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What’s Really Going on in Pre-Hospital Care

Pre-Hospital Care

For most people, an ambulance is just a white blur you try to get out of the way for. Unless you’re in it. But in Sindh, that blur is starting to mean something. And no, not because it now carries ISO and ACE stickers (although it does). Pre-hospital care — the kind of emergency support you get before reaching a hospital — is quietly and finally growing up in Sindh. Here’s how:

Ambulances That Deliver (Literally)
Let’s start with the fact that nearly 100 babies arrived inside moving ambulances in Sindh — just this year. Forget hospital queues or reaching the ward in time; in many rural areas, the ambulance is the labour room. Midwife-on-wheels? No, just trained EMTs doing what they’re trained to do: keep people alive on the go.

SIEHS, which runs Sindh’s largest fleet, doesn’t just dispatch vehicles. It delivers real healthcare in motion — complete with oxygen, defibrillators, suction pumps, and yes, even delivery kits.

Emergency Healthcare on the Map — Finally
In 2024, SIEHS expanded services to Kandhkot and Kashmore, two previously under-served districts. That means more people in upper Sindh now have actual access to structured pre-hospital care — instead of relying on whatever Toyota HiAce or rickshaw is available at the time.

And this isn’t some symbolic “launch-an-ambulance-and-go” show. The system integrates GPS-tracked ambulances with trained emergency medical dispatchers — yes, even in places Google Maps barely recognises.

The Hardware Backs It Up
Each ambulance in the certified fleet carries 29 essential tools — that’s suction, airway management, trauma kits, cardiac monitoring, and even ventilators. This isn’t just a vehicle with a siren slapped on. We’re talking real clinical equipment, maintained under ACE and ISO certifications, in fleets monitored 24/7.

So if you collapse in Larkana or Thatta, chances are the ambulance that arrives will be prepped like a mobile ER. And the person treating you won’t just race the clock — they’ll stabilise you on the way.

Sindh Puts Its Money Where Its Mouth Is
The 2025–26 provincial budget allocated Rs 5.2 billion to emergency services. That includes 508 new ambulances, plus boat ambulances (for floods and river emergencies), and response units built for speed. Trauma centres are also being set up along major highways — a smart move considering how many accidents happen on inter-district roads.

Finally, some numbers are landing where the crisis is.

Help Doesn’t Always Come with Sirens
Not every crisis arrives with flashing lights. Sometimes it begins as a strange pressure in the chest, a toddler’s fever that waits until 2 a.m., or just a quiet worry that something’s wrong. No one wants to overreact, but no one wants to risk being too late either.

That’s why Tele Tabeeb exists — to guide you through that in-between.

In an overburdened system where ERs fill fast and ambulances already race time, Tele Tabeeb offers a checkpoint before panic. A doctor picks up, listens, and helps you decide whether to “ride it out” or “move, now.”

No Google spirals. No last-minute guessing. Just one call that can mean the difference between peace of mind and a crisis unfolding.

Because in a place where “too early” feels silly and “too late” turns fatal — getting it right the first time matters.

It’s Moving — On the Way
When babies are born en route, when experts guide care remotely, and when every ambulance carries 29 tools — this isn’t business as usual. It’s emergency care, stepping up.

These services all connect under one integrated emergency care framework: SIEHS‑1122. This system links the 1123 helpline, ambulance dispatch, and on-ground medical response, now reaching deeper into remote districts and highway stretches.

And for once, it’s not just Karachi leading the way. It’s Sindh — with SIEHS driving the shift, one emergency at a time.