 Admission Open for MBBS Program
emergency medicine
Facilities
The department has state-of-the-art equipment. The major equipment available is Transport ventilators, Defibrillators, Automated External Defibrillators( AEDs), syringe pumps, infusion pumps, blood warmers,multi-parameter monitors. Each bed has a central oxygen and suction facility. The department has three fully-equipped ambulances also.
An exclusive trauma operation theatre complex is available at MGMCRI. The 20-bedded unit situated adjacent to the casualty will now provide better-coordinated care round-the-clock for victims of traffic accidents or patients with fractures or injuries in the head, spine or abdomen. The state-of-art equipment includes new versions of CT/MRI machines, ventilatory support, and an ambulance service.
A highly dedicated and trained medical team of clinicians, nurses, paramedics, and attendees are available.
It is a well equipped, 40 bedded (Emergency unit) Casualty with a triage area, resuscitation, and observation ward and it has centralized oxygen supply and suction.
Adequate number of Monitors, Defibrillators, Ventilators are available.
- Triage area – 600 sq feet with 6 beds with monitor facilities
- Observation – 800 sq feet with 14 beds
- Minor OT – 400 sq feet equipped the perform minor problems
- Trauma Care/splintage and Casting area for Orthopaedics – 400sq feet
- 500 MA X – ray – 400 sq feet
- 300 MA X-ray – 375 sq feet
Equipment
The following equipment is available in the Casualty
- Multiparameter monitorÂ
- Defibrillator
- ABG machine
- AED
- Crash Carts
- Portable X-Ray machine
- Portable ventilator
- Breath analyzer
- Blood warmerÂ
Triage
Triage is a process of sorting outpatients based on their need for immediate medical, surgical condition. In order that each patient receives treatment according to his or her needs. Triage shall be carried out as per the documented procedure. All the paramedical staff and emergency medical staff are involved in triaging patients.
Color tags used
4 colour codes are used within the EMS department to classify the patients based on emergency care to be provided to them
Red – alive – requires emergency care (instantaneous attention)
Yellow – alive (needs attention within 5 minutes)
Green – Injured can wait with initial first aid
Black – death
- Patients with Red are shifted to the resuscitation room for immediate medical care and further management
- Patients with Yellow and Green can wait after first aid
- Patients with Black are shifted to Mortuary.
- Relevant cases are registered under Medico-Legal Case (MLC) and Police is intimated.
Disaster (Code Red)
Hospital has an established and well-rehearsed plan to cover any internal or external disaster (by the Disaster Management Committee). The Emergency Department plays an active role in such a disastrous situation in coordinating with the hospital disaster management committee. The patients are rapidly sorted and sent to appropriate treatment areas. Priorities are based on the degree to which the patient’s life is threatened.
Code Blue
All the Medical Officers (CMO) and the nurses working in casualty are well versed with cardiopulmonary resuscitation. During an acute emergency, Code Blue is announced. The CPR team rushes to casualty.
The CMO on duty shall attend and initiate treatment and guide the patient’s attendant(s) to complete the formalities. The patients will be moved out to the Intensive Care Unit after resuscitation by the CPR team. All the findings are recorded in the patient case sheet. Dangerously ill consent is obtained and the relatives are informed about the patient’s condition periodically.
Legal Concerns
Emergency Department staff, particularly medical and nursing are responsible for all the legal documents. MLC Record and AR entry are done by the CMO and intimated to the nearest Police Station by a messenger (attender). A case-register is maintained in the casualty department.
Ambulance Service
- Our casualty has three well-equipped Ambulances which function round the clock.
- On emergency calls, the Ambulance is sent to the place from where the call originates.
- The ambulance is also arranged to transport the patient to another center at the request of the relatives as well as for referral cases.Â
