Emergency Medicine

The Accidents & Emergency department at Aster Hospital is fully equipped to handle medical emergencies and trauma situations with the best physicians on-call. The medical care facility has an ambulance service for transporting patients suffering from life-threatening traumas or emergencies. Considered as one of the best emergency facilities in India, we have trauma experts, emergency room (ER) physicians, critical care specialists, nurses and paramedics who are adept at taking care of any trauma that comes through. Fitted with cutting-edge technology, the experts are fully capable of diagnosing and managing all emergency and trauma situations, such as poisoning and drug overdose, cardiac arrest, head trauma, fractures, and anaphylactic shock. They're also trained in disaster management. Our Emergency service is available 24/7, with secure and rapid ambulance services.

Available Hospitals

We provide excellent care, right from diagnosis to the treatment and beyond at our world-class hospitals.

Facilities

Well equipped with the latest medical equipment, modern technology & infrastructure, Aster Hospital is one of the best hospitals in India.

Trauma Care

No other administration, division at Aster MIMS Kottakkal is as personally and heavily involved to take care of injury and harmed patients as the Department of Emergency Medicine.

Independently and together with the Trauma Service, Emergency Department doctors, residents, nurses, and other medical services providers yearly administer to around thousands of harmed and complex injury patients inside the physical space of the emergency division at Aster MIMS Kottakkal.

There is a nearby working connection between the Department of Emergency Medicine and the Department of Surgery's Division of Trauma and Critical Care. Together we convey the most noteworthy nature of care to the sections range of patients from minor cuts and sprains to major multi-system injury.

Our patient contacts can be separated into four classes like trauma responses, trauma alerts, trauma consults and injured patients.

EMERGENCY BED SIDE ULTRASOUND

The Division is occupied with an extensive variety of services and activities 4-week ED-based ultrasound rotation. Personnel have autonomous to perform EMBU to be utilized as a part of clinical decision-making, and when it esteems clinically suitable. We have medical students showing modules in bedside sonography for every time of medical school. We have been successful in acquiring grants for single- and multi-site research. Since the Department of Emergency Medicine has been a pioneer in recognizing and advancing the utilization of bedside ultrasound both procedurally and diagnostically, we have educating with the divisions of Surgery and Medicine, and give training to the fellowship programs in Critical Care, Nephrology and Trauma. Past and progressing ventures incorporate associations with critical care specialists, cardiologists, family medicine, pulmonologists, gynecologists and anesthesiologists.

Emergency Procedures

Emergency Department doctors give day and night on-line medical direction to every individual who seeks emergency medical services in any part of the world. The residents of Emergency medicine take an interest in on-site medical coverage for city-supported unique occasions consistently, including distance runs and mass get-togethers. Through rescue vehicle ride-alongs, hands-on fireground training, and lectures, the inhabitants have shown signs of improvement valuation for the abilities of, and difficulties confronting, prehospital medical suppliers and their firefighting partners.

Diagnostics for Emergency Medicines

Imaging Tests
-CT SCAN
-MRI SCAN
-X-RAY
Electrocardiogram
Arterial Blood Gases
Lumbar Puncture
Ultrasound

Emergency OT

Dedicated emergency operating theatre with state-of-the-art facilities perform life saving surgeries

Emergency Radiology

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.

Emergency Laboratory

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.

Emergency Pharmacy

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.

Clinical Support

3 Cath labs including FFR, IFR, IVUS, OCT and Rotablation
Advanced 3D and 4D ECHO machines
Holter Monitoring

NABH Accredited

This the first NABH accredited Emergency Department in the state of Karnataka and the 5th in the country.
A full spectrum of patients presents in Emergency Medicine Department, from neonates to the elderly with major and minor trauma, psychiatric problems and minor illness to true medical emergencies.
The medical and nursing staffs work closely together to take care of patients, other members of the team include the clerical staff, orderlies, and security staff; they also have important roles in the department.

Staffing

The Emergency Department at ACMI works around the clock, providing services in emergency medicine with physicians who are certified and specialized in emergency medicine.

Paediatric ER

In case of a Paediatric emergency, a child should to be given specialised, dedicated and prompt medical care with love and patience, in a warm and comforting environment. This helps minimise the fear and stress caused by the emergency and enable quicker recovery. The special Paediatric Emergency Room at the Emergency Department has been designed keeping this in mind and has a child-centric and welcoming ambience. With state-of-the-art clinical facilities and a team of Doctors and Nurses specially trained in Paediatric emergency medicine to attend to all emergencies 24/7, the Paediatric ER at Aster Medcity is among the best in India.

Radiology Services

The Emergency Department has an adjoining Radiology Suite equipped with MRI, Ultrasound, CT Scan and X-ray machine to save on time taken for moving patients to other units/departments for critical diagnostic procedures and fast-tracking the start of treatment.

Emergency Acute Care Unit (EACU)

The Emergency Department has a separate Emergency Acute Care Unit to monitor and treat very critically ill or injured adult patients. A 5-bed unit managed by a team of trained Emergency medicine professionals; the EACU is built adjacent to the ED to facilitate easier treatment.

Triage Area

The Emergency Department has a Triage Area, where an ACLS/ATLS/PALS Trained Nurse, follows a specialised Triage system and triages patients on the basis of how critical the illness or injury is. Triage or the first point of public contact with the Emergency Department, is done according to the Australasian Triage System, wherein patients are triaged into 5 categories. Triaging ensures that the most critically ill patient gets medical attention on priority, without delay.

Infectious Disease Screening Area

The Infectious Disease Screening Area at the Emergency Department is a special area for monitoring and treating patients with communicable disease. A quarantined area, this facility ensures that the infection does not spread to the other patients in the Emergency Department. If the patient requires to be admitted and given treatment, a Negative Suction Isolation room has been set up in which they will be taken care of, without exposure or danger of infection to others.

Discussion Room

For the convenience of families/bystanders of patients, there is a “Discussion Room” at the Emergency Department where Doctors, Nurses and Guest Relation Staff will provide updates on the current status and plan
of care of patients. The Guest Relation Officer will attend to all queries from the side of the family/ bystander regarding the condition of the patient and will also, on request, arrange meetings for them with the concerned Doctors.

Decontamination Room

The Emergency Department at Aster Medcity has introduced the concept of “Decontamination Room”. This is a special room for decontaminating patients who come in for medical help due to poison exposure. Having a specialised facility for decontamination will be helpful to the Staff and Bystanders, as it will prevent them from exposure to the poison.

Pharmacy

The Emergency Department will have a dedicated Pharmacy that operates 24x7. Made for the convenience of the patient’s family/ bystanders, they do not require to move out of the ED or take the trouble of finding medicines for the patient at a time when every moment counts.

Ambulance Service

The Ambulance Service offered by the Emergency Department at Aster Medcity is one of the most sophisticated in the country. These Ambulances are moving ICUs, fully equipped with all Intensive Care facilities like Ventilator, advanced cardiac care devices, trauma kit, and even facilities for neonatal transport and care. These Ambulances are integrated with an in-house central monitoring system that helps the Paramedics to consult the Doctor and get consent to start the necessary treatment. There is also a GPS system in all Ambulances that tracks its location and directs to where it needs to go to. Specialising in both inter-hospital and pre-hospital car, the team of trained Doctors and Paramedics on board ensure a medically safe journey of the Patient.

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. 

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.

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