Emergency Medical Services In South Africa
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Emergency Medical Services In South Africa
Emergency medical services in South Africa are a public/private system aimed at the provision of emergency ambulance service, including emergency care and transportation to hospital. Organization Land Ambulance Emergency ambulance service is provided by each South African province. The government-operated ambulance system, also known in the Western Cape as METRO (Medical Emergency Transportation and Rescue Operations) provides emergency medical care as well as various rescue options (land, air and sea) to the public. In addition to the paid responders, the government system is supplemented in many areas by volunteers. In cases where volunteers are used, the standards for operation are set by the provincial Health Department, which also provides vehicles, equipment, and operating expenses. Operations are normally administered at the local level through the Emergency Management Service, which oversees police and fire protection as well. The co-location of ambulances with fire ...
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Pretoria Paramedics
Pretoria () is South Africa's administrative capital, serving as the seat of the executive branch of government, and as the host to all foreign embassies to South Africa. Pretoria straddles the Apies River and extends eastward into the foothills of the Magaliesberg mountains. It has a reputation as an academic city and center of research, being home to the Tshwane University of Technology (TUT), the University of Pretoria (UP), the University of South Africa (UNISA), the Council for Scientific and Industrial Research (CSIR), and the Human Sciences Research Council. It also hosts the National Research Foundation and the South African Bureau of Standards. Pretoria was one of the host cities of the 2010 FIFA World Cup. Pretoria is the central part of the City of Tshwane Metropolitan Municipality which was formed by the amalgamation of several former local authorities, including Bronkhorstspruit, Centurion, Cullinan, Hammanskraal and Soshanguve. Some have proposed changing ...
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AEMT
Advanced emergency medical technicians (AEMT) are providers of prehospital emergency medical services in the United States. A transition to this level of training from the ''emergency medical technician-intermediate'' (''EMT-I''), which have somewhat less training, began in 2013 and has been implemented by most states at this point. The AEMT is not intended to deliver definitive medical care in most cases, but rather to augment prehospital critical care and provide rapid on-scene treatment. AEMTs are most usually employed in ambulance services, working in conjunction with EMTs and paramedics, however are also commonly found in fire departments and law enforcement agencies as non-transporting first responders. Ambulances operating at the AEMT level of care are commonplace in rural areas, and occasionally found in larger cities as part of a tiered-response system, but are overall much less common than EMT- and paramedic-level ambulances. The AEMT provides a low-cost, high-benefit op ...
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Central University Of Technology
Central University of Technology, Free State or CUT is a University of Technology in Bloemfontein in the Free State province of South Africa. It was established in 1981 as "Technikon A technikon was a post-secondary institute of technology (polytech) in South Africa. It focused on career-oriented vocational training. There were 15 technikons in the 1990s, but they were merged or restructured as universities (especially universi ... Free State". As part of the South African government's restructuring of tertiary education for the new millennium it was promoted to university of technology status. Campus The university has two campuses – one in Bloemfontein, the judicial capital of South Africa, and one in Welkom, in the heart of the Free State goldfields. The two campuses offer education opportunities in a number of technological fields, including science, technology, engineering and mathematics (STEM); management sciences; humanities; and education. Academics The Central Unive ...
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University Of Johannesburg
The University of Johannesburg (UJ) is a public university located in Johannesburg, South Africa. The University of Johannesburg came into existence on 1 January 2005 as the result of a merger between the Rand Afrikaans University (RAU), the Technikon Witwatersrand (TWR) and the Soweto and East Rand campuses of Vista University. Prior to the merger, the Daveyton and Soweto campuses of the former Vista University had been incorporated into RAU. As a result of the merger of Rand Afrikaans University (RAU), it is common for alumni to refer to the university as RAU. The Vice-Chancellor and Principal of UJ is Professor Tshilidzi Marwala who took office on 1 January 2018. Between 2005 and 2017, UJ's Vice-Chancellor and Principal was Prof Ihron Lester Rensburg. The newly emerged institution is one of the largest comprehensive contact universities in South Africa from the 26 public universities that make up the higher education system. UJ has a student population of over 50 000, of whi ...
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Public Record
Public records are documents or pieces of information that are not considered confidential and generally pertain to the conduct of government. For example, in California, when a couple fills out a marriage license application, they have the option of checking the box as to whether the marriage is "confidential" (Record will be closed, and not opened to public once recorded) or "public" (record will become public record once recorded). Essentially, if the marriage record is public, a copy of the record can be ordered from the county in which the marriage occurred. Other examples of public records includes information pertaining to births, deaths, and documented transaction with government agencies. History Since the earliest organised societies, with taxation, disputes, and so on, records of some sort have been needed. In ancient Babylon records were kept in cuneiform writing on clay tablets. In the Inca empire of South America, which did not have writing, records were kept via an ...
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Technical Standard
A technical standard is an established norm or requirement for a repeatable technical task which is applied to a common and repeated use of rules, conditions, guidelines or characteristics for products or related processes and production methods, and related management systems practices. A technical standard includes definition of terms; classification of components; delineation of procedures; specification of dimensions, materials, performance, designs, or operations; measurement of quality and quantity in describing materials, processes, products, systems, services, or practices; test methods and sampling procedures; or descriptions of fit and measurements of size or strength. It is usually a formal document that establishes uniform engineering or technical criteria, methods, processes, and practices. In contrast, a custom, convention, company product, corporate standard, and so forth that becomes generally accepted and dominant is often called a ''de facto'' standard. A techni ...
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Rapid Sequence Induction
In advanced airway management, rapid sequence induction (RSI) – also referred to as rapid sequence intubation or as rapid sequence induction and intubation (RSII) or as crash induction – is a special process for endotracheal intubation that is used where the patient is at a high risk of pulmonary aspiration. It differs from other techniques for inducing general anesthesia in that several extra precautions are taken to minimize the time between giving the induction drugs and securing the tube, during which period the patient's airway is essentially unprotected. One important difference between RSI and routine tracheal intubation is that the anesthesiologist does not typically manually assist the ventilation of the lungs after the onset of general anesthesia and cessation of breathing, until the trachea has been intubated and the cuff has been inflated. Uses This procedure is used where general anesthesia must be induced before the patient has had time to fast long enough to ...
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Thrombolysis
Thrombolysis, also called fibrinolytic therapy, is the breakdown (lysis) of blood clots formed in blood vessels, using medication. It is used in ST elevation myocardial infarction, stroke, and in cases of severe venous thromboembolism (massive pulmonary embolism or extensive deep vein thrombosis). The main complication is bleeding (which can be dangerous), and in some situations thrombolysis may therefore be unsuitable. Thrombolysis can also play an important part in reperfusion therapy that deals specifically with blocked arteries. Medical uses Diseases where thrombolysis is used: * ST elevation myocardial infarction: Large trials have shown that mortality can be reduced using thrombolysis (particularly fibrinolysis) in treating heart attacks. It works by stimulating secondary fibrinolysis by plasmin through infusion of analogs of tissue plasminogen activator (tPA), the protein that normally activates plasmin. * Stroke: Thrombolysis reduces major disability or death when given ...
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Advanced Life Support
Advanced Life Support (ALS) is a set of life saving protocols and skills that extend basic life support to further support the circulation and provide an open airway and adequate ventilation (breathing). Components These include: * Tracheal intubation * Rapid sequence induction * Cardiac monitoring * Cardiac defibrillation not using an automated external defibrillator (AED) * Transcutaneous pacing * Ultrasonography * Intravenous cannulation (IV) * Intraosseous (IO) access and intraosseous infusion * Surgical cricothyrotomy * Needle cricothyrotomy * Needle or finger thoracostomy of tension pneumothorax * Pericardiocentesis * Advanced medication administration through parenteral and enteral routes (IV, IO, PO, PR, ET, SL, topical, and transdermal) * Advanced cardiac life support (ACLS) * Pediatric Advanced Life Support (PALS) or Pediatric Education for Pre-Hospital Providers (PEPP) * Pre-Hospital Trauma Life Support (PHTLS), Basic Trauma Life Support (BTLS) or International T ...
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Defibrillation
Defibrillation is a treatment for life-threatening cardiac arrhythmias, specifically ventricular fibrillation (V-Fib) and non-perfusing ventricular tachycardia (V-Tach). A defibrillator delivers a dose of electric current (often called a ''counter-shock'') to the heart. Although not fully understood, this process depolarizes a large amount of the heart muscle, ending the arrhythmia. Subsequently, the body's natural pacemaker in the sinoatrial node of the heart is able to re-establish normal sinus rhythm. A heart which is in asystole (flatline) cannot be restarted by a defibrillator, but would be treated by cardiopulmonary resuscitation (CPR). In contrast to defibrillation, synchronized electrical cardioversion is an electrical shock delivered in synchrony to the cardiac cycle. Although the person may still be critically ill, cardioversion normally aims to end poorly perfusing cardiac arrhythmias, such as supraventricular tachycardia. Defibrillators can be external, transve ...
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