World Bank under Indian Development Market Place 2014 awarded GVK EMRI, to build capacity of the already existing staff at the Emergency department through a special cadre of personnel called the Emergency Room Technician (ERT) in the states of Assam, Meghalaya and Mizoram. GVK EMRI conducted training need assessment in the three States of Meghalaya, Assam and Mizoram. Number of issues has been observed in emergency units/ Casualty in secondary level institutions, where the first four issues namely clinical hand over process, delays in initiation of definite care interventions, suboptimal patient assessment and delays in advanced stabilization accounts to more than 80%. GVK EMRI also organized a curriculum development workshop in all the 3 states of Meghalaya, Assam and Mizoram.
The workshop was attended by experts from across all the three states to develop a curriculum for training of the ERT. A total of 93 Health care providers attended the training out of which 54 were from Assam, 29 from Meghalaya and 10 were from Mizoram. The training program was started on the 5th January 2015 till the 28th March 2015. Post training all the trainees were place in their respective working center for monitoring and evaluation. Retrospective and prospective study of EMS dispatches and ambulance patient care record for Trauma Vehicular and Chest pain patients brought to the District Hospitals by 108 were studied (Pre intervention period: April 2014 – October 2014, Post intervention period: April 2015 – October 2015). In the study done for trauma vehicular cases it is found that there has been an increased in the number of cases hand over in within 10 Minutes from 51% (Pre ERT intervention) to 79% (Post ERT intervention) an increase by 28%. Similarly in the study done for Chest pain cases it is found that there has been an increased in the number of cases hand over in within 10 Minutes from 46% (Pre ERT intervention) to 88% (Post ERT intervention) an increase by 32%.
GVK EMRI organized the first dissemination workshop at Aizawl on 26th February 2016 followed by a Regional workshop Shillong, Meghalaya on the 29th April 2016. The last and concluding workshop was held at Guwahati on the 8th November 2016 in presence of Dr. Ilias Ali ,HOD ,department of Emergency Medicine , Guwahati medical College and Hospital and Dr. Hussain Ahmed, Assistant Professor ,department of Surgery, MMCH . The main aim of the workshop was to share the result and impact of the project. The workshop was attended by officials from the Health and Family Welfare department, Government of Assam, senior doctors from Government and ERTs from Assam. GVK EMRI was represented by Dr. Ramana Rao, Director EMLC (Emergency Medical and Learning Center) GVK EMRI, Mr. Santanu Sarma, State head GVK EMRI, Assam, Dr. Tiameren Jamir, the EMLC Head of GVK EMRI Meghalaya and Project coordinator and Dr. Manoj Kumar Sarma, EMLC Head of GVK EMRI Assam. In his welcome speech the state head Mr. Santanu Sarma expressed his gratefulness to the Govt. of Assam to their support throughout the project period.
Dr. Ramana Rao exhorted the delegates gathered to continue the good work in the field of emergency care at the district level. He reminded the gathering of Dr. APJ Abdul Kalam’s message of taking health care to the last mile. A brief report of the project was presented by Dr. Tiameren Jamir.
Dr. Hussain Ahmed stressed on the importance of Training in emergency care and having refresher training at regular interval.
Dr. Ilias Ali, Head of Emergency Medicine GMCH stressed on the importance of emergency medicine development in India and it’s relation to pre hospital care. He also mentioned that skill development of personnel and their deployment in emergency room across the state would go a long way in optimizing emergency care in the state. The program ended with thank you note from Dr. Manoj Kumar Sarma, Head EMLC GVK EMRI, Assam