KING EDWARD MEMORIAL HOSPITAL

Seth Gordhandas Sunderdas Medical College

Acharya Donde Marg, Parel,
Mumbai 400 012. India.
Tel.: 91-22-2410 7000 Fax: 91-22-2414 3435

Courses Offered

 

Certificate Courses in Emergency Medicine

 

TRAINING COURSE IN “EMERGENCY MEDICINE”

Patron: Dr. Nilima Kshirsagar Director

 

Course Director:

Dr. Lata S.Bichile
Professor & Head Internal Medicine
 

Course Co-ordinator: 

Dr. Sanjay Mehta
Associate Professor Internal Medicine ( sanjaymehta@kem.edu 
 

Course Monitor:

 
Dr.Ravikiran
Sonawane Lecturer

 

Department of Internal Medicine

Seth G. S. Medical College & K. E. M. Hospital,
Parel, Mumbai 400012, India
Tel/ Fax (91-22) 4126766
Web: http://www.kem.edu

AIM: At the end of the training course, the candidate should be able to perform independently in the field of Emergency Medicine the evaluation, investigation, procedures, treatment and disposition & referral of emergency medical cases and including life support training.

OBJECTIVE : To achieve the above aim, following objectives must be fulfilled:

A.Cognitive Domain. The candidate should have a sound knowledge of:

1. Proper history and examination in emergency setting;
2. Emergency investigations with interpretation with reasonable accuracy;
3. Reasonable working diagnosis, course and complications of common
4. emergencies;
5. Emergency procedures and life support measures;
6. Emergency treatment, monitoring and disposition of emergency cases;
7. Emergency drugs, toxicities and drug-delivery systems;
8. Emergency equipment- usage and maintenance;
9. Computers for information , data entry, analyses and research.
10. Administrative set-up of Emergency services including Disaster Management Plan (DMP).

B.Psychomotor Domain. The candidate should be able to carry out:

1. Relevant history and examination;
2. Emergency investigations;
3. Emergency procedures and life support techniques;
4. Emergency treatment and monitoring;
5. Usage and maintainance of equipment;
6. Retrieval of information, data entry and analyses in computers.

C.Affective Domain. The candidate should incorporate the following in emergency practice:

1. Ethical, legal, and socio-economic issues;
2. Seek and give consultation when required;
3. Sympathetic behaviour towards patient and relatives;
4. Respect patient’s rights and privileges;
5. Explain about the illness to the patient/ relatives;
6. Seek referral and second opinion when necessary or requested by the patient;
7. To realize that emergency care involves team work.

INTRODUCTION & BACKGROUND: There is no formal structured training in the field of Emergency Medicine in India, though in the western countries, Emergency Medicine is a well recognized speciality with separate Residency Programme. Recently, a well planned Emergency Medical Services (EMS) has been started at K.E.M.Hospital to cater to a work load of about 250-300 emergency referrals daily. This includes patients of Infectious diseases, metabolic disorders, Cardiovascular, Respiratory, Gastrointestinal, Neurological disorders, Drug toxicities and poisonings. Occasionally, mass-casualties e.g. Food poisoning, ethanol toxicity are seen. The 5 bedded Acute Care Unit (ACU) has almost 100% occupancy and a variety of patients are treated here viz. Acute Myocardial Infarction, Stroke, Diabetic Ketoacidosis, Acute flaccid paralysis, patients with respiratory failure , heart failure etc.

The EMS is supported by Emergency Laboratory, ECG, X-Ray and Sonography facilities. This comprehensive service and a wide spectrum of medical emergencies attended give a good opportunity for learning and training in the field of Emergency Medicine. Our Institution has taken the step of providing this training not only to doctors of the country, but also to foreign medical graduates.

FACILITY & INFRASTRUCTURE :

1. Location: The EMS-Medicine Section (#027) is located at the ground floor of the Old Hospital Building in front of Gate No.2.
2. Space: 2500 sq.ft.
3. Beds : 15 ( 10 Receiving beds; 5 Acute Care Beds)
4. Personnel:  

A. Doctors:

Professor =1; Associate Professor =1, Lecturers =7 Resident Doctors = 10; Interns = 5

B. Nurses:

13

C. Support staff:

13

D. ECG Personnel:

7
5. Ancillary services: Following services are available round the clock in the EMS:

A. Radiology:

X-Rays, Ultrasonography, USG Doppler, CT Scan

B. Intervention Radiology:

Angiography, DSA, Bronchial artery embolization,etc

C. Pathology:

Hemogram, Smear examinations, DIC profile, Fluid Examination etc

D. Microbiology:

Culture processing, Rapid diagnostics for malaria, Leptospirosia,etc.

E. Biochemistry:

Blood Sugars, BUN, Creatinine, Electrolytes, S.Bilirubin, SGOT, SGPT, Calcium, Amylase, CPK- MB, ABGs, etc.

F. ECG :

Facility available round the clock.

G. Echocardiography:

Facility available round the clock in Sonography room by Cardiologists on call and by portable USG/ 2D Echo.

 

TARGET CANDIDATES:

MBBS Undergraduates who have completed Internship;
Elective term during Post-graduate Residency;
Doctors who have completed MD in Medicine, Anaesthesia, Chest Medicine;
Consultant Physicians & Private Practitioners;
Deputees from other Medical Institutes;
Physicians working in rural areas;
Any other candidates deemed appropriate for the course

NO. OF CANDIDATES:

Maximum of 8 candidates will be enrolled at a time.

TRAINING PROGRAMME & POSTINGS:

1. EMS Postings : Candidates will be posted in the EMS on a rotation basis, round the clock for an 8 hours’ shift daily. Appropriate offs will be given according to the timetable.
2. Activities in EMS: Training will be conducted in:

  • Evaluation of emergency cases referred to the EMS
  • Planning & carrying out emergency investigations
  • Evolving diagnosis/differential diagnosis
  • Deciding & executing emergency treatment
  • Carrying out emergency procedures
  • Monitoring of patients admitted in the EMS (ACU)
  • Disposition of patients from the EMS
  • Following the algorithmic approach to medical emergencies
  • Using computers for information, patient record and data entry,
  • Laboratory reports retrieval, data analysis and research.
3. Emergency Cases: During the training period, the candidate will be exposed to a myriad of medical emergencies. The common emergencies that are encountered in the EMS are:

  • Chest Pain
  • Angina Pectoris
  • Acute Myocardial Infarction
  • Arrhythmias � Hypertensive Emergencies
  • Acute Pulmonary Edema � Pneumonia
  • Acute Exacerbation of COPD
  • Acute Severe Asthma
  • Pneumothorax
  • Hemoptysis
  • Seizure Disorder
  • Stroke
  • Acute Flaccid Paralyses
  • Coma
  • Acute Diarrhoea/ Gastroenteritis
  • Hemetemesis
  • Bleeding Disorders
  • Acute Renel Failure
  • Shock
  • Poisonings & drug overdosages
  • Organophosphate Poisoning
  • Snake Bite
4. Emergency Drugs: Candidates will be exposed to usage of various emergency drugs, their dosages, formulations, preparation of & delivery by infusion pumps, drug-interactions, drug toxicities and overdosages, etc.
5. Emergency Procedures: Candidates will carry out the following emergency procedures during their training:

  • Endotracheal intubation
  • Mechanical ventilation
  • CVP line insertion ( basilic, jugular, subclavian)
  • Arterial line insertion � Tracheostomy
  • Intercostal drainage tube insertion
  • Pericardial, pleural, ascitic fluid tapping
  • Lumbar puncture
  • Transcutaneous pacing
  • Transvenous temporary pacing
  • Defibrillation
  • Basic life support techniques
  • Advanced cardiac life support techniques
6. Emergency Equipment: Candidates will be exposed to usage of various equipment in the EMS-ACU:

  • Cardiac Defibrillators
  • Cardiac ECG Monitors
  • Multi-parameter Monitors( ECG,Spo2, IBP, NIBP)
  • Pulse Oxymeters
  • Syringe Infusion Pumps
  • Temporary Transvenous pacemaker
  • Transcutaneous Pacing device
  • Mechanical ventilators ( Class I ; simple & portable)
7. Teaching Tools: Training will be imparted through:

  • Hands-on training in evaluation, investigation & treatment
  • Lectures
  • Seminars/ Symposia
  • Case presentations
  • Group discussions

 

ELIGIBILITY CRITERIA:

Mandatory: Completed M.B.;B.S. with 1 year Internship
Optional: Resident Doctors in Medicine and allied disciplines Completed MD in Medicine In-service Candidates deputed from the institutions Valid Maharashtra Medical Council (MMC) registration

PERIOD OF TRAINING: Three months

APPLICATION & SELECTION:

Candidates will be required to submit the following:
1. An application form on plain paper addressed to Head of Medicine ( at least one week in advance to the date of commencing the course).
2. Certified copy of MBBS Degree.
3. Certified copy of Internship completion.
4. Certified copy of MBBS/ MD Registration from the Maharashtra Medical Council.

FEES :

On approval of the application, a prescribed fee of Rs.6000.00 (six thousand only) is payable to the Institution once the candidate is selected for the course. The cheque/ D.D. should be drawn in favour of ” Seth GSMC & KEMH Department Development Fund” and should be payable in Mumbai. Fees once paid is non-refundable and non-transferable.

BOARDING & LODGING :

No Boarding & Lodging facility will be provided to the candidates by the institution. The candidates are expected to arrange the same on their own.

STIPEND:

NO stipend is payable during the course.

LOG BOOK:

A log book for day to day record of activities will be maintained by the candidate and countersigned by the EMS faculty.

ASSESSMENT:

An assessment at the end of the course will be made by : a. scrutinizing the Log-book; b. General observation & remarks by the course director.

CERTIFICATION:

A Certificate will be awarded at the end of successful completion of the course by the Institution.

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