MCEM Examiners Workshop conducted at Apollo Hyderabad
16-Jun-2011
Editors Desk

The College of Emergency Medicine (CEM), United Kingdom conducted the MCEM Examiners Workshop at Apollo Health City Hyderabad, yesterday. The workshop was designed to orient and train new examiners for conducting the MCEM Part B (Theory) and Part C (OSCE Stations) examinations in India.

The new examiners included consultants from anesthesia, pediatrics, critical care, neurology, OBGYN, as well as FCEM and MCEM qualified consultants from emergency medicine (EM). All new examiners were from Apollo Hospitals Group. This was the second workshop to be conducted in India. The first one was conducted at Apollo Hyderabad in 2006. The faculty for the workshop included Dr. Helen Cugnoni, Senior Examiner for CEM, Dr. Ed Glucksman, Past Vice President for CEM, Dr. Rachel Landau, Senior Examiner and Dr. Aruni Sen, Chair - Wales National Board.

Dr. Helen said that the intent of the MCEM examination was to create doctors who have skills, knowledge & attitudes required to practice in emergency departments semi-independently, and also to orient them for further training in EM. She said that there were about 1000 CEM qualified physicians in UK and more than 3000 Fellows & Members worldwide.

Dr. Gautam Bodiwala, First President for the International Federation of Emergency Medicine (IFEM), also addressed the new examiners. He said that he welcomed the creation of the second generation of examiners who were Indian emergency physicians and other specialists who were supporting emergency medicine. He said that this was the second generation of EM development in India.

The CEM is conducting the MCEM Part B and Part C examinations at Apollo Hyderabad on 16th and 17th June. Apart from London, the CEM conducts MCEM examinations at 3 overseas centers – Cairo, Hyderabad and Singapore.

Click here to go to the official website of The College of Emergency Medicine, UK
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HOW TO TEST A DEFIBRILLATOR
12-Jun-2011
Tech Desk

We found a very interesting way of testing the durability of a defibrillator! Watch this video.

- Tech Team, EmergencyMedicine.in
(EmergencyMedicine.in does not endorse the defibrillator shown in this video)


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St Johns Medical College Bangalore gets MD-Emergency Medicine
12-Jun-2011
Editors Desk

The Medical Council of India has recognized St. Johns Medical College Hospital, Bangalore for 1 seat of MD in Emergency Medicine. The Department of Accident & Emergency Medicine at St Johns is one of the oldest academic emergency departments in India and has had a 1 year training program, Fellowship in Emergency Medicine, since the late 90s. The MD(EM) seat will be available only through a separate entrance test conducted by St Johns.


EmergencyMedicine.in recommends this seat for emergency medicine training in India



Contact St. Johns Medical College

Click here for list of colleges in India with MD (Emergency Medicine) seats
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Speakers from India at ACEM 2011
11-Jun-2011
Editors Desk

We browsed through the Faculty list for the Asian Conference in Emergency Medicine (ACEM 2011) scheduled to be held at Bangkok in July 2010. Listed below are the faculty speakers from India, along with their topics.

Dengue Emergency in India - Dr. Tamorish Kole
Medical Care for teh Vulnerable Population at times of Disaster - Dr. Anish Banerjee
Setting Up Pediatric Emergency Medical Services with Limited Resources - Dr. Sunit Singhi
Reducing Childhood Morbidity with low cost PEM interventions - Prof Indumathy Santhanam
Experience of Earthquake in India - Dr. Subroto Das
Access to Medical Care During the Asian Tsunami - Dr. Senthil Kumaran
Traumatic Patients Approach Pros & Cons - Dr. T.V. Ramakrishnan
EMS System in India - Dr. Tamorish Kole
Development of EM Education in India - Dr. T.V. Ramakrishnan
Emergency Nursing: Indian Perspective - Capt Sandhya Shankar

Click here to go to the ACEM 2011 Official Website (www.acem2011.org)
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Emergency Ultrasound Training in India
05-Jun-2011
Editors Desk
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Health Ministry to Tighten Ultrasound Training Institutes in India

The Union health ministry on Saturday asked Medical Council of India (MCI) to put in place a tough accreditation system for institutes that teach people how to use ultrasound machines. - Times of India Click here to read full article

MCI Should take Strict Action Against Violators of PC & PNDT Act. Central Supervisory Board Recommends Empowering of National and State Inspection & Monitoring Committees. - Press Information Bureau Click here to read notification

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The aim of the Health Ministry is to prevent ultrasound use for sex determination of the unborn fetus and stop female foeticide. In India, ultrasound is used primarily for obstetrics & abdominal scans. It use for ECHO, vascular doppler, musculoskeletal imaging, etc, is limited only to teaching and tertiary care hospitals.

(Image - Emergency physician using handheld ultrasound machine to conduct bedside ECHO on a ventilated patient in the emergency room of an Indian Hospital. ECHO is used to detect pericardial effusion and/or left ventricular dysfunction.)

Since 2006, ultrasound use has been spreading rapidly, in India, within the arena of emergency medicine (EM), trauma care and critical care. Academic and clinical training for use of EM ultrasound in Focused Assessment Sonography in Trauma (FAST), emergency echocardiography, aorta, biliary & renal scans, vascular access procedural guidance, etc, is being conducted at various levels which include classroom based teaching, 6 hour CME sessions, 1-3 day workshops, as well as bedside teaching and 1 year Fellowships.

The first EM ultrasound workshop was conducted by Apollo Hospitals at INTEM 2006, New Delhi. Workshops on emergency & critical care ultrasound, are being conducted regularly by Apollo Hyderabad, Max Hospitals Delhi, Vinayaka Missions Salem, and others. EM ultrasound training is also a part of the preconference workshops during national conferences in EM (EMCON), pediatric EM (NAPEM), critical care, and other emergency medicine CMEs & updates. The more recent EMTECH-AIIMS Emergency Sonography School has come up with an intention to push ultrasound training into emergency departments of medical colleges and to promote ultrasound leadership in India. Apollo Hyderabad also has a 1 year EM Ultrasound Fellowship available for its EM residents during their third year of EM residency.

Both Apollo and EMTECH have clearly excluded obstetrics & gynecology scans from their ultrasound curriculum to prevent conflict with the Fetal Sex Determination Act and also to prevent imparting this skill to the emergency & trauma care physicians. The course at Max Hospital has a module on emergency OBGYN assessment.

Mortality due to acute trauma and cardiac emergencies can be reduced significantly by emergency physicians with ultrasound skills. And the current maternal mortality rate and deaths due to ruptured ectopic pregnancies cannot be reduced if these physicians are not trained in identifying obstetric emergencies quickly using bedside ultrasound.

How the Health Ministry & MCI plan to place an accreditation system for various training institutes remains to be seen. A misplaced thought can lead to, halt in the delivery of an important skill of rapid emergency care, or allow the monopoly of one training institute. A curb on mobile/pocket ultrasound machines will lead to non-availability of the ultrasound at the patient bedside, with resultant delay in lifesaving & definitive care. The possibility of Indian cardiologists and emergency physicians conducting a rapid bedside/prehospital ECHO & FAST scans using their pocket ultrasound machines will become a distant dream, thanks to the Ministry's single minded decision.

The full potential of emergency ultrasound can be seen in upcoming WINFOCUS-2011 conference at AIIMS New Delhi, in November this year. This conference is being endorsed by AIIMS, Indian Society of Critical Care and the Society of Emergency Medicine India (SEMI). Click here to see the WINFOCUS-2011 Brochure (www.winfocus.org/world/delhi2011)


- EmergencyMedicine.in

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DEMO OF HANDHELD ULTRASOUND


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