In ambulansya de paa, we were able to witness how care done on-site is crucial in ensuring that patients are stabilized and are able to be transported to an emergency care hospital for definitive care. Hence, it essentially leads to patients' survival, with even earlier institution of care possibly leading to better outcomes in terms of emergency, life-threatening conditions. To be able to deliver effective on-site emergent care, there is a need to have an organized system and designated roles for each member of the team, as well as complete basic equipment and transport systems into place sp that there are no or lesser delays in transport. In addition, there must a continuing channel for communication from site to hospital so that needs and materials are endorsed ahead of time. All in all, administering proper on-site emergent management is very important, such that all other interventions to be done before that would depend on the stabilization done on-site, as well as the effectiveness in terms of communication and handoff for actual management of the underlying condition.
In the documentary, the fact that the area is a geographically isolated and disadvantaged area (GIDA) puts its citizens at risk for delays in the institution of crucial prehospital intervention as well as the time between this until transport to the hospital. Thus, there must be a system overhaul in such cases, such that barriers to timely intervention are reduced, coordination between health providers and stake keyholders is prioritized, and patients are given the care that they need in a timely and effective manner.
Thus, given the consenquential nature of on-site care on subsequent management, it is no less important than any other step in emergency medicine. In fact, one can argue that it is most important in that most of the time, it can spell the difference between life and death for a patient with an acutely life-threatening condition. There is definitely a lot to overhaul in the community in Oriental Mindoro that was featured in the documentary, with more emphasis given on making the system solid enough for emergency medicine to lead to favorable outcomes for its citizens.