Emergency Medicine: The Department of Emergency Medicine at Aster MIMS, which works as the quick response team, is staffed 24 hours a day by in-house trauma surgeons, anesthesiologists, trauma nurses and vital support services including the blood bank and laboratory services.
On average, Aster MIMS admits nearly 10,000 trauma patients each year, making it the busiest center in Northern Kerala. The trauma care department is well equipped with 36 beds, which includes triage beds, observation areas, which manage all forms of medical, surgical, Cardiac, Poly Trauma, Paediatric and Neurological conditions.
The Emergency Department staffs at Aster MIMS always strive to provide patients with the highest quality emergency care and service in an efficient and timely manner.
We provide excellent care, right from diagnosis to the treatment and beyond at our world-class hospitals
Through our 25+ specialities, we provide in-depth expertise in the spectrum of advance medical and surgical interventions. Our specialties are integrated to provide a seamless experience.
We have some of the best specialists from around the world, they bring years of experience and offer evidence-based treatment to ensure the best care for you.
We provide comprehensive treatment for all types diseases under one roof. Our highly experienced doctors supported by especially trained clinical staff, ensure the best care for you.
Well equipped with the latest medical equipment, modern technology & infrastructure, Aster Hospital is one of the best hospitals in India.
Dedicated emergency operating theatre with state-of-the-art facilities perform life saving surgeries
The sub-specialty of Radiology in the emergency department handles the diagnosis of acutely ill or traumatic patients. Multiple imaging modalities like MRI, multi-detector CT, ultrasound and X-ray are made available to ensure timely diagnosis and management of patients from head to toe.
The division of emergency laboratory is made available at the department with an intention of providing laboratory services that are crucial for the effective management of critically ill patients. Tests and results are given in no time with optimal accuracy so as to ensure best care to the patient.
The Emergency Pharmacy follows strict protocols backed by well-trained pharmacists with emergency preparedness and a good command over medication management standards, ensuring efficient, safe and effective medication use.
Want to find out more about the treatment? The answer to your questions can be found below.
How does the ED Works
The department is divided into a number of different areas with different functions. This includes but not limited to: Triage, Waiting Area, Fast track, Resuscitation unit with priority Red zone, Advanced Resuscitation zone, Paediatric Resuscitation zone, and Clinical Decision Unit, etc.
Are visitors allowed in the treatment area?
We usually do not allow visitors to enter the treatment area due to the risk of cross-contamination to other patients and the risk of getting the infection. In the current covid 19 scenarios, we are following strict patient isolation policies without allowing visitors. Timely updates about the patient's condition and audio video counseling will be given to visitors. In some special situations like resuscitating cardiac arrest patients, especially in children, we will allow patient attendants(mother ) to be with a resuscitating team.
What should I do if I am having chest pain?
If you are experiencing chest pain, immediately take a rest, avoid doing further strenuous work, and don’t panic. If a sublingual nitroglycerin tablet and chewable aspirin tablet are available, take them as soon as possible. Call the nearest hospital or local health ambulance contact number. We Ramesh hospital provide 24/7 hours telemedicine support and care and ambulance care to patients with chest pain. Our goal is to treat all patients with chest pain s/o Acute coronary syndromes should get treated ASAP with revascularisation therapy, either iv thrombolysis /percutaneous coronary intervention to reduce mortality and morbidity.
What are the important emergency drugs?
In an emergency, we keep all necessary medications to treat all kinds of emergency patients:
- Inj. Adenosine
- Inj. Adrenaline
- Inj. Amiodarone
- Inj. Atropine
- Inj. Calcium gluconate
- Inj. Dopamine
- Inj. hydrocortisone
- Inj. Loxicard(2%)
- Inj. Phenytoin
- Inj. Sodium bicarbonate (25 ml)
- Inj. Midazolam
- Inj. nor adrenaline
- Inj. Pheniramine
- Inj. Magnesium sulfate
Is emergency medicine a good lifestyle?
Emergency physician and emergency medicine is a unique branch among other specialties. It is a very challenging branch and fast-growing branch. The physician needs to be very active in decision making, having knowledge on all other specialty branches to treat acute emergencies and tackle the stress associated with managing sick patients.ER physicians should have good leadership, clinical and administrative skills. Having multiple roles and responsibilities with leadership qualities working in EMERGENCY MEDICINE is a good lifestyle and passion in working.
What are the most common medical emergencies?
- ACUTE CORONARY SYNDROMES,
- ACUTE ISCHEMIC STROKES,
- SEPSIS -URINARY TRACT INFECTIONS/COMMUNITY-ACQUIRED PNEUMONIA/CELLULITIS
- ROAD TRAFFIC ACCIDENTS-POLY TRAUMA
Should I go to the emergency room or urgent care?
In ER, we will follow strict triaging of patients. Triage means sorting patients based on their needs and available resources. We follow 5 levels triaging system
ESI TRIAGE. By triaging, the right patient will get treated at the right time.
Level 1: Resuscitation situations like cardiac arrest /respiratory failure /shock /unresponsive patient - BLUE to be seen immediately 0 mins
Level 2: Emergent situations not immediately life-threatening but may become life-threatening if not treated early -RED to be seen within 15 mins
Level 3: Urgent -stable patients needing multiple resources like labs/ECG/radiology services/nebulization/er procedures-YELLOW to be seen within 30 mins
Level 4: Less urgent needing single resource -GREEN -seen within 60 mins
Level 5: Non-urgent needing no resource utilization -WHITE to be seen up to 120 mins
Based on the patient's presentation to ED, we will triage and treat the patient within the stipulated time.
What should I do if I think I might be having a stroke?
Stroke is an acute neurological emergency. It needs to be treated as early as possible. Every minute delay in initiating therapy, 1.9 billion neurons die in each minute.
Stroke is identified by sudden onset of one-sided weakness /deviation of the mouth and abnormal speech .sudden onset of blurring of vision/headache/speech abnormality or any new neurological dysfunction to be considered a stroke of vascular origin unless otherwise proved. As soon as you experienced the above stroke symptoms, immediately call to nearest stroke center hospital. Stroke is two types ischemic and hemorrhagic. It should be diagnosed by doing a brain ct scan.
If it is an ischemic stroke with symptoms started within 4.5 hours and the patient is a candidate for iv thrombolysis, he will be treated with injection alteplase ASAP within 60 mins of patient arrival to ER
we provide 24/7 telemedicine support and ambulance care to patients with stroke symptoms to reach the hospital to treat early and to avoid delays
In stroke TIME IS BRAIN
Do emergency medicine physicians perform surgery?
Physicians perform minor surgical procedures like suturing lacerations, incisions and drainage of abscess, intercostal chest tube drainage insertion, pleural fluid, and ascitic fluid tapping.
Surgeons will perform complex laceration repair and major surgeries.
Which drug is kept in the emergency kit of the physician?
Helper kit will be available all the time with ER physician.
It contains all the necessary drugs and equipment needed to revitalize and treat the most common medical emergencies.
- AMBU BAG WITH MASK, RESERVOIR
- LARYNGOSCOPE WITH BLADES
- O2 MASK ADULT
- LARYNGEAL MASK SIZE-3
- INJ. ATROPINE
- INJ.MIDAZOLAM 10 MG
- INJ. ROCURONIUM 50 MG
- FACE MASK
- INJ. POTASSIUM CHLORIDE
- INJ. CALCIUM GLUCONATE
- INJ. AMIODARONE 150 MG
- INJ. SOIDUM BICARBONATE 25 ML
- INJ. DOBUTAMINE 250 MG
- Cannula No -18
- cannula No -20
- PMO line
- I.V SET (MACRO)
- 3-WAY 10CM
- SURGICAL GLOVES 7.5
- Airway no - 1
- Airway no - 2
- Airway no - 3
- Airway no - 4
- Disposable syringes - 2CC
- Disposable syringes - 5CC
- Disposable syringes - 10CC
- Disposable syringes - 50.CC
- Suction catheter no -6
- Suction catheter no -8
- Suction catheter no -10
- Suction catheter no -12
- Suction catheter no E-14
- VACUUM SET
- 25% DEXTROSE
- EASY FIX
- E.T Tube no 3
- E.T Tube no 3.5
- E.T Tube no 4
- E.T Tube no 4.5
- E.T Tube no 5
- E.T Tube no 5.5
- E.T Tube no 6
- E.T Tube no 6.5
- E.T Tube no 7
- E.T Tube no 7.5
- E.T Tube no 8
- E.T Tube no 8.5
- ET DYNO PLASTER
- RYLE’S TUBE NO 14
- RYLE’S TUBE NO 16
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