In the prevailing health care system of our country, patients suffering from various ailments report to PHC/FRU in late stage when the condition of the person has already significantly deteriorated. On arrival, usually either the doctor is not available due to various reasons or the wherewithal required to manage such cases is non-existent. Then the only alternative is to put the lifeline, provide first aid and ask the attendants to shift the case to cities or bigger towns for definitive care. As we all have experienced that many such cases who need superspecialists, intervention or blood transfusion etc.
are further sent to district hospitals or medical college hospitals. Those who can afford or due to constraints of time come to corporate hospitals for critical management including ventilatory support. As there is no organized/supervised system of casualty evacuation in the entire…