Prehospital Life Support Manual

by Kundan Mittal

‘Safe hands safe lives.’ If you are not perfect in driving, then there is a chance, that you may endanger the lives of all the occupants and others. Similarly, if you are not attended by qualified persons when seriously ill, your life will be in danger. System of delivering “advanced health care” in hospital setting is well established, but there is no system of prehospital life support in existence in India. Prehospital life support is an important and integral part of effective health care system. Prehospital life support includes extrication of trauma victims, assessment of all seriously ill and injured, initial stabilization, and arranging transport to appropriate level of care without doing further harm. The concept of prehospital care is not new in the west, but in developing countries like India, there is no concept of prehospital life support. Timely intervention in seriously ill patients will be of great help and life-saving. It is difficult to reach at door step with advanced care, but if basic life support services are given by health care providers (primary physicians, nurses, paramedics, and others) in time at door step, the survival can be improved. This manual has been designed keeping in view the great need of prehospital life support care of acutely ill. This manual primarily focuses on the initial assessment using ABCDE’s approach, stabilization, and transport of acutely ill or injured patients to the appropriate facility.

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