Developing a Pre-Hospital Emergency Care System

“Delivering a mother with footling breech baby in the ambulance is rewarding, working in a pre-hospital care setting which involves calling and dispatching, triaging, transporting and caring for casualties and other patients has given me more skills to serve my country. Delivering a baby in the back of an ambulance is very risky especially for mothers with complications. A call came in from lower facility to evacuate the mother to a National Referral Hospital for CS. An ambulance was dispatched and I went with the driver. Reached the facility and found that the mother had strong contractions, we took little time to put her in an ambulance. Everything was set and we were let to go by the referring facility. I had a feeling that this mother might deliver in the ambulance. I and the driver we laughed after we set off and he asked me if she delivers in an ambulance whether I would be able to help her out. I told him definitely I will use my skills to save the baby and the mother. 5 minutes later after leaving the facility, the mother had more strong contractions that pushed the first leg out leaving the other one trapped inside. With the skills gained in the last 15 years as emergency care practitioner I maneuvered and delivered the second leg and the whole body was out leaving the head inside the pelvis. Using Lovset’s maneuver I managed to deliver the baby, tied the cord and stimulated the baby to cry. The baby scored 8 in 1minute and 10 in 5 minutes. The placenta was delivered and checked for completeness. After the mother and baby were stable, we had to drive back to the referring facility and re admitted the mother and baby in good condition”. Kamugisha John Bosco GEC ECP Share his experience while on ambulance call & dispatch ambulance shift.