The 2015 Academic College of Emergency Experts in India's INDO-US Joint Working Group White Paper on Establishing an Academic Department and Training Pediatric Emergency Medicine Specialists in India (original) (raw)
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Pediatric Emergencies at a Tertiary Care Hospital in India
Journal of Tropical Pediatrics, 2003
The aim of the present study was to study the epidemiological and clinical profile of patients attending an exclusive pediatric Emergency Department (ED). Data was retrieved from records of the patients seen over a 6-year period from 1995 to 2000. Descriptive analysis was done to define demographic and clinical details, and monthly admission rates and diagnoses. A total of 43 800 patients were seen during the study period. Of these 42.1 per cent were admitted after initial evaluation. The ratio of boys to girls was 3 : 1; 47 per cent were infants under 1 year of age. The common reasons for attending the emergency department were gastrointestinal and respiratory illnesses (23 per cent each), neurological emergencies (16 per cent), and neonatal problems (15.6 per cent). Poisonings were seen in 0.6 per cent of patients. Eight illnesses, i.e. acute diarrhea, upper respiratory infection, pneumonia, acute asthma, seizures, meningitis, and neonatal sepsis and jaundice, comprised nearly half of all the emergency visits. Acute diarrhoeal diseases, pneumonia, asthma, and encephalitis showed a distinct seasonal trend. Our data implies that planning of staff training and triage and efficient resource utilization in the pediatric ED in a developing country such as ours should take into consideration the preponderance of infants, seasonal trends, and the most common emergencies (acute diarrhea, pneumonia, acute asthma, seizures and neonatal infection) as priorities.
Emergency care in India: the building blocks
International Journal of Emergency Medicine, 2010
Background The Republic of India, the world's most populous democracy, has struggled with establishing Emergency Medical Care. However, with the recent recognition of Emergency Medicine as a formal specialty in medical training, there has been renewed vigor in the developments in the field. Method and Results We outline here the building blocks of the health care system in India, and the contribution each has made and is capable of making to the growth of emergency medical services. We also provide an account of the current situation of emergency medicine education in the country. Conclusions As we trace the development and status of emergency medicine in India, we offer insight into the current state of the field, what the future holds for the emergency medical community, and how we can get there.
White paper on academic emergency medicine in India: INDO-US Joint Working Group (JWG)
The Journal of the Association of Physicians of India, 2008
Emergency Medicine (EM) is a new discipline for India. As Medical Council of India (MCI) makes progress in recognizing the need to develop EM residency training programs in India it is important that there exist an established training model for future faculty, residents and medical students. This INDO-US white paper makes a serious attempt to recognize the opportunities and challenges in developing academic emergency medicine in India. The contents of this white paper address the overall scenario and are not targeted towards a person, physician, body, hospital or any other associated entity. This paper emphasizes the importance of MCI recognized training in Emergency Medicine for physicians in India.
The Journal of emergency medicine, 2015
Emergency medicine (EM) is a recently recognized specialty in India, still in its infancy. Local training programs are developing, but remain very limited. Private, for-profit hospitals are an important provider of graduate medical education (GME) in India, and are partnering with United States (US) universities in EM to expand training opportunities. Our aim was to describe current private-sector programs affiliated with a US university providing postgraduate EM training in India, the evolution and structure of these programs, and successes and challenges of program implementation. Programs have been established in seven cities in India in partnership with a US academic institution. Full-time trainees have required didactics, clinical rotations, research, and annual examinations. Faculty members affiliated with the US institution visit each program monthly. Regular evaluations have informed program modifications, and a local faculty development program has been implemented. Current...
Developing paediatric emergency medicine - an opinion from a developing country tertiary care center
2015
Child health in Pakistan is amongst the most important national issues that need serious attention. The major reasons behind growing diseases in children may be scanty federal and provincial budget on health services, low income per capita, reduced literacy rate near to 17%, and lack of skilled birth attendants, widespread diseases and non-existent emergency child health services in government run district and rural hospitals as well as in private hospitals.
Emergency Medical Services in India: The Present and Future
Prehospital and Disaster Medicine, 2014
India is the second most populous country in the world. Currently, India does not have a centralized body which provides guidelines for training and operation of Emergency Medical Services (EMS). Emergency Medical Services are fragmented and not accessible throughout the country. Most people do not know the number to call in case of an emergency; services such as Dial 108/102/1298 Ambulances, Centralized Accident and Trauma Service (CATS), and private ambulance models exist with wide variability in their dispatch and transport capabilities. Variability also exists in EMS education standards with the recent establishment of courses like Emergency Medical Technician-Basic/Advanced, Paramedic, Prehospital Trauma Technician, Diploma Trauma Technician, and Postgraduate Diploma in EMS. This report highlights recommendations that have been put forth to help optimize the Indian prehospital emergency care system, including regionalization of EMS, better training opportunities, budgetary provisions, and improving awareness among the general community. The importance of public and private partnerships in implementing an organized prehospital care system in India discussed in the report may be a reasonable solution for improved EMS in other developing countries.
A novel program to enhance pediatric emergency medicine training in Thailand
AEM Education and Training, 2021
In Thailand, there are few pediatric emergency medicine (PEM) fellowshipâtrained providers, and emergency departments (EDs) are staffed by pediatricians and emergency physicians. Our pediatric ED collaborated with Thailand's largest private hospital system to develop a training program designed to improve emergency care for children.
2018
Paediatric emergency service plays a prime important role in saving paediatric lives. In India, around 1.7 million children died before reaching the age of 5 years in 2010. Appropriate and timely management of children in paediatric triages can significantly reduce the mortality and morbidity. The knowledge on triaging helps in designing protocols. A descriptive study was undertaken to assess the morbidity pattern and the management outcome of triaging children attending paediatric Emergency Services (PES) of a tertiary care Hospital, South India. Systematic sampling technique was undertaken and a sample size of 600 triage assessments were included. Instruments such as demographic profile, clinical profile and management outcome of the triaging were used. Demographic variables indicated that among the children brought to casualty 10% of children were newborns, 22% were infants, and 38% of the total visits were less than three years of age. Also 10% of the study subjects were adolesc...