Christchurch Earthquake - Trauma and some brilliant Side Effects
IWK undertakes its journey to further trauma management in New Zealand, read how this journey has developed and evolved to set the ball rolling on new initiatives.
‘Trauma’ is the disruption of the flow of life’s forces – spiritual (wairua), health (waiora), and rhythm of life (waiata). Health is regained when these life forces are able to flow again freely without impediments.
Ever since the fateful earthquake in Christchurch, Team IWK has been delving on wanting to make a significant contribution to not just the rebuild of Christchurch and supporting its people deal with the trauma they have experienced but also going forward, making a significant contribution in terms of the management of such a situation, anywhere in the country as and when it occurs.
We are all aware that New Zealand lies on the boundary between the Australian Plate and the Pacific Plate. Along these plates there are many faults, such as the Alpine Fault and the Wellington Fault. Every year the country has thousands of earthquakes, and about 200 are big enough to be felt. Since 1840 more than 450 people have died in large earthquakes in New Zealand. Along with this there are thousands that have been relocated and effected and even injured.
With this at the back of our minds and still searching to make some significant contributions to the country we now call home, Indian Weekender visited the Jai Prakash Narayan Trauma Center in New Delhi.
This multi-disciplinary center apart from providing holistic trauma care services also functions as a referral center. This is currently the best integrated level one trauma center in India and continues to set benchmarks in patient care not only nationally but also internationally. This multidisciplinary center apart from providing holistic trauma care services, has also become a “Role Model” for other trauma centers, in terms of conceptualization, project formulation and operation not just in India but internationally as well.?
Constructed at the cost of Rs 132 crores (approx. NZD 28 million) and spread over an area of 20,600 sq metres and seven storeys, the center has five operation theatres, 152 inpatient and 30 casualty beds, including 26 ICU beds to provide both pre-hospital and emergency care. The center also acts as a referral hospital, where patients sent by zonal public hospitals and satellite trauma centers will be observed and treated.?
With 957 staff, including doctors, resident doctors, nurses and technical staff from specialties like neurosurgery, orthopedics, cardio-thoracic and vascular surgery, general surgery and plastic surgery were initially recruited to make the trauma center functional. There is a helipad on top of the building for transporting critically ill patients.??The center is a medical boon for India, where road accidents have assumed epidemic proportions, with a death caused by road accident being reported every two minutes and at least 40% deaths occur on the roadside due to delay in treatment.?
As IWK was shown around this impressive centre, one could not but be amazed at the advancements that India has made in not just medicine but also its delivery to people. This hi tech facility is also completely paperless due to the state of the art IT and networking solutions at play. We also spoke to the heads of various departments including the man responsible for delivering the IT solutions to the centre and we will be bringing more details on these complete geniuses at work, in our subsequent issues. We cannot help but be proud of the advancements India is making in the delivery of healthcare to not just Indians but to the world.
The Journey Continues…….
As we continued our journey to add value to the trauma management services in New Zealand, we have been able to extend our hand in friendship to the INDO-US Emergency & Trauma Collaborative. Their Chief Executive Officer, Dr. Sagar Galwankar told Indian Weekender that INDO-US partnership exists at many levels in the field of medicine. For Emergency Medicine and Trauma this collaboration began as an academic effort between University of South Florida and SUNY Downstate in the United States and All India Institute of Medical Sciences along with Baroda Medical College-SSG Hospital in India. Today INDUSEM involves 61 Universities and Medical Institutions across India and the United States of America.
The partnership came into existence in 2005 at New Delhi, India. Academic Leaders from US and India shared similar blueprints regarding the development of the academic fields of Trauma and Emergency care in India.
The main mission of this partnership is to foster the growth of academic medicine in the fields of Emergency Care and Traumatology. The collaborative promotes exchange of knowledge and mutual development between Academic institutions in India and the United States Dr Galwankar told Indian Weekender.
He said “physicians go through a lifelong process of perfecting their learned practices. They learn these practices at their medical colleges. It is the medical colleges which award them their credentials. The birth place of any medical expert's expertise is the training institution hence if any new science has to be developed and taught the ideal sites are none other than medical colleges across India. The INDUSEM Leadership believe that the role of MCI recognized Medical Colleges and Academic Institutions is Crucial to develop the academic fraternity in Emergency and Trauma which by itself are new academic sciences to India. To forge ahead it was important that interested academicians meet and discuss science and policy and at the same time promote the specialty in India.”
The INDUSEM Collaborative continues to foster Academic Leadership in Educational Exchange and Cooperative Research via its Annual INDUS-EM Summit, ACET Assembly, Year Round training events and ongoing research initiatives. This will increases partnerships and unity by and between India and the United States. This unity will further the mission to establish Academic Emergency & Trauma Sciences across the world.
Meet the specialist
Dr. Sanjeev Bhoi
Dr. Bhoi graduated as a University gold medalist and is currently Additional Professor at the Department of Emergency Medicine at the JPN Apex Trauma Centre. This center is a part of the premier academic institute of India, which is the All India Institute of Medical Sciences (AIIMS).
He has been on various scholarships from the Government of India, Israel and the US. He received the prestigious Micheal Moles fellowship from world association of disaster and emergency medicine.
He is the Instructor for the ATLS® (Advanced Trauma Life Support) by American College of Surgeons, ACLS (Advanced Cardiac Life Support), AHLS (Advanced Hazmat Life Support Course). He is trained in point of care ultrasound and has created AIIMS Ultrasound trauma life support course,AIIMS Emergency sonography course and recently he has started AIIMS Disaster Ultrasound program as program director.
These courses are running across the country as well as Nepal, Srilanka and Iran. He was the organizing secretary of 7th world congress of emergency and critical care ultrasound.
Dr bhoi has started AIIMS community emergency care initiative since December 2009 and his team has trained 1400 Delhi police personnel on Cardiopulmonary resuscitation as a part of the Bystander Care program for Delhi Police in 2009 and till date, almost 3000 personals across the country. Dr. Bhoi has authored CPR in school curriculum of India from 7th standards.
He has started PhD program in emergency medicine at the AIIMS Trauma center and his area of interest is translation research in shock. Besides his clinical work, he is the Chairman of the Patient safety and additional medical superintendent of AIIMS Trauma center.
He has published widely in Emergency medicine, on use of Emergency Ultrasound, infectious diseases, respiratory and cardiac emergencies and has been a researcher in basic science projects and clinical studies, like the CRASH-2 trial.
He volunteer in the poorer and more vulnerable states of North Eastern India of Sikkim, Manipur and Assam and teaches Community Emergency care, in Basic Trauma support and CPR. He organizes regular emergency care mobile units in rural areas of Orissa state, India in the 'reach to the unreached mission' statement.
Dr. Sagar Galwankar
Emergency Medicine Physician?MBBS, DNB, MPH, Dip. ABEM (American Board Certified in Emergency Medicine), USA; ?National Board Certified in Internal Medicine (INDIA) American Masters in Public Health (USA)
?Dr. Sagar Galwankar completed his Bachelors in Medicine and Surgery from the University of Pune where he graduated with honors and distinction in Otolaryngology. He is Board Certified in Internal Medicine from the National Board of Examinations in India.
Following his specialization in Internal Medicine Dr. Sagar went on to train at the University of South Florida, USA in areas of International Health Diplomacy, Infectious Diseases and Emergency Medicine. He holds a Masters in Public Health from the University of South Florida and is a Board Certified Emergency Physician with the American Board of Emergency Medicine.??
Dr. Sagar’s academic and clinical career spans over a decade with experience in Education, Care and Research both in India and the USA.
He is extensively published, cited and honoured for his works in International Medicine, Public Health, Infectious Diseases, Emergency Medicine and Injury Sciences.
He has held various Leadership positions and is also the driving force behind many prestigious International Journals. He is the Founder and Chief Executive Officer of the INDO-US Academic Initiative for Emergency and Trauma as he continues to play a defining role in establishing Emergency Medicine as a separate specialty in India.??
Dr Sagar has appointments at the University of South Florida and University of Florida in Departments of Emergency Medicine, Internal Medicine, Global Health and Mental Health. His areas of Interest include Emergency Medical Intelligence, Health Policy, Injury Medicine, International Health, Humanitarian Assistance, Quality Health Care Delivery in Emerging Economies and Global Health Diplomacy.??His areas of Interest include Emergency Medical Intelligence, Health Policy, Injury Medicine, International Health, Humanitarian Assistance and Global Health Diplomacy.
Dr Sagar in his words says “I believe that Future is dependent on What is Done Today and How it is done Today. ??The role of the Worlds Largest and the Oldest Democracies namely India and United States is crucial for the future progress of transitional Economies and Peace across the Globe. ??Health is Definately an important part of this growth Story!”
A step further……
After having made these crucial strides in our quest, the Indian Weekender made its final pit stop at the office of the Minister of Science and Technology, Dr Harsh Vardhan. This was a complete honour and pleasure that the Minister gave us his time and blessings with what we discussed with him.
Enthused by what we had seen and had the opportunity to discuss, the Indian Weekender hopes that a collaborative such as INDUSEM can be established with New Zealand as well. We have a dream of being able to setup exchange programmes between the three countries where our physicians can meet and discuss the state of the art solutions in the delivery of trauma management and emergency services.
While we hope that the government of New Zealand will facilitate this step that the Indian Weekender hopes to become instrumental in initiating, we are currently in dialogue with these geniuses to ensure that a delegation is able to visit New Zealand as soon as possible and set the ball rolling on new possibilities that could come about from such a visit.
IWK undertakes its journey to further trauma management in New Zealand, read how this journey has developed and evolved to set the ball rolling on new initiatives.
‘Trauma’ is the disruption of the flow of life’s forces – spiritual (wairua), health (waiora), and rhythm of life (waiata). Health...
IWK undertakes its journey to further trauma management in New Zealand, read how this journey has developed and evolved to set the ball rolling on new initiatives.
‘Trauma’ is the disruption of the flow of life’s forces – spiritual (wairua), health (waiora), and rhythm of life (waiata). Health is regained when these life forces are able to flow again freely without impediments.
Ever since the fateful earthquake in Christchurch, Team IWK has been delving on wanting to make a significant contribution to not just the rebuild of Christchurch and supporting its people deal with the trauma they have experienced but also going forward, making a significant contribution in terms of the management of such a situation, anywhere in the country as and when it occurs.
We are all aware that New Zealand lies on the boundary between the Australian Plate and the Pacific Plate. Along these plates there are many faults, such as the Alpine Fault and the Wellington Fault. Every year the country has thousands of earthquakes, and about 200 are big enough to be felt. Since 1840 more than 450 people have died in large earthquakes in New Zealand. Along with this there are thousands that have been relocated and effected and even injured.
With this at the back of our minds and still searching to make some significant contributions to the country we now call home, Indian Weekender visited the Jai Prakash Narayan Trauma Center in New Delhi.
This multi-disciplinary center apart from providing holistic trauma care services also functions as a referral center. This is currently the best integrated level one trauma center in India and continues to set benchmarks in patient care not only nationally but also internationally. This multidisciplinary center apart from providing holistic trauma care services, has also become a “Role Model” for other trauma centers, in terms of conceptualization, project formulation and operation not just in India but internationally as well.?
Constructed at the cost of Rs 132 crores (approx. NZD 28 million) and spread over an area of 20,600 sq metres and seven storeys, the center has five operation theatres, 152 inpatient and 30 casualty beds, including 26 ICU beds to provide both pre-hospital and emergency care. The center also acts as a referral hospital, where patients sent by zonal public hospitals and satellite trauma centers will be observed and treated.?
With 957 staff, including doctors, resident doctors, nurses and technical staff from specialties like neurosurgery, orthopedics, cardio-thoracic and vascular surgery, general surgery and plastic surgery were initially recruited to make the trauma center functional. There is a helipad on top of the building for transporting critically ill patients.??The center is a medical boon for India, where road accidents have assumed epidemic proportions, with a death caused by road accident being reported every two minutes and at least 40% deaths occur on the roadside due to delay in treatment.?
As IWK was shown around this impressive centre, one could not but be amazed at the advancements that India has made in not just medicine but also its delivery to people. This hi tech facility is also completely paperless due to the state of the art IT and networking solutions at play. We also spoke to the heads of various departments including the man responsible for delivering the IT solutions to the centre and we will be bringing more details on these complete geniuses at work, in our subsequent issues. We cannot help but be proud of the advancements India is making in the delivery of healthcare to not just Indians but to the world.
The Journey Continues…….
As we continued our journey to add value to the trauma management services in New Zealand, we have been able to extend our hand in friendship to the INDO-US Emergency & Trauma Collaborative. Their Chief Executive Officer, Dr. Sagar Galwankar told Indian Weekender that INDO-US partnership exists at many levels in the field of medicine. For Emergency Medicine and Trauma this collaboration began as an academic effort between University of South Florida and SUNY Downstate in the United States and All India Institute of Medical Sciences along with Baroda Medical College-SSG Hospital in India. Today INDUSEM involves 61 Universities and Medical Institutions across India and the United States of America.
The partnership came into existence in 2005 at New Delhi, India. Academic Leaders from US and India shared similar blueprints regarding the development of the academic fields of Trauma and Emergency care in India.
The main mission of this partnership is to foster the growth of academic medicine in the fields of Emergency Care and Traumatology. The collaborative promotes exchange of knowledge and mutual development between Academic institutions in India and the United States Dr Galwankar told Indian Weekender.
He said “physicians go through a lifelong process of perfecting their learned practices. They learn these practices at their medical colleges. It is the medical colleges which award them their credentials. The birth place of any medical expert's expertise is the training institution hence if any new science has to be developed and taught the ideal sites are none other than medical colleges across India. The INDUSEM Leadership believe that the role of MCI recognized Medical Colleges and Academic Institutions is Crucial to develop the academic fraternity in Emergency and Trauma which by itself are new academic sciences to India. To forge ahead it was important that interested academicians meet and discuss science and policy and at the same time promote the specialty in India.”
The INDUSEM Collaborative continues to foster Academic Leadership in Educational Exchange and Cooperative Research via its Annual INDUS-EM Summit, ACET Assembly, Year Round training events and ongoing research initiatives. This will increases partnerships and unity by and between India and the United States. This unity will further the mission to establish Academic Emergency & Trauma Sciences across the world.
Meet the specialist
Dr. Sanjeev Bhoi
Dr. Bhoi graduated as a University gold medalist and is currently Additional Professor at the Department of Emergency Medicine at the JPN Apex Trauma Centre. This center is a part of the premier academic institute of India, which is the All India Institute of Medical Sciences (AIIMS).
He has been on various scholarships from the Government of India, Israel and the US. He received the prestigious Micheal Moles fellowship from world association of disaster and emergency medicine.
He is the Instructor for the ATLS® (Advanced Trauma Life Support) by American College of Surgeons, ACLS (Advanced Cardiac Life Support), AHLS (Advanced Hazmat Life Support Course). He is trained in point of care ultrasound and has created AIIMS Ultrasound trauma life support course,AIIMS Emergency sonography course and recently he has started AIIMS Disaster Ultrasound program as program director.
These courses are running across the country as well as Nepal, Srilanka and Iran. He was the organizing secretary of 7th world congress of emergency and critical care ultrasound.
Dr bhoi has started AIIMS community emergency care initiative since December 2009 and his team has trained 1400 Delhi police personnel on Cardiopulmonary resuscitation as a part of the Bystander Care program for Delhi Police in 2009 and till date, almost 3000 personals across the country. Dr. Bhoi has authored CPR in school curriculum of India from 7th standards.
He has started PhD program in emergency medicine at the AIIMS Trauma center and his area of interest is translation research in shock. Besides his clinical work, he is the Chairman of the Patient safety and additional medical superintendent of AIIMS Trauma center.
He has published widely in Emergency medicine, on use of Emergency Ultrasound, infectious diseases, respiratory and cardiac emergencies and has been a researcher in basic science projects and clinical studies, like the CRASH-2 trial.
He volunteer in the poorer and more vulnerable states of North Eastern India of Sikkim, Manipur and Assam and teaches Community Emergency care, in Basic Trauma support and CPR. He organizes regular emergency care mobile units in rural areas of Orissa state, India in the 'reach to the unreached mission' statement.
Dr. Sagar Galwankar
Emergency Medicine Physician?MBBS, DNB, MPH, Dip. ABEM (American Board Certified in Emergency Medicine), USA; ?National Board Certified in Internal Medicine (INDIA) American Masters in Public Health (USA)
?Dr. Sagar Galwankar completed his Bachelors in Medicine and Surgery from the University of Pune where he graduated with honors and distinction in Otolaryngology. He is Board Certified in Internal Medicine from the National Board of Examinations in India.
Following his specialization in Internal Medicine Dr. Sagar went on to train at the University of South Florida, USA in areas of International Health Diplomacy, Infectious Diseases and Emergency Medicine. He holds a Masters in Public Health from the University of South Florida and is a Board Certified Emergency Physician with the American Board of Emergency Medicine.??
Dr. Sagar’s academic and clinical career spans over a decade with experience in Education, Care and Research both in India and the USA.
He is extensively published, cited and honoured for his works in International Medicine, Public Health, Infectious Diseases, Emergency Medicine and Injury Sciences.
He has held various Leadership positions and is also the driving force behind many prestigious International Journals. He is the Founder and Chief Executive Officer of the INDO-US Academic Initiative for Emergency and Trauma as he continues to play a defining role in establishing Emergency Medicine as a separate specialty in India.??
Dr Sagar has appointments at the University of South Florida and University of Florida in Departments of Emergency Medicine, Internal Medicine, Global Health and Mental Health. His areas of Interest include Emergency Medical Intelligence, Health Policy, Injury Medicine, International Health, Humanitarian Assistance, Quality Health Care Delivery in Emerging Economies and Global Health Diplomacy.??His areas of Interest include Emergency Medical Intelligence, Health Policy, Injury Medicine, International Health, Humanitarian Assistance and Global Health Diplomacy.
Dr Sagar in his words says “I believe that Future is dependent on What is Done Today and How it is done Today. ??The role of the Worlds Largest and the Oldest Democracies namely India and United States is crucial for the future progress of transitional Economies and Peace across the Globe. ??Health is Definately an important part of this growth Story!”
A step further……
After having made these crucial strides in our quest, the Indian Weekender made its final pit stop at the office of the Minister of Science and Technology, Dr Harsh Vardhan. This was a complete honour and pleasure that the Minister gave us his time and blessings with what we discussed with him.
Enthused by what we had seen and had the opportunity to discuss, the Indian Weekender hopes that a collaborative such as INDUSEM can be established with New Zealand as well. We have a dream of being able to setup exchange programmes between the three countries where our physicians can meet and discuss the state of the art solutions in the delivery of trauma management and emergency services.
While we hope that the government of New Zealand will facilitate this step that the Indian Weekender hopes to become instrumental in initiating, we are currently in dialogue with these geniuses to ensure that a delegation is able to visit New Zealand as soon as possible and set the ball rolling on new possibilities that could come about from such a visit.
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