FEATURE BMJ: first published as 10.1136/bmj.m4592 on 4 December 2020. Downloaded from Colombo, Sri Lanka COVID-19
[email protected] (@Zin10SantaFe on Twitter) Cite this as: BMJ 2020;371:m4592 Doctors opposed this ambulance service; now it’s essential in the http://dx.doi.org/10.1136/bmj.m4592 Published: 04 December 2020 pandemic Sri Lanka had no prehospital emergency medical service until 2016. The arrival of a new ambulance service changed that, and it has proved vital in the pandemic, writes Zinara Rathnayake Zinara Rathnayake independent journalist In 2013, Harsha de Silva was travelling with his Yet ambulances are few and they mainly belong to friends and family in Kuchchaveli, a small town in expensive private hospitals in the cities. Most citizens, eastern Sri Lanka, 297 km from the capital, Colombo. particularly those in rural areas, have to fend for They found themselves driving in a cyclone warning. themselves in emergencies. One of their vehicles skidded, hitting lamp posts and “In a car accident, another vehicle on the road will a tree. His friend was thrown out of the back window transfer the injured patient to the hospital,” says on to the road, critically injuring herself. Sabith Liaquat, a medical officer working at the state She required immediate surgery. They went to the run Base Hospital in Puttalam, 138 km north of Base Hospital in Kanthale, requesting an ambulance. Colombo. In remote areas of the country, he adds, But there was none, so they had to drive her to when patients had any sort of pain they would rely Colombo.