Abstract
This descriptive research was aimed at evaluating emergency medical services in
Sungmen district, Phrae Province. Information was collected from emergency medical
service record sheets in the period January 1 - December 31, 2007. Descriptive and content
analyses of the data were used. The major findings were as follows: the mean of response
times of advance life support (ALS) level was 10.38 minutes, with a standard deviation of
6.39 minutes (more than the national standard), in basic life support (BLS) and first
responder (FR) levels, the means were 6.24 and 6.29 minutes, with the standard deviations
being 2.22 and 2.67 minutes. The means of on scene time of ALS, BLS, FR levels were 5.90, 4.27 and 3.62 minutes, with standard deviations of 3.83, 2.59 and 2.16 minutes. Evaluation
of all treatments on the scene by doctors were: treatment of respiratory system in
ALS level was done properly 100 percent of the time, while in the BLS and FR levels, the
treatments were not done in 50 and 53.84 percent of cases requiring treatment. Stoppage
of bleeding in the ALS level was done properly 100 percent of the time, in the BLS level it
was not done properly in 2.08 percent and not done at all in 16.67 percent of the cases,
while in the FR level it was not done in 33.33 percent of the cases requiring treatment.
Splints and slabs in the ALS level were properly applied 100 percent of the time, while
in the BLS and FR levels, they were not done in 10.71 and 14.28 percent of the cases requiring
treatment respectively. Although most rescuers were trained in emergency practices,
they all needed more skill and knowledge. The training methods should be revised
accordingly.
