Integrated Clinical Clerkship in Emergency Medicine AY 2021- 2022

In the documentary, access to health care was blocked by the absence of pre-hospital care services. It was evident that access to health care was blocked not only by the absence of ambulance and healthcare workers but also by the absence of concrete roads and bridges. It highlights the concept that health is multifactorial. Providing pre-hospital care is not just about having two ambulances on standby in the local hospital. It is also about improving transportation and the general financial capacity of the community. Improving access to pre-hospital care is important in improving outcomes for patients especially for those with acute life-threatening conditions. Primary survey and resuscitation can be done by trained healthcare workers in pre-hospital care to prevent mortality and morbidity. With proper materials available, bleeding can be stopped, the cervical spine can be stabilized to avoid further injury, and needle thoracostomy can be performed for pneumothorax, for example, providing much-needed help in the care in the emergency room.