How Calicut did in plane crash? hospital preparedness

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Here is the complete picture of patient's profile who were involved in Calicut plane crash taken from Kozhikode collector's Calicut air crash dash board.

It is very unique in Calicut city that at least 20 hospitals in and around Airport in a radius  of  30km capable of handling injured victims. Out of  this at least 10 are having tertiary level emergency management capabilities and advanced speciality supports. Many of this hospitals are having excellent EM set up beyond our conventional casualty set up. This uneque Calicut profile has tremendously helped a lot for the  "golden hour management" in the present disaster. 
Aster Mims Calicut played a lead role in the  current disaster (47 victims) and managed well the crisis meticulously inspite of its full occupancy . 
NABH accreditations and other quality assurance programs , international and national level EM training programs and disaster management trainings awareness , EMS ,EMCT and EMCT trainings , Basic & Advanced trauma support trainings, mockdrill  etc happened in the last decade in this locality has helped us to bring down the mortality and morbidity tremendously. Activities of Angels , Trauma care Kozhikode  and other organisations could create commendable  impact in the community orientation. The local Government , police and fire force also highly committed and more scientific in the disaster awareness when compared with other part of the country. One of the main reasons for changes can be very well attributed to EM development in Calicut and Kerala.
You may not be able to see much of the old style casualties in Calicut. At the same time you can see many modern emergency departments and few  are accredited with NABH. 
I would to like say loudly  that India need to focus more  aggressively in uplifting emergency medical care urgently.
 India is a country highly  prone for both man- made and natural calamities plus accidents. 
Even  in this pandemic EM has played a major role in sorting and treating patients. EM is handling  suspected Covid cases which is more challenging than managing confirmed cases as the front line warriors. Patients with other medical illnes but with suspected Covid are also land in ED. Writing this note to emphasize the EM challenges might unnoticed very often .

I won't say everything perfect. But definitely better. Need to go a long way particularly in pre-hospital care , out of hospital emergency medical care and medical transportation of the trauma victims. 

Fortunately , no fire explosion in the Calicut air crash. If there is fire , the situation willbe much more disastrous . Infact , we don't have any proper burns center in Calicut  or Malabar area . 
Public response is good in rescue. But it should be streamlined bit more scientifically. I won't say the victims transport to hospitals was done at par with recommendations.
What I recommend that authorities should  call  the review meetings and also entrust  an expert committee to look into every minute aspects of the whole scenario. Open the "black box" of prehospitalcare and  hospital care  management .
Remember "Experience is the best teacher "

Video link of Calicut Airport mock drill and AIR interview are here 

https://youtu.be/KdGHXLe3C9E

https://youtu.be/0jG9i3JWHWY

Hats off to all people involved in the crisis management.

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