Wednesday, October 22, 2025

Trauma Code in Hospitals -How to set it


 To set up a Trauma Code in an Indian multispeciality hospital, guidelines draw on national standards from the Ministry of Health and Family Welfare (MoHFW) and the National Health Systems Resource Centre (NHSRC), as well as international protocols such as ATLS (Advanced Trauma Life Support). The following components should be included:

Infrastructure and Facilities

  • The hospital must designate a Trauma Resuscitation Area (Red Zone) and Treatment Areas (Yellow Zone) compliant with the Government of India’s operational guidelines for trauma centers.​

  • The resuscitation bay should be equipped for airway control, ventilation support, circulation monitoring, IV access, and rapid transfusion.​

  • Facilities for radiological imaging, surgical procedures, and ICU-level care must be accessible within minutes of activation.

Trauma Team Activation (Trauma Code)

  • Develop a tiered response system (e.g., Level 1 for major trauma, Level 2 for moderate injury) similar to international trauma activation models.​

  • Activation criteria include:

    • Systolic BP ≤ 90 mmHg

    • Respiratory rate <10 or >29/min

    • Glasgow Coma Scale ≤ 10

    • Major penetrating injury (neck, chest, abdomen)

    • Limb amputation above elbow or knee

    • Multisystem trauma or physician discretion.​

Trauma Team Composition

A typical Level 1 Trauma Code activation team should include:

  • ED physician (preferably ATLS certified)

  • General surgeon

  • Orthopedic surgeon

  • Anesthetist

  • Two emergency nurses

  • Radiologist and technician

  • Laboratory technician

  • Respiratory therapist

  • Security and social services for crowd/support management.​

Clinical Process

  • Follow ABCDE assessment: airway, breathing, circulation, disability (neurological), exposure/environment.​

  • Document pre-alert information—mechanism of injury, time of incident, treatments given, GCS score, estimated time of arrival.​

  • Ensure handover documentation and imaging follow the patient through departments.​

Training and Quality Assurance

  • All trauma team members must be trained in ATLS, NTMC, or EMTC.​

  • Conduct mock drills and review of trauma activations to improve response times and outcomes.​

  • Regular audits on activation times, mortality rates, and compliance with SOPs form part of quality improvement programs.​

Integration with National and Local Systems

  • The hospital’s trauma code should align with the National Trauma Care Programme and Hospital Safety Guidelines under NDMA to ensure disaster preparedness and surge capacity.​

  • Establish communication protocols with local ambulance services following AIS-125 National Ambulance Code categories.​

In essence, a trauma code system in India requires structured activation criteria, a multidisciplinary team, defined infrastructure, and adherence to national and ATLS-aligned protocols for effective emergency trauma management.


Sunday, August 24, 2025

Building a Safer Community through Emergency Medical Training

Building a Safer Community through Emergency Medical Training

At Vadakara, an inspiring initiative took shape today as Meitra Hospital Emergency Department, Malayala Manorama Vanitha magazine, and Angels International Foundation collaborated to conduct a comprehensive seminar-cum-workshop on emergency medical care.

A Vision with Purpose

The program was inaugurated by Mr. P. P. Rajan, Executive Director of Angels, who emphasized the importance of community empowerment in medical emergencies. His words set the tone for a day filled with practical learning, meaningful interaction, and life-saving skill development.

Life-Saving Skills in Focus

The workshop focused on equipping participants with essential skills required to respond effectively in critical situations:

  1. Sudden collapse management with hands-only CPR
  2. Airway obstruction in adults and children
  3. Trauma care techniques such as safe transport, log roll, and helmet removal
  4. Emergency recognition and response in stroke (brain attack) and heart attack
  5. First aid measures for drowning, burns, electrocution, snake bites, dog bites, and other household emergencies

A Community That Cares

With 200+ registered participants, the event witnessed overwhelming community participation. The sessions were interactive and dynamic, filled with insightful discussions and practical demonstrations.

I had the privilege to lead the workshop in my capacity as Chair & Senior Consultant, Emergency Medicine, Meitra Hospital, supported by an outstanding team of doctors:

  1. Dr. Mohamed A
  2. Dr. Yumina Perikutty
  3. Dr. Lavina
  4. Dr. Irene
  5. Dr. Sharif
  6. Dr. Kavya

The ANGELS volunteers played a vital role in facilitating the hands-on training at each workstation, ensuring every participant had an opportunity to practice the skills taught.

Recognizing Efforts and Inspiring Change

To encourage active engagement, Vanitha magazine presented awards to the best participants, making the experience both rewarding and memorable.

The Road Ahead

This initiative is not just a one-time workshop but part of a structured three-year training program aimed at building community resilience in medical emergencies. Our collective mission is clear: empower every individual with the knowledge and confidence to save lives when every second counts.

Saturday, August 23, 2025

A Convocation of Pride, Joy, and Reflection

A Convocation of Pride, Joy, and Reflection

Convocations are always among the happiest moments in the life of a doctor. For the graduating student, it is the culmination of years of sleepless nights and hard work. For the family, it is a proud celebration of sacrifice. For the mentors, it is the most rewarding moment—to watch their protégés take flight into the world.

Yesterday , I had the privilege of addressing yet another convocation of the Masters in Emergency Medicine (MEM) residents under the George Washington University program. This was not just another ceremony for me—it was deeply personal.

Back in 2007, Aster MIMS Calicut became the first institution in India to begin a formal international Emergency Medicine training program, in collaboration with GWU. This was even before the Medical Council of India formally recognized Emergency Medicine in 2009. Over the last two decades, I have been blessed to mentor and graduate hundreds of residents through this pathway. Today, more than 500 of our graduates are working across the globe—many in the UK, GCC, and beyond—serving with distinction as emergency physicians.

And yet, there is an irony. Despite its proven quality and global recognition, the GWU MEM program does not have formal recognition in India. This paradox was strongly felt as I convocated this extraordinary batch—perhaps my last convocation at Aster, and certainly one of the most special. These residents were passionate, resilient, and beyond exceptional. Their training was rigorous, their commitment unparalleled, and their spirit inspiring.

But while the joy was immense, the realities we face cannot be ignored. Opportunities for MEM graduates are shrinking. Hospitals increasingly prefer candidates with NMC-recognized qualifications. Even the traditional pathway of supplementing MEM with MRCEM and working in the UK has tightened in recent years. Despite their outstanding skills, many of our graduates are forced to prove themselves repeatedly, sometimes practicing under the shadow of only their MBBS degree.

It is here that I feel the role of the university is crucial. George Washington University, which has produced thousands of medical postgraduates worldwide, must now take proactive steps in India. Establishing an Indian campus, directly with the National Medical Commission, and seeking recognition for programs like MEM is not just important—it is necessary. Without it, the future of high-quality training of this kind in India is uncertain.

As I reflect, I feel both pride and concern. Pride, because I have been part of this journey for nearly two decades, witnessing how Emergency Medicine in India grew from being almost invisible to becoming a respected specialty. Concern, because without bold action, the next decade may not carry the same promise for our trainees.

To my graduating residents, I can only say this: the certificate you hold is a symbol, but your skills, knowledge, and compassion are the real degree. No recognition can take that away from you. You have proven yourselves beyond paper credentials. Wherever you go—in India, the UK, the Gulf, or anywhere in the world—your commitment to saving lives will speak louder than any title.

This convocation was a celebration, but also a call to action. A reminder that while we must cherish the joy of today, we must also build stronger foundations for tomorrow.

To my students: You are not just doctors. You are guardians of life. Carry the torch of Emergency Medicine with courage, humility, and passion. The world needs you—now more than ever.

Monday, August 18, 2025

Empowering Young Doctors: Launch of PULSE at Almas Hospital, Kottakkal

Empowering Young Doctors: Launch of PULSE at Almas Hospital, Kottakkal

I had the honor of being invited as the Chief Guest for the inaugural ceremony of the Young Doctors Network – Pulse, hosted by one of Kerala’s most reputed healthcare institutions, Almas Hospital, Kottakkal.

Almas Hospital has an inspiring journey of growth under the visionary leadership of Dr. Kabeer, the Chairman, who began with a small clinic in Kottakkal and nurtured it into a 400+ bedded hospital with modern facilities. What makes Almas remarkable is its unwavering commitment to ethical medical practice—standing tall outside the grip of global corporate networks and consciously distancing itself from unethical ambulance-linked practices.

As I step into my second innings with a focus on rural emergency medicine, I reflected on my own journey. Having left anesthesia in 2006, my mission has been to develop emergency medical care systems—a dream that is now a reality across most urban hospitals in India. But today, the need is to extend this empowerment into rural healthcare systems, where early recognition, stabilization, and timely referral can save countless lives.

The Pulse initiative aims to empower young doctors with the skills to manage medical and surgical emergencies and, most importantly, to make timely referrals with the right stabilization measures. In my inaugural address, I recalled the tragic death of Dr. Vandana Das, an intern who was fatally stabbed by a psychotic patient in a district hospital casualty a few years ago. Despite being referred and intubated, she succumbed to a pneumothorax during transport. This devastating incident highlights how critical decisions and timely interventions could prevent avoidable loss of life.

I emphasized the importance of “Ten Critical Skills Training” and red-flag-based training modules to equip young doctors in rural settings. Such training not only enhances their confidence but also strengthens the safety net for patients across our healthcare system.

The event witnessed the participation of over 75 young doctors, brimming with enthusiasm and dedication. A special highlight was the recognition and honoring of three pioneers of modern medicine in Kottakkal—Dr. Balachandran, Dr. Poolakundan Mohammed, and Dr. Murali Menon. This gesture filled the session with a profound sense of positivity and respect for the legacy of medical service in the region.

My heartfelt thanks to Mr. Suhas Pola, CEO of Almas Hospital, and his dedicated team for organizing such a meaningful and well-executed event. It was not just a gathering but the beginning of a movement to empower the next generation of doctors with the vision and tools to reshape emergency care in rural India.

Saturday, August 16, 2025

Red fm /Meitra Super Hero 2025

Red FM / Meitra / Angels – Super Hero 2025: A Celebration of Courage and Life-Saving Skills

In a world where emergencies can strike at any moment, the ability to act swiftly and confidently can make the difference between life and death. With this vision in mind, Red FM, Meitra Hospital, and Angels joined forces to create a unique initiative—Super Hero 2025.

This program was not just about training; it was about awakening the hero within ordinary people and celebrating those who have already stepped up in critical moments to save lives.

A Journey Across 10 Campuses

Over the past month, the campaign team traveled through ten college campuses across Kozhikode. Each visit was more than a training session—it was an empowering experience. Students were introduced to hands-on life-saving skills, from CPR techniques to emergency response drills, with the message loud and clear: “You too can be a hero.”

The response was overwhelming. With nearly 2,500 students trained, the campaign created ripples of confidence and preparedness across the youth community. These young participants walked away not only with new skills but also with a newfound sense of responsibility toward society.

Celebrating Real-Life Heroes

Parallel to the campus training, the Red FM team carried the mission to the airwaves, reaching thousands of listeners. Through this platform, 10 real-life heroes were identified—individuals who had gone beyond fear, hesitation, and uncertainty to save lives in their own communities.

Their stories were living proof that you don’t need a cape to be a superhero; you just need courage and compassion. Recognizing these heroes became a cornerstone of the campaign, inspiring many more to believe in their own potential.

The Grand Finale: A Night of Inspiration

The campaign culminated in a grand finale that was equal parts celebration and inspiration. The atmosphere was electrifying as DySP Umesh, Dr. Venugopalan P. P., and Dr. Mohammed A. A. presented awards to the superheroes of 2025.

Adding a splash of entertainment and color, the Sahasam movie team—Gowri, Ramzan, and Jiji—brought vibrancy to the stage, reminding everyone that awareness and celebration can go hand-in-hand.

The event was flawlessly conducted by the energetic Red FM crew—RJ Manu, Abhinav, Arya Sree, and Neha, whose enthusiasm kept the audience engaged and inspired throughout the evening.

Behind the Scenes: The Pillars of Support

No initiative of this scale can succeed without strong support behind the scenes. A special appreciation goes out to the Meitra BD team, Deepak and Praveen, whose tireless efforts made the program possible.

Most importantly, the campaign stood tall because of the Angels EMCT volunteers. Their selfless dedication to spreading lifesaving knowledge and supporting logistics on the ground was the real backbone of this movement.

Super Hero 2025: More Than a Program

When the last award was given and the last applause faded, one truth remained—Super Hero 2025 was not just an event, it was a movement.

It was a movement that reminded us that heroes walk among us. They are students who step up in emergencies, radio listeners who get inspired to learn CPR, community members who rush to help a stranger, and volunteers who dedicate time to make others stronger.

Together, Red FM, Meitra, and Angels created something larger than life: a call to action for society to stand ready, united, and fearless.

Because in the end, anyone can be a hero when a life is at stake.

Wednesday, August 13, 2025

Rural Emergency Care- Challenges

 

hashtag

RuralHealthcare hashtagIMA hashtagHealthcareChallenges hashtagGoldenHourCare hashtagKerala

Strengthening Rural Emergency Care – Challenges & Solutions

Emergency care is often defined by time. In critical situations, the golden hour can make the difference between life and death. But for many living in rural and remote regions, accessing timely, high-quality emergency medical services remains a significant challenge.

This reality was at the heart of an insightful panel discussion organised by IMA CGP Kozhikode on “Remote Rural Emergency Care in Kerala – Challenges and Solutions”, which I had the privilege to moderate.

A Gathering of Diverse Expertise

The session began with a warm introduction by my classmate Dr. T. P. Rajagopal and was formally opened by Dr. Sankar Mahadevan (IMA President), Dr. Baby Supriya (Assistant Director, CGP), and Dr. Jithin G. R. (Secretary, CGP).

Our panel brought together professionals with rich and varied experience in emergency medicine and critical care:

  • Dr. Mahesh B. – Intensivist

  • Dr. Ahammed – MD, Relief Hospital Kondotty

  • Dr. Muhamed – In-charge, ED, Meitra Hospital

  • Dr. Jijin – Emergency Physician, Manjeri Remote Centre

  • Dr. Lovena – Coordinator, Remote Emergency Program

  • Dr. Irin – Emergency Physician, Kondotty Centre

The audience included senior IMA leaders, postgraduate students, and general practitioners—an ideal mix for a well-rounded exchange of ideas.

Key Challenges Discussed

The discussion was both frank and thought-provoking, touching on critical gaps that hinder rural emergency care:

  1. Complex Case Management – Remote hospitals often lack specialist support and advanced equipment, making stabilisation difficult.

  2. Referral & Transport Bottlenecks – Inadequate availability of D-level ambulances delays critical transfers.

  3. Financial Barriers – High costs can prevent patients from accessing the care they need.

  4. Mortality & Morbidity Patterns – Delayed intervention often results in worse outcomes.

  5. Standards for Early Stabilisation – The need for clear, uniform protocols to optimise golden hour care.

  6. Unethical Transport Practices – Case diversion by ambulance operators and patient families’ fear of corporate hospital billing.

Wisdom from Senior Physicians

Senior experts like Dr. Madavan Nambair, Dr. Yousaf Ali, and Dr. T. P. Rajagopal enriched the discussion with real-world insights and practical recommendations based on decades of clinical experience.

A Step Towards Sustainable Solutions

The dialogue reinforced the importance of building a coordinated rural emergency network that ensures:

  • Adequate training for doctors, nurses, and first responders

  • Affordable and ethical ambulance services

  • Transparent communication with patient families

  • Partnerships between rural and tertiary care hospitals

Gratitude and Acknowledgements

This programme was designed and supported by Meitra Hospital, with special thanks to BD Head Mr. Praveen Nair for his unwavering commitment to community healthcare.

The event was more than just a meeting—it was a collective pledge to strengthen rural emergency care in Kerala, ensuring that geography never dictates the quality of a patient’s chance at survival.

Saturday, July 12, 2025

Honoured to be part of a life-saving legacy.

Honoured to be part of a life-saving legacy.

My association with the American Heart Association (AHA) began in 2005—as an ACLS provider, instructor, RTC coordinator, ITC coordinator, and regional faculty. Over the years, this journey has been immensely fulfilling.

In 2019, I had the privilege of being part of a historic moment—training 28,564 school children in hands-only CPR within 8 hours, setting a Guinness World Record. I was also instrumental in establishing the first ASLS training centre in Calicut.

With unwavering support from leaders like Dr. Sachin Menon and many dedicated AHA faculty, we’ve achieved several milestones together. Recently, I played a role in facilitating Aster MIMS to become the first hospital in India to receive AHA accreditation for stroke and STEMI clinical pathways as part of a pilot project.

Today, I am deeply honoured to receive a special appreciation from AHA leadership. I dedicate this recognition to my incredible team and to all the lifesavers who continue to inspire and make a difference every day.

#AHA #LifeSupportTraining #EmergencyMedicine #CPR #StrokeCare #STEMI #LifeSavers #Teamwork #Leadership #GuinnessWorldRecord #MedicalEducation #Gratitude

Wednesday, July 9, 2025

Congratulations Neethu and Kamal


A Proud Milestone in the Journey of Two Young Emergency Physicians

Dr. Neethu and Dr. Kamal Dev—our daughter and son-in-law—began their professional journey soon after graduating from Calicut Medical College in 2018. They joined the Emergency Medicine Department at Aster MIMS as GDMOs, where they also pursued structured training in core EM competencies.

With dedication and focus, they successfully cleared the MRCEM track. In 2023, their aspirations took them to the UK, joining Devon NHS Trust, Exeter, under BAPIO sponsorship. Later that year, they transitioned to Hillingdon Hospital, London, as Registrars in Emergency Medicine.

Today, we proudly share that they have completed all requirements and earned their Fellowship (FRCEM) from the Royal College of Emergency Medicine, UK.

A proud and privileged moment for our family—witnessing their hard work, consistency, and growth translate into this achievement.

Hearty congratulations, Dr. Neethu and Dr. Kamal!

Your journey is an inspiration to many young EM doctors in India and beyond.


Tuesday, July 1, 2025

Dr Alex Antony UK

Dear Venu sir..Farewell to my mentor, a true pioneer in emergency medicine. Your vision, dedication, and unwavering passion have shaped not only the field but also the lives of countless professionals, including mine. You led by example—with integrity, wisdom, and compassion—instilling in us the values that define great healers. Your legacy will live on in every emergency room, every decision we make, and every life we touch. As you embark on this new journey, I respectfully thank you deeply for your guidance and inspiration. You leave behind not just accomplishments, but a lasting impact. Wishing you joy and fulfillment ahead.

Thxs a lot sir and good luck in Urr new journey..

Monday, June 30, 2025

Dr Abhiram

All the best for your next innings, Sir. I came to Aster MIMS after my post-graduation to work under you, as I had heard about the legend from Calicut during my days at Amrita. Those two years have taught me more than my entire PG days did. I still remember how Vineeth Sir, you, and I did duties together during COVID. Seeing you always on time for class at 8:30 in the morning, your dedicated rounds in full PPE, and your interactions with patients and bystanders taught me so much. I feel so lucky to have experienced that.i learnt so much during that time .

You have always been more than a mentor to me. Like you said that day, Sir — after leaving you, life has felt static. It’s actually very true. I hope to associate with you again sir, and I’m always just a call away if you ever need anything.

I couldn’t make it to today’s event due to the short notice and because duties couldn’t be arranged, but I will come and meet you in your new den, Sir. Wishing you continued success once again. 🙏🏼

Sunday, June 29, 2025

Vijesh Kuwait

As we look back on my journey as a nurse, I always remember the turning point that shaped my entire clinical career — the opportunity to train under your guidance. It all began from MIMS hospital when we were selected for the ACLS, BLS, PALS and Emergency Medical Services training programs and instructor courses led by none other than you sir .

Your vision, leadership, and unwavering dedication laid the foundation for emergency medicine in Kerala, and to me , personally, you were more than a teacher — you were a mentor, a guide, and a true inspiration. Every skill I carry, every confident decision I make in the clinical setting, bears the mark of your teaching and encouragement.

As you step down from your role at Aster MIMS , it is hard to put into words the gratitude I feel. You have not only transformed emergency care in our state but also empowered countless nurses, paramedics, and young doctors to serve with knowledge, precision, and compassion.

Thank you, Sir, for being the guiding light in my professional journey. Your legacy will continue to live on in each of us who had the privilege to learn from you.

Wishing you peace, happiness, and continued purpose in all that lies ahead.

Vijesh

Vishnu Sasidharan

My Dear Venu Sir,

As I shared with you personally at the beginning of my residency, the reasons I chose Emergency Medicine were deeply personal — and, I believe, not so different from your own. My accident and the experiences that followed shaped my path, just as yours did.

Though it was through BAPIO that I first met you back in 2022, it feels like the true journey began then and there. Honestly, back then, my clinical knowledge was at rock bottom — all I truly remembered from house surgency was the ABCs. But today, as I reflect on how far I’ve come, I can say with certainty that it's your mentorship that helped shape me. From my initial exposure to ACLS, PALS, and ATLS principles, to navigating the practical hurdles of patient management, your consistent support and academic guidance were the cornerstones of my foundation. You didn’t just teach — you inspired, corrected, uplifted, and led by example.

You’ve always been more than just the Head of Emergency Medicine to me — you were like the head of a family. And not just to me, but to our entire Emergency Department team. Your influence goes far beyond our walls — the number of doctors and consultants across the globe who were shaped by your mentorship stands as a living legacy. You've not only brought international standards into Indian Emergency Medicine but also woven them seamlessly into our cultural fabric.

Farewell, sir — to our mentor, our guiding light, and the heart of our Emergency Medicine family.

With immense respect, gratitude, and love. ❤️❤️🫡🫡🙏🏻🙏🏻

Dr.Vishnu Sasindran

P.S. - This message is just the beginning — there’s a little more on the way 🤓😋❤️❤️

Muhmina wrote

Dear Dr. Venu Sir,

As you bid farewell to MIMS Calicut, I can’t help but feel emotional—because this was not just a workplace, it was where my journey as a nurse truly began under your guidance.

You were not just the in-charge of Emergency—you were the backbone of calmness in chaos. You taught me the most important lessons: how to act in real emergencies without panic, how to stay grounded, and how to care with confidence. Even after I resigned, your support during my uncle’s COVID treatment—while I was away in the UAE—meant the world to me.

Every vacation, I’ve made it a point to visit MIMS just to see you, my proud teacher. That says a lot about the respect and admiration I carry for you. I truly consider myself lucky to be trained under your leadership.

Wishing you all the very best in your next chapter. May success and peace follow you always.

With heartfelt gratitude,

Muhmina

Tamorish Kole

Saturday, June 28, 2025

Dr Premsankar UK, Dr Prakash and Dr Binu Kuriakose

Dear Venu Sir,

I have worked 9 years with You Venu Sir.

3 years as a Student and 6 years as Specialist.

MIMS Institute of Emergency Medicine will not be the same without you Sir.

Thank you for being such an exceptional educator and role model to doctors, Nurses Paramedics.Your commitment to both teaching and patient care is truly admirable, and I am grateful to have had the opportunity to learn from you.

Thank you for the Guidance, Support and Shaping our Career.

premssnkar

Dr Prakash UK

Thank you for your contribution to the field of Emergency Medicine. It is difficult to believe that you are leaving MIMS. However, your foot print on MIMS will be ever lasting. You have achieved a broad vision that is highly commendable. It is always an honour to say, "I am an Emergency Medicine product of Venu sir “.

All the best for your future endeavours sir .

Prakash

Binu Kuriakose

"Thank you so much, Venu Sir! Truly grateful for all the support and dedication you’ve shown over the years. Your commitment to training so many doctors and EMS staff has made a remarkable impact across the globe in Emergency Medicine and we deeply appreciate the knowledge and inspiration you've shared with all of us.Wishing you all the very best"

Binu

Mr Wilson aster DM healthcare

Dear Dr. Venu,

Having witnessed your passion, dedication, and unwavering commitment over the past 25 years, I can truly understand the emotions you are feeling at this moment. Your ID card—P00006—speaks volumes. ❤️

I have seen your remarkable journey and transformation over the years and hold immense respect for everything you have achieved. You have clearly demonstrated what a doctor can accomplish for an institution when given the trust, freedom, and support.

Your mentor and our Chairman can be truly proud of all that you have done. All of us share that pride. Your contributions to MIMS and to Emergency Medicine have been nothing short of extraordinary.

I know that Aster and MIMS will always remain a part of you, and you will always be an Asterian at heart. This is not an end, but the beginning of a new and exciting chapter in your journey.

Wishing you and your family all the very best.

May God continue to bless you always.

Warm regards,

Wilson

Dr Jijin

Though I’ve been with you only for the past two years, the impact you’ve made on me is lifelong.

I came to Calicut seeking a job , but what I found under your mentorship was far more.

You showed me what true leadership looks like- clarity in crisis, and compassion at the core.

In these two years, you’ve not only guided me clinically but inspired me to carry myself with purpose and pride. Watching your unwavering commitment to building something bigger than yourself has been a lesson no textbook could teach.I’ll always carry forward your values with gratitude and with pride Sir.

Sir I don’t know, how you are feeling right now because 25 years is a lifetime of sweat, dreams, and sacrifice. To step away must feel like letting go of a piece of yourself. I can only imagine that.

But please know Sir ,your legacy will live on in every emergency department, in every one of us you’ve influenced.

And no matter where, I would always like to be a part of your team...

Thankyou for everything Sir

Forever your student❤️

Dr Sumit Bhubaneswar

Good morning sir..This is Dr Susmeet from Bhubaneswar sir..First of all sir congratulations for a glorious career sir..It must be really an emotional moment for you as you are coming to an end to your stint at a hospital where you have worked for so long..But I must say sir we took up emergency because of doctors like you sir..A big thank you to the legend of Emergency medicine sir..I think more than 70% of the doctors who work in Emergency medicine are because of you or are your students..Many of them including us have always dreamt to follow your footsteps sir..Thank you for showing us a way and paving the path for future Emergency physicians sir..Your legacy will keep continuing sir..And apart from the profession,personally too you are a wonderful personality and a person of par excellence..The ease with which you gel with people of all ages is something worth mentioning sir..Thanks again..Keep guiding us and keep inspiring more and more people..Congratulations sir and Thank you from the heart for everything that you have done..🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻..!!!!

Dr Shihana

Dear Venu sir

Almost 12 years ago when I stepped into The Mims Emergency department filled with dreams and ambition at the same time confused with lots of doubts. You stood there, as a strong pillar of constant support, encouragement and guidance which made me confident enough to overcome my fears and every obstacles on the way.

A Great person once said: "The dream begins most of the time, with a teacher who believes in you, who tugs and pushes and leads you on to the next plateau, sometimes poking you with a sharp stick called truth"

This is exactly what you did sir...you were a mentor, a leader, and a driving force who instilled resilience, empathy, and leadership in all of us. Your tough love pushed us when we hesitated, and you always guided us towards growth. You believed in us and you gave us gentle tugs and sometimes pushed us to our capacities, tested us and which in turn moulded our future and helped us achieve great heights.

I Truly do not have words that can fully express my feelings at this moment. you were not just a teacher but also like a father figure to many of your students. You stood by us even during our most difficult and darkest times.

As you embark on your next Journey, I want to express my heartfelt gratitude for everything you have done for me and countless others. The Precious lessons you taught us will always be remembered.

MIMS institute of Emergency Medicine, will not be the same again without you sir. It felt like a second home for all of us not just because of the place but because of the family you helped forge. We came from diverse backgrounds, yet you shaped us into one cohesive, supportive, and unwaveringly strong group. And this proud family continues to grow bigger and stronger spreading their talented wings worldwide

Your hard work has left an indelible mark—not just in the Aster Network, but in all the corners of the World. Thank you for your dedication, wisdom, and inspiration. Even though I’m no longer working there, your influence continues to guide me. As you leave, please know that your legacy lives on in each of us. Wishing you the very best in all your future endeavours, Dear Sir.

🙏 With heartfelt respect and gratitude,

Yours sincerely

Shihana

Thursday, June 26, 2025

A long journey Indeed

As I prepare to bid farewell, I do so with a deep sense of emotion, gratitude, and reflection. These ID cards you see here are not just identification—they are symbolic milestones of a journey that began nearly 25 years ago. I joined this great institution on April 16, 2001, as Employee No. P00006—a young anesthesiologist with dreams, determination, and a desire to serve.

From the very beginning, I was fortunate to walk alongside my dear ENT colleagues—Drs. Ravi, Manoj M.P., and Mohanakrishnan. Together, we built not just a department, but the foundation of what would become a pioneering institution in healthcare.

Over the years, I was shaped and mentored by the best. Under the golden era of MIMS Hospital, led by our visionary Chairman Dr. Azad Moopen, I was groomed to look beyond the boundaries of anesthesia. With his unwavering support, I ventured into new territories—introducing Emergency Medicine to India, affiliating with AHA and GWU, establishing PG entrance initiatives, and setting quality benchmarks across the Aster group. His mentorship empowered me to become Director of Emergency Medicine for the entire group—an honor I carried with pride and purpose.

My gratitude extends to Dr. Abdulla Cherayakkat and Prof. Varma, who supported me in my early days, and to board members like ER Salahuddin, ER Rahman, Mr. U. Basheer, Dr. Hamza P.M., Mr. Lukman, and Dr. Abraham Mammen. I also acknowledge the strength and support of leaders like Mr. Ramesh Kumar, Dr. Harish Pillai, Dr. Sooraj, Mr. Farhan, and Dr. Assuma, who were instrumental in expanding Emergency Medicine far beyond MIMS.

My EM leadership team—Drs. Jinesh, Shailesh, Shafi, Johnson, Paul, and Suresh—have been more than colleagues. They’ve been co-visionaries and companions in building an ecosystem of excellence. Today, over 100 EM consultants from our training ecosystem serve in the UK, and nearly 2,000 EMS paramedics trained under Aster EM are working in the Middle East, especially Qatar.

MIMS has never been just a workplace—it has been my second home. I have spent more than two-thirds of my life within these walls, walking these corridors, building friendships and memories that will last forever. I feel especially blessed to have journeyed with my classmates Dr. Ramesh, Dr. Preetha, Dr. Ravi, and Dr. Abid.

My warm thanks to all those I worked closely with in Nursing, HR, Quality, IT, BD, Operations, College of Nursing, MOD, and Canteen. A special salute to our residents, EMS/EMTs, the AHA team, Simulation Centre, Jisna, Reeshma, and the ED admin team—your energy, precision, and dedication have been truly inspiring.

As I step into a new chapter, I leave behind not just a role, but a legacy built together with each of you. Thank you—for your trust, friendship, and collaboration. You have made this journey unforgettable.

With deepest gratitude and warm regards,
Dr. Venugopalan Poovathum Parambil
Consultant – Emergency Medicine
Employee No. P00006


Monday, May 5, 2025

Asianet Lifetime achievement Award 2025-Special Jury mention

“Honoured to receive the Asianet Healthcare Award 2025 – Special Jury Mention in the Lifetime Achievement category. It’s a moment of pride and joy for me. What makes it even more special is that the Lifetime Achievement Award itself goes to my mentor, Prof. M. R. Rajagopal.”
Thank you so much for blessings

Sunday, April 27, 2025

Two Movies You Shouldn’t Miss: Thadarum and Veera Dheera Sooran

Two Movies You Shouldn’t Miss: Thadarum and Veera Dheera Sooran

This weekend turned out to be a cinematic feast! Two movies left a deep impression on me — both blending family drama with intense crime thrillers, but in their own unique ways.

First, Thadarum — a Malayalam movie directed by the brilliant Tharun Moorthy and starring legends like Mohanlal, Prakash Varma, and Shobana — is currently streaming in theaters. I had the chance to watch it yesterday with my family, and what an experience it was!

In just one word: Phenomenal.

Mohanlal, under the guidance of a visionary director, has truly reclaimed his original magic. We have our organic and complete actor back, delivering a performance that reminds us why he remains an irreplaceable giant in Indian cinema. The family drama intertwined with gripping thriller elements makes Thadarum an unmissable movie for all cinephiles.

The second gem is Veera Dheera Sooran, starring the ever-versatile Vikram, now streaming on Amazon Prime. Sadly, this movie didn’t receive its deserved theatrical attention due to the overwhelming release of Empuraan. It barely found space in cinemas, but trust me, it’s a hidden masterpiece.

Vikram’s micro-acting — his subtle expressions, restrained emotions, and powerful presence — are simply breathtaking. Veera Dheera Sooran is a treat for those who appreciate nuanced performances layered within a tightly-woven crime drama and emotional storytelling.

Both these films reaffirm one thing:

When great actors meet great directors, magic happens.

If you’re looking for an engaging, emotional, and thrilling movie experience, add Thadarum and Veera Dheera Sooran to your watchlist — you won’t be disappointed!

Sunday, April 20, 2025

A Divine Meal at Seeta Rasoi Bhandara – Where Devotion Meets Simplicity

A Divine Meal at Seeta Rasoi Bhandara – Where Devotion Meets Simplicity

On a spiritually charged visit to the sacred city of Ayodhya, we found ourselves drawn to a humble yet powerful experience—Seeta Rasoi Bhandara, nestled near the Ram Janmabhoomi Mandir at Angad Tila.

This wasn’t just a place to eat. It was a place where devotion simmered in every pot, where each grain of khichdi served felt like a blessing from Mata Sita herself. Named after the divine kitchen of Sita Devi, this Bhandara pays tribute to her role as the eternal nurturer, offering free satvik meals to thousands of pilgrims every day.

We stood in line with people from all walks of life—young, old, rich, poor—brought together by faith, sharing space and food with humility. The meal was simple: warm khichdi, served in a leaf bowl, eaten with wooden spoons. But the taste was enriched with something far deeper—gratitude, tradition, and grace.

As we savored each bite, smiling at the bustling crowd around us, it felt like time had slowed. In that moment, there was no hurry, no hierarchy—just a shared silence of reverence and fulfillment.

Seeta Rasoi is more than a kitchen. It is a memory, a message, and a moment of spiritual connection that will stay with us forever.

Monday, April 14, 2025

Sarayoo

This photo captures the mesmerizing Ganga Aarti ritual on the banks of the Sarayu River in Ayodhya, Uttar Pradesh. The Sarayu, considered a sacred river in Hindu tradition, holds immense religious significance, especially as Ayodhya is believed to be the birthplace of Lord Rama.

Ritual Details:

1. Ganga Aarti Ceremony:

  1. Held in the evening, typically at sunset.
  2. Priests (often in saffron or red robes) perform synchronized rituals with lit oil lamps (diyas) and incense, facing the river.
  3. The flames symbolize the five elements (earth, water, fire, air, space), and the waving of lamps is a form of divine invocation.
  4. Devotional mantras, bhajans, and conch blowing fill the air, creating a spiritual ambiance.

2. Devotee Participation:

  1. Devotees gather in large numbers, chanting and watching the aarti in reverence.
  2. Many light their own lamps or float small diya boats on the river.
  3. Mobile phones are often seen capturing the spectacle, as in the image.

3. Symbolic Structures:

  1. The structure draped in red cloth in the photo may represent a temporary mandap or sanctum, where deities are installed or rituals are focused.

4. Significance of Sarayu:

  1. The river is intimately connected to Lord Rama’s life and legend.
  2. Rituals here are believed to cleanse sins, offer peace to ancestors (through pind daan), and bring divine

Cow and man are resting in shores of Sarayoo

https://youtu.be/zO9W4E1YLaQ?si=tcqau6f04MJo0qWr

The famous poem “Sarayuvilekke”by ONV Kurupu

a Chat GPT poem

സരയു തീരത്ത് ഞങ്ങളും

Trauma Code in Hospitals -How to set it

  To set up a Trauma Code in an Indian multispeciality hospital, guidelines draw on national standards from the Ministry of Health and Famil...