CMCTH, a tertiary medical center located in Chitwan, hosts a 60 bedded Emergency Department which provides a round the clock emergency service to the locals as well as patients from different parts of the country. CMCTH ED serves to variety of cases on a daily basis including but not limited to trauma, cardiac, medical, surgical, pediatric, gynae/obs, etc. It also has an in- department ICU, which provides critical care services to those in need. CMCTH ED aims to provide evidence-based care to the patients prioritizing their welfare the most.

Highlights of Emergency department are:

CMCTH ED boasts well trained, certified and skilled manpower of healthcare workers who work side by side in providing the best care to the patient. The non medical staffs are also very helpful and help in maintaining the harmony of the ED. The ED is located on the ground floor of the CMCTH hospital building and is easily accessible to all. The infrastructure and equipments used for patient care and monitoring in the ED are of optimum standard. CMCTH ED has successfully been providing its services to the locals as well as patient from the remote parts of Nepal since its establishment without compromising the quality of care and is firm on providing standard care to those in need in future too.

Services:

A trained nurse will asses you as soon as possible after your arrival. Patients are seen in order of clinical priority and not arrival time. This means you will be seen very quickly if your condition needs it, but you may have to wait longer if your condition does not need urgent treatment.

Patients also receive specialist consultation from various specialty (cardiac, pulmonology, nephrology, gastroenterology and hepatology, psychiatry, neurosurgery, general surgery, orthopedic, uro-surgery, CTVS, maxillofacial, ENT, pediatrics, gynae &obs, etc) in the ED as required. The ED also provides services like suturing, fracture and joint manipulation, foreign body removal(ENT), etc under specialist’s care and guidance.

Procedure Performed in Emergency

• Arterial line insertion

• Posterior slab of upper and lower limbs

• Skin traction and plaster cast

• Wound dressing minor and major.

• Suturing of wound 

• Urinary bladder Catheterization

• Suprapubic catheterization

• Gastric Lavage

• Lumbar puncture

• Nebulization

• Oxygenation administration via nasal prong and mask 

• ECG monitoring per hour.

• Intubation

• Foreign body removal ear and nose.

• Nasal packing.

• Reduction of dislocation

• Chest tube insertion.

• NG tube insertion.

• GRBS through Glucometer

• Electrocardiography 12 Lead and defibrillation

• Blood Gas Analysis

Dr Daya Ram Lamsal

Professor

Dr. Muktinath Bhattarai

Professor

Publications

Ongoing Research

As an academic institution, it also offers post graduate training for GP(MDGP) and Emergency Medicine (HIEM). Multiple research work has been carried out at the CMCTH ED to aid evidence based practice. As a part of their quality improvement, post graduate trainees are conducting research works on various topics related to the Emergency Department. Below are topics of some ongoing research works at CMCTH ED: 

“Concept of Hand Hygiene among HCWs”

“ qSOFA score as a predictor of sepsis”

“ Utility of CURB 65 score in CAP”

“Utility of REMS in predicting in hospital mortality” etc.