GOALS & OBJECTIVES OF PRE HOSPITAL CARE
1. To learn common organizational structures of emergency medical services
2. To learn the principles of EMS operations, disaster management, prehospital triage and EMSresearch.
3. To learn medico legal principles relating to EMS.
4. To be familiarize with the local EMS.
5. Where available, actively participate in EMS.
6. To demonstrate familiarity with research methodologies relating to EMS and disaster management.
7. To discuss the medico legal issues relating to EMS.
8. To discuss the development of EMS prehospital care protocols.
9. To discuss basic concepts of mass casualties and disaster management.
10. To describe common environmental, toxicological, and biological hazards
11. encountered in the prehospital care setting.
GOALS AND OBJECTIVES OF HOSPITAL CARE
Head of Department’s Message:
Emergency Medicine is a new specialty in India. B. J. Medical college, Ahmedabad, is honoured to have the first MCI recognized degree course in India. At present we have 2 PG seats for the same. It has a bright future with good opportunities for its students.
Facilities in the Department:
a. Civil facilities and building
1. Building - Modified multipurpose building available
2. Reception area
3. Case registration desk
4. Helper desk
5. Triage area (EMO room) and Resuscitation area – Ground Floor
6. Surgical Resuscitation area – Trauma Bay 1 and 2
7. High Dependency Unit – 22 beds
8. Central Oxygen and Suction facility
9. Doctor’s Room
10. Nursing station
11. Plaster Room
12. X-ray room
13. Waiting area for relatives with patients
14. Refreshment Stall
b. Diagnostic Facilities
3. Ultrasonography (Portable)
4. CT-Scan, MRI ( nearby)
5. Various biochemical investigations as per Annexure 17
c. Supportive Facilities
1. Ambulance Service
2. Police Station
3. CCTV supervision
5. Phone call facility
6. Disaster Preparedness and control room
7. Fire Safety
8. Volunteer service
9. Generator facility
10. Cold storage and Postmortem room
d. Operative Facilities
1. Well Equipped operation theatre - 4
e. Critical Care Facility
2. Continuous vital sign monitoring
3. Beds in ICU - 32
4. Liaison with organ donation bank
f. Blood Bank
1. Blood and various blood components available
2. Human Resource
4. On call orthopedics, neurosurgeon, plastic surgeon, ENT surgeons
b. Resident Doctors
1. Senior residents
2. Postgraduate junior residents
c. Emergency Medical Officer
1. EMO as first responder at triage area
d. Paramedical staff
1. Nurses on shift duty/ EMT trained
2. Technicians (X-Ray, ECG, OT, Sample collection), Clerk, Computer Operator, Servant, Sweeper)
3. Work Style
a. Patient management
1. First Responder and their duties
i. Emergency cases are attended first by EMO on duty and triage is done
ii. Primary survey and resuscitation are performed as per standard guidelines and protocols by Emergency physician
iii. Airway management, resuscitation, C-Spine immobilization, wound debridement and suturing, bone immobilization, vascular access, foreign body removal are performed in medical / surgical emergencies by senior resident and consultant
iv. Diagnostic investigations carried out as per requirement
v. After stabilization patients are handed over to concern speciality for definitive care
2. Various emergency procedures are done in the department by faculty members and residents for better management of patients
3. Extended and specialized emergency medical care is provided during special festivities
4. Special Equipments are available and used for better emergency management of patients
5. Special emergency medical care provided for VVIP coverage whenever required.
b. Academic activities for
1. Emergency medicine resident during their 3 years of residency in the form of bedside teaching, grand rounds, regular case presentations, didactic lectures, discussions and simulated learning sessions on manikins. Record is maintained in log book
2. Second year residents of various clinical and non-clinical branches, Interns, UG students and paramedical staff are also trained regarding various medical and surgical emergencies.
3. Disaster preparedness training and Mock drills are conducted at regular interval.
4. CME and seminars are held regularly.
5. Foreign faculties are visiting our department for better development and academic support as per MOU’s
List of Didactic lectures for PG students
A. Poisoning & Bites.
B. C.V.S. & Respiratory emergency.
D. Hematological emergencies.
E. Electrolytes and Metabolic emergencies.
Examination Pattern: As per Gujarat University rules
Teaching staff information:
Dr. Samira N. Parikh
Dr. Chirag J. Patel
Dr. Shruti V. Sangani
Dr. Amit Desai
M.S. General Surgery
Professor & Head of Department
Dr. Nilima K. Shah
Dr. Jigar B. Gosai
Dr. Hardik Bhatt
Nonteaching staff information:
D class employees
OPD day and Emergency day : Our department works 24*7. Unit 1 and 2 shares emergencies on alternate days.