the Enga Highlands. Volunteers stock and manage the clinics directly along side the local healthcare providers and trainees. The extreme needs of these regions provide students and residents with invaluable experience in developing clinical intuition and resourcefulness without the aid of modern laboratory and radiographic assistance. The medical project strives to deliver the best possible medical care to an area in extreme need, and to combine this with the highest standards of scientific investigation, for the continual health care improvement of the local communities.

Medic Course The other components are more sustainable, and are educational in nature. While the project falls into the realm of preventative medicine, it provides interested students with a course curriculum at Stanford, focusing on tropical medicine and international healthcare. Most importantly, it facilitates the training of village health aids in Papua New Guinea to care for their own communities. The PNGMP programs empower the village medics to care for the people without compromising their independence. This long-term relationship and commitment has provided an opportunity for interested Stanford pre-medical and medical students, as well as housestaff, to serve in the setting of international health/tropical medicine.

Press/News
Getting Better: The Stanford - Papua New Guinea Medical Project
(Stanford Magazine)[Nov/Dec 2001]
Spreading Health: A Stanford Medical Project nurtures a Sustainable Health Care System
(Stanford Medicine 19:1)[Winter 2002]

Contacts
For more information email: info@intmedicaloptions.org 
Website:  http://www.stanford.edu/group/pngmp

 

Apollo Hospital, India

Stanford faculty and residents created and implemented a comprehensive EMT-Intermediate Program for paramedics at Apollo Hospital in Hyderabad and Chennai. These highly trained paramedics have had intensive field experience and some have gone on to become paramedic instructors, as well as ACLS/BLS instructors in India. They have played a crucial role in the development of EM/EMS in India.

"For much of India—and the developing world—emergency medical services that we take for granted in the United States are not available, and calls for help go unheeded. All of us with ties to India can recite an incident where a family member or friend met an untimely demise because of a lack of pre-hospital care."
  − S.V. Mahadevan MD, Assistant Professor of Surgery & Director of EMRI




Other Ongoing Programs

Sahara Relief: Medical infrastructure building in northern Africa
Himalayan Rescue Association: Providing needed medical care at the world's highest elevation hospital

 

 

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