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It is reassuring to see that others also feel the same way regarding the current pre-hospital system. I thought I was the only cynical person!!!

From some of the other responses, i felt that we could really kick out some lively debates... hence created more threads under the 'EMS' forum'!!! Please do chip in with your take on these issues....

However, I feel, there is one important area that Bobby Cherian touched on and is quiet important...ie PUBLIC.

What are your 'expectations' from a lay-person in such a scenario? What can public as a group do at the scene to help the patient get good treatment?

What are the implications if they put him on any mode of transport and take him to the nearest health facility?

Is he/she bound by any law to be committal or not in such a situation?

I feel that if that person is not trained in any 'first-aid', basic life support etc, it is good enough for him to summon help and be with the patient comforting him. An untrained person moving the patient may not be ideal (unless it is unsafe for the patient and our 'Good Sam' in that incident site!!!)...

I also feel that it should be a matter of public interest to create awareness of immediacy in such situations. Encouraging discipline and 'roadside manners' would probably be the starting point (simple things like giving way to 'blue-light' ambulances or emergency service vehicles).