By| Published: December 30th, 2015
Emergency Medicine(EM) In India is rapidly evolving and has been getting an increased recognition from National Government with the accreditation of training positions through the Medical Council of India and the National Board of Examinations. The advances in EM have been possible with more than a decade of efforts by the Society for Emergency Medicine, India (SEMI) along with partner organizations such as the International Federation for Emergency Medicine (IFEM), the American Academy for Emergency Medicine in India (AAEMI) and the Global Academy of Emergency Medicine (GAEM).
With the advancement in Emergency Medicine, new concerns are being raised and brought to the forefront. Many of these issues are widespread to emergency medicine globally, but many are also matters that are endemic to India.
The following are a few issues:
- Pre-Hospital Care and Emergency Medical Services (EMS)
The EM is expanding beyond the borders in India into the pre-hospital care setting. Emergency physicians are becoming more involved in the planning and protocols involved in the transport of critically ill patients by medical providers.
- Trauma and Road Traffic Injuries
India is facing the enormous burden of large numbers of Road Traffic Injuries (RTIs). Famous Emergency Departments(ED’s) compare the effectiveness of Ketamine and Propofol versus Fentanyl and Propofol as induction agents for rapid sequence endotracheal intubations.
- Mass gathering events
With civilians participating in large public events like political rallies to religious festivals and sporting events. Many fatal injuries of the civilians from such events is experienced.
- Communicable diseases and sepsis
Highly experienced Indian Emergency Physicians treating malaria, TB, and respiratory diseases, can’t regulate the abundant use of antibiotics that are readily available without prescription in many pharmacies which led to an alarming increase of antibiotic associated diarrhea.
- Non-communicable diseases
With the progressing Indian economy, the epidemiology of patients presenting to EDs is shifting from communicable to non-communicable diseases such as diabetes, asthma, and hypertension. Diagnosis of acute cardiac causes of chest pain is a global challenge for all Emergency Physicians.
- Emergency department operations
With India having the world’s second largest population at over 1.2 billion people, ED’s in India tend to be high-volume, high-acuity areas of health care delivery. Because of its complex environment, providing safe and high-quality patient ED care remains an ongoing challenge.
The above issues need to be kept under RADAR and regulated before delivering or advancing the Emergency Medicine.