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Emergency Care

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Supporting care with technology

When handling the unexpected in emergency care, you will never know what to expect. At Dräger, we understand that initial diagnoses and treatment decisions in emergency care can represent a patient’s first and sometimes only opportunity for a favourable outcome. Regardless of the patient’s initial condition, supporting you with reliable technology is our focus in emergency care.

The Singapore Civil Defence Force responded to 178,154 EMS calls in 2016, this was an increase of 7.4% in calls as compared to the previous year. 17.9% of the emergency calls were trauma cases while the number of calls involving the elderly was the highest at 39.4%. With Singapore’s ageing population, there is an increasing load on EMS. An estimated 5% increase in demand annually would double the number of EMS calls in 15 years. To prepare for the increase in demand for EMS, the SCDF would need to optimize its limited resources with the help of technology and differentiated frontline response model1.

Pre-Hospital Emergency Care

Successful treatment at the emergency scene presents many challenges, not just for the patient, but also for the attending staff. Robust and easy to operate equipment helps paramedics to concentrate on what is most important: to stabilize the patient in order to safely transport him/her to the hospital.

In Singapore, emergency ambulance services would have to comply with the MOH Standards for Emergency Ambulance Service. All providers must adhere to the standards which state the minimum requirements when operating an Emergency Ambulance Service2. Singapore’s development of prehospital trauma care systems encounters unique challenges due to its population density in a small land area. Prehospital trauma care systems would encounter challenges like the lack of surge capacity during high demand or responsive mutual aid agreements2.

Supporting in Emergency Department

In emergency care, you never know what to expect. We understand that initial diagnoses and treatment decisions in the emergency room can represent a patient’s first and sometimes the only opportunity for a favourable outcome. Your task is to provide immediate and safe emergency care to all patients, and at the same time, adapting a caring and cost-effective approach2, therefore you should be supported with reliable technology.

An article published in 2014 stated that, there are a total of 14 emergency departments in Singapore with 92% reported capable of providing emergency and trauma care3. According to Singstat, there is an increase in the total number of admissions in the Accident & Emergency Departments in 2016 and 2017 as compared to 2012. The number of doctors in Singapore has also increased, from 10,225 in 2012 to 13,386 in 2017, to meet with the increasing healthcare demands4.

In Malaysia, an estimated total of 8,105,520 visits were made to the emergency and trauma departments. Data has also shown that there was an increment of emergency and trauma visits from 2,524 visits per 10,000 population in 2009 to 2,860.69 visits per 10,000 population in 20102. As compared to other developing countries, Malaysia’s Emergency Medical Services delivery is still in development. Studies have shown that EMS delivery in Malaysia lacks communication systems, system management and uniform medical control among EMS providers5.

Pre-Hospital Emergency Care

Successful treatment at the emergency scene presents many challenges, not just for the patient, but also for the attending staff. Robust and easy to operate equipment helps paramedics to concentrate on what is most important: to stabilize the patient in order to safely transport him/her to the hospital.

Pre-hospital care in Malaysia is limited by the lack of integration between agencies such as police, fire departments, and ambulance services during emergency situations. Therefore there is a growing demand for education and training for medical personnel as well as standardization of clinical practices during emergency situation5.

Supporting in Emergency Department

In emergency care, you never know what to expect. We understand that initial diagnoses and treatment decisions in the emergency room can represent a patient’s first and sometimes the only opportunity for a favourable outcome. Your task is to provide immediate and safe emergency care to all patients, and at the same time, adapting a caring and cost-effective approach3, therefore you should be supported with reliable technology.

In the Philippines, there are about 7,000 deaths annually due to road accidents, with the majority from motorcycles or two-wheeler bicycles. These resulted in accidents being ranked fourth as the cause of death in all ages7. Despite being one of the first countries to recognize pre-hospital EM as a unique discipline in 1988, the national society for EM was founded only in 20119. The Philippines face challenges in ED services and pre-hospital care due to the lack of a nationwide standard of practice and a minimum requirement for recruiting potential medical personnel7.

Pre-Hospital Emergency Care

Successful treatment at the emergency scene presents many challenges, not just for the patient, but also for the attending staff. Robust and easy to operate equipment helps paramedics to concentrate on what is most important: to stabilize the patient in order to safely transport him/her to the hospital.

A study has shown that in Philippines, out of the 3,300 EMS personnel, only 0.06% are trained paramedics. With the passing of the Emergency Medical Services System (EMSS) Act in 2017, the Philippines’ government has implemented several policies to strengthen the development of the EMS. Improvements such as creating a nationwide EMS network with a national emergency number to staffing dispatch centers with well-trained and qualified personnel equipped with emergency transport vehicles have been introduced on a national level9.

Supporting in Emergency Department

In emergency care, you never know what to expect. We understand that initial diagnoses and treatment decisions in the emergency room can represent a patient’s first and sometimes the only opportunity for a favourable outcome. Your task is to provide immediate and safe emergency care to all patients, and at the same time, adapting a caring and cost-effective approach3, therefore you should be supported with reliable technology.

There are reportedly 1,795 hospitals in Philippines and the vast majority of those lack trained emergency physicians and equipment to effectively manage trauma patients and safely provide critical care in emergency situation. Additionally emergency departments have become important entry points for those without other means of access to medical care10.The lack of medical infrastructures and the high demand for certified emergency physicians are the key challenges faced by emergency medical personnel in Philippines.

Non-Invasive ventilation for emergency patients

Greater convenience, comfort and safety: Non-invasive ventilation in pre-hospital emergency care.

Together with the Dräger Oxylog VE 300 and Oxylog 3000 plus, prevent intubation as long as possible because:

  • patients with mechanically assisted ventilation could develop ventilator-associated-pneumonia (VAP)
  • patients with VAP could have a significantly longer ICU and hospital length of stay
  • the treatment of VAP may account for almost half of all antibiotics administered in ICUs
Non-Invasive Ventilation Factsheet
Non invasive ventilation factsheet title

Download our complete overview of the clinical benefits of non-invasive ventilation

Download Factsheet
PDF 368 KB
Non-Invasive Ventilation booklet – A century of experience
Invasive ventilation booklet a century of experience

A practical guideline for the use of non-invasive ventilation

Download Literature List
PDF 1.5 MB
Non-Invasive Ventilation: Frequently Asked Questions
Non invasive ventilation frequently asked questions

Information on common questions regarding the use of NIV in practice

Download FAQ
PDF 189 KB

O2 Therapy

High-flow oxygen therapy is becoming increasingly useful in the clinical environment, for both preventing intubation and recovery post extubation. High-flow oxygen therapy is typically used in spontaneously breathing patients who require oxygen at higher flow rates, specifically high-flow interfaces are required for this. With the Dräger Evita ventilators, flow rates of up to 50l/min and accurate oxygen concentration from 21 percent to 100 percent can be achieved.

Find out the benefits of using O2 therapy for your patients and you:

Outcomes for clinicians

Outcome for patients

Convenience
A single device at the bedside for all levels of respiratory therapy delivering O2 therapy

Less anxiety and more comfort
Patients stay on the same device throughout the duration of treatment

Time saving
Nurses do not need to find another device for the bedside, and only have one device for cleaning

Noise reduction
Noise from ventilators that deliver high flow oxygen is usually quieter than an independent device

Infection prevention
Using the same device and circuit reduces the risk of cross contamination

Patient safety
Ventilator with high flow oxygen is ready for NOV and ET ventilation

Cost saving
With the same circuit on the device, there’s no need to buy additional device which would require service and maintenance

If the patient does not need to go back to non-invasive ventilation, the transition is seamless

Accuracy of O2 delivery
The delivery of FiO2 can be accurately selected by the device rotary norm

Dräger O2 Therapy, High flow oxygen therapyPlay video

Clinical use of high-flow therapy

High-flow oxygen therapy is increasingly useful in clinical environments. Accompanying patients along the Respiratory Pathway, the use of O2 therapy is available for the Evita XL, Eviat V300 and Evita V500. Watch our video to learn more.

Cardiopulmonary Resuscitation

The Oxylog VE 300 offers the “CPR” button to immediately start the resuscitation mode. Thanks to the adjusted pre-settings, you can concentrate completely on your patient during resuscitation – and always act according to the guidelines.

Infographic: Cardiopulmonary Resuscitation (CPR)
Cardiopulmonary resuscitation
Download Infographic
PDF 930 KB
European Resuscitation Council Guidelines for Resuscitation 2015 Section 1. Executive summary

Guideline: Current Resuscitation Guidelines

Download Guidelines

Product Highlights

Transport ventilator oxylog ve 300

Transport ventilator Oxylog VE 300

Dräger Oxylog 3000 plus

Transport Ventilator Oxylog 3000 plus

Patient Monitoring Infinity Acute Care System

Patient Monitoring Infinity Acute Care System

Patient Monitoring Infinity M540 Monitor

Patient Monitoring Infinity M540 Monitor

Patient Monitoring Vista 120s

Patient Monitoring Vista 120s

Examination lights Draeger Polaris 50

Examination lights Dräger Polaris 50

Draeger services final monitor settings

Dräger Medical Services

Our comprehensive consulting and support services in medical technology ensure maximum performance for your company. We work with you to understand the needs of your business, so we can provide you with the right services to achieve your objectives.

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Get in touch with Dräger

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Draeger Singapore Pte Ltd

61 Science Park Road
The Galen #04-01
Singapore 117525

+65 6872 9288

Draeger Malaysia Sdn. Bhd.

No. 6, Jalan 15/22, Taman Perindustrian Tiong Nam, Seksyen 15, 40200 Shah Alam,
Selangor Darul Ehsan, Malaysia

+60 3 5526 2000

Draeger Philippines Corporation

2504-C West Tower, Tektite Towers, Exchange Road, Ortigas Center,
Pasig City 1605 Metro Manila, Philippines

+63 2 8470 3825

Note

Not all products, features, or services are for sale in all countries. Please contact your local Dräger representative for more information.

References

(1) Singapore Civil Defence Force (2016). Emergency Medical Services Statistics 2016. Singapore. Available at: https://www.scdf.gov.sg/docs/default-source/scdf-library/publications/amb-fire-inspection-statistics/ems-stats-2016.pdf%202

(2) Peter H, MD. Amado A Baez, MD, MPH, FAAEM. Mechanical ventilation of adults in the emergency department. Nov 2, 2012. http://ultra-medica.net/Uptodate21.6/contents/UTD.htm?6/25/6554?source=see_link

(3) Ministry of Health (2017). MOH Standards for Emergency Ambulance Service (2017). Singapore. Available at: https://elis.moh.gov.sg/elis/info.do?task=download&file=EmergencyAmbulanceStandards.pdf

(4) Ho, A., Chew, D., Wong, T., Ng, Y., Pek, P., Lim, S., Anantharaman, V. and Hock Ong, M. (2014). Prehospital Trauma Care in Singapore. Prehospital Emergency Care, 19(3), pp.409-415.

(5) Department of Statistics (2018). Singapore in Figures. Singapore. Available at: https://www.singstat.gov.sg/-/media/files/publications/reference/sif2018.pdf

(6) Arunah C, Teo AH , Faizah A, Mahathar AW , Tajuddin AMN , Khairi K , Idzwan Z , Ismail MS , Alzamani MI , Shukruddeen S , Kasuadi H.. 2010. Emergency and Trauma Services in Malaysian Hospitals. Available at: http://www.crc.gov.my/nhsi/wp-content/uploads/publications/NHEWS_Hospital2010/Chapter6Hospitals_Report_2010.pdf.

(7) Ting Loong Go, Cheng Siong Lim , Kumeresan A. Danapalasingam, Michael Loong Peng Tan, Chee Wei Tan. 2014. A Review on Development and Optimization of Emergency Medical Services in Malaysia. Available at: https://jurnalteknologi.utm.my/index.php/jurnalteknologi/article/view/3470/2608.

(8) Republic of the Philippines, House of Representatives (2017). Seventeen Congress First Regular Session, House Bill No. 4955. Quezon City, Metro Manila.

(9) Angara, S. (2017). Bill of the Emergency Medical Services Systems (EMSS) Act. Asean LIP. Available at: https://www.aseanlip.com/philippines/general/legislation/bill-of-the-emergency-medical-services-systems-emss-act/AL19747

(10) Pek, J., Lim, S., Ho, H., Ramakrishnan, T., Jamaluddin, S., Mesa-Gaerlan, F., Tiru, M., Hwang, S., Choi, W., Kanchanasut, S., Khruekarnchana, P., Avsarogullari, L., Shimazu, T. and Hori, S. (2015). Emergency medicine as a specialty in Asia. Acute Medicine & Surgery, 3(2), pp.65-73. Available at: https://onlinelibrary.wiley.com/doi/pdf/10.1002/ams2.154.