Emergency Services

Emergency Services

The Chitwan Medical College (CMC) Emergency Department was established in 2007. The Emergency Department is 60 Bedded and is spread over an area of 888 square metres.
CMC Emergency Department treats the full spectrum of patients, and plays a pivotal role in the nation’s health care system.  The Emergency Department at CMC is equipped to provide comprehensive emergency care to patients of all ages. It provides care to patients with urgent medical conditions ranging from complex problems such as heart attacks and strokes to simple but pressing conditions such as cuts and broken bones. Care is provided 24 hours a day, 365 days a year, serving an average of 92 patients a day.

Salient features

A 24 hour emergency service for patients with all emergency ailments including o Medicine, Surgery, Gynaecology, Paediatrics, Orthopaedics, ENT, Psychiatry, Cardiac Emergencies, Neurosurgical Emergencies, Polytrauma etc managed by emergency physicians and specialists.
Protocol based emergency management
Trauma cases managed by efficient trauma team
All type os emergency management available within the emergency premises
Electronic Based Record System
Dedicated counter for billing and registration of emergency patients.
Triage (“RED”, “YELLOW” and “GREEN”) zones to segregate patient management according to severity, into urgent, intermediate or minor care.
Centralized supply of oxygen and suction line.
"Fast track" treatment for minor problems.
Bedside USG and X Ray facilities with the help of portable machines.
CATH LAB, Emergency Lab and Emergency Pharmacy within the premises of Emergency Department to speed up evaluation, treatment and management.
24 hours’ availability of CT and MRI services.
Free treatment scheme for specific conditions

ZONES IN EMERGENCY DEPARTMENT

The ED has 11 zones:
  1. TRIAGE AREA: In this area, the assignment of degrees of urgency to wounds or illnesses is done, in order to decide the order of treatment of patients/casualties.ABC is assessed and Vitals are recorded. Patients are categorized according to severity of disease and sent to Red, Yellow or Green Area.
  2. RED AREA: (Urgent Care). Patients who are serious but have salvageable life-threatening injury/illness are categorized into Red Area. Patients who cannot survive   without immediate treatment but who have a chance of survival are categorized into this area. This area has 6 Beds.
  3. YELLOW AREA: (Intermediate Care) Patients who have moderate to serious injury/illness (not immediately life-threatening) are categorized into this area. This area caters to patients whose condition is stable for the moment and, they are not in immediate danger of death. This area has 20 Beds.
  4. GREEN AREA: (Minor Care) This area is reserved for the "walking wounded" who will need medical care at some point, after more critical injuries have been treated. This area has 11 Beds.
  5. OBSERVATION AREA: Patient is shifted to Observation Area following treatment in the Red, Yellow or Green Area. Patients are kept in the Observation Area for 6 to 24 hours. This area has 18 Beds.
  6. PROCEDURE ROOM: Application of suture/ dressing or any other emergency procedure is carried out in this area.
  7. CATH LAB: The Cath Lab is within the premises of ED. Details are listed in the later part of the report.
  8. EMERGENCY LAB: The Emergency lab is within the premises of ED. Details are listed in the later part of the report.
  9. EMERGENCY PHARMACY: The Emergency Pharmacy is within the premises of ED. Details are listed in the later part of the report.
  10. DISASTER PREPAREDNESS STORE: This store has supplies for mass casualty management.
  11. PAEDIATRIC EMERGENCY UNIT: The Paediatric Emergency Unit consists of 8 Beds.                                            

Emergency Treatment Protocols

  1. Disaster Management Protocol
  2. ACLS Protocol
  3. BCLS Protocol
  4. Head Injury Protocol
  5. Polytrauma (Adult) Protocol
  6. Polytrauma (Paediatric ) Protocol
  7. Organophosphorus (OP) Poisoning Protocol
  8. Cervical Spine Injury Management Protocol
  9. Anaphylaxis Management Protocol
  10. Sepsis Management in Adults Protocol
  11. Acute Exacerbation of COPD Management Protocol
  12. Snake Bite Management Protocol
  13. Diabetic Ketoacidosis (DKA) Management Protocol
  14. Preeclampsia/Eclampsia Management Protocol