EmergencyMedicine

Triage Area

 

Multispecialty ICU

OVERVIEW

Emergency medicine also known as accident & emergency is a medical specialty concerned with the care of illness or injuries requiring immediate attention. This field of practice is based on the knowledge & skills required to prevent, diagnose & manage acute/urgent aspects of illness & injury affecting patients of all age groups with a full spectrum of undifferentiated physical & behavioral disorders. It further encompasses an understanding of the development of pre-hospital & in-hospital EMS & skills necessary for its development. In recent decades emergency medicine has been recognized as a specialty in its own right with its training programs & academic posts. The specialty is now a popular choice among medical students.

AT KIMS

Emergency Medicine was established under the leadership of former Dean & Principal Dr. M.K. Sudarshan & Former HOD Dr. Srinivas Prabhu in 2012. MCI permission was granted in 2013 for starting Post Graduation 02 MD seats in Emergency Medicine. Now NMC had granted 5 seats in 2024. Till date 12 students have graduated as emergency physicians in flying colors from RGUHS securing 1st, 2nd & 5th ranks with 100% pass. The department is functioning as a single unit comprising of 30 bed strength as per NMC norms.
Post Graduate Results 2021

 Total Students appeared

Students Cleared

Percentage

 2

2

100

Patient monitored in Casualty

ICU patient on Ventilation

INFRASTRUCTURE

Reception area registration counter Fever clinic for swab collection – RAT & RTPCR COVID screening Triage I & Triage II, Resuscitation bay, High dependency units (green, yellow & red zones) Day care services Minor OT (surgical resuscitation area for surgical & Ortho) Major OT (equipped with C-arm & Anesthesia workstation, monitors) Gastric Lavage room, gynaec exam room SEMINAR hall to conduct subject seminars, LCD & internet facility & library services.

CRITICAL CARE FACILITY IN DEPARTMENT

Emergency ICU -06 beds, Multispecialty ICU -18 beds, HDU/ICU 10 beds equipped with state of the art facilities – ventilators, bed side dialysis, ECHO, USG 24hrs Intensivist consultation,m1:1 nurse patient ratio.

DIAGNOSTIC FACILITY

Bed side ECG,ECHO,USG,ABG,TROP I ,point of care investigations with in 2hrs Toxicology lab for qualitative analysis of poisons & drug over dosage, CT & MRI suits.

SUPPORTIVE FACILITY

Round the clock super specialty services (neurosurgery, neurology, endoscopy, pain medicine)Ambulance services 24x7 ,centralized telephone contacts , Blood bank 24x7 availability of blood & blood products, generator facility 24x7, cold storage & PM facility at cellar.

LEGAL SUPPORT

CMO’s available 24x7 to handle MLC cases.

HUMAN RESOURCES

Emergency physicians , senior residents, junior resident, interns, resp therapist, nurses ICU 1:1, nurses in wards 1:3. Majority trained in BLS & ACLS .

BLS & ACLS workshop

 

Participants of the Workshop

 

Briefing the Participants

 

BLS practice Session

Workshops on BLS,ACLS,ATLS are conducted to train PGs & interns in emergency management. All faculty & PGs are trained in AHA certified BLS & ACLS. Dr Varun & Dr Prabhu are AHA certified instructors.Dr Brinda is certified ECLS ( JEEVA RAKSHA) Trainer of trainees & BLS , ACLS ,CATLS Provider.

All interns posted to casualty & Emergency Medicine are trained hands on in IV cannulation, ABG procedures & basic life support techniques.

Dr. Brinda B

  1. Dr. Brinda B. Evaluation of the Effectiveness of oral tablet clonidine as a premedicant Drug: A prospective study of 100 cases. International Journal of Scientific study/Jan2015/Vol2/issue 10
  2. Dr. Brinda B .Antidote bank : need of the day in Indian scenario . J. punjab. Acad Forensic Med Toxicology 2013;13(2)
  3. Dr. Brinda B .Thermosensitive in situ liposomal gets loaded with antiminotrial agent for oral case in critically ill patients. Therapeutic Delivery 10,4155/tde. 2019-0092 2020
  4. Dr. Brinda B . Intra articular Ropivacaine& Clonidine verses Ropivacaine&Dexmedetomidine for day care Knee ArthroscopyA Clinical Observational study. - Unique Journal of Medical & Dental SciencesUJMDS 2015, 03(01): Page 90-92 1SSN 2347-5579
  5. Dr. Brinda B .Indentification of unknown poisioning by using WHO standard qualitative measures in patients with oral consumption of different types of compound.International Journal of Scientific & Research publications Vol II, issue 4, April 2021, ISSN 2250-3153
  6. Dr. Brinda B .Uses of Magnesium Sulphate – Revisited. Journal of Evolution of Medical & Dental Sciences 2013 Vol 2, Issue 30, July 29 Page; 5648-5658
  7. Dr. Brinda B .The Decaf score prognostication scoring system for patients presenting with Acute exacerbation of COPD to emergency medicine department of tertiary care Hospital.International Journal of Applied Research ISSN 2394-5869
  8. Dr. Brinda B .Comparison of MEWS, REMS & RAPS for predicting outcomes of Non-surgical patients in Emergency Room.Indian Journal of Emergency Medicine. Vol 4 No.4, Oct-Dec 2018
  9. Dr. Brinda B .Clinical presentation of COVID 19 Patients tertiary care hospital.Indian Journal of Emergency MedicineVol 6 No.4, Oct- Dec 2020
  10. Dr. Brinda B .A Retro septic study of injury pattern & Analysis of its outcome in patients presenting to Emergency Department after near Hanging .IJEM in Oct-Dec 2021 issue
  11. Dr. Brinda B .A prospective study of coagulation profile & outcome of management of compartment syndrome in snake bite.Journal of Post graduate Medicine.

Dr. Varun Byrappa

  1. Dr.Anagha A. Joshi, Dr. Varun ByrappaGener Basis in Dengue the lab perpective.Indian Journal of Emergency MedicineVolume 4, Issue 2, April-June 2018. Pages 114-118
  2. Dr.Anagha A. Joshi, Dr. Varun Byrappa. A Study - Age can it be a Navigational factor in Dengue .Indian Journal of Emergency MedicineVolume 5, Issue 2, April-June 2019, Page 103-108
  3. Dr.Santhosh M.C.B, Dr. Varun Byrappa, Dr.Raghavendra Rao P.Sudden sustained asystole during a cerebellopontine angle surgery.Journal Anaesthesiology Clinical Pharmacology 2013 July Volume 29, Issue 3, Page 402-3
  4. Dr AshootoshPakale, Dr. Arvind M.N., Dr. Varun Byrappa. A Study of Compare Arterial, Capillary and Venous Blood Glucose levels in Patients with Hypotension on Vasopressor versus Normotensive Patients.Journal of Medical Science and Clinical ResearchVolume 06, Issue 11 Nov. 2018, Pages 674-678.
  5. Dr.Sonthosh M.C.B, Dr. Varun Byrappa, Dr.Raghavendra Rao P. Inferior vencaval compression due to excessive abdominal packing.Brazillan Journal of Anaesthesiology,Volume 64, Issue 3, May-June 2014, Pages199-200
  6. Dr.Ilyas Abdul Aziz, Dr. Varun Byrappa, Dr. Ramachandra Parch H.DAssessment of Neurological status using 4 score and glasglow coma scale in non traumatic brain injury patients.International Journal of Current ResearchVol. 11 Issue 11 November 2019, Page 8432-8436

Dr.Prabhu P

  1. Dr.Prabhu P .The Decaf score prognostication scoring system for patients presenting with Acute exacerbation of COPD to emergency medicine department of tertiary care Hospital.International Journal of Applied Research ISSN 2394-5869

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