Management Team

Emergency Medical Services

Overview

The Emergency Medical Services (EMS) at Sir H. N. Reliance Foundation Hospital and Research Centre is a well-equipped department with all modern facilities and highly trained clinical and non-clinical staff. The department is capable of providing world-class treatment to patients in emergency medical conditions and is also an NBE-accredited centre for speciality training in emergency medicine.

The 24/7 EMS are managed by the state-of-the art 20-bed Emergency Department. The department provides evidence-based care with focus on best outcomes, patient satisfaction, and patient experience.

Location: Ground Floor, Tower Buidling

Timings: 24X7, All days

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The Tower

Sir H. N. Reliance Foundation Hospital and Research Centre Building is strategically planned to provide the best possible care to patients in critical emergency situations. The working protocol at the Emergency Department is based on and is in sync with international norms. The protocol is audited by monitoring patient satisfaction, time to initial assessment, number of revisits within 72 hours, and adverse drug reactions. This is achieved by development of STEMI, Stroke, Sepsis, Shock pathways which objectively quantify best possible care, which are regularly audited. Besides, the department has the expertise to deal with a wide range of emergencies including mass casualties. The Emergency Medical Services department also plays a key role in the development of value-added information for emergency preparedness, public health, EMS research and Strategic Governance.

At the academic front, the Emergency Department is accredited with National Board of Examinations in Medical Sciences under Ministry of Health and Family Welfare, Government of India, New Delhi for conducting speciality training in Emergency Medicine. There are three seats for DNB (Emergency Medicine) for each batch. The department also caters to students preparing for The Membership of Royal College of Emergency Medicine (MRCEM), United Kingdom. There is a strong academic program with focus on both DNB and RCEM curriculum. The hospital provides a culture which promotes research & publications, and participation in national and international conferences.

In an endeavour toward continuous betterment, the department is developing national and international collaborations for staying aligned with the best centres in the world.

The Tower

The department is designed to respond swiftly to patients in critical emergencies such as heart attack, paralytic strokes, trauma, sepsis, and shock. The quality care begins at the pre-hospital scenario where patient is retrieved using SMART ambulance equipped with all life-saving facilities. The patient is digitally tagged to the Emergency Department at the retrieval point itself for swift downstream processing. Two dedicated patient evacuation corridors facilitate immediate transfer of patients to the facilities such as cardiac catheterisation lab, operating rooms, labour room and Intensive Care Unit.

Aided with ultramodern infrastructure, the Emergency Medical Services (EMS) department at Sir H. N. Reliance Foundation Hospital and Research Centre is one-of-a-kind facility. It is located on the Ground floor, Tower for easy and uninterrupted access, with a dedicated path for ambulance movement. Emergency patients are admitted through a fast-track admission process in hospital information system (HIS).

Apart from the 20 fully monitored beds that include three specialised negative isolation cubicle beds and one bed with dialysis capability, the department is equipped with a central monitoring station, in-department diagnostics like a dedicated CT scan, X-ray department, portable X-ray facility, 2D-Echo and ultrasound machine, and point of care lab testing. A pneumatic tube system allows for speedy transportation of samples from EMS to the laboratory for processing. The therapeutic armamentarium at the Emergency Department includes defibrillators, standard and transport ventilators, dialysis machines, and facilities IABP and ECMO initiation and maintenance.

The Tower
  • Fourteen fully monitored beds including two triage beds
  • Central monitor station to closely track all patients
  • CT scan and X-ray facility for quick diagnosis and monitoring
  • Plaster room and Procedure room
  • Fully equipped operation theatre for emergency surgeries
  • Transport Ventilator and Transport Monitor
  • USG for FAST scan
  • Defibrillator and resuscitation equipment.
The Tower

Well-trained and highly experienced clinical and paramedical staff is available 24/7 for providing the best quality services to all emergency patients. The services available at the EMS include:

  • Triage and prioritisation care
  • Disaster preparedness
  • Trauma and non-trauma care
  • Rapid sequence intubation
  • Mechanical ventilation
  • Defibrillation and Synchronised Cardioversion Advanced Cardiac Life Support
  • Advanced Life Support for paediatric patients
  • Haemodynamic support using agents including Inotropes and anti-arrhythmic drugs
  • Emergency Nursing Care including intravenous (IV) cannulation
  • Intravenous therapy including blood transfusion
  • Chest tubes drainage
  • Central line placement and haemodynamic monitoring
  • Initiation of cervical immobilisation and spinal precautions
  • Insertion of nasogastric tubes
  • Insertion of urinary catheters
  • Acute/acute-on-chronic pain management
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