ATLS India - Advanced Trauma Life Support

American College of Emergency Physicians

College of Emergency Medicine, United Kingdom

Australasian College of Emergency Emergency Medicine

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Project EMcounter, an initiative of Dr. Satchit Balsari from Newyork-Presbyterian Hospital, aims to document the distribution and characteristics of medical emergencies in the developing world via a web-based data collection tool.

The first results of this project have been published in the International Journal of Emergency Medicine (April 2008).
Click here to read the full article EMcounter-charting the epidemiology of medical emergencies in India: A status report at IJEM

The YouTube video shown here was created by EMcounter.

First Website Dedicated to EMS in India

EMSIndia.in, the first website dedicated to Emergency Medical Services (EMS) in India is now online.

EMSIndia Magazine and its new website are initiatives of Dr. Subroto Das & his wife Sushmita, the founders of Lifeline Foundation (www.highwayrescue.org). This project, based in Vadodara Gujarat, is a non-governmental organization which has been promoting the awareness & establishment of EMS providers throughout the country since 2002.

Lifeline Foundation's major influence and effort can be seen on the highways of Gujarat state where they have set up a reliable EMS system not seen anywhere else in the country.

Their quarterly magazine EMS India is one of the widely circulated magazines related to Indian emergency medicine & EMS and has been around since March 2007.

An important point to note is that they are also working towards standardization of EMS systems in India, which is an extremely important step towards bringing high quality prehospital care to every individual in our country.

The website is found at www.emsindia.in
Lifeline Foundation is found at www.highwayrescue.org

International Journal of Emergency Medicine

The International Journal of Emergency Medicine (IJEM)
At the emergency medicine conference (EMCON 2007) held at Chennai two years ago, an emergency physician highly respected in India, Prof V. Anantharaman FRCP, FRCS (A&E) from Singapore General Hospital, presented a talk on EM research. One of his slides shown below was very relevant.
Most journals of current evidence scientific literature limit access to the content of that literature.<br />
Ability to view full documents chargeable in US$.<br />
Abstracts inadequate to make truly informed decisions.<br />
Suggestion: All scientific literature should be freely available within 3 months of first publication to promote and enhance cause of science, progress and improve medical care of all communities.
The research studies presented by various EM departments in the last few EM conferences in India give a very poor impression. Majority of papers are of no value and are done just to show numbers. Bad choices of topics, duplication of studies, unethical & unscientific ideas, poor design & methodology and unskilled presentation are some of the issues.

One of the reasons for this is that residents & emergency physicians in India cannot access the most desired journals from overseas colleges and institutes like ACEP, etc, due to their high subscription cost. Also, the faculty at most emergency medicine institutes have not taken a proactive step to ensure large flow of academic information in the form of evidence based journals.

In its current state, Indian emergency medicine in not mature enough to publish its own journal. Those who have chosen EM in India as a career path and also have an inclination towards EM research must work on high quality projects which can compete at international level.

Journals like Academic Emergency Medicine, Canadian Journal of EM, IJEM and others have promoted research papers from India by publishing their abstracts. But very few have reached full article publication and these are inaccessible to the most needy.

One of the recent developments is the International Journal of Emergency Medicine (IJEM) started by Dr. Wyatt Decker and Dr. Latha Stead, based at Mayo Clinic & University of Rochester respectively. With an editorial board consisting of emminent emergency physicians from all over the world, this journal is truly international. Most importantly it is open access, i.e. online access to all its content & articles is free of charge.

Respect and popularity of this new journal has been increasing in all countries, especially in India. Let's hope that this can guide Indian EM research in the right direction.

Links to IJEM
Description, Editorial Board & Submission

Swine Flu Management in EDs

Is your emergency department ready to manage suspected cases of swine flu?
Is your staff trained to detect these cases and treat them without exposing themselves to the risk?

Read the Swine Flu Clinical Management Protocols and Infection Control Guidelines from the Ministry of Health & Family Welfare, Govt of India


ATLS Courses in India

Advanced Trauma Life Support® (ATLS®) Courses in India

India's first official ATLS® courses will be conducted at Jai Prakash Narayan Apex Trauma Centre, AIIMS , New Delhi.
Details are available at this website www.atls.in ATLS is an initiative of the American College of Surgeons (www.facs.org)
This course teaches a systematic, concise and standardized approach towards dealing with a trauma patient.
All emergency physicians & trauma surgeons are expected to apply the ATLS concept during the management of every trauma patient.

ATLS based trauma programs are not a new thing for emergency medicine in our country.
Several advanced trauma management programs have been training candidates regularly for more than a decade now.
EMTC (Early Management of Trauma Course, Christian Medical College, Vellore) www.emtcvellore.net
NTMC (National Trauma Management Course, Academy of Traumatology, Gujarat) www.indiatrauma.org

Apart from these, ITLS (International Trauma Life Support) courses which train prehospital care
personnel in trauma management have also been around since several years now at
Symbiosis Institute of Health Sciences, Pune,
Indian Institute of Emergency Medical Services, Kottayam and
Ramaiah Medical College, Bangalore

ITLS Access which trains candidates on extrication techniques and removal of victims from vehicles & wreakage is also conducted at Symbiosis, Pune

See ITLS Course Locations in India on the ITLS website

The cost of the official ATLS course at Rs:20000/- per candidate (in contrast to others which are at 2000/- per candidate) will seriously limit
the accessibilty of this critical training to the doctors who need it the most.
How this course makes a difference to the trauma management in the country remains to be seen.