Calmette Hospital មន្ទីរពេទ្យ កាល់ម៉ែត

 ​​​​​​​​​​​​​​​​​​​ Background of Calmette Hospital Calmette is a public hospital that is administered and funded by the French and Cambodian governments. It is a fee-for-service hospital that offers a second tier of care for those who are unable to pay. The hospital provides continuous and comprehensive health care services for the citizens of Phnom Penh (73%), surrounding provinces (17%), and to foreigners (10%)5. Calmette has outpatient clinics in specialty services ranging from obstetrics to endocrinology, in-patient medicine and surgery beds, and a staffed emergency room that is always available to assist patients. Since the emergency room is open twenty-four hours per day and seven days per week, Calmette receives many of the traumas that occur in the evenings and early mornings. Calmette, by the lively Lake Boeng Kak, is one of the main participating hospitals in the RTRAVIS study. Calmette sees approximately fifteen thousand patients per year of which 20% are emergency visits. Trauma related injuries accounted for 47% of the emergency visits to Calmette in 2005. It was the most common reason for seeking emergency health care services last year. In addition, cranial trauma was the leading cause of mortality from the emergency department (accounting for 38% of the mortality rate) Pre-Hospital Emergency Medical Services Calmette Hospital has two ambulances at its disposal. One ambulance is permanently placed in the field and is used primarily for blood transfusion services. The second ambulance is located at the hospital’s emergency entrance and may be deployed whenever necessary. Two sets of health care workers (comprised of a driver, nurse, and/or doctor) rotate as the on-call pre-hospital response teams. Occasionally, a resident may replace one of the emergency doctors. Sometimes, a doctor may not be present in the ambulance. The hospital is currently understaffed and is actively trying to recruit two more doctors interested in staffing the ambulance teams. The ambulance is equipped with a stretcher, intravenous capability, and limited medications. None of Calmette’s healthcare workers are certified in basic life support/advanced cardiac life support/advanced trauma life support (or equivalent training). The physicians have some basic training in cardiopulmonary resuscitation but there is no formal system in place to respond to resuscitations and traumas. About 40% of emergency patients reach the hospital via ambulance. It takes on average four hours to transport a patient to the emergency department2. This value takes into account patients being transported from Kandal province as well as from the outskirts of the city. However, many patients simply walk into the emergency department on foot or by the help of their relatives.

(soure:https://urbanvoicecambodia.net/reports/view/3915?l=km_KH)