Discharged and reached home

Mr.Vijith[ an unknown Tamilian  - in between Dr.Fabith and Dr.Narendra had taken me to hospital from Gandipuram junction when I was helpless. Thanks a lot.

Last few days gave me a different experience and exposure. This blog post is the continuation of the previous post. As I mentioned in the previous blog, I had an accident from Coimbatore and bimalleolar fracture right ankle. Dr.Suresh Pillai and team operated me and fixed the fractured fragments. Dr.Kishore gave me awesome anesthesia. Dr.Nishad gave me excellent post-op analgesia. Entire Aster MIMS management, Nursing team, EMS team, Emergency Team my students, subordinates and enormous friends and relatives supported mine like anything. My wife Dr.Supriya and Daughter Neethu with me in all stressful situations. Today is the third postoperative day. Everything fine. I have been discharged from the hospital .Reached home. Now a real rest for at least for a month.

I take this opportunity to that each and everyone supported me and my friends and well wishers from entire globe who prayed for me.

Take home lesson – “I was not wrong in investing my life in my students “

I am recovering ...thank you so much

I had involved in a road traffic accident yesterday [27.01.2017 around 2.45 pm ] at Coimbatore city in Gandipuram Junction. When I was crossing the road through Zebra cross at the main junction and about finish the crossing, a motorbike came from my right side and hit on my right leg. I fell down on roadside .When look down I could confirm that my right ankle dislocated . Few lay people came to help me. I asked them to take me to a hospital. They caught an auto rickshaw and taken to me Ganga hospital. We reached Ganga around 3 pm, One young man accompanied me in autorickshaw. Even I could not sit into passenger seat. I sat on the floor putting injured leg outside. The leg was hurting too much with pain. I don't know the gentleman who helped me to take me to the hospital . I am so thankful to him, and I am praying for him.

I was in Coimbatore to attend a life savers conference -EMTP con at KG hospital. Many of our colleagues are also participating in the conference including students. God's grace I don't have any major internal injuries and head injury.As I was fully conscious I could call few of my friends in Coimbatore. I called Dr.Narendra Jena, Dr.Saisunder , Mr.BintoK Baby. I called my family as well and informed my status .Dr.Jena, Dr.Sai, Dr.Fabith and few other friends rushed to the hospital and reached in the Ganga hospital shortly. By that time doctors completed my Xray screening which showed ankle dislocation and fracture medial Malleolus plus fibular fracture. Then the expert decision was to take for closed reduction and open fixation later . Then we decided to go ahead with the closed reduction from Ganga and open surgery from Aster MIMS. By 6 pm they took me to the theater and Dr.Bala Venkat a great anesthesiologist gave popliteal block and a short of opioid. That was the most beautiful moment in this scenario. My pain relieved entirely. Pain scale dropped from 6 to zero.  It was a wonderful nerve block, and ortho doctors reduced my fracture. Then everything fine.We took an ambulance and moved to Calicut . Mr Binto and Salman my EMS captains accompanied. Dr.Srinath, Dr.Fabith , Dr.Jena, Dr.Sai , colleageuesDr.Prakash andcolleagues were in the hospital to support me. We reached Calicut safely by 2 am and admitted under orthopaedic surgery.

Aster Mims is my own family. They fixed surgery tomorrow 29th Sunday. So far everything moved without many issues.

Some touching lessens: when somebody involved in an accident, you will be fortunate if you are fully conscious, someone to take you safely to hospital, friends, and family to console  and help you, if you get adequate and timely pain relief. God's grace I have got all these time .

Another intersting observation

Very incidently I had another accident 12 year ago in the janurary last friday injured same right foot!!!!

Dr.Venu

Mechanical ventilation in Emergency department

http://www.slideshare.net/drvenugopalpp/mechanical-ventilation-in-emergency-department?from_m_app=android

Troponins in Emergency department

http://www.slideshare.net/drvenugopalpp/troponins-in-emergency-departments-by-venu?from_m_app=android

Averting errors in airway management

http://www.slideshare.net/drvenugopalpp/averting-errors-in-airway-management-emcon-17?from_m_app=android

Neck pain

http://www.slideshare.net/drvenugopalpp/neck-and-back-pain-70109138?from_m_app=android

NIV in Emergency department

http://www.slideshare.net/drvenugopalpp/niv-in-emergency-department-ebm?from_m_app=android

Sedation , Analgesia and paralysis in ICU

http://www.slideshare.net/drvenugopalpp/sedation-analgesia-paralysis?from_m_app=android

Young doctor died following cardiac arrest

I deeply regret to inform the sad demise of Dr.Abdulla Shameer.  Kondotty.  May his soul rest in peace
കൊണ്ടോട്ടി മേഴ്‌സി ഹോസ്പിറ്റൽ ഉടമ വീരാൻ കുട്ടി ഡോക്ടറുടെ മകൻ സമീർ ഡോക്ടർ രോഗികളെ ആശുപത്രിയിൽ ചികിൽസിക്കുന്നതിനിടെ ഹൃദയ സ്തംഭനം മൂലം അല്പം മുൻപ് മരണപ്പെട്ടു,
Sudden cardiac arrest of young doctor in side hospital ...A witness arrest . We the Emergency people should think about it very loudly .

EMERGE 17

Emege17 is the perfectly blended.  well organised and attended Emergency medicine crash course for doctors held on 22nd Jan 2017 at IMA hall Vatakara. Program was organised by IMA Vatakara and compiled by Aster Mims and Asha hospital emergency medicine departments. Basic Emergency skills were taught through 12 skill stations . 120 pre registered doctors attended . All of them received adequate hands on training. Even if it was done and promoted as regional events , it has got acceptance and participation at  state level . Vibrant and highly effective regional coordination team headed by DRS Vijayaraghavan , Afrose, Naseer , Sajit etc made it a most memorable event. Fifteen faculty members and 20 supportive paramedic staff made the high quality scientific feast  most effective and useful one. Dr R Remesh DHS attended workshop as  chief guest . Workshop closed with post test . MCI awarded 1.5hrs CME credits to the program. By Team EM

Handling RSI drugs

RSI is one the most dangerous procedures in ED and RSI drugs are the most dangerous pharmacological agents used clinical practice. RSI drugs are categorized under very very risk category drugs. Only qualified Anaesthesiologists, intensivists, and emergency physicians are authorized to load and administer this drugs. Intensivists and EPs should attend a special session on its usage and receive special privilege from institutional privilege committee. This drugs should not keep in ICU or ED drug storage along with other drugs. Its stock and release to use must be monitored and documented meticulously. It must be maintained under locked storage system. Even if it is utilized in a critical situation, you will get at least 10 minutes prior to intubation during the preparation phase. So RSI drugs must keep in pharmacy in ED medicine is existing or it must be locked and kept under Team leader's custody. If you don't have SOP on it kindly make it and implement ASAP
DrVenu22.12.16

EMERGE 17

Emergency medicine crash course at Vatakara on 22 nd Jan 2017 . By IMA Vatakara and Aster Asha hospital

MRCEM results in India

Great to see the wonderful results of MRCEM part C in Indian centers . MAX and Meenakshi mission had 100 percent results . Aster Medcity and AsterMims also have 100 percent results. Five candidates appeared . All cleared . I believe many other centers are also doing good . What is more important is EM training in India is passing through its phenomenal growth. Certainly it is a  reflection of quality training programmes. In nutshell  "quality will lead to recognition and not always recognition will lead to  quality".

Aster CMI Bangalore

Aster CMI Bangalore has been accredited by NABH for Emergency medicine excellence as first institution in Karnataka and fifth one nationally. As of now 5 institutions have been accredited. Nationally three out of five are aster DM healthcare emergency medicine departments. Congratulations Dr Shailesh and team