frontlinER Issue #001 January 2025

AHPI AWARD FOR EXCELLENCE IN EMERGENCY SERVICES 2025

Narayana Health City - Emergency Department

Quarterly Newsletter
Dear Emergency Team,

Congratulations on launching your newsletter dedicated to

healthcare emergency services—a remarkable initiative that will In this newsletter:
surely inspire and educate many.
Over the years, your team has saved the lives of countless
individuals, embodying the very essence of compassion, skill, Eme
Emergency
and dedication. You have honed the art of saving lives to near
perfection, and for that, you have my utmost admiration.
Department &
However, one of the greatest challenges we face today is the Infrastructure
delay in reaching those in need. It is critical that we
communicate a simple but powerful message to every citizen: 6 Hi-
Hi-Octane
“Time saves lives.”
Emergency
When faced with someone gasping for breath or in critical
distress, the priority must be immediate action. Don’t wait for Department case
the perfect ambulance to arrive. Administer resuscitation and trailers
transport the patient in any available vehicle to the nearest
well-equipped emergency room. This prompt response can
mean the difference between life and death. Departmen
Department
It is a privilege to work alongside such a dedicated team, Vision 2025
striving every day to make the world a better, safer place. Your
relentless efforts and unwavering commitment inspire us all. A message to the
Good luck with your newsletter and your ongoing mission to
save lives. May you continue to touch lives and make a Community
profound difference.
Spotlight on:
Warm regards and blessings,
Dr. Dilip Kamat
Dr. Arjun Alva

Emergency Contacts
Dr. Devi Prasad Shetty
Founder & Chairman, Narayana Health
Our Emergency Department & Infrastructure

• Over a Decade of Emergency Care & Academics • Monitored Pain management protocols
• 2000 bedded facility with 2 Emergency departments ▪ 50% Pain reduction in one hour with 100%
▪ Cardiac Emergencies compliance
▪ Multi system / speciality Emergencies • Boarding Time 4 hours - >90% compliance
▪ Over 50 dedicated Emergency beds • Training Programs on Basic life Support & common
Emergencies for the community
▪ 24/7 service by trained Emergency specialists led
by Ten Faculty members ▪ Regular in-hospital National Cardiac Life Support
and National Trauma Life Support training programs
• Triaging process to prioritize Emergencies
▪ Over 1500 trained per year
• Codes for life threatening emergencies
• Cutting edge Emergency Medical Services with trained
▪ Multidisciplinary timed protocols
paramedics and Emergency doctor dispatch for critically
• Periodic Mock Drills for patient safety and care ill patients
• Patient to Doctor assessment initiation time is less • Advanced and efficient Critical Care Department for
than 1 minute continuity of care
• 100% Electronic Medical Records for better access to
complete patient history and management
• Upholding patient rights and responsibilities
Dr. V. Viju Wilben
• Dynamic monitoring of Quality indicators Program Director & Clinical Lead
Emergency Department

Grace under pressure: Navigating a high risk airway with fibre optic intubation
- Dr. Cheangaivendan C
A rare presentation of spontaneous drug-induced sublingual hematoma in a patient on warfarin, leading to airway
obstruction. Management involved successful awake nasal fiber-optic intubation, anticoagulation reversal with FFP and
Vitamin K, and adherence to difficult airway protocols. The patient recovered fully, emphasizing the importance of calm
planning and backup strategies.
“Awake fiberoptic intubation with
“Failing to plan is planning to fail.”
planning and backup ensures success.”

Dr. Harish B R Dr. Saurav Mahanta

Senior Consultant Consultant
Department of Anesthesia Emergency Department

High-risk inter-hospital transfer: A race against time

- Dr. Chalasani Naren Chand
A case involving the seamless coordination of trauma care from the high-risk transfer to emergency resuscitation and
life-saving surgery. A middle-aged man with critical injuries survived due to exceptional teamwork, Massive Blood
transfusions, expertise, and resilience across all stages of care, showcasing the power of dedication in saving lives.
“Massive blood transfusion is important!! “Delivering life-saving care in a fast-paced
However, ‘Hemorrhage Control’ is Priority.” ambulance is always a formidable challenge.”

Dr. Ravi D R Vinil Kumar C C

Consultant Senior Manager
Department of Plastic Surgery Emergency Department

Resilience under fire: The power of team work !! Multiple casualities

- Dr. Lebin S P
In a grueling 90-minute multiple casualty scenario, the Narayana Health City Emergency Team managed six critical trauma cases
with exemplary teamwork, resource efficiency, and resilience. Their seamless coordination ensured timely resuscitation,
imaging, and definitive care, transforming chaos into a testament to preparedness, empathy, and the core principles of
emergency medicine.
“Effective teamwork in “Advances revolutionized
emergencies ensures trust, polytrauma care; Emergency teams
collaboration, and success.” prioritize and stabilize.”
Dr. Komal Prasad Dr. Purushotham Lal
Senior Consultant Consultant
Department of Neuro Surgery Department of Orthopedics
An inadvertent chemical exposure
- Dr. Aswin
A young male experienced accidental chemical inhalation, leading to conversion into a rare and life-threatening toxicity with
severe symptoms including CNS depression and metabolic acidosis. Swift emergency identification along with
multidisciplinary management ensured recovery. This case underscores the importance of preparedness, teamwork, and
continuous learning in managing critical chemical exposures in emergency medicine.

"Recognizing toxidromes is key to “Prompt recognition and antidotes

saving lives in poisoning." ensure recovery.”

Dr. Reshma G K Dr. Vimal Bhardwaj

Jr Consultant Consultant
Emergency Department Department of Critical Care

Late presentation, urgent action: A life-saving journey through post-cesarean hemorrhage

- Dr. Eddala Venkata Prasanth
A case of secondary postpartum hemorrhage (PPH), presenting 40 days post-cesarean, highlights the life-saving potential of
rapid multidisciplinary care. Severe bleeding was managed with massive transfusion, uterine artery embolization, and
intensive care, ensuring stabilization and recovery. Prompt coordination between emergency, gynecology, and radiology
teams underscores the importance of swift, team-based intervention in PPH emergencies.

“Swift teamwork transformed into "Timely decisions and intervention

a success story.” saved the mother”

Dr. Sapna Raina Dr. Dheeraj Tiwari

Senior Consultant and Head of Department
Senior Consultant and Head of Department
Department of Interventional Radiology
Department of Obstetrics & Gynecology

A slow heart rate requiring a fast paced treatment

- Dr. Nag Praneeth Konda
A case of severe bradyarrhythmia with complete heart block highlights the life-saving impact of protocol-driven management
and cohesive teamwork. Timely interventions, including atropine, adrenaline, transcutaneous pacing, and permanent
pacemaker insertion which led to a successful stabilization and recovery, demonstrating the importance of systematic care
and multidisciplinary coordination in critical care scenarios.
“This case highlights the need of an alert, "Continuous training transforms
vigilant and experienced Emergency team, knowledge into instinct,
in comprehensive cardiac emergency care.” inspiring confident Emergency teams."

Dr. Srikanth K V Dr. Neeharika Duggal

Senior Consultant Consultant
Department of Cardiology Emergency Department

Vision - Emergency Department 2025

"Our Emergency Department (ED) is dedicated to providing prompt emergency care to patients while empowering our
community with life-saving skills. We are committed to shaping the future of emergency medicine through academic
excellence and advanced training."
• Patients • Residents
- Prompt Emergency Care - Simulation Based Training
- Community Training Workshops - Research Participation
Key Pillars for - Patient Education Initiatives - Mentoring Program
Narayana Health City
ED Vision 2025: • Staff Nurses • Quality
- Transparent Feedback Loops - Patient satisfaction Feedback system
- Peer Mentorship - Time-To-treatment Reduction
- Nurse Excellence Recognition - Quarterly Quality Audits

Achieving our Vision 2025 depends on the dedication of every team member and collaboration across all departments.
Spotlight

I am Dr. Dilip Kamat, Director Operations at Mazumdar Shaw Medical Center, driven by a
passion for healthcare and enhancing patient outcomes. With a background in leading
Emergency Medicine departments, my journey has taught me the importance of resilience,
adaptability, and keeping patient care at the core of every decision. I stay motivated by the
positive impact we make daily, drawing strength from teamwork and collaboration. Outside
Dr. Dilip Kamat work, I enjoy time with my family, reading, and traveling. To the Emergency Medicine team,
Director- Operations thank you for your dedication—together, we can continue transforming healthcare and
Mazumdar Shaw Medical Centre setting new standards in emergency care.

As the Director of Adult Critical Care and Emergency Medicine Services, I have worked with
exceptional teams to deliver unparalleled patient care at Narayana Health. My journey from
anaesthesiologist to intensivist has been enriched by the Emergency Medicine department's
partnership. Dr. Devi Prasad Shetty's leadership has inspired my professional journey. It is a
privilege to be working in Narayana Health alongside my multidisciplinary talented team who
motivate me in fostering a positive and supportive work environment. Outside of work, I
Dr. Arjun Alva enjoy sports and spending time with family and friends. My advice to healthcare
Director - Adult Critical Care &
Emergency Medicine Services professionals is to prioritize teamwork, effective communication, and continuous medical
education to achieve optimal patient outcomes.

Message for Our Community

1. Who is a “First Responder”? 3. “ONE” important life saving tip to remember.

- A first responder is anyone, including yourself, who -Hands Only CPR
takes immediate action to help during an emergency
until professional help arrives. Hands-only CPR is a life-saving technique where you
push hard and fast in the center of the chest to keep the
heart pumping during a cardiac arrest.
2. What is “First Aid”?
- First Aid is the quick help anyone can give to someone Hands-Only CPR can double or even triple a victim's chance
who is sick or hurt to keep them safe until a doctor or of survival in Cardiac Arrest.
ambulance arrives.

Hands-Only CPR saves Lives

Atleast 100-120
chest compressions
per minute

If a person is Call Push Hard

unconscious & not Emergency &
Until Scan the QR code
help arrives to unlock the full story
breathing normally Number Fast
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WITH YOU
N E A R YOU
Narayana Emergency Ambulance Response

24 7 One number for all medical needs

180 0309 0309

Narayana Health City, Bommasandra, Bengaluru Take Care