Mandatory internship on emergency care for docs.
PERTURBED with the fact that most doctors are not well- aware of the precautions to be taken while transferring a patient to a hospital during emergency, the Union Health Ministry is going to include a mandatory internship on emergency care at the MBBS level.
" Indian doctors are adept in specialty and super specialty streams of medicine, but many of them are unaware of the basic norms that need to be followed in emergency situations. We want to teach all the MBBS students emergency and trauma skills," said Dr Jagdish Prasad, Director General of Health Services ( DGHS), Ministry of Health & Family Welfare.
" The key studies in this internship will include assessment and medical management
management of serious medical and surgical emergencies causing loss of life. There are situations where the doctor knows that the patient needs to be hospitalised as soon as possible but doesn't know of the precautions that need to be taken while taking the patient to the hospital," said Dr Prasad.
Doctors say that the most common emergencies are cardiac failure, Ketoacidosis ( a metabolic state associated with high concentrations of ketone bodies, formed by the breakdown of fatty acids and the deamination of amino acids), respiratory emergencies etc.
" The internship will be made mandatory for all students, both in private and government institutes. The Centre is planning to set up 67 laboratories to provide such training. The training will be imparted to MBBS doctors under the national life support emergency treatment programme," said Dr Prasad.
" We are also publishing a book on it. We have roped in a doctor, who is based in England. We have designed a programme called ABCD of the emergency medicine wherein A stands for Airway related emergency, B stands for Burning related emergency, C is for Circulation related emergency and D denoting Drowning related emergency," he said.
" This kind of training is currently not a part of the MBBS curriculum. This will help in strengthening the emergency care system in the country," ministry officials have said.
Compared to better established emergency medical care systems in other developed countries, the emergency medical services in India is still in nascent stage. A survey on road traffic accidents in India shows that there is a vehicular accident every three minutes and death every ten minutes. In addition, other trauma related deaths occur every second minute. Road traffic accident is the ninth leading cause of mortality and is expected to be the third major cause of death in the country by 2020 according to World Health Organisation.
The National Health Policy has also emphasised on the emergency care services needed in the country. " The government has come up with schemes in which trauma and accidents are being handled better but other emergencies too need to be taken care of. This internship will serve the purpose," said Dr Prasad.
MBBS students to be taught trauma management skills
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