Emergency Medicine and Trauma Care is an integrated state-of-the-art department that specializes in delivering time-sensitive quality health care services for acute illness and injuries across the life course 24x7x365. The emergency care system that delivers these services extends from care at the scene through transport medicine and emergency unit care, and it ensures timely and effective access to operative and critical care when needed. Our services are reflected in our motto "Skills that heal, hearts that care".

Department history:

• An independent department of Emergency Medicine was formed in 2016. 
• The department organized its first National-level Conference – EM Genesis in 2018.
• The department offers post graduate training under National Board of Examinations in Medical Sciences (NBEMS) in Emergency Medicine since 2019. 
• Post Graduate Residents: 02 DNB (NBEMS) residents per annum
• The department has collaborated with various national and international organizations to host educational exchange programmes, researches and conferences.
• Community Outreach Programmes: Conducted National CPR Day on 06-12-23 in association with NBEMS & NMC.

ACADEMIC ACTIVITIES - PUBLICATIONS/ RESEARCH PROJECTS:

• Pawar, N., Majumdar, A., Nedungalaparambil, N. M., Nair, L., Sulaiman, J., Gupta, S., ... & Irwin, J. D. (2023). COVID-Somnia: A Multicentric Study on Sleep Disturbances During the COVID-19 Pandemic With Spatial Mapping of Hotspots. Cureus, 15(5).
• Gupta, A., Prasad, R., Abraham, S., Nedungalaparambil, N. M., Landes, M., Steele Gray, C., ... & Bhattacharyya, O. (2023). Pioneering family physicians and the mechanisms for strengthening primary health care in India—A qualitative descriptive study. PLOS Global Public Health, 3(6), e0001972.
• Gupta, A., Prasad, R., Abraham, S., Nedungalaparambil, N. M., Bhattacharyya, O., Landes, M., ... & Gray, C. S. (2023). The emergence of family medicine in India–A qualitative descriptive study. PLOS Global Public Health, 3(5), e0001848.
• Jogi, I. E., Mohanan, N., & Nedungalaparambil, N. M. (2021). Bedside Blood Transfusion–What Nurses Know and Perform: A Cross-Sectional Study from A Tertiary-Level Cancer Hospital in Rural Kerala. Asia-Pacific journal of oncology nursing, 8(2), 197-203.
• Wilson, W., Raj, J. P., Rao, S., Ghiya, M., Nedungalaparambil, N. M., Mundra, H., & Mathew, R. (2020). Prevalence and predictors of stress, anxiety, and depression among healthcare workers managing COVID-19 pandemic in India: a nationwide observational study. Indian Journal of Psychological Medicine, 42(4), 353-358.
• Kumar, R., Nedungalaparambil, N. M., & Mohanan, N. (2020). Emergency and primary care collaboration during COVID-19 pandemic: A quick systematic review of reviews. Journal of Family Medicine and Primary Care, 9(8), 3856.
• Menon, N. N., Kumar, R., Kumar, P., Gupta, P. P., Ng, V., Noguiná, E. K., & Maprani, J. J. (2020). Evaluating the effectiveness of cardiac arrest resuscitation short course (CARS) for rural physicians of Asia: The Rural Emergency Care Training for Physicians (RECTIFY) project. Journal of Family Medicine and Primary Care, 9(12), 6201.
• Maprani, J. J., KP, B. X., Nedungalaparambil, N. M., & Paulson, S. (2020). Sensitivity of Point of Care Ultrasound in Blunt Trauma Abdomen and Thorax at a Tertiary Care Center in Northern Kerala.
• Nambiar, K. M., Nedungalaparambil, N. M., & Aslesh, O. P. (2017). Studying the variability in patient inflow and staffing trends on Sundays versus other days in the academic emergency department. Journal of Emergencies, Trauma, and Shock, 10(3), 121.
• Nambiar, M., Nedungalaparambil, N. M., & Aslesh, O. P. (2016). Is current training in basic and advanced cardiac life support (BLS & ACLS) effective? A study of BLS & ACLS knowledge amongst healthcare professionals of North-Kerala. World journal of emergency medicine, 7(4), 263.

Services Offered:

The 48-bedded department is one of the largest academic Emergency Medicine facility available in Kerala spread over 20,000 sq.feet area. With a spacious ambulance bay, the department caters around 150-180 patients a day. The patients coming into the department are sorted according the priority of their illness in a well spacious and monitored triage zone into zones.  There is also a fast track zone for urgent care inside the triage zone itself. Exceptionally trained and qualified Emergency Physicians, Providers, Emergency Nurses and support staffs along with other collaborating departments form the strength of our patient care with an annual footfall of over 50000 patients.

• Advanced Cardiac Life Support 
• Advanced Hazmat Life Support 
• Toxicology management – Poisoning/ snake bites/ dog bites/ bee stings 
• Advanced Airway Techniques 
• Percutaneous transtracheal ventilation 
• Massive Transfusion therapy 
• Immobilization/splinting 
• Needle thoracostomy 
• Procedural sedation 
• Neuro-muscular blockade 
• Emergency Cardiac Procedures - High Quality Cardiopulmonary Resuscitation
• Peripheral venous access 
• Emergency Hemodialysis catheter insertion
• Advanced Ultrasound-Trauma Life Support 
• Vascular/ Doppler evaluation 
• Arterial blood gases 
• Slit lamp exam 
• Oral/ Nasal/ Aural Foreign body retrieval 
• Foley’s catheterisation
• Suprapubic aspiration 

• Advanced Trauma Life Support
• Decontamination 
• Anaphylaxis & Allergic reactions management 
• Endotracheal intubation 
• Needle Cricothyroidotomy 
• Wound management/ Suturing/ Dermal adhesives 
• Cervical immobilization
• Pleurocentesis
• Intravenous/ Intramuscular analgesic injections  
• Rapid sequence intubation 
• Transcutaneous cardiac pacing 
• Synchronized Cardioversion/ Defibrillation
• Central Venous Catheterization – Jugular/ Subclavian/ Femoral Access 
• Metabolic resuscitation 
• Lung Ultrasound 
• Ultrasound guided procedures 
• Lumbar puncture 
• Epistaxis control 
• Ocular Foreign body removal  
• Phimosis/ paraphimosis reduction

• Advanced Disaster Life Support services 
• Gastric lavage 
• Sepsis critical care 
• Mechanical ventilation 
• Surgical Cricothyroidotomy
• Closed reduction of fracture/dislocation
• Emergency tube thoracotomy 
• Incision and drainage
• Local anesthesia 
• Regional nerve blocks 
• Emergency Pericardiocentesis 
• Advanced Hemodynamic Monitoring 
• Advanced hemostatic measures/ cauterization 
• Point-of-care Diagnostic Procedures - Emergency 2D-Echocardiography 
• Biliary/ Renal evaluation 
• Hemodynamic monitoring – Shock resuscitation 
• Nasogastric/oral gastric tube aspiration 
• Laryngoscopy 

Advanced Technologies/ Facilities Available:

• Portable Ventilators
• Biphasic defibrillators with cardiac pacing 
• Portable bedside ultrasonography (POCUS) 
• All emergency equipments and pharmacotherapy 
• Triage area 
• Trauma bay 
• Minor procedure room 
• Code system with CPR team and shock room exclusively for trauma care and cardiac arrest patients 
• 24X7 D-level ambulance services and ambulance control room 
• 24x7 Point-of-Care Laboratory services

• Multiparamonitors 
• Mobile X-Ray unit 
• Emergency CT suite 
• Hydraulic/adjustable beds 
• Isolation area for infectious diseases 
• Emergency Operation Theatre 
• Electro cautery 
• Decontamination Room 
• 24x7 Pharmacy 

“Emergency Medicine on Wheels” is a novel concept to provide quality Emergency care to the community. For accomplishing this, we have our advanced critical care Level-D ambulance with world class facilities and equipments with telecommunication facility which is first of its kind in India. Through this system, with our emergency medical team including the emergency medical technicians, the department is able to provide trauma and medical care to patients at their doorstep and also inter-hospital transport and road side assistance.

Round the clock services of medical social workers / public relation officers are made available for supporting patients and patient bystanders.

Bed capacity of the emergency medicine department: 48

Contact details

Department of Emergency Medicine
MOSC Medical College, Kolenchery, Ernakulam Dist., Kerala

PRO / MSW on call number: 0484 3056939

In case of any emergency, anyone could contact:     0484 2885222 / 2885233 / 2886940.