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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. K Jayakrishnan

Professor & HOD

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Dr. Jobin Jose M

Associate Professor

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Dr. Fred John

Assistant Professor

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Dr. Rose Mary Joseph

Senior Resident

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Dr. Syam Mohan

Senior Resident

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Dr. Twinkle Johny

Senior Resident

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Dr. Antony Kalliath

Senior Resident

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Ancy C L

Senior Resident

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Dr. Shabeer P K

Senior Resident

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Dr. Leenus Jacob

Senior Resident

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Dr Sangeetha Sajeevu

Senior Resident

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Dr Mary Jacob

Senior Resident

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CME

CME Details Date of Conduct
Name : EM Pulse : National Level Emergency Medicine Conference
Theme/Subject : Core Emergency Medicine
Credit Hours : 6 CME credit hours

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

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

2019
Name : INSPIRE'EM : International Health
Theme/Subject : Out-of-hospital Emergency Medicine

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.
  • Nedungalaparambil NM, Kumar R, Kumar P, Gupta PP, Ng V, Noguiná EK, Maprani JJ. 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.
  • John F, Basavaraju B. Comparison of MEWS, REMS and RAPS for Predicting Outcomesof Non-Surgical Patients in Emergency Room. Indian Journal of Emergency Medicine (2018);4(4):269-275
  • John F, M. Varkey. Evaluation of blood donor deferral causes in a tertiary hospital, SouthIndia. International Journal of Biomedical and Advance Research 6 (2015): 253- 258.
  • John F, Varkey MR. Selective arterial embolization in hepatic trauma. Int J Case RepImages (2014);5(10):712–716
  • R Surendar, Rose Mary Joseph, Ajai Rangasamy, SK Mathavan, Pulmonary embolism - A forgotten differential diagnosis for abdominal pain,Visual Journal of Emergency Medicine, Volume 29,2022,101407,ISSN 2405-4690,https://doi.org/10.1016/j.visj.2022.101407.
  • Shirshendu Dhar, Sasikumar Mahalingam, Balamurugan Nathan, Rose Mary Joseph, Konuri Bhargavram, Fleck sign of foot – A forgotten sign of Lisfranc injury,Visual Journal of Emergency Medicine,Volume 27,2022,101371, ISSN 2405-4690,https://doi.org/10.1016/j.visj.2022.101371.
  • 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.