Overview
The Department of Emergency Medicine at Ram Krishna Medical College, Hospital and Research Centre provides 24x7 emergency care for critically ill and injured patients. The department is designed for rapid assessment, triage, stabilization, resuscitation, trauma care and coordination with specialty departments.
The department has a 30-bedded Emergency Medicine facility, equipped with trauma care equipment, resuscitation support, emergency monitoring systems, defibrillator, ventilator support, oxygen and suction facilities, emergency crash cart and dedicated triage system.
30 Emergency Medicine BedsEmergency Triage System
Triage is the first and most important step in emergency care. Every patient is rapidly assessed based on severity of illness or injury, vital signs, consciousness level, breathing difficulty, bleeding, pain and risk of deterioration. This ensures that the most critical patients receive immediate attention.
Red Zone - Immediate / Critical
For life-threatening emergencies such as cardiac arrest, severe trauma, shock, respiratory distress, unconscious patients, major bleeding and patients requiring immediate resuscitation.
Yellow Zone - Urgent
For serious but temporarily stable patients requiring urgent evaluation, monitoring, investigation and specialist review.
Green Zone - Stable / Non-critical
For stable emergency patients with minor injuries, mild symptoms or conditions that can be evaluated after critical and urgent cases.
Triage Documentation
Vital signs, presenting complaint, risk level, time of arrival, initial treatment and referral pathway are documented for safe and systematic emergency care.
Emergency Clinical Services
Infrastructure
- 30-bedded Emergency Medicine facility
- Dedicated emergency reception and patient receiving area
- Dedicated triage area
- Red zone for critical emergency cases
- Yellow zone for urgent monitored cases
- Green zone for stable emergency cases
- Resuscitation bay
- Trauma bay
- Emergency observation beds
- Emergency procedure area
- Emergency dressing and wound care area
- Emergency plaster and immobilization support
- Central oxygen and suction support
- Emergency nursing station
- Crash cart and emergency drug support
- Emergency monitoring area
- Isolation support for selected emergency cases
- Emergency sample collection and investigation coordination
- Radiology coordination for X-ray, CT, USG and other emergency imaging
- Ambulance receiving and patient transfer support
- Interdepartmental referral and transfer coordination
- Disaster and mass casualty response support
Trauma & Emergency Equipment
- Emergency crash cart
- Defibrillator
- Multi-parameter monitors
- Ventilator support
- Transport ventilator support where available
- Ambu bag with adult, paediatric and neonatal masks
- Oxygen cylinders
- Central oxygen points
- Central suction points
- Portable suction apparatus
- Laryngoscope
- Endotracheal tubes
- Airway adjuncts
- Nebulizer
- Pulse oximeter
- ECG machine
- BP apparatus
- Glucometer
- Thermometer
- Infusion pumps
- Syringe pumps
- Emergency drug tray
- Resuscitation trolley
- Spine board
- Cervical collars
- Head immobilizer
- Scoop stretcher
- Transfer stretcher
- Wheelchairs
- Splints
- Traction splint support
- Plaster and immobilization material
- Dressing trolley
- Suture tray
- Minor procedure instruments
- Wound debridement instruments
- Tourniquet
- Emergency haemorrhage control support
- Burn dressing material
- Poisoning management support equipment
- Gastric lavage support where clinically indicated
- Urinary catheterization set
- Nasogastric tube support
- Emergency lights and backup power support
- Personal protective equipment
Emergency Cases Managed
- Road traffic accidents
- Polytrauma
- Head injury initial stabilization
- Chest injury initial stabilization
- Abdominal trauma initial stabilization
- Fractures and dislocations
- Major wounds and bleeding
- Burn injuries
- Cardiac arrest
- Chest pain and suspected cardiac emergency
- Acute breathlessness
- Asthma and COPD exacerbation
- Stroke symptoms and neurological emergencies
- Seizures
- Altered sensorium
- Shock and hypotension
- Poisoning
- Snake bite
- Animal bite
- Severe fever and sepsis suspicion
- Diabetic emergencies
- Electrolyte and metabolic emergencies
- Acute abdomen emergency
- Obstetric emergency stabilization
- Paediatric emergency stabilization
Emergency Procedures & Bedside Care
- Triage and emergency prioritization
- Primary survey - Airway, Breathing, Circulation, Disability and Exposure
- CPR and basic life support
- Advanced life support coordination
- Airway stabilization
- Oxygen therapy
- Nebulization therapy
- IV cannulation
- Fluid resuscitation
- Emergency drug administration
- ECG recording
- Blood sugar monitoring
- Vital monitoring
- Wound dressing
- Suturing of minor wounds
- Bleeding control and pressure dressing
- Splinting and immobilization
- Cervical spine immobilization
- Fracture stabilization before specialist transfer
- Burn wound first care
- Gastric lavage support where clinically indicated
- Urinary catheterization support
- Nasogastric tube insertion support
- Sample collection and emergency investigation coordination
- Emergency referral and transfer coordination
- Disaster triage and mass casualty response support
Trauma Care & Accident Response
The emergency unit is equipped to provide immediate stabilization for trauma and accident cases. The focus is on rapid assessment, airway protection, bleeding control, fracture immobilization, pain relief, imaging coordination and transfer to the appropriate specialty team.
- Rapid trauma assessment and stabilization
- Airway protection and oxygen support
- Bleeding control and shock management
- Cervical spine protection
- Fracture immobilization
- Emergency wound care and dressing
- Burns first care and dressing
- Pain management support
- Radiology coordination for trauma imaging
- Referral coordination with Orthopaedics, Surgery, Neurosurgery support and ICU
- Documentation of injury details and medico-legal support as per protocol
- Safe transfer to OT, ICU or ward as per clinical condition
Ayushman Bharat Emergency Patient Support
- Support for eligible Ayushman Bharat / AB-PMJAY emergency beneficiaries as per applicable scheme rules
- Emergency admission documentation support
- Clinical documentation support for diagnosis, treatment and discharge summary
- Coordination with Ayushman desk, billing team and treating department
- Support for trauma and emergency cases under applicable approved packages wherever eligible
- Patient and attendant counselling regarding documents and approval process
- Transparent communication regarding eligibility, approval and treatment process
Training & Academic Activities
- Emergency triage training
- Basic life support and CPR demonstration
- Trauma primary survey training
- Airway, breathing and circulation stabilization orientation
- Disaster drill and mass casualty training
- Emergency case discussion and simulation-based learning
- ECG and emergency investigation interpretation
- Medico-legal documentation orientation
- Interdepartmental emergency referral training
- Emergency procedure demonstration
- Resuscitation teamwork and communication training
- Seminars, tutorials and clinical case presentations
"In emergency care, every second matters and every action can save a life."