Emergency Medicine

Emergency Medicine at Aster Ramesh Hospitals combines technology and unmatched medical expertise to provide advanced emergency care, with utmost efficiency. Capable of handling emergencies, the emergency care team works round the clock 24/7.

Every second counts in an emergency and can make a life saving change. Our team is well trained to start treatment on the patient at the earliest. We have multiple emergency care rooms and state-of-the-art clinical support including a dedicated exclusive Radiology channel for fast-tracking diagnosis.

The team of trained and experienced Doctors, Paramedics and Nurses here have access to all the facilities to extend immediate medical care to critically ill or injured Patients with threat to life or limbs.

The emergency care unit also has a 24-hour Pharmacy to ensure availability of medicines at all times.

Faqs

Want to find out more about the treatment? The answer to your questions can be found below.

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
  • BOUGIE
  • STYLET
  • O2 MASK ADULT
  • LARYNGEAL MASK SIZE-3
  • INJ. ATROPINE
  • INJ.ADRENALINE
  • INJ.NORADRENALINE
  • 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
  • NS-500ML
  • 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

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. 

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 
 

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 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 
  • POISONING 

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 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 
     

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.

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. 

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