Emergency Department
Level 1 - Emergency Reception Area
Level 1 - Counter Tables 02 manned by Junior &Senior Resident on duty
Level 1 - 05 Couches for reception, initial assessment, Rx of the patient
Level 1 - Sister’s room
Level 1 - Dressing and first aid room near Casualty Medical Officer’s room
Level 2 – Emergency Ward with capacity of 30 Beds and Sisters counter
Level 3 –Fully equipped Emergency Operation Theatre Complex having 03 OT
Tables, 04 Electrocautery Units, 04 Suction apparatuses, 02 Autoclave
machines, 01 Sigmoidoscope. In addition, it has space/rooms for
Changing, scrubbing, stores, retiring rooms for surgeons,
anaesthetists and paramedic staff.
Level 3 - Senior Resident’s room
Availability of Lift, Ramp and stairs in the vicinity for easy transport of the patient.
Surgical emergency patients are first assessed in the surgical casualty reception area on the ground floor and are seen by Senior PG/Senior Resident and first aid and plan of investigations is made. The Consultant on call conducts 2-3 rounds daily the last being late in the evening and is always available on call after working hours. The senior faculty of the particular unit for the day is always available for the emergency if the need arises. The patients after overnight stay are shifted to the wards for further management.
List of Emergency Surgeries commonly performed
S. No.
|
PROCEDURE
|
DIAGNOSIS
|
1.
|
EXPLORATORY LAPAROTOMY
|
PERFORAION PERITONITIS
(DUODENAL, JEJUNAL, ILEAL, COLONIC, RECTAL, BILIARY, URINARY)
|
SOLID ORGAN TRAUMA
(LIVER, SPLEEN, PANCREAS, RENAL, ADRENAL, BLADDER, GIT)
|
INTESTINAL OBSTRUCTION
(MALIGNANCY, VOLVULUS, MALROTATION GUT, HERNIAL, TUBERCULAR, MEGACOLON)
|
ANY OTHER CAUSE (e.g UPPER/LOWER GI BLEEDING)
|
2.
|
APPENDECTOMY
|
ACUTE APPENDICITIS
|
APPENDICULAR ABSCESS
|
3.
|
TUBE THORACOSTOMY /
THORACOTOMY
|
HEMO/PNEUMOTHORAX, LUNG CONTUSIONS/LACERATIONS
|
4.
|
INCISION & DRAINAGE
|
BREAST ABSCESS
|
PERINEAL ABSCESS
|
ANY OTHER ABSCESS
|
5.
|
SUPRA-PUBIC CYSTOSTOMY
|
URINARY RETENTION
|
URETHRAL TRAUMA
|
6.
|
POST TRAUMA LACERATIONS
|
SUTURING UNDER LA
|
7.
|
EXCISION
|
INFECTED S/C CYSTS, LESIONS
|
8.
|
REPAIR
|
PENILE FRACTURE
|
PARAPHIMOSIS
|
9.
|
MISCELLANEOUS
|
VARIOUS CONDITIONS
|