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Accident and Trauma Care

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The Department of Accident and Trauma Care

Overview

The Department of Accident and Trauma Care function within the “24 Hours GIMSH Emergency Service Medicare Infrastructure”. “GIMSH Accident Rescue Services” ambulances, staffed with trained personnel, traverse the city, respond to emergency calls and rush patients to GIMSH. The moment an accident or trauma patient arrives, he is rushed to the Resuscitation Room located at the “24 Hours GIMSH Emergency Service Medicare Infrastructure”. This infrastructure includes a fully equipped Resuscitation Room with ventilators, central venous catheters, defibrillators, ECG Machine, Mobile X-ray, and other lifesaving equipment and medications. It also has a special ICU with two Mini Operation Theatres.

Patients are received in resuscitation bays. Their contaminated clothes and dressings are removed. The accident victim is covered with sterile dressings, the general condition assessed, blocked airways restored, adequate fluid and blood transfusion given within a few minutes, and if all investigations including CT Scan and MRI are executed quickly, the patient is taken to the Operation Theatre for definitive treatment.

Trauma does not affect one part of the body only. Today, because of the high velocity of accidents and injuries, trauma affects almost all the parts of the body. GIMSH has the personnel and the equipment to resuscitate a poly traumatized patient who is critical. Apart from the Trauma Surgeons and ACLS (Advanced Trauma Life Support) trained paramedical staff who are available round-the-clock, the Department is manned by Cardiothoracic Surgeons, Neurosurgeons, Craniofacial Surgeons, Spinal Surgeons, Orthopaedic Surgeons, Abdominal Surgeons, Specialist in Microsurgery, Plastic Surgeons, are all involved in the treatment of multi-system injuries. A state-of-the-art Nephrology unit which tackles renal failure in traumatized patients is a big asset.

Sometimes, after a major accident we receive 30 to 40 patients and we are able to manage them without any problem, because of the availability of adequate staff and the right equipment.

Mission

  • We act in the “Golden Hour” after the injury
  • Our mission is to save life, to alleviate or at least decrease the impact of the disease on the victim and their loved ones and helping the trauma victims join the mainstream society in the shortest time possible.
  • We strive to reach great heights and be recognized as one of the best trauma centres in the World
  • Dedication and service is our hallmark.

Staff

  • The department is staffed by dedicated Emergency Physicians, Specialists in various fields, ATLS (Advanced Trauma Life Support) trained Paramedics, Emergency Nurses, Critical care nurses, Ambulance personnel.
  • The staffing is round-the-clock on shift basis.
  • Trauma rescue operations are conducted by trained Ambulance personnel stationed at strategic locations around the city.

Features

  • Only Trauma system comparable to the United States of America LEVEL 1 Trauma system
  • Advance Life Support (ALS) grade with built-in ventilators, Cardiac monitors, Oxygen, Suction, Emergency Medicines staffed by trained paramedics who can perform emergency life-saving maneuvers.
  • Fully equipped Trauma resuscitation center with ventilator, monitor, crash carts, Emergency medicines, Mobile X-Ray unit and procedure trays to perform emergency lifesaving procedures.
  • The Emergency operating adjacent to the Trauma resuscitation bay – no time is wasted in getting the patient to the operating room, if necessary.

Trauma Critical care Unit

  • State-of-the art intensive care system staffed by well-trained Critical Care nurses.
  • The Nurse: Patient ratio is maintained 1:1 for Trauma patients.
  • Advanced monitoring devices, Ventilators, Hemodialysis machines and Transport equipment.
  • A Computerized health care information system (HCIS) tracks the flow of care of patients and helps in maintaining the integrity of care.
  • Stringent infection control policies and sharps disposal systems.
  • The unit is constantly upgraded to improve the quality of care unmatched by any other Hospital system.

Ancillary Services

  • A fully-equipped Emergency Operating room
  • State-of-the art Radiology department with advanced CT Scanners, Ultrasound Machines
  • Advanced Clinical Laboratory for instant and accurate lab results

Educational Activities

  • Regular training sessions for Paramedics, Nurses and other Emergency staff.
  • Mock drills are being conducted on a random basis to check the preparedness of the staff.
  • Monthly and bi-weekly Multi-media presentations in various areas of trauma and critical care for the benefit of Staff and Student nurses.
  • Community outreach and awareness program to prevent the incidence of life-threatening injuries in the community.
  • Publications for the use of Emergency Physicians, Nurses, Paramedics and other health-care professionals.

Research Activities and Protocols

  • The trauma system is actively involved in research and is planning to widen its research infrastructure and personnel.
  • Tried and tested international and institutional protocols are being utilized for handling Trauma emergencies and Trauma Critical Care.
  • The protocols are constantly revised and improved to fit our National standards and improve patient outcomes.

Future Plans

We have great plans to expand and improve the Trauma system in the near future. They include expansion of the Trauma bay, expansion of the Critical care unit, increase in Staff and equipment’s, increasing the Ambulance network coverage and Heli-ambulances.