Emergency Services
The Emergency Services at the GAIMS Teaching Hospital provide for management of surgical and medical emergencies. These services are supported by well-equipped resuscitation rooms, minor and major operation theatres, and observation beds to accommodate patients. Services of skilled team of doctors, nurses and ward staff are available round the clock to offer emergency care to patients involved in accidents.
Minor surgical operations are undertaken whenever an emergency surgical intervention is required.
Emergency Dept. Process:
1. First Responder and their duties.
- Emergency cases are attended first by EMO on duty and triage is done.
- Primary survey and resuscitation are performed as per standard guidelines and protocols.
- Airway management, resuscitation, C-Spine immobilization, wound debridement and suturing, bone immobilization, vascular access, foreign body removal are performed in medical / surgical emergencies.
- Diagnostic investigations carried out as per requirement.
- After stabilization patients are handed over to concern speciality for definitive care.
2. Various emergency procedures are done in the department by faculty members and residents for better management of patients.
3. Extended and specialized emergency medical care is provided during special festivities.
4. Special Equipment’s are available and used for better emergency management of patients.
5. Disaster preparedness training and Mock drills are conducted.
Emergencies.
A. Poisoning & Bites.
- O.P. poisoning
- Diazepam poisoning.
- Acid poisoning
- Snake bite.
- Scorpion bite.
B. C.V.S. & Respiratory emergency & Endocrine.
- Acute MI & Unstable Angina.
- LVD with Pulmonary edema.
- AF with fast VR.
- Ventricular tachycardia.
- Acute exacerbation of Asthma / COPD.
- Pneumothorax.
- Hypertensive encephalopathy.
- Acute respiratory failure.
- C.V. Stroke with unstable vitals.
- GTCS & Status epilepticus.
- Meningitis / Encephalitis.
- Hypoglycemia.
- Diabetic ketoacidosis.
- Nonketotic hyperosmolar coma.
- Myxedema coma
- Acute adrenal insufficiency.
- Thyrotoxicosis-Storm.
C. G.I.T./G.U.T.
- Acute Gastroenteritis with severe dehydration.
- Hemetemesis.
- Hepatic encephalopathy, Acute fulminant Hepatitis.
- Acute Renal failure
- Ureteric encephalopathy.
- Acute Mesenteric ischemia.
- Acute pancreatitis
D. Hematological emergencies.
- Severe Aneamia with C.C.F.
- Thrombocytopenia.
- P-falciparum Malaria with complication.
- Thalassemia.
- Haemophillia.
- Disseminated intra vascular coagulation.
- Acute hemolytic crisis.
- Acute haemorrhagic fever.
E. Electrolytes and Metabolic emergencies.
- Hyperkalemia.
- Hypokalemia.
- Hyper natremia
- Metabolic acidosis.
- Metabolic alkalosis.
F. Miscellaneous.
- Neuroleptic Malignant Syndrome.
- Tetanus.
- Lactic acidosis.
- Shock.
- Burns.
- Electrical injuries.
- Anaphylactic reaction.
- Rhabdomyolysis.
- Central venous cannulation.
- Spinal cord injury.