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EMERGENCY MEDICINE

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  3. Emergency Medicine

Overview

The department of Emergency Medicine started as a 20 bedded facility in 2018. The Department has undergone multiple upgrades, including a recent extension and face-lift and currently has a 30 bedded modern hospital-within-hospital facility, fully equipped to cater for patients presenting with various medical and surgical emergencies, including Trauma Care. The Operating Room, Intensive Care Unit and a Labour Complex attached to the Department further helps in providing wholesome, high quality emergent care and aids in the management of critically ill patients. The department functions 24 hours a day, on all days (including weekends and public holidays). The highly trained team includes Emergency Physicians, Post- Graduate Residents, Junior Residents and nursing staff on duty round the clock.

Facilities

  • State of the art monitoring facilities for all beds, which enables invasive and non-invasive BP Monitoring, ECG and SpO2 Monitoring
  • Dialysis port for emergency Hemodialysis and SLED
  • Defibrillator with transcutaneous pacing facility
  • End Tidal Carbon Dioxide Monitoring
  • Point of Care Ultrasonography
  • CPR Feedback Device to ensure CPR quality
  • Video Laryngoscopy

Services

Our department comprises of a Triage area, a resuscitation bay for critically ill patients, a trauma bay, medical bay, procedure/plaster, major and minor OT, Ophthalmology/ENT dorm and Labour room. The Department is centrally air conditioned with segregations for isolation rooms which have negative pressure ventilation

  • State of the art ambulance bay and pre-hospital care
  • POCUS (point of care ultrasound) – for rapid bedside diagnosis of acute conditions and aids in provision of early appropriate management.
  • Dialysis port with 24-hour access to emergency hemodialysis
  • Largest point of care facility in the hospital which includes CBC, blood gas analysis, RFT, LFT, Uric Acid, D-Dimer, Troponin I, BNP and lipid profile. This greatly helps expedite provision of appropriate care to patients.
  • All ED beds, including triage beds equipped with cardiac monitoring facility and oxygen ports.
  • Trained doctors and staff capable of providing adult and pediatric advanced life support.
  • Advanced airway management, including surgical airway – both adult and pediatric
  • Invasive and non-invasive ventilation
  • Tube thoracostomy
  • Central and peripheral venous access
  • Acute stroke care including thrombolysis
  • Cardiac care – including management of arrhythmias, transcutaneous pacing, and 24 hour access to cath lab for patients presenting with acute myocardial infarction. We also provide thrombolysis facilities for acute myocardial infarction.
  • Access to a well equipped blood bank enabling management of traumatic and non- traumatic hemorrhagic shock, and also provision of massive transfusion

Doctors and staff trained in provision of acute trauma and critical care

Our Department has a post-graduate training program in Emergency Medicine with an annual intake of 2 trainees. We have a dedicated skills lab, seminar hall and a department library stocked with recent journals and textbooks that help keep the Residents updated on their academics.

Faculties

Dr. Jobin Jose Maprani
Reg.No: TCMC 42642
Professor & HOD
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Dr. Lini Chacko
Reg.No: TCMC 28297
Associate Professor
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Dr. Manna Maria Theresa
Reg.No: TCMC No: 63966
Assistant Professor
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CME

CME Details Date of Conduct
Name : Thrissur EM club
Theme/Subject : ATLS overview - Recent advances, A case of calcium channel blocker toxicity
Credit Hours : 3 hrs

 2023
Name : Thrissur EM club
Theme/Subject : Case discussion spontaneous lung collapse, Methaemoglobinemia – measures and diagnosis
Credit Hours : 3 hrs

 2022
Name : Thrissur EM club
Theme/Subject : Recent diagnostic modality in Infective endocarditis/ Case discussion - paraquet poisoning
Credit Hours : 3 hrs

 2021
Name : INSPIRE'EM : International Health
Theme/Subject : Out-of-hospital Emergency Medicine

 2019
Name : EM Pulse : National Level Emergency Medicine Conference
Theme/Subject : Core Emergency Medicine
Credit Hours : 6 CME credit hours

 2019
Name : Trauma Workshop
Theme/Subject : Emergency Trauma Care.
Credit Hours : 1 hour CME credit hour

 2019
Name : Cardiac workshop
Theme/Subject : Cardiac Resuscitation
Credit Hours : 1.5 hours CME credit hours

 2019

Publications

  • Maprani JJ, Xavier BKP, Nedungalaparambil NM, et al. Sensitivity of point of care ultrasound in blunt trauma abdomen and thorax at a tertiary care center in northern Kerala. J Evid Based Med Healthc 2020; 7(46), 2680-2684.
  • Menon NN, Kumar R, Kumar P, Gupta PP, Ng V, Noguiná EK, et al. Evaluating the effectiveness of cardiac arrest resuscitation short course (CARS) for rural physicians of Asia: The Rural Emergency Care Training for Physicians (RECTIFY) project. J Family Med Prim Care 2020;9:6201-8.

    https://pubmed.ncbi.nlm.nih.gov/33681064/

  • Balasubramanian R, Maprani JJ, Paulson S, Suresh G, Ayyan SM, Vimal Rohan K. Outcome of early emergency intubation and early emergency dialysis in deliberate self-harm with formic acid in a tertiary care center in South India: A retrospective cohort study. Turk J Emerg Med 2024;24:111-6.

    https://pubmed.ncbi.nlm.nih.gov/38766414/

  • Thomas D, Chacko L, Raphael PO. Dexmedetomidine nebulisation attenuates post-operative sore throat in patients undergoing thyroidectomy: A randomised, double-blind, comparative study with nebulised ketamine. Indian J Anaesth. 2020 Oct;64(10):863-868. doi: 10.4103/ija.IJA_406_20. Epub 2020 Oct 1. PMID: 33437074; PMCID: PMC7791420. Format:

    https://pubmed.ncbi.nlm.nih.gov/33437074/

  • Sheetal, S., Antony kalliath . "The utility of 'heart sign' on neuroimaging in acute-onset quadriparesis: A series of three cases." Apollo Medicine, vol. 18, no. 3, July-Sept. 2021, p. 212. Gale OneFile: Health and Medicine, link.gale.com/apps/doc/A676878123/HRCA?u=anon~b33a971e&sid=googleScholar&xid=35eb4e26. Accessed 1 Nov. 2023.
  • Nissar, Fathima S.; Theresa, Manna Maria; Sreekrishnan, T. P.; Dhanasekaran, B. S.; Gireesh Kumar, K. P.. Clinical Profile of Patients Presenting to the Emergency Department with Acute Pulmonary Edema. Amrita Journal of Medicine 16(3):p 120-123, Jul–Sep 2020. | DOI: 10.4103/AMJM.AMJM_15_20
  • Manna Maria Theresa, Prannoy George Mathen, Gireesh Kumar K.P et al. Acute Single Deliberate Ingestion of Acetaminophen and Correlation with International Normalized Ratio and Length of Hospital Stay among Patients Visiting the Emergency Department: A Retrospective Study Indian J Emerg Med 2020;6(2):73–78. DOI: http://dx.doi.org/10.21088/ijem.2395.311X.6220.4
  • Theresa MM, Arunkumar K, Gireesh Kumar K P et.al. An atypical adult presentation of acute clonidine intoxication. Int J Health Sci Res. 2021; 11(6): 200-203. DOI: https://doi.org/10.52403/ijhsr.20210632
  • Mathen PG, Kumar KG, Mohan N, Sreekrishnan TP, Nair SB, Krishnan AK, Prasad S B, Ahamed D R, Theresa MM, Kathyayini VR, Vivek U. Prediction of Noninvasive Ventilation Failure in a Mixed Population Visiting the Emergency Department in a Tertiary Care Center in India. Indian J Crit Care Med. 2022 Oct;26(10):1115-1119. doi: 10.5005/jp-journals-10071-24338. PMID: 36876205; PMCID: PMC9983674. DOI: https://doi.org/10. 52403/ijhsr.20210632
  • Varghese J, Thomas A, Prasad B S, et al. (September 05, 2024) Improving Cardiopulmonary Resuscitation Quality and Resuscitation Training by Using Real-Time Audiovisual-Assisted Devices. Cureus 16(9): e68757. doi:10.7759/cureus.68757
  • Revivarman, Kathyayini Vijayalekshmi; Krishnan, Arun Kumar; Gireeshkumar, K. P.; Sreekrishnan, T. P.; Maria, Manna. Acute Onset Bilateral Ptosis in an Asymptomatic COVID Patient. Medical Journal of Dr. D.Y. Patil Vidyapeeth 15(Suppl 2):p S345-S347, November 2022. | DOI: 10.4103/mjdrdypu.mjdrdypu_423_21
  • Kathyayini V R, Gireesh Kumar K P, Sreekrishnan T P et al. / Clinical Profile and Outcome of Patients Presenting to ER with Acute Rodenticide Poisoning. Indian J Emerg Med. 2021;7(1):15–19. DOI: http://dx.doi.org/10.21088/ijem.2395.311X.7121.2
  • Bhagya S, Revivarman KV, Dhanasekaran B. S et.al. Experiences and challenges faced during transportation of critically ill patients. Int J Health Sci Res. 2021; 11(7):124-128. DOI: https://doi.org/10.52403/ijhsr.20210718
  • Theresa et al. Comorbidities and ferritin as outcome predictors of COVID 19 in Emergency Department. WJPPS. 2022; 11(2): 1190-1203. DOI: 10.20959/wjpps20222-21142
  • Riaz, et.al. COMPARATIVE EVALUATION OF POINT OF CARE CREATININE VS CENTRAL LAB CREATININE. IJM. 2020; 25 (12).
  • Varghese J, Thomas A, Prasad BS, et al. Improving Cardiopulmonary Resuscitation Quality and Resuscitation Training by Using Real-Time Audiovisual-Assisted Devices. Cureus. 2024;16(9):e68757. Published 2024 Sep 5. doi:10.7759/cureus.68757
  • Thomas A, Mohan N, Varghese J, et al. Predictive and Prognostic Importance of National Early Warning Score 2 (NEWS2) in Emergency Room Patients. Cureus. 2025;17(2):e79538. Published 2025 Feb 24. doi:10.7759/cureus.79538
  • Thomas A, Sajan R, Prasad S B, et al. (March 12, 2025) The Potential Effect on the Number of Computerized Tomography Pulmonary Angiography if a Clinical Probability-Adjusted D-dimer Is Added to an Age-Adjusted D-dimer. Cureus 17(3): e80472. doi:10.7759/cureus.80472