Institute of Critical Care Medicine

Overview

The Department of Critical Care Medicine specialises in providing advanced care to critically ill patients with life-threatening conditions. It involves providing multi-speciality healthcare through physicians, nurses, and support staff to deliver comprehensive treatment using state-of-the-art medical technology and evidence-based practices. The department focuses on rapid diagnosis, continuous monitoring, and timely interventions, ensuring optimal outcomes in emergencies, post-surgical recovery, and complex medical cases. Collaborative care with other specialties is integral to its mission, fostering research, innovation, and education to improve patient care and advance critical care medicine practices.

Location: Level 13 & 14, Tower Building

Timings: 24X7, All days

Our Services

Critical care services are specialised medical services provided to patients who are critically ill or have life-threatening conditions that require continuous monitoring, intensive treatment, and advanced medical interventions. These services are typically delivered in hospital units such as the Intensive Care Unit (ICU), Cardiac Care Unit (CCU), or specialised trauma unit.

The CCU, also known as the ICU, provides specialised medical care for critically ill patients who require constant monitoring and advanced medical interventions.

Key aspects:

Continuous monitoring: 24/7 tracking of vital signs such as heart rate, blood pressure, and oxygen levels using advanced equipment.
Life-support: Mechanical ventilation for breathing support, dialysis for kidney failure, and intravenous (IV) fluids and medications.
Advanced medical treatments: Administration of drugs to stabilise heart function, control infections, and manage pain or sedation.
Emergency interventions: Rapid response to life-threatening changes in the patient’s condition, including resuscitation and invasive procedures.
Specialised care team: Includes intensivists, critical care nurses, respiratory therapists, and pharmacists, ensuring expert care and timely decision-making.
Post-surgical care: Close monitoring and support for patients recovering from major surgeries or with severe complications.
Family support and communication: Regular updates and support for families, including discussions about treatment plans and prognosis.
Critical care nutrition: Proper nutrition plays a vital role in supporting recovery, maintaining organ function, and preventing complications for critically ill patients in the ICU or other critical care settings. Patients in critical care often have increased metabolic demands due to illness, injury, or surgery, and may not be able to eat normally, requiring specialised nutritional support.
Supportive care in the ICU: A comprehensive range of treatments and interventions provided to critically ill patients to maintain vital functions, ensure comfort, and support recovery from severe illness or injury. This approach addresses the physical, emotional, and psychological needs of patients and their families during intensive care.

The CCU provides life-saving care, ensuring critically ill patients receive the highest level of medical attention and support.

Acute care in the ICU refers to the intensive, immediate medical treatment provided to patients with life-threatening conditions or severe health crises. It involves continuous monitoring, advanced therapies, and rapid interventions to stabilise and support critical functions, such as breathing, circulation, and organ function.

Key aspects:

Advanced monitoring: Continuous monitoring of vital signs (e.g., heart rate, blood pressure, oxygen levels) to detect and respond to any changes in the patient's condition.
Life-saving interventions: Immediate treatments like mechanical ventilation, dialysis, or emergency surgeries to support failing organs or life functions.
Multidisciplinary care: A team of specialists, including intensivists, nurses, and respiratory therapists, work together to provide comprehensive and specialised care.
Critical support therapies: Administration of medications, fluids, and blood products to manage shock, infections, or other acute conditions.

Acute care in the ICU is essential for managing critically ill patients, stabilising life-threatening conditions, and providing intensive support to help patients recover or transition to long-term care. It plays a vital role in saving lives and preventing further deterioration.

Extracorporeal support in the ICU refers to advanced life support techniques that utilize machines outside the body to assist or replace the function of failing organs, particularly the heart and lungs. These interventions are critical for patients with severe organ failure who are not responding to conventional therapies.

Key types:

Extracorporeal membrane oxygenation (ECMO): ECMO provides oxygenation to the blood and removes carbon dioxide outside the body, supporting patients with severe respiratory or cardiac failure. It acts as an artificial lung or heart by circulating blood through a machine.
Continuous renal replacement therapy (CRRT): A type of dialysis used in critically ill patients with kidney failure, continuously filtering blood to remove waste, fluids, and electrolytes.
Ventricular assist devices (VAD): Mechanical pumps that assist a weakened heart in circulating blood, commonly used in patients with severe heart failure awaiting a heart transplant.
Plasmapheresis: A process that filters and removes harmful substances (e.g., antibodies, toxins) from the blood, used for conditions like autoimmune diseases or severe infections.

ERAS is a multidisciplinary, evidence-based approach aimed at improving surgical outcomes by optimising patient care before, during, and after surgery. ERAS protocols focus on reducing stress responses to surgery, minimising complications, and promoting faster recovery, leading to shorter hospital stays and improved patient well-being.

Key elements:

Preoperative preparation: Patient education, optimised nutrition, and avoidance of prolonged fasting to improve surgical readiness.
Minimally invasive techniques: Use of minimally invasive surgery, reduced use of narcotics, and optimised anaesthesia to minimise trauma and promote quicker recovery.
Early mobilisation: Encouraging early movement and physical activity after surgery to prevent complications such as blood clots or muscle weakness.
Optimised pain management: Use of multimodal pain relief strategies that reduce reliance on opioids and enhance comfort.
Nutritional optimisation: Early reintroduction of food and liquids after surgery to promote healing and gut function.

Image-guided procedures in the ICU enable precise, minimally invasive interventions to diagnose and treat critical conditions in seriously ill patients. These procedures are performed using advanced imaging technologies, such as X-rays, CT scans, or ultrasound, allowing precise interventions with minimal trauma.

Benefits:

Precision:
- Real-time imaging guidance for procedures such as drainage of abscesses, placement of central lines, and biopsies.
Reduced complications:
- Minimally invasive IR procedures reduce surgical complications, shorten recovery time, and improve patient outcomes in the ICU.

Transplant care in the ICU involves specialised medical management for patients recovering from organ transplantation, including heart, lung, liver, and kidney transplants. The ICU plays a crucial role in monitoring and supporting patients during the critical early stages after the transplant, ensuring the success of the procedure and preventing complications.

Key aspects:

Immediate postoperative monitoring: Continuous monitoring of vital signs, organ function, and fluid balance to detect early signs of rejection or complications.
Immunosuppressive therapy: Administration of immunosuppressive drugs to prevent the body from rejecting the transplanted organ. The dosage is carefully managed to avoid infections and side effects.
Infection prevention: Patients are highly susceptible to infections due to immunosuppression; therefore, strict infection control measures are implemented, along with prophylactic antibiotics and antiviral medications.
Organ function support: Close monitoring and support of the transplanted organ (e.g., heart output, liver enzyme levels, kidney filtration) to ensure optimal functioning.
Complication management: Quick response to complications such as organ rejection, bleeding, clot formation, or respiratory issues.
Rehabilitation and recovery: Early mobilisation and physical therapy to promote recovery, along with nutritional support to aid healing and strength.

Transplant care in the ICU is essential to ensure the transplanted organ’s function and the patient's overall stability, providing the foundation for long-term recovery and success of the transplant.

Reliance Foundation Hospital supports organ donation under the following regulations:

Identification of potential donors
Consent and legal considerations
Maintaining organ viability
Ethical and emotional support to families

Humanised care in the ICU focuses on treating critically ill patients with compassion, dignity, and respect, addressing their emotional, psychological, and social needs alongside their medical care.

Key aspects:

Patient-centric healthcare: Care is tailored to the individual’s values, preferences, and needs, involving them in decision-making when possible.
Emotional and psychological support: Addressing the emotional and psychological well-being of patients, providing comfort, reducing anxiety, and preventing ICU-related trauma or delirium.
Family involvement: Actively involving family members in the care process, offering support, communication, and presence with their loved ones during critical times.
Respect and dignity: Ensuring privacy, respecting patient dignity and autonomy when providing care, even in end-of-life situations.
Holistic healing: Addressing the physical, emotional, spiritual, and social aspects of patient care, often involving multidisciplinary teams, including counsellors, chaplains, and social workers.

Rehabilitation Care in the RFH ICU focuses on early interventions to help critically ill patients maintain or regain physical function, mobility, and strength during and after their stay in the ICU. It aims to prevent complications related to immobility, support recovery, and enhance long-term outcomes.

Key Aspects:

Early mobilisation: Early, controlled movement (e.g., sitting up, standing, or short walks) is encouraged, even for patients on mechanical ventilation, to prevent muscle atrophy and improve circulation.
Physical therapy: Physical therapists work with patients to improve muscle strength, flexibility, and endurance through guided exercises and activities tailored to the patient's condition.
Occupational therapy: Helps patients relearn daily activities (e.g., eating, dressing) and regain fine motor skills for functional independence after release from the ICU.
Respiratory therapy: Exercises to improve lung function, strengthen respiratory muscles, and assist in weaning patients off mechanical ventilation.
Cognitive and emotional support: Addressing cognitive impairments or ICU-related delirium through mental stimulation and psychological support to help reduce anxiety, depression, and post-ICU trauma.
Prevention of ICU-related complications: Rehabilitation efforts help reduce the risk of complications like pressure ulcers, blood clots, and contractures (stiff joints).
Family involvement: Families are encouraged to participate in rehabilitation activities to provide emotional support and motivation for patients.

Rehabilitation care in the ICU is essential for improving recovery, reducing the length of hospital stay, preventing long-term disability, and enhancing the patient’s quality of life after critical illness. Early and sustained rehabilitation contributes significantly to better physical, cognitive, and emotional outcomes for ICU survivors.

Comfort care in the ICU focuses on symptom relief, pain management, and surgical stress support for critically ill patients, while also addressing emotional, spiritual, and psychological needs. It is aimed at improving the quality of life for both the patient and their family, whether the goal is recovery or end-of-life care.

Key aspects:

Symptom management
Pain relief, control of breathing difficulties, nausea, anxiety
Emotional and psychological support
Communication and decision-making
Family-centred care

Comfort care in the ICU ensures that the treatment aligns with the patient’s goals and values, focusing on comfort, dignity, and the alleviation of suffering. It provides crucial support during critical illness, offering compassionate care that enhances the quality of life for patients and their loved ones, regardless of the outcome.

About Us
Critical care domains
Critical Care Excellence and Patient Safety
Transforming ICU Care Through Technology
Beyond ICU

We offer a range of specialized units, each with a dedicated focus, ample bed capacity, and conveniently located across various sites. Each unit is designed to provide exceptional care in its respective field.

13th Floor	Medical, GIHPB/Misc	25 beds	13th Floor
14th Floor	Primary Surgical/Cardiac, Cardiac/Paediatric	25 beds	14th Floor
SICU	Surgical	8	8th Floor
Transplant ICU	Post-transplant	4	8th Floor

Perioperative care

Perioperative care in the ICU at RFH involves comprehensive management of patients before, during, and after major surgery. This ensures optimal preparation and continuous monitoring to mitigate surgical risks, especially in critically ill patients. Preoperatively, ICU care focuses on stabilising underlying conditions. Intraoperatively, intensive monitoring supports anaesthesia and surgical intervention. Postoperatively, ICU teams oversee pain management, monitor for complications such as infections or bleeding, and provide respiratory or circulatory support as needed. This comprehensive care enhances recovery and reduces postoperative complications for high-risk patients.

Neurosciences

Neurosciences in the RFH ICU focuses on the care of critically ill patients with severe neurological conditions, such as traumatic brain injuries, strokes, seizures, or brain surgeries. It involves advanced monitoring of brain activity, such as intracranial pressure monitoring and EEG, and specialised treatments to address swelling, bleeding, and seizures. Neuroscience ICU teams provide critical support to maintain brain function and prevent further neurological damage, using therapies like sedation, ventilation, and targeted temperature management. This specialised care optimises outcomes and recovery for patients with severe neurological conditions.

Oncology

Oncology care in the RFH ICU provides specialised intensive care of cancer patients experiencing severe complications, such as organ failure, sepsis, or respiratory distress, often resulting from the disease or its treatment. ICU teams focus on stabilising critical conditions, managing infections, providing respiratory or cardiovascular support, and addressing adverse effects from chemotherapy or radiation. Close collaboration with oncologists ensures tailored treatments that support vital functions and improve survival and recovery prospects for critically ill cancer patients.

Orthopaedics

Orthopaedic care in the RFH ICU involves the care of patients with severe musculoskeletal injuries or complications following major orthopaedic surgery, such as complex fractures, trauma, or joint replacements. Intensive monitoring is essential to manage blood loss, infections, and complications like fat embolism syndrome. ICU care focuses on fracture stabilisation, pain management, infection prevention, and post-surgical recovery. Orthopaedic surgeons and ICU teams work together to provide comprehensive care that promotes healing and improves outcomes for critically ill patients with orthopaedic conditions.

Haematology

Haematology care in the RFH ICU focuses on managing critically ill patients with blood disorders, such as severe anaemia, clotting disorders, leukaemia, and complications arising from sepsis or trauma. ICU care involves intensive monitoring and targeted treatments like blood transfusions, clotting factor replacement, anticoagulation therapy, and management of bleeding or thrombotic events. Haematologists and ICU teams work together to stabilise the patient’s condition, manage complications, and administer appropriate therapies to support blood function. This specialised care is vital for improving outcomes in patients with life-threatening haematological conditions.

Periprocedural care

Periprocedural care in the RFH ICU involves meticulous management of critically ill patients before, during, and after invasive procedures or surgeries. This care prioritizes optimising the patient's condition to minimise risks, providing continuous monitoring during procedures, and ensuring immediate post-procedural recovery. Key components include anaesthesia management, pain control, infection prevention, and the management of potential complications, such as bleeding or organ dysfunction. ICU teams collaborate closely with surgical and procedural specialists to ensure safe and effective care, promoting better outcomes and faster recovery for high-risk patients.

Nephrology

Critical care nephrology in the RFH ICU focuses on managing patients with acute kidney injury (AKI), chronic kidney disease, or severe electrolyte imbalances. It involves treatments like continuous renal replacement therapy (CRRT) and dialysis to support kidney function. Critical care nephrologists work closely with ICU teams to monitor fluid balance, regulate blood pressure, and address complications from kidney dysfunction, such as acid-base disturbances or toxin accumulation. This specialised care is essential for stabilising critically ill patients with renal complications and optimising their overall recovery.

Urology

Urology care in the RFH ICU specializes in the management of critically ill patients with severe urological conditions, such as urinary tract injuries, obstructions, and post-surgical complications, in addition to acute conditions such as kidney stones, urinary retention, and bladder dysfunction. ICU care focuses on stabilising renal function, managing infections, and ensuring proper urinary drainage through catheters or surgical interventions. Urologists work alongside ICU teams to address these critical conditions, ensuring optimal recovery and preventing further complications in high-risk patients.

Infectious diseases

Care of infectious diseases in the RFH ICU involves the management of critically ill patients suffering from severe infections, such as sepsis, pneumonia, or multi-drug-resistant infections. ICU care focuses on rapid diagnosis, administration of antibiotics or antivirals, and stringent infection control measures to prevent pathogen transmission. Treatments may include respiratory support, fluid resuscitation, and organ support for patients with systemic infections. Infectious disease specialists collaborate with ICU teams to customise treatment plans and monitor patient responses, ensuring improved outcomes and management of complications from life-threatening infections.Top of Form

Clinical immunology

Clinical immunology care in the RFH ICU focuses on managing patients with severe immune-related disorders, such as autoimmune diseases, immunodeficiency syndromes, and complications from immune-modulating therapies. Critically ill patients may suffer from conditions such as cytokine storms, severe allergic reactions, or organ failure due to immune dysregulation. ICU care involves immunosuppressive or immunomodulatory treatments, infection prevention strategies, and organ support therapies. Immunologists work closely with ICU teams to monitor immune responses and tailor treatments, ensuring optimal outcomes for patients with critical immune system complications. Bottom of Form

Respiratory diseases

Respiratory care in the RFH ICU focuses on intensive management of patients with severe respiratory conditions, such as acute respiratory distress syndrome (ARDS), pneumonia, and respiratory failure. ICU care includes mechanical ventilation, oxygen therapy, and advanced respiratory monitoring to support breathing and maintain adequate oxygenation. Respiratory therapists and ICU teams work together to optimize airway management, adjust ventilator settings, and treat underlying lung conditions. This specialized care is critical for stabilizing patients with life-threatening respiratory issues and promoting recovery.

Tropical medicine

Tropical medicine care in the RFH ICU focuses on managing critically ill patients with severe infections and diseases common in tropical regions, such as malaria, dengue, chikungunya, and leishmaniasis. These diseases can lead to life-threatening complications such as organ failure, sepsis, or severe haemorrhage. ICU care includes rapid diagnosis, administration of appropriate medications (such as antimalarials and antivirals), and supportive treatments like fluid resuscitation, ventilation, and dialysis. Specialists in tropical medicine collaborate with ICU teams to manage these complex diseases and improve patient outcomes, especially in cases of severe or life-threatening tropical infections.

Endocrine and metabolic diseases

Care for endocrine and metabolic diseases in the RFH ICU specialises in managing life-threatening emergencies, such as diabetic ketoacidosis (DKA), hyperosmolar hyperglycaemic state (HHS), thyroid storm, myxoedema coma, adrenal crisis, and severe electrolyte imbalances, which can lead to multi-organ dysfunction. Close monitoring of glucose, electrolytes, and hormone levels, alongside appropriate fluid resuscitation, hormone replacement, and correction of metabolic derangements, is essential. Addressing underlying triggers, such as infections or stress, is critical for patient recovery. Multidisciplinary care ensures optimal outcomes in these complex cases.

Trauma care

Trauma care in the RFH ICU focuses on the intensive monitoring and treatment of critically injured patients. This includes addressing life-threatening injuries to the head, chest, abdomen, or limbs, along with complications such as shock, severe bleeding, and organ failure. A multidisciplinary ICU team provides continuous assessment, resuscitation, and pain management to stabilize patients. Early interventions, such as emergency surgery and ventilatory support, are essential for preventing further deterioration. Trauma care in the ICU is crucial for improving outcomes and ensuring optimal recovery for patients with severe traumatic injuries.

Cardiac care

Cardiac care in the RFH ICU involves managing life-threatening cardiovascular conditions such as myocardial infarction, heart failure, arrhythmias, and cardiogenic shock. Patients require continuous haemodynamic monitoring, ECG surveillance, and prompt interventions like thrombolysis, mechanical circulatory support, or antiarrhythmic therapy. Careful fluid management, inotropes, and vasopressors are essential for optimising cardiac output. Addressing underlying causes, such as ischaemia or electrolyte imbalances, is crucial for preventing complications. Multidisciplinary teams, including cardiologists and intensivists, play a key role in enhancing outcomes and preventing complications like cardiac arrest or multi-organ failure.

Obstetric critical care

Obstetric critical care in the RFH ICU manages life-threatening antenatal and postnatal conditions, such as preeclampsia, eclampsia, obstetric haemorrhage, amniotic fluid embolism, and sepsis. These patients require specialised monitoring to balance maternal and foetal needs, with careful management of blood pressure, fluid balance, and coagulation status. Multidisciplinary collaboration between intensivists, obstetricians, and neonatologists is essential for optimising outcomes. Rapid intervention, including emergency delivery when needed, is critical in addressing both maternal and foetal complications.

Hepatopancreatobiliary care

Hepatopancreatobiliary care in the ICU focuses on managing acute liver failure, severe pancreatitis, and biliary sepsis. Patients may present with complications such as hepatic encephalopathy, coagulopathy, septic shock, or multi-organ failure. Intensive monitoring of liver function, coagulation, and haemodynamic stability is essential. Supportive care includes fluid resuscitation, electrolyte correction, nutritional support, and managing complications such as infections or bleeding. In cases of acute liver failure, transplant evaluation may be necessary. Multidisciplinary collaboration between intensivists, gastroenterologists, and surgeons is critical for improving outcomes in these complex conditions.

Clinical excellence

Clinical excellence in the ICU involves delivering the highest standard of medical care through evidence-based practices, continuous improvement, and teamwork. It focuses on ensuring optimal patient outcomes, minimising errors, and using advanced technologies and treatments to provide the best care possible for critically ill patients.

Clinical pathways

Clinical pathways in the ICU are structured, evidence-based care plans that ensure standardized and high-quality treatment by outlining key interventions, timelines, and goals for managing common ICU conditions, such as sepsis, pneumonia, or trauma.

Both clinical excellence and clinical pathways enhance patient care by promoting best practices, reducing variability in treatment, and improving overall outcomes in the ICU.

Infection control

Infection control in the ICU involves strict protocols to prevent hospital-acquired infections, such as ventilator-associated pneumonia, bloodstream infections, and sepsis. Measures include hand hygiene, sterilisation of equipment, isolation procedures, and the judicious use of antibiotics to protect vulnerable patients from infections.

Stewardship

Stewardship in the ICU promotes responsible use of medical resources, particularly antibiotics, to prevent resistance and improve patient outcomes. Stewardship provides a safer, more effective, and holistic approach to ICU care, reducing complications, improving patient outcomes, and promoting responsible resource usage.

24/7 Consultant Coverage

Reliance Foundation Hospital provides 24/7 consultant coverage ensuring that experienced, specialised physicians are available around the clock to make timely, critical decisions. This continuous presence improves the quality of care, reduces complications, and allows for immediate responses to emergencies.

Statistics

Admission	Procedures	IC measures	SMR
Discharge	Resource utilisation	CRBSI/VAP/SSTI/UTI	Unit specific
Case Mix		AMS data	PROM
ALOS			PREM

Digital excellence

Digital excellence in ICU utilizes advanced technologies, such as predictive analytics, telemedicine, and AI, to enhance the quality and efficiency of ICU care. It focuses on leveraging digital tools to improve patient monitoring, decision-making, and overall ICU operations.

EHR/EMR

Electronic Health Records (EHR) or Electronic Medical Records (EMR) in the ICU provide digital documentation of patient health information, including medical history, treatments, lab results, and medications. These systems allow real-time access to patient data, ensuring accurate and streamlined care management.

Data integration

Data integration combines information from various medical devices, monitoring systems, and patient records into a single platform. This unified data view helps clinicians make faster, data-driven decisions, improving patient outcomes and care coordination.

The Department of Critical Care at Reliance Foundation Hospital extends its services beyond traditional ICU settings.

Tele-ICU or Telemedicine ICU

Tele-ICU, or telemedicine ICU, is a system that remotely monitors and manages critically ill patients through advanced technology, which connects ICU teams with specialised intensivists and healthcare professionals via video, audio, and real-time data. This approach enhances patient care by offering expert oversight, improving response times, and ensuring consistent monitoring, especially in remote or understaffed areas. Tele-ICU can help reduce errors, optimise treatment plans, and provide timely interventions, ultimately improving patient outcomes.

Click here to know more about Tele-ICU

Event medicine

Event medicine involves providing medical care and emergency services at large public gatherings, such as concerts, sports events, and festivals. Medical teams are stationed on-site to quickly respond to injuries, medical conditions, and emergencies. This specialty focuses on preparedness, with personnel trained to handle a range of situations, from minor injuries to life-threatening events. Event medicine ensures the safety and well-being of participants by offering immediate medical attention and coordinating with nearby hospitals if needed, helping to minimise risks and improve overall event safety.

Academics

Long term courses:

Course name	Certifying authority	Eligibility	Entrance	Duration	Seats
DrNB	NBE	Post MD/DNB	NEET-SS	3 years	4
IFCCM	ICCCM	Post IDCCM/DM/DrNB	Selection	1 year	2
IDCCM	ICCCM	Post MD/DNB/DA/CTCCM	Selection	1 year	6
Fellow Neuro-Critical Care	ICCCM SNCC	Post IDCCM/DM/DrNB	Selection	1 year	2
Fellow-ECMO Services	ICCCM ESOI		Selection	1 year	2
Fellow- Critical Care Nephrology	CCNA RFH	Post MD/DNB/DA/CTCCM	Selection	1 year	2

The Department of Critical Care at RFH follows the daily academic schedule for students enrolled in various courses and the junior doctors.

	08.00-12.00	12.00-13.30	13.30-14.30	14.30-16.30	16.30-17.00	17.00-18.00	18.00-19.00	19.00-20.00
Monday	Clinical Work	13F Grand Rounds	Lunch	Procedures Pending work Notes updating	Evening Rounds	Academic Medley	Academics Medley
Tuesday	Clinical Work	14F Grand Rounds	Lunch	Do	Evening Rounds	1^st: Research Publication update 3^rd: Journal Club	1^st: Research Publication update 3^rd: Journal Club	2^nd: CC Neurology 4^th: CC Oncology
Wednesday	Clinical Work	Case Presentation @bedside	Lunch	Do	Evening Rounds	1^st: CC Hepatology 3^rd: CC Immunology/Endo	1^st: CC Hepatology 3^rd: CC Immunology/Endo
Thursday	Clinical Work	13F Grand Rounds	Lunch	Do	Evening Rounds	1^st : monthly presentation	1^st: monthly presentation	2^nd: CC Nephrology 4^th: CC Nephrology
Friday	Clinical Work	14F Grand Rounds	Lunch	Do	Evening Rounds	1^st: CC Resp-Med 2^nd CC Cardiology 3^rd: CCID	1^st: CC RespMed 2^nd CC Cardiology 3^rd: CCID
Saturday	Clinical Work	Clinical work	Lunch	Do	Evening Rounds
Sunday	Clinical Work		Lunch		Evening Rounds

Success Stories

My dad was in the ICU for a week, and I was initially a bit anxious about how things would go. However, every department at the hospital was so well-organized, from the entrance to the OT and ICU. The level of care, cleanliness, and attention to detail was exceptional, and they made sure both the patients and attendants were well taken care of. A special thanks to the housekeeping staff at 14th North—Dileep, Dhanushree, Jeevan, and Pca Samina, Sunil—for their outstanding service in maintaining such a clean and comfortable environment. The whole experience exceeded my expectations, and I truly felt the hospital's commitment to quality care.

~Pankhuri Marodia