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Emergence of EMS in India

Emergence of EMS in India
Journal Article!

Today, India boasts an EMS system thats expanded exponentially and geographically. Its gone beyond the early concepts, and the focus has shifted from being injury centric to covering all emergencies. Its changed from being urban oriented to being pan-India. Like in the United States, the primary focus is no longer on road traffic accidents. EMS is fast evolving as an integral part of healthcare system.

Click here to read - Emergence of EMS in India
Journal of Emergency Medical Services - April 2017
By Subroto Das, Roochita Desai

Rebel doctors target practicing emergency physicians and EM trainees in India

Rebel Doctors Attack Practicing Emergency Physicians and EM Trainees in India.
Editors Desk

Reference/share this article - http://www.emergencymedicine.in/current/news.php?readmore=197

Emergency medicine related social media channels, in the last 3-4 weeks, witnessed a sudden appearance of a group of rebel doctors who are criticising the currently practising emergency physicians and EM trainees in India. Deliberate messages and cartoons depicting the older EM training programs in bad light were posted and discussed, resulting in angry responses from the EM community in India. A specific outcry that all EM residency programs, with exception of MD(EM) and DNB(EM), were fake, was also circulating.

Incidentally, the small group doctors who were involved seem to be recent graduates of one specific training program, MD(EM). It is unknown what incident has provoked them to resort to this. Sources indicate that one of the reasons is that an external party has started a false propaganda in an attempt to defame the very large community of EM physicians predominantly working under the banner of the Society for Emergency Medicine India (SEMI). The second reason is that some of these MD(EM) graduates failed to qualify for top positions in the emergency departments of corporate hospitals. Poor quality of training resulting from teaching by non-EM faculty and ill-equipped emergency departments, are the main reasons to blame for this situation. Hospitals looking for EM physicians now routinely check potential applicants for adequate credible experience, irrespective of their EM qualification. It would not be a surprise to see hospital managers rejecting inexperienced EM physicians.

One senior MD(EM) graduate said that he found it surprising that doctors were resorting to flaming on social media channels. He said that after looking at their online conversations he found it very obvious that none of them were aware of the history of development in India. And that there was plenty of incorrect information being discussed and this was fuelling further pointless debates among other amateur groups. Another doctor who was also MD(EM) said that he never had any problems with any other group and that everyone was contributing to EM in their own positive way. He said that there was no problem in securing good jobs as long as one had gained proper competence. He agreed that only few hospitals had good teaching.

A senior resident undergoing MRCEM training pointed out that this group had concluded that MRCEM was not recognised by MCI, whereas the truth was that MRCEM was being registered as additional PG qualification for many years and was adequate for the post of Assistant Professor as per MCI notification in March 2017.
Click here to look at MCI Notification 11MAR17
UPDATE! 30-Jul-2017 - If MCI website has deleted the link, find it from our archive.

Many trainees of the Masters in Emergency Medicine (MEM) program were of opinion that they were happy with their training, experience and certification. They had absolutely no doubt about their job and career options, both in India and abroad, especially after looking at so many of their colleagues join higher specialist training in the United Kingdom. One trainee commented that instead of working together these rebel groups were resorting to such activities. She said it was clear that they have a lot of free time in their hands and are unlikely to be doing any constructive work for their own emergency rooms.

The recent online flaming incidents targeted at emergency physicians in India received a suspiciously coordinated boost from an unexpected source - Times of India, one of the leading newspapers in India. Times of India, on 8th June, published a very poorly researched and false article about emergency medicine residency programs in India. Facts & data were neither authentic nor correct, and statements which provoked hostilities within the EM community, were published. Majority of the EM pundits in India are of opinion that this is paid media operating for commercial gains. High quality journalism has gone to dogs, one said.

Click here to look at Illegal PG Degrees Plague Emergency Medicine_08JUN2017

Senior members within SEMI initially attempted to defuse rapidly developing conflicts via their internal channels, but when this proved futile, an emergency board circular was sent out to all SEMI members. SEMI is the oldest, largest and only organization representing emergency medicine professionals in India. It is a full member of the International Federation of Emergency Medicine (IFEM) and the only body representing India at IFEM.
Click here to look at SEMI Board Circular_08JUN2017

Contrary to expectations, the demand for the MEM training has suddenly shot up, with 4 more hospitals applying for the hugely popular MEM training program. A senior board member within SEMI said - We know what we are doing is absolutely right and for the need of the country. We have a huge responsibility towards our patients. And SEMI supports all academic training programs.

The emergency medicine environment in India seems to be now evolving and spreading at a faster pace than before. Lets keep watching!

EmergencyMedicine.in strongly condemns the publication of the scantily researched article - Illegal PG Degrees Plague Emergency Medicine - by Times of India.
We have received loads of screenshots from Whatsapp, Facebook and online forum conversations. These are not displayed here to protect identities of those involved.

Image (morphed to express the described situation)- Senior members of SEMI were successful in suppressing the developing conflicts within EM community.

Copyright ©2017 EmergencyMedicine.in All Rights Reserved.
Unauthorized reproduction of this article is prohibited without written permission from the administrator

India's Medical Miracle - 108 Emergency Number

India's Medical Miracle - 108 Emergency Number
Editors Desk

Just 15 years ago, before India's national ambulance service, Indian citizens needing emergency medical attention were on their own.

On the occasion of its 15th anniversary, India's national ambulance service marks a major milestone. Hailed as perhaps one of the most important global health initiatives of the last ten years, the Emergency Management and Research Institute (EMRI), serves 750 million Indian citizens and has saved 1.5 million lives.

Emergency medicine physician S. V. Mahadevan and a team of experts from the Stanford School of Medicine have been with the program since its early inception. Collaborating closely with their Indian colleagues, they helped shape the current form of EMRI, its training programs, and capacity building efforts.

STANFORD CHANNEL, Stanford University, California USA

(If the video does not load, click here India's Medical Miracle)

Indian Telecom department gives nod to single emergency number 112

Indian Telecom department gives nod to single emergency number 112
Editors Desk

A single emergency number will soon be a reality in India as the Department of Telecommunications (DoT) has approved the proposal of the Telecom Regulatory Authority of India in this regard.All the existing emergency numbers such as 100, 101, 102 and 108 will be retained as secondary numbers which would then be re-routed to the single emergency number 112.

Full Article from Times of India - Telecom department gives nod to single emergency number 112

Related article - India to develop its own 911 first nationwide emergency response line


Ambulance Drones

Ambulance Drones
Editors Desk

Ambulance Drone
Speeding up emergency medical response can prevent deaths and accelerate recovery dramatically. Automated External Defibrillator (AED) and ACLS medications are compact enough to be carried by a drone. The main reason for this high number of deaths after cardiac arrest is the relatively slow response time of emergency services (10 minutes). Brain death and permanent death start to occur in just 4 to 6 minutes.

With the Ambulance Drone, it is possible to deliver defibrillation to any patient in a 12 square kilometer area within 1 minute. At that speed, survival rates can be as high as 80%. Secondly, the incorporation of a two-way, video supported, communication channel in the drone between 112 operators and the first responders will improve first care. Successful AED usage by lay-persons is currently at 20%. With personalized instructions and communication on the Ambulance Drone, this can be increased to 90%.

In short, the Ambulance Drone helps to save lives by extending existing emergency infrastructure with a network of fast and compact UAVs capable of bringing emergency supplies and establishing communication, anywhere.

Alec Momont
Design Engineer

Above extract taken from Drones for Good
More details - Ambulance Drone Facebook Page

(If the video does not load, click here Ambulance Drone)