Emergency Medicine

Vision statement: The Emergency Medicine Department at AIIMS Rishikesh exists to provide excellent and affordable emergency care to all our patients, holistic education to the future physicians, and research to guide the future of Emergency Medicine nationally and internationally.

Mission statement: Emergency Medicine Department at AIIMS Rishikesh strives to:

Provide High Quality and Low-Cost Emergency Healthcare in a spiritually enriching environment.
Provide State-of-the-art education and mentorship to the future emergency physicians.
Grow as a Centre of Excellence and Leader for nurturing the Science of Emergency Medicine, Nationally and Internationally
Become the Flag-bearer of the ideology: “Quality Emergency Care for All”

Faculty

Name & Qualifications	Designation	Areas of Interest	Email ID / ORCID ID / Research-gate Page
Dr. Nidhi Kaeley MBBS, MD Internal Medicine, Fellow of Academic College of Emergency Experts in India (FACEE)	Additional Professor & Head	Clinical :- Infectious diseases, Critical care medicine , Emergency nephrology, Use of ultrasonography in emergency Research :- Geriatric emergencies, ED Administration and organization, Toxicology	https://orcid.org/0000-0003-4358-2832 https://www.researchgate.net/profile/Nidhi_Kaeley
Dr. Bharat Bhushan Bhardwaj MBBS, MD Anaesthesiology	Associate Professor	Clinical :- Airway, Resuscitation, ED critical care Research :- ED organization, ED Flow	https://orcid.org/0000-0002-0899-5204
Dr. Poonam Arora MBBS, MD Anaesthesiology	Associate Professor	Clinical :- Airway management, Resuscitation of critically ill patients guided by point of care markers , Pain management and conscious sedation for ED Procedures Research :- Role of regional analgesia in perioperative medicine, Ultrasound techniques to assess endotracheal tube position, Transorbital Ultrasound ('TUS') to predict prognosis in stroke patients, Use of markers to predict post-operative cognitive dysfunction	https://orcid.org/0000-0002-2240-7755 https://www.researchgate.net/profile/Poonam_Arora8
Dr. Girish Kumar Singh	Assistant Professor	Clinical :- Research :-	dr.soonu1986@gmail.com

Photo	Name & Qualifications	Designation	Areas of Interest	Email ID / ORCID ID / Research-gate Page

Services

Services Available in the department:

Outpatients department:
- General OPD: For patients presenting to emergency, an E-OPD card is made after triaging. Accordingly they are managed and relevant diagnostics and therapeutic interventions are performed. The disposition of the patients is determined after stabilization and alleviating emergent signs and symptoms. A total of 35089 patients were managed by the Emergency Medicine team in the last 1 year
- Fast Track OPD services : This facility is offered to the patients triaged Green (vitals stable who don’t need immediate attention), for those who wish to reduce their waiting time in the ED. These patients will be fast-tracked to Consultant incharge of OPD and can avail diagnostic, therapeutic procedures and investigations if needed
- Specialty Clinics/ services (Diagnostic and/or Therapeutic): Schedule- day and consultant wise
  - Endotracheal intubation
  - Laryngo Mask Airway
  - Tracheostomy
  - Cricothyrotomy
  - Central venous access
  - Tube thoracostomy
  - Pericardiocetesis
  - Nerve blocks
  - Procedural Sedation and Analgesia
  - Cardioversion/Defibrillation
  - External Cardiac Pacing
  - GastricTube placement
  - Bladder catheterisation
  - Suprapubic Cystostomy
  - Bladder Irrigation
  - Incision and Drainage
  - Procedural Sedation and Analgesia
  - Debridement
  - Intraosseous Access and Fluid Administration
  - Laceration Repair
  - Lumbar Puncture
  - Nasal Packing
  - Peritoneal Lavage
  - Closed Reduction Fracture

Procedures (Diagnostic and/or Therapeutic) offered by the department:
Trauma and emergency anaesthesia services: Three faculty members from emergency department who are anesthesiologists take care of Emergency and Trauma Operation theatres in the regular workings hours.Surgeries for patients belonging to various specialities like General surgery, Orthopaedics, Obstetrics gynaecology and super specialties like Trauma surgery, Paediatric surgery, Neurosurgery, Plastic surgery, Urosurgery, Thoracic surgery and Oral maxillofacial surgery are conducted in these theaters. Approximately 2000 emergency and trauma surgeries were performed under General Anaesthesia and regional Anaesthesia during routine working hours in year 2019

Statistics

Day of Week/time	Specialty Clinic	Consultant in charge	Consult, if you have following issues

Courses & Short term Trainings

Name of the course	Curriculum	Duration of course	Present number of students	Objectives/ brief description of the course
MD (Emergency Medicine)	Curriculum	3 Years	11	To upgrade the professional efficiency of the doctors of the Emergency Department so that each one of them is able to deal with all types of emergency cases for their immediate management. This will improve the outcome and increase the level of patient satisfaction. To create a cadre of professionals committed to delivery of emergency care as their profession. To start a Post-graduate course “Doctor of Medicine (M.D) in Emergency Medicine” at All India Institute of Medical Sciences by incorporating the necessary teaching, research programme and patient care activities. To impart teaching to undergraduate students regarding the basic management of common emergencies. To train nurses paramedics and others who will form the infrastructure of Emergency Medicine. To promote research in field of Emergency medicine & Trauma including prevention programmes related to the field. To establish prehospital care services/system in state by capacity building, providing leadership and expertise for planning, policy making. To take a lead role in establishing Post Graduate Course of MD Emergency Medicine in state of Uttarakhand. To establish Observation Unit and Acute Critical Care Unit under aegis of Emergency Medicine for continued care of patients. Disaster management
PDCC (Emergency and Trauma anaesthesia)	Curriculum	1 Year	0	To provide anaesthesia expertise for the resuscitation and perioperative care of every critically injured patient. To practice acute pain management, regional anaesthesia, intensive care medicine, POCUS, echocardiography To holistically manage patients right from the gateway of emergency to the post operative period so that appropriate patient care is rendered swiftly hence decreasing morbidity and mortality To provide hands on clinical experience in prehospital assessment and transport To promote research in the dynamic field of acute care and perioperative anaesthesia practices The doctor will engage in project focusing on on emergency surgery and trauma. The potential projects include – fasting times for emergency surgery; Post-Operative Analgesia; Blood Transfusion management and more in the OR, quality improvement indicators To help the doctors develop interpersonal communication, leadership skills and soft skills towards the patients and their family members

Name of the course	Curriculum	Duration of course	Present number of students	Objectives/ brief description of the course

Research

Projects

Title	Site-Investigators	Principal Investigator	Collaboration, if any (Department and institute)	Funding Agency	Projects Status

Projects

Title	Site-Investigators	Principal Investigator	Collaboration, if any (Department and institute)	Funding Agency	Projects Status

Collaboration

Collaboration for	Collaboration with Department and institute	Services offered/ work undergoing in collaboration
Research	Department of Continuous Professional Development	Simulation workshop and hands on training
Academics	Department of Cardiology	Relevant Seminars
Academics	Department of Radiology	Relevant Seminars

Collaboration for	Collaboration with Department and institute	Services offered/ work undergoing in collaboration

Expansion plan

Expansion planned for the future:

Clinical Services: Dedicated HDU for the emergency department. Observation ward
Academics and teaching: Additional courses and subspecialties in EM e.g. Toxicology, ED crit care, Observation Medicine etc.
Research: Development of regional and national registries in key emergency Translational research in resuscitation and shock