Pa July 27, 2014 choyamba pa zochitika zosiyanasiyana, "EMS xChange", Zinachitika mu malo ang'onoang'ono Ortigas Center, Pasig City.

Chochitika ichi chinakhazikitsidwa ndipo chinakambidwa ndi Bambo Ruel Kapunan wa Yambani 911, zachinsinsi ambulansi ndi kampani yotumizira anthu ogwira ntchito mwadzidzidzi, ndi Dr. Carlos Primero D. Gundran, MD, Dokotala Wodzidzimutsa ndi Pulofesa Wothandizira wa University of Philippines College of Medicine ndipo panopa mukuchita nawo Chipatala cha ku Philippines.
Chochitikacho chinakhala ngati gulu lothandizira kusinthanitsa za zochitika zenizeni za moyo zomwe zinakumana nazo choyamba anafunsidwa ndi EMT komanso madokotala ndi akatswiri azachipatala. Ophunzira ndi opezekapo anaphatikizapo nthumwi kuchokera ku makampani ogulitsira ambulansi, magulu opulumutsa a Barangay ndi City, Kudzipereka / NGO NGO ndi Kupulumutsa magulu, Sukulu za maphunziro a EMT, ndi madokotala omwe ankagwira ntchito monga akatswiri okhudza nkhani zapamwamba (SME) pa milandu yomwe inaperekedwa. Lingaliro lija linabwera pambuyo poyankha Bambo Kapunan ndi Dr. Gundran mavuto ndi mavuto omwe akuyang'aniridwa ndi odwala omwe asanatuluke kuchipatala ndipo adazindikira kufunikira kwa onse ogwira nawo ntchito kuti akhale nawo malo ogawana zomwe akumana nazo ndi malingaliro awo momwe angasinthire.

Patangopita miyezi ingapo kuchokera kukambirana kwawo koyamba mwambowu unakhazikitsidwa ndipo mayitanidwe adatumizidwa kudzera m'masewera ndi maulendo a pa intaneti. Pofuna kutsogoleredwa momasuka ndi mwaufulu wa chidziwitso cha "malamulo a nyumba"Zinakhazikitsidwa pofuna kutsimikiziranso njira yowongoka, yopanda tsankho ku milandu yomwe ikuperekedwa ndikupanga kuphunzira ndi kupititsa patsogolo, kosakhala mgwirizano.
Patsikuli, zochitika kuchokera kwa ophunzira zinaperekedwa kwa omvera ndi gulu la ma SME. Milanduyi inakambirananso ndi kukambirana mwachidwi yotsatira pa ndondomeko, njira, ndi luso ndi zipangizo zomwe zimagwiritsidwa ntchito poyendetsa mulandu.
Ichi ndi chimodzi mwa zolinga zazikuluzikulu zokhudzana ndi zochitika izi monga chisamaliro chisanafike kuchipatala ku Philippines sichikudziŵa zambiri zazochitika zachipatala zowunika ndi kusamalira odwala. Mafoni ambiri odzidzidzidwa omwe amalandira ndi gulu la ambulansi likhoza kukhala loopsya monga zoopsa za galimoto, chiwawa kapena kuvulazidwa, kapena zochitika zadzidzidzi.
Komabe, ogwira ntchito mofulumira komanso ogwira ntchito ku ambulansi ayenera kukhala ndi chidziwitso ndi luso lofufuza bwino ndikusamalira zovuta zachipatala chifukwa ndizo zoyamba kuchitika paulendo wofulumira ndipo ayenera kukhala ngati mlatho pakati pa malo oyamba omwe akuyendetsa ndikupeza dokotala komanso zipatala zapamwamba.
Mutu uliwonse unapangidwanso zovuta ndi zovuta zina zomwe anthu omwe akukumana nawo mwadzidzidzi akuyang'ana. Izi zikuwonetseratu zachipatala za Pre-chipatala ku Philippines akadakali wamng'ono kwambiri.
Chinthu chimodzi chomwe chimapangitsa kuti anthu asamapitirire kuchipatala ku Philippines ndi vuto lalikulu lachikhalidwe limene lingatengedwe ngati chidziwitso chovomerezeka ndikulongosola zomwe zimafunikira munthu amene akufuna kulowa muderali. . Izi zidzatsimikiziranso kuti ntchito ya otsogolera EMS ingakhale yodziŵika bwino ndikukhala ntchito yabwino.
Monga momwe nkhaniyi ikulembera pamakhala chikalata chomwe chimafotokozedwa ku Philippine Congress ndi Senate zomwe zikanati zidzaperekedwa ngati lamulo la EMS. Panthawiyi Dipatimenti ya Zaumoyo yakhazikitsa bungwe lolamulira (2014-007) lomwe limapereka ndondomeko ya National Policy pa kukhazikitsidwa kwa Pre-Hospital Emergency Medical Service System.
Dr. Gundran adagawana izi ndi omvera komanso udindo wa Bill EMS kuti apereke lamulo. Anayanjananso ndi omvera mabungwe ndi mabungwe omwe angathandize pochita ntchito ya EMS kuno ku Philippines.
Kuperewera kwa chikhalidwe cha dziko lonse kunatsindikanso chovuta chomwe chinaperekedwa pa mulandu wina chomwe chinali kukhazikitsidwa kwa Incident Command System (ICS). Dziko la Philippines pokhala dziko lopwetekedwa ndi tsoka lakhala likukumana ndi zochitika za Misa zosautsa (MCI) koma siziyenera kugwiritsira ntchito ICS ngati chida chovomerezeka chochitira zinthu zoterezi.
Ngakhale ambiri mwa ophunzirawo akuphunzitsidwa kuthana ndi MCIs ndi ICS kuyendetsa ntchito kwake mwapadera kumalo komweko kulibe kwambiri. Izi zimachititsa chisokonezo cha momwe zinthuzi zikuchulukira ngati omvera akuyenera kuthana ndi zofunikira kwambiri, malire a ndale, umunthu omwe ali ndi zifukwa zokayikitsa komanso zinthu zambiri zomwe zimawaletsa kapena kuwalepheretsa kugwira ntchito yawo.
Pomwe pamapeto pake pamaperekedwa kwa omvera vuto lina lomwe akukumana nalo ndi omvera kusowa kuzindikira kuchokera kwa madokotala ndi anamwino m'zipatala za mtengo ndi luso la gulu la EMS lomwe limapereka wodwala kwa awo chipinda changozi.
Chifukwa cha kuwonjezeka ndi kuonekera kwa EMS ku dziko la Philippine, maphunziro ndi maphunziro operekedwa kwa odalirika ake akadali ochepa kwambiri kapena opangidwa mu silos popanda kuyang'anira kuchokera ku bungwe lolamulira. Izi zimapangitsa omverawo kumunda kuti asadziwe kukula kapena kuthekera kwa munthu wina woyankha kuchokera ku gulu lina kapena malo ophunzitsira.
Ambiri mwa malo ophunzitsirawa amachokera kumayunivesite ndi ku makoleji komwe madokotala amaphunzitsidwa ndipo motero amapanga madokotala ophunzitsidwa bwino kukayikira kukhulupilika kwa maphunziro a omvera ndipo pambuyo pake ali ndi luso lawo.
Chinthu chinanso choyenera kuganizira ndikuti ambiri omwe amayankha kuchipatala omwe ali ku Barangay kapena City ali ndi zofunikira kwambiri chithandizo choyambira maphunziro ndi zida ndipo nthawi zambiri mayankho omwe amayankhidwa pama foni azadzidzidzi amachititsa kuti "Load-and-Go" akhale ndi chiwonetsero chazovuta komanso kuwongolera odwala. Nthawi zambiri ma ambulansi omwe amakhala mgulu la oyang'anira boma pakagwa tsoka boma adzagwiritsidwanso ntchito ngati galimoto yothandiza nthawi zambiri kuposa ambulansi yeniyeni kuti ikwaniritse kufunika kwa madera okhala ndi ndalama zazing'ono komanso zothandizira ndalama.
Chifukwa chake izi zachititsa madokotala ndi aamwino chipinda chodzidzimutsa kukhala ndi chidwi cholakwika kwa oyankha omwe akudzidzimutsa ndipo apanga kuwonjezera mphamvu zapamwamba ndi mphamvu za anthu omwe akudziwika bwino.
Muzipatala zina izi zachititsa kuti oyankha azikhala "ogwidwa" mpaka wachibale kapena wothandizira wa wodwalayo atadzafika kapena mpaka mapepala oyang'anira akwaniritsidwe bwino, akuvomerezedwa ndi kusayinidwa ndi ufulu wochotsamo wa chipatala.
Mmodzi wa ogwira ntchito ku kampani ya ambulansi yomwe imagwira ntchito ndi chipatala chachikulu mumzindawu akuti EMS ndi Mabungwe Othandiza apange mapu a malo a zipatala m'dera lawo komanso zipatala zapadera kuti azindikire malo abwino ochiritsira kuchipatala. kunyamula odwala awo.
Anapitiriza kunena kuti gulu lirilonse limanga maubwenzi ndi zipatala, makamaka antchito awo omwe akudandaula ndi madokotala, kotero kuti athe kuzindikira kuti ali ndi phindu ndi luso poyankha zochitika zosavuta ndi kusamalira odwala asanalowe m'chipinda chodzidzimutsa. Anatchulanso ntchito ya kampani yake yopatsa ophunzira awo monga ophunzirira ntchito (OJTs) kwa chipatala chawo kuti athe kudziŵa njira za chipatala ndi njira zomwe zidzakhazikitsire maziko awo a chidziwitso akadzagwiritsidwa ntchito kumunda.
Chochitikacho chinatsimikizika ndi chidziwitso ndi nkhani zomwe zimagawidwa pakati pa omwe akupezekapo. Chochitikacho chinathandizanso monga njira kuti ophunzira athe kumanga mgwirizano ndi maubwenzi ndi omvera anzawo komanso kuti adziwane pamunda.
Ndi dziko la Philippines likukula bwino komanso chiwerengero cha anthu omwe akusowa thandizo komanso chithandizo cha chithandizo cham'tsogolo chisanafike kuchipatala chimakhala pang'onopang'ono ndipo ndithudi chikhala chofunikira kwambiri. Chochitikachi chikuyembekeza kukhazikitsa mgwirizano ndi kufotokoza mu chisamaliro cha chithandizo cha Pre-hospital ku Philippines ndipo mwachiyembekezo tidzakulitsa mgwirizano ndi mgwirizano pakati pa Emergency Responders momwe adadziwira bwino maudindo ndi kufunikira kwa gulu lirilonse.

Benedict "Dinky" de Borja wakhala wodzipereka Wopseza moto + Medic for the Pateros Filipino-Chinese Volunteer Fire and Rescue Brigade pazaka 5 zapitazi. Amathandizira Dr. sixto Carlos pamitu yanthawi ya Emergency and Disaster Preparedness, komanso Thandizo Loyamba.