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EMS in Tainan City

Chih-Hao Lin, M.D. Taiwan

Emergency Department, National Cheng Kung University Hospital

Medical Director, Fire Bureau of Tainan City

Deputy Manager, South branch of Medical Emergency Operation Center

Introduction of Taiwan

Population: 23 Million (2008)

Area: 36,000 km2

Population Density

Number of Fire Stations

and Public Ambulances in Taiwan

EMT Numbers and Training Levels in Taiwan

Grouping of Medical Resource and

Geography CharacteristicsBy Frank Fuh-Yuan Shih

Which 119 is the Best Life-Saver?

Tainan City(Area: 175 KM2, Population: 760,000人)

It’s the oldest fire

station in Taiwan!

Frame of Tainan Fire Bureau

119ALS Team

ALS Team

BLS Team

BLS Team

Two Tiered BLS / ALS

Hospitals

Integrated Information System for Medical Resources

各區救災救護指揮中心工作站

路由器

各區衛生局工作站

消防單位工作站

醫事機構工作站

防火牆

磁帶機

全國緊急醫療資料庫

衛生署資訊中心系統管理員

緊急醫療管理伺服器

FTP Server

INTERNET

DMZ1

DMZ2

ExternalInternal

備援ISDN

消防署伺服器

Annual Dispatch Volume in Tainan City

43424647

5172

6202

7598

8965

10406

10989

11773

12688

1401714336

1511415582

18041

20963

2454424517

25581

24742669

3027

3819

4895

6041

73287820

8572

940310508

1086110945

11689

13547

15884

1893518894

19615

0

5000

10000

15000

20000

25000

30000

Num

ber

Year

Tainan City EMS

Dispatch Transport

Etiology of Ambulance Run in Tainan City

Area/Station Ratio in Tainan City

東區

8%南區

16%

北區

6%

安南區

60%

安平區

6%

中西區

4%

東區

南區

北區

安南區

安平區

中西區

面 積 / 隊 數

4.479.09

5.22

35.73

3.696.26

0

10

20

30

40

東區 南區 北區 安南區 安平區 中西區

平方

公里

東區, 32, 19%

中西區, 13, 8%

安平區, 31, 18%

北區, 22, 13%

南區, 33, 19%

安南區, 39, 23%

南區

北區

安南區

安平區

中西區

東區

Population/EMTs Ratio

in Tainan City

0

1000

2000

3000

4000

5000

6000

7000

東區 南區 北區 安南區 安平區 中西區

人口/救護人員

人口/救護人員

Volume of Ambulance Runs

for Each Fire Station in Tainan City

What do EMTs do?

They have to… Disaster Exercise

They have to… Teaching Material

They have to…

Teach Clerks, Interns, Nurses, Residents…

CPR training in publics: 65%

They have to…

Life-long Internship in Teaching Hospitals…

They have to…

Mutual Evaluation

Using a Discrete-event Simulation to Balance

Ambulance Availability and Demand in Static

Deployment Systems Ching-Han Wu, Kevin P. Hwang,

Laryngeal Mask Airway by EMT-II

LMA/OHCA

54.41% 58.25%

77.78% 79.38%

0%

20%

40%

60%

80%

100%

2004 2005 2006 2007

222

300

420 408

186

215

120

106

0

100

200

300

400

500

600

OH

CA

BVM 186 215 120 106

LMA 222 300 420 408

2004 2005 2006 2007

LMＡ Utilization in

OHCA patients

LMA in Trauma/NonTrauma OHCA

28 3551

37

22

39

36

24

194

264

369 371

164

176

84 82

0

50

100

150

200

250

300

350

400

450

500

2004 2004 2005 2005 2006 2006 2007 2007

Year

Nu

mb

er

LMA-Trauma-OHCA BVM-Trauma-OHCA

LMA-NonTrauma-OHCA BVM-NonTrauma-OHCA

LMA rate in Trauma/NonTrauma OHCA

56.00%47.30%

58.62% 60.66%

54.19%60.00%

81.46% 81.90%

0%

20%

40%

60%

80%

100%

2004 2005 2006 2007

Year

Ra

te

Trauma-OHCA NonTrauma-OHCA

LMA in ALS/BLS OHCA

85.14%73.10%

90.22%85.44%

36.92%

50.87%

68.89%

75.32%

0%

20%

40%

60%

80%

100%

2004 2005 2006 2007

YearLMA-ALS-OHCA rate LMA-BLS-OHCA rate

LMA in ALS/BLS OHCA

126 125

203

176

22

46

22

30

96

175

217232

164

16998

76

0

50

100

150

200

250

300

350

400

2004 2005 2006 2007

Year

Nu

mb

er

LMA-ALS-OHCA BVM-ALS-OHCA

LMA-BLS-OHCA BVM-BLS-OHCA

Small and Luxury

Thank you !Emergency.lin@gmail.com