Medical emergency transport and rescue

The Emergency Medical Services (EMS) is divided into 4 core components:

1. Ambulance Operations

Each ambulance is licenced and fully equipped with the appropriate medical equipment and medication, according to the minimum norms and standards of ambulance services.

Skilled medical practitioners work in teams of 2 per ambulance and provide quality care based on their training.

The levels of care within EMS are divided into:

• Basic Life Support (BLS),
• Intermediate Life Support (ILS) and
• Advanced Life Support (ALS / Paramedic).

EMS operates over 250 ambulances throughout the province.

Ambulance operations include dedicated service units such as,

• SPRINTT (Specialised Paediatric Retrieval Including Neonatal Transfer Team) and
• ART (Adult ICU Retrieval Team) and is manned by specialized ALS teams.

Inter Facility Transfers also have a dedicated focus, and we have separate crews and dispatching systems. That allows us to facilitate the movement of patients across the City of Cape Town for our departmental stakeholders.

2. Emergency Communications

There are 6 Emergency Communications Centres (ECCs) throughout the province. The centres employ trained call takers and dispatchers. They correctly prioritized and dispatched the calls received in an emergency to the closest ambulance offering the correct level of care to the incident.

ECC’s are located in the districts of Cape Town, Cape Winelands, West Coast, Overberg, Eden and Central Karoo.

Emergency Communications also operates at The PHOC (Provincial Health Operations Centre) and their functions include:

• Coordination of Delta and Major Incidents including Hazmat calls, MIMMS
• Dispatching of rotor-wing Inter Facility Transfers, coordination of the fixed-wing aircraft patient transfers.
• Dispatching of helicopters for mountain and sea rescues includes the SAAF aircraft.
• Dispatching of the forensic pathology vehicles.
• Management of the hospital acute admission policies including the bed bureau.
• Coordinates all Wilderness search and rescue calls for the Western Cape Province.
• Responds with Metro four to calls.
• Dispatching of all Maternal, paediatric and neonatal emergencies via SPRINTT or ART.
• Represents the service in various joint operations centres during major incidents including disaster management.

3. Rescue

EMS rescue consists of highly qualified, advanced rescue technicians who provide both technical and medical care on the scene of a rescue operation. These operations may vary from motor vehicle accidents requiring patients to be mechanically extricated with the “Jaws of Life”, through to mountain rescues where patients need to be airlifted or carried to safety.

Each rescue vehicle is fully equipped with power tools and hiking equipment and 46 rescue vehicles are operating in the Western Cape, including Rescue 6 (EMS Rescue Crane) which can remove heavy equipment (such as trucks) from scenes, providing access to patients for the EMS staff.

4. HealthNET

HealthNET (Health Non-Emergency Transport) provides transport for non-emergency patients across the province, between home and facilities, or between multiple facilities. Patients are booked using an online system that ensures that seats are allocated equitably and that no patients can be overbooked.

Bookings can only be made through a provincial health care facility (hospital/clinic) and patients receive a reference number and date of collection.

Over 90 HealthNET vehicles are operating in the Western Cape. These vehicles are designed specifically to cater to the needs of all patients.  

Our HealthNet Fleet consists of 31 Tangos (seats only), 16 Tango Busses, 23 single Stretcher Tangos, 11 Wheelchair Caddy’s.

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