|Christian Medical College (CMC), Vellore||IS2 Creativities|
Christian Medical College, Vellore.
The Department of Accident & Emergency Medicine, CMC Vellore, is the largest private sector emergency department and one of the pioneering institutions for EM in India. Being an independent clinical unit of the CMC hospital, it has 39 beds and is the best example of organized emergency medicine. The positions for Fellowship in Emergency Medicine (FEM) offered here are fiercely competitive and well renowned.
Dr. Pushpraj Singh, Senior Consultant and Head of Department
Dr. Suresh David, Professor
Dr. Debasis Adhikari, Consultant
Dr. Roger Van Arsdell, Senior Visiting Consultant
The patient entry into the emergency department (ED) is through the Triage Area. Triaging is done by Triage Nurses who categorize patients into priority 1, 2 and 3. Priority 1 & 2 patients are shifted to the Resuscitation Bay which can handle upto 7 critical patients. The ED at CMC hospital is a Level I emergency service and Level I trauma center.
Diagnostic modalities like pathology, biochemistry, microbiology, portable ultrasound and portable xray facility are available in the ED round the clock. Computer terminals are present throughout the department from which patient records, blood tests reports, radiograms, CT scans, etc can be accessed for viewing.
Stabilized patients are shifted to a Central Observation Area for monitoring from where they can be directed towards the Minor Procedure Room (where all minor medical & surgical procedures are done) or Step down Area (where patients are kept under observation for upto 24 hours and discharged from the ED itself). Alternatively patients are shifted out of the ED to the Radiology Section, Catheterization Lab, Operating Rooms or Intensive Care Units.
Priority 3 patients are made to wait in the Waiting Area till they can be seen in the Consultation room by the emergency physician. Then they are either admitted into the ED, treated on outpatient basis or referred to specialist consultation clinics elsewhere in the hospital.
An alert is given to the Trauma Team whenever a trauma victim arrives in the ED (based on certain fixed criteria). A general surgeon, an orthopedician, a neurosurgeon and an emergency physician will arrive within 10 minutes to take over care of the trauma victim from the on-duty personnel. The emergency physician manages the airway, assumes the role of Trauma Coordinator and is responsible for the patient within the ED.
Fellowship in Emergency Medicine
This is a one year training program for medical graduates interested in Emergency Medicine which was started in 1998. A total of 6 candidates are selected each year.
If selected at the initial interview, the candidates would be first enrolled as a senior house officers and then inducted into the fellowship program, based on performance and position availability.
The program consists of postings in the emergency department as well as rotatory postings in the intensive care units (medical, surgical, cardiac and pediatric) as well as in pediatric EM, anesthesia and radiology.
A dissertation has to be done and a logbook maintained, as these are mandatory requirements for certification. There is no admission fee. Selected candidates would be provided with monthly stipend of about Rs:8000/- (as in 2005) and free shared accommodation. Food is available through the mess. (average Rs:1000/- per month)
Residency in Emergency Medicine
Many doctors join as residents to work in the department primarily to gain clinical experience in emergency medicine or to do research in EM.
Diploma in Emergency Nursing
The World Health Organization (WHO) and the Nursing Council of India have recognised the department as an accredited Regional Training Centre for Emergency Nursing. Selected nurses undergo a structured training for 12 weeks.
International WHO Training centre for South-East Asia
The department is recognised as an International Training Centre for Accident and Emergency Care by the WHO. The department trains and awards the WHO Training Certificate to health professionals of South-East Asia.
Early Management Of Trauma Course (EMTC)
The aim of this workshop, which is similar to the Advanced Trauma Life Support (ATLS) Course, is to provide hands-on training in the prioritisation and early management of trauma victims. First responders of trauma i.e. emergency department personnel, postgraduate trainees in surgery, orthopaedics, anaesthesiology, neurosurgery and emergency medical technicians (paramedics) can register themselves for the course.
The course is held twice a year and intake is only 25 candidates. Duration is for 3 days and involves lectures by CMC trauma & emergency medicine faculty. Hands on experience is ensured to every delegate on procedures like cricothyroidotomy, endotracheal intubation, chest tube insertion, etc.
This is a qualifying program and delegates should score above 85% in both theory as well as practicals for certification.
The course fees is 2000/-
Christian Medical College is located in the town of Vellore in Tamil Nadu (South India). The hospital campus is about 7 kms from the college, but within the town itself. Vellore is 200 kms from Bangalore and about 100 kms from Chennai (Madras). It is well connected by train and road. Trains stop at the Katpadi Junction which is 12 kms from CMC Hospital. Local autorickshaws and buses are plenty.
Department of Accident and Emergency Medicine
Dr. Pushpraj Singh, Head of Department
World Health Organization (WHO)
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