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HEALTH SYSTEM STRENGTHENING FOR
EMERGENCY CARE/ POST CRASH RESPONSES
GOVERNMENT OF WEST BENGAL
ACTION PlAN FOR STRENGTHENING
EMERGENCY CARE/ POST CRASH RESPONSES.
Health & Family Welfare Department. Swasthya Bhawan, GN-29, Sector –V, Salt Lake City, Kolkata – 700 091.
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Table of contents
1. Executive summary 3 2. Introduction 4 3. Guidelines 9 4. Steps taken by Govt. of West Bengal for Emergency Care/ Post Crash
Responses. 12
5. Identification of Institution for trauma care facility 12 6. Locating trauma care facility bases on Geospatial analysis 45
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Executive summary
People with life-threatening, but potentially treatable injuries are up to six times more likely to die in a state with no organized, resourced trauma system. This evidence across the globe and various authentic studies forms the context of this proposal. The standards and guidelines used for preparing this proposal include:
a) Capacity building for developing trauma care facilities on National Highways operation guidelines 2014.
b) WHO Guidelines for Essential Trauma Care for Low and Middle income coumtries,2004. c) “ Resources for optimal care of the injured patient”, by ACS ( American College of
Surgeons ) committee on trauma 2011. d) Concept note on trauma care by MOHFW, GoI, 2012. e) Discussion note at the National workshop on Critical appraisal of emergency responses
in the country. ( August 6& 7) Prepared by NHSRC. f) Report of the working group on Emergency care in India, 2012 Ministry of Road
transport & highways, Govt. of India.
Based on these gap analysis was done in the selected institutions are budget proposal prepared accordingly. The budget abstract for setting up of three levels of trauma care facilities ( as per mentioned above ) are:
Proposal submitted to GoI for support under 12th FYP Level 3 trauma centres 6 Level 2 trauma centres 2
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Introduction Background:
Global:
According to WHO’s Global Burden of Disease Project, road traffic accidents (RTA) cause over 1.27 million deaths an year. Traffic injuries affect all age groups, but their impact is most striking among the young. Road Traffic injuries are consistently one of the top three causes of death for the people aged 5 to 44 years. (1)
While road traffic death rates in many high income countries have stabilized or declined in the recent decades, data suggest that in most regions of the world the global epidemic of RTAs still increasing. It is estimated that unless immediate actions are taken road deaths will be the fifth leading cause of death by 2030, leading to estimated 2.4 million deaths per year.( 1,2). In addition to mortality, Road traffic crashes injure or disable 20 million and 50 million people a year.(3)
Over 90% of the world’s fatalities on the roads occur in low-income and middle-income countries, which have only 48% of the worlds vehicles (4). In low-income and middle-income countries, the most vulnerable road users are pedestrians, cyclists and users of motorized two wheelers.(4)
Traffic accidents are the largest cause and accounted for 14% of male and 5% of female deaths of global mortality in people aged 10- 24 years.(5) road traffic injuries are predicted to become the third largest contributor to the global burden of disease by 2020.(6)
Indian scenario:
In India, accidental injury is one of the leading causes of mortality and morbidity. India has just one percent of total vehicles in the world but accounts for six percent of total road accidents. There are approximately 400,000 road accidents in the world in 2008 was reported by India (1,19,860) followed by China (73,484) : ( World road statistics 2010). By 2020 road accidents will be a major killer in India accounting for 546,000 deaths and 15,314,000 disability-adjusted life year lost.(6)
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West Bengal:
Number of cases if road accidents in West Bengal in 2013- was 16,549 in 2012 it was 15608 & death due to road accidents in 2013 was 5,827& in 2012 it was 6222. Rate of death due to road accidents had been decreased from 39.9 (in 2012) to 35.2 (in 2013).
Accidental death rate was highest in Asansol ( 94.0) among 53 megacities. Asansol has reported 349.2% increase in accidental deaths (from 260 in 2012 to 1,608 in 2013 among 53 mega cities. Kolkata, the third largest city in terms of population among 53 mega cities after Mumbai and Delhi, reported accidental death rate 5.8 % as compared to 44.7% reported in Mumbai and 36.1% reported in Delhi city.
Table- No. of Road traffic accidents and Deaths in Second quarter of the year 2014 in different hospitals of West Bengal.
Name of the Hospitals.
Total number of road traffic accident ( RTA) cases admitted
Total deaths due to road traffic accidents ( RTA)
Alipurduar DH 247 3 Arambagh SDH 252 10 Asansol DH 60 9 Ashokenagar SGH 7 0 Baghajatin SGH 0 0 Balurghat DH 503 5 Barahnagar SGH 13 0 Barasat DH 424 10 Basirhat DH 80 3 Belur SGH 0 0 Bhatpara SGH 3 0 Bijaygarh SGH 0 0
Birpara SGH 56 5
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Name of the Hospitals. Total number of road traffic accident ( RTA) cases admitted
Total deaths due to road traffic accidents ( RTA)
Bishnupur DH 157 1 Bolpur SDH 42 0 Bongaon SDH 311 3 Canning SDH 49 2 Chakdaha SGH 0 0 Chanchol SDH 51 0 Chandan0gar SDH 31 0 Contai SDH 173 3 Darjeeling DH 9 0 Diamond Harbour SDH 165 5 Digha SGH 64 0 Dinhata SDH 48 2 Domkal SDH 47 0 Durgapur SDH 138 6 Egra SDH 65 3 Fort Gloster SGH 2 0 Gabberia SGH 15 0 Garden Reach SGH 0 0 Ghatal SDH 59 7 Habra SGH 0 0 Haldia SDH 53 4 Hooghly DH 261 5 Howrah DH 200 11 Jalpaiguri DH 509 4 Jangipur SDH 271 7 Jhargram DH 110 1 Kaliagunj SGH 0 0 Kalimpong SDH 47 0 Kalna SDH 32 1 Katwa SDH 193 0 Kharagpur SDH 127 2 Khatra SDH 5 0 Kurseong SDH 11 0 Lalbagh SDH 108 0 Mal SDH 32 1 Mathbhanga SDH 150 1 Mekhligunj SDH 4 0 MJN DH 221 4
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Name of the Hospitals. Total number of road traffic accident ( RTA) cases admitted
Total deaths due to road traffic accidents ( RTA)
MRBDH 169 6 Nadia DH 504 12 Naihati SGH 34 2 Panihati SGH 16 0 Raghunathpur SDH 53 1 Raigunj DH 635 15 Rampurhat DH 229 2 Ranaghat SDH 51 6 Salt Lake SDH 20 1 Shantipur SGH 0 0 South Howrah SGH 0 0 Sree Balaram SGH 8 0 TLJ SGH 46 0 Tamluk DH 293 9 Tehatta SDH 25 0 Toofangunj SDH 64 1 Udaynarayanpur SGH 26 1 Uttarpara SGH 38 1 Vidyasagar SGH 16 0 Walsh SDH 70 3 Uluberia SDH 299 8 Gangarampore SDH 119 2
Trauma care as primary determinant of death following RTA:
People with life-threatening but potentially treatable injuries are up to six times more likely to die in a country/ state with no organized trauma system than in one with an organized, resourced trauma system (8).
Much of the improvement in patient’s outcome in higher countries has come from improvements in the organization of trauma care services (13-14). Evidence from developed countries indicates that properly coordinated early rescue and retrieval system together with appropriate early, in-hospital trauma management will prevent 15-30% of road crash deaths.(14)
Scope for reducing mortality in road accidents:
Guiding Principles:
All deaths are not preventable. Following a road traffic accident, serious injuries to cardiovascular or central nervous system may result in death of the accident victim that medial intervention can’t help. About 50% of the victims in this category die in the first 15 minutes. Decreasing mortality in this group can be achieved only by introducing strategies that prevent
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recurrence of similar incidents or through safety devices that reduce the magnitude of injuries.15% of late deaths over the next 30 days from the date of accident are due to sepsis and organ failure usually caused by complications arising from the injury. The deaths can be minimized by appropriate post injury care (8-14).
Second peak:
Between these two groups is the second peak, wherein death occurs between one to four hours after the injury. This middle category is of particular interest to the health administrator since most of these deaths are amenable to medical intervention and thus potentially preventable. Second-peak deaths are commonly caused by such things as air or blood trapped in the pleural cavity, airway problems, intracranial hemorrhage, and acute blood loss following major fractures or abdominal injuries. 35% among them die within first hour of the injury (the golden hour), many live can be saved. The key principle for this category is to provide initial stabilization to the injured within the golden hour. The time between injury and initial stabilization is the most critical period in the patient’s survival.
Basic education, standardized training, institution of safety norms, improved road conditions, lighting, legal measures, creation/ upgradation of trauma care facilities, rapid transportation of the trauma victims etc have been the time tested and established norms for reduction in trauma related to road accidents.
Any sustainable system of essential trauma care across the globe has been made by the addressing the entire spectrum of the development of systems of trauma management. This involves-
1. Pre-hospital care/out of hospital care. 2. Transport of RTA victims to hospitals (including ambulance care network/ EMS). 3. Strengthening of hospital for essential trauma care:
a. Physical resource: Infrastructure, Equipment and Supply. b. Human resources: Staffing and Training. c. Process: Organization and administration.
4. Organizational functions for monitoring and promoting trauma care services.
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Towards a comprehensive trauma care system for West Bengal state:
Strategy and progress till date:
1. The requirement of ambulance points, initial reception centres (Level-2 & Level-3) were assessed by considering following determinants.
a. Accident prone areas (black spots) in each district (police station vise) availed from State crime records Bureau.
b. Proximity to National and State highways for access following RTAs. The shape file of the road network including NH/SH and other roads were used for this.
c. The expected level of services which can be realistically achieved at each of the hospitals considered.
2. Evaluation of the existing facilities and upgradation of the identified centres and designating as LEVEL-I, II & III to provide one or more specified levels of trauma care services.
Accident Black spots in West Bengal ( accounting for 90% of the road accidents deaths)
Sl. No Name of the Hotspot Name of the district 1. Khana Junction Burdwan 2. Panagarh Bazar Burdwan 3. Kanchi Purba Medinipur 4. Dankuni Hooghly 5. Ankurhati Xing Howrah 6. Nababhut Burdwan
Guidelines & standards for Essential Trauma care:
Until recently, no set of standards existed to guide trauma system development in Low and Middle Income Countries (LMIC). Considering the economic realities in LMICs, it is not advisable to accept recommendations from high-income countries verbatim. In an effort to provide recommendations tailored to the needs of LMICs, the Essential trauma Care Project was established by the World Health Organization and the International Society of Surgery, (18, 19). The recommendations of the working group have been published by the WHO in the Guidelines for Essential Trauma Care for Middle income countries in 2004 (20). These Guidelines standards serve as flexible template to assist ministers of heath of different states and individual facilities in the planning and optimization of their trauma services, so as to improve both survival and functional outcome of accident victims. (20)
The guideline was adopted scientifically by MoHFW to suit the condition in our country; hence the gap analysis conducted as part of this project preparation is primarily based on Operational guidelines by MoHFW, GoI.
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Apart from the above mentioned , few other documents were also relied up for evolving an evaluation protocol and an action plan for phased upgradation of health system preparedness in the state for essential trauma care services. These includes:-
1. “Resource for optimal care of the injured patients”, by American College of Surgeons committee on trauma.
2. Concept note on trauma care by MoHFW, GoI, 2012. 3. Drafts for discussion at the National Workshop on critical appraisal of emergency
responses in the country. August 6&7, 2012. Prepared by NHSRC.
Designated levels of Trauma Care as per MoHFW, GoI
Level IV Trauma Care
Level IV trauma care would be provided by a mobile hospital ambulance manned by a driver and Emergency Medical Technician who would evaluate and provide first aid/ basic life support while transporting the trauma patient to the nearest identified trauma centre.
Level III Trauma Care
Level III trauma care provides initial evaluation and stabilization to the trauma patients. Comprehensive medical and surgical inpatient services would be made available to those patients who can be maintained in a stable or improving condition without specialized care. Emergency doctors and nurses are available round the clock. Physiacians, surgeons, orthopedic surgeon and anaesthesist would be available round the clock to assess, resuscitate, stabilize and initiate transfer care facility, diagnostic capability, blood bank and other supportive services. The district /Sub Divisional/ State General Hospitals with a bed capacity of 100 to 200 beds are selected for Level-III care.
Level II Trauma care
Level II Trauma care provides definitive care for serve trauma patients. Emergency physicians, surgeons, orthopedic surgeon and anaesthesist are in house and avail to the trauma patients immediately on arrival. It would also have oncall facility of neurosurgeons and paediatricians. The centre would have well equipped Emergency department, ICU, Blood bank, rehabilitation services, broad range of comprehensive diagnostic capabilities and support services. The hospital with bed strength of 300 and 500 would be identified for level II/III Trauma Care.
Level I Trauma care
Level I Trauma care would provide the highest level of definitive and comprehensive care for patient with complex injuries. Emergency physicians, surgeons, orthopedic surgeon and
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anaesthesist are in house and avail to the trauma patients immediately on arrival. Level I Trauma care centres would be apex institutions providing leadership in clinical management, research, community outreach services, community education and maintenance of trauma registry.
Identification of institutions for trauma care facility
The operational guideline delineates the steps in identification of new trauma facility. This is illustrated below.
Step I
Request for proposals by MoHFW to upgrade Trauma care facilities in existing Hospitals along National and State Highways.
The proposals must be supported by justification in terms of accident black spot data, status of existing trauma care facilities, etc.
Step II
Submission of self contained proposal by state Govt. for upgradation of apprppriate Hospitals along the Highways.
The proposal must contain preliminary estimates and committment6 of State Govt. to contribute its share expenses.
Step III
Gap analysis & feasibility study at shortlisted hospitals to finalize location/ designation of Trauma Care Facilities.
Formal approval of State Govt. proposal by MoHFW.
Step IV
Submission of a hospital specific detailed project report by State Nodal Officers for the approved proposals.
Signing of MoUs with State Governments clearly delineating Central & State Government commitments.
Step V
Progress linked release of Central & State Nodal Officers
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Continuous monitoring & surveillance at the Central & State Level.
Based on the following activities were done in the state to identify the potential institutions and prioritized them based on the following:
1. Geospatial distribution to accidental prone areas in NH and other major roads 2. Catchment area and availability of such centres in proximity. 3. Feasibility of upgrading the institution considering the status of existing facility,
expected trauma load etc.
Considering the above parameters the Government of West Bengal Health & Family Welfare Department has issued a Notification for Emergency Care / Post Crash Responses;
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Besides the above mentioned facilities the 42 Institutions where care for Critical Patients is available have also been earmarked as Emergency care / Post Crash Response centres.
Sl Name of Hospital District CCU /HDU MCH / DH / SDH / SGH / RH Bed capacity 1 Coochbehar DH Coochbehar CCU DH 12 2 Mathabhanga SDH Coochbehar HDU SDH 6 3 Dinhata SDH Coochbehar HDU SDH 6 4 NBMCH Darjeeling CCU MCH 24 5 Darjeeling DH Darjeeling CCU DH 12 6 Siliguri DH Darjeeling CCU DH 12 7 Jalpaiguri DH Jalpaiguri CCU DH 12 8 Alipurduar DH Jalpaiguri CCU DH 12 9 Balurghat DH Dakhin Dinajpur CCU DH 12
10 Gangarampur SDH Dakhin Dinajpur HDU SDH 6 11 Malda MCH Malda CCU MCH 12 12 Raiganj DH Uttar Dinajpur CCU DH 12 13 MSD MCH Murshidabad CCU MCH 12 14 Kandi SDH Murshidabad HDU SDH 6 15 Jangipur SDH Murshidabad HDU SDH 6 16 JNM Kalyani Nadia CCU MCH 12 17 Krishnanagar DH Nadia CCU DH 12 18 Tehatta SDH Nadia HDU SDH 6 19 Suri DH Birbhum CCU DH 12 20 Rampurhat DH Birbhum CCU DH 12 21 Durgapur SDH Burdwan CCU SDH 12 22 Asansol DH Burdwan CCU DH 12 23 Burdwan MCH Burdwan CCU MCH 24 24 Khatra SDH Bankura HDU SDH 6 25 Purulia DH Purulia CCU DH 12 26 Contai SDH Purba Midnapur HDU SDH 6 27 Haldia SDH Purba Midnapur HDU SDH 6 28 Tamluk DH Purba Midnapur CCU DH 12 29 Arambagh SDH Hooghly HDU SDH 6 30 Chinsurah DH Hoogly CCU DH 12 31 Howrah DH Howrah CCU DH 12 32 Uluberia SDH Howrah CCU SDH 12 33 ID&BG Kolkata CCU MCH 12 34 STM Kolkata CCU MCH 12 35 Kolkata MCH Kolkata CCU MCH 24 36 CNMCH Kolkata CCU MCH 24 37 RGKMCH Kolkata CCU MCH 12 38 SSKMH Kolkata CCU MCH 24 39 Barasat DH N 24 PGs CCU DH 12 40 Basirhat DH N 24 PGs CCU DH 12 41 Diamond Harbour DH S 24 PGs CCU DH 12 42 MRBH S 24 PGs CCU DH 24
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Construction is under process to make the following Critical Care Facilities functional by December 2015.
Sl No. Name of Hospital District CCU / HDU
MCH / DH / SDH / SGH
/ RH
Planned bed no. Target
1 Kalimpong SDH Darjeeling HDU SDH 6 To be functional in Oct 15 2 Kurseong SDH Darjeeling HDU SDH 6 To be functional in Oct 15 3 Mal SDH Jalpaiguri HDU SDH 6 To be functional in Dec 15 4 Birpara SGH Jalpaiguri HDU SGH 6 To be functional in Dec 15 5 Chanchal SDH Malda HDU SDH 6 To be functional in Oct 15 6 Islampur SDH Uttar Dinajpur HDU SDH 6 To be functional in Sept 15 7 Ranaghat SDH Nadia HDU SDH 6 To be functional in Oct 15 8 Karimpur RH Nadia HDU RH 6 To be functional in Oct 15 9 Bolpur DH Birbhum CCU SDH 12 To be functional in Sept 15
10 Katwa SDH Burdwan HDU SDH 6 To be functional in Dec 15 11 Kalna SDH Burdwan HDU SDH 6 To be functional in Sept 15 12 Bankura MCH Bankura CCU MCH 24 To be functional in Oct 15 13 Bishnupur DH Bankura CCU DH 12 To be functional in Dec 15
14 Raghunathpur SDH Purulia HDU SDH 6 To be functional in Sept 15
15 Midnapur MCH Paschim Midnapur CCU MCH 24 To be functional in Oct 15
16 Jhargram DH Paschim Midnapur CCU DH 12 To be functional in Oct 15
17 Ghatal SDH Paschim Midnapur HDU SDH 6 To be functional in Sept 15
18 Nandigram DH Purba Midnapur CCU DH 12 To be functional in Mar 16 19 Egra SDH Purba Midnapur HDU SDH 6 To be functional in Dec 15 20 Digha SGH Purba Midnapur HDU SGH 6 To be functional in Oct 15 21 Srerampur SDH Hoogly CCU SDH 12 To be functional in Mar 16 22 Amta RH Howrah HDU RH 6 To be functional in Sept 15 23 NRSMCH Kolkata CCU MCH 24 To be functional in Sept 15 24 Sagar Dutta MCH N 24 PGs CCU MCH 24 To be functional in Oct 15 25 Bongaon SDH N 24 PGS HDU SDH 6 To be functional in Sept 15 26 Kakdwip SDH S 24 PGs HDU SDH 6 To be functional in Oct 15 27 Baruipur SDH S 24 PGS HDU SDH 6 To be functional in Dec 15 28 Canning SDH S 24 PGS CCU SDH 12 To be functional in Sept 15 29 Vidyasagar SGH S 24 PGS HDU SGH 6 To be functional in Dec 15 30 Baghajatin SGH S 24 PGS HDU SGH 6 To be functional in Dec 15
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5 (Five ) Trauma Care Units have been completed as per 11th Five Year Plan Proposed to the Government of India to implemented in the 12th Five year plan as per the following list :-
Sl. Name of Hospital Location Contact No. Islampur SDH Islampur Municipality, Uttar Dinajpur 03526 - 256912 / 258218 North Bengal MCH Susruta Nagar, Darjeeling, 7310012. 0353-2585483 Asansol DH Asansol Municipal Corporation, Burdwan 0341-2302388 Burdwan MCH Burdwan Municipality, Burdwan 0342-2665228 Kharagpur SDH Kharagpur Municipality, Paschim Medinipur. 03222-259125
In the 12th Five Year Plan the following Hospitals have been included and survey work has been initiated.
Sl. Name of Hospital Location Contact No. 1. Raiganj DH Raiganj Municipality, Uttar Dinajpur 03523 -252509 2. Alipurduar DH Alipurduar Municipality, Alipurduar. 03564-255085 3. Durgapur SDH Durgapur Municipality, Burdwan 0343-2534608 4. Murshidabad MCH Murshidabad Municipality, Murshidabad. 03482-252131 5. Uttar Mechogram RH Uttar Mechogram, Purba Medinipur (03228)-239375 6. Ranaghat SDH Ranaghat Municipality, Nadia 03473-210043 7. Diamond Harbour DH Diamond Harbor Municipality, South 24
Parganas. 03174-257191
8. Singur RH Singur, Hooghly. 033-2630-0383
Besides the above units arrangements are being made for basic and advanced life saving support in the Emergency Observation Wards of the following Institutions with facilities for Emergency Care/ Post Crash Management. These facilities are provided with basic medicines, Multi Channel Monitors, Non invasive ventilation (Bipap), along with other resuscitation facilities and trained manpower. Accordingly notification has been issued by the Principal Secretary, Health and Family Welfare Department as follows:
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TECHNICAl GuIdElINES FOR EMERGENCY ObSERvATION
WARd Introduction Purpose This operational guide has been developed to facilitate planning, establishment, operationalization and monitoring of Emergency Observation ward (EOW) at various levels of Public Health facilities. The guideline given here will assist hospital administrators and service providers at teaching & non-teaching hospitals in planning and delivering patient service in Emergency Observation Ward. Structure of the operational guide: The operational guide includes information on various aspects that need to be addressed for ensuring quality patient care services and is organized into different sections.
Overview
Background
1. Reduction of the morbidity / mortality of the wage-earner of the family is very important. In some cases such patients died due to lack of primary treatment or delay in the proper treatment initiation. So there is an urgent need to increase the availability and accessibility of such type of emergency patient care services which can alleviate the delay in treatment initiation and ensure proper primary treatment to the sick patients.
2. In any hospital emergency there are various categories of sick patients coming for
treatment. Broadly these patients may be divided in the following category:
Category I: Patients who can be discharged after minor treatment like uncomplicated fever, toothache, Diarrhea with no dehydration, dysuria due to uncomplicated urinary Tract infection etc.
Category II: Patients who need to be admitted immediately without need of any primary stabilization like pregnant woman with labour pain, PUO with complications, etc.
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Category III: Patients who need immediate treatment for primary stabilization before sending to ward or referred out. Because any type of delay in treatment initiation (which is very common after sending patient to the ward) may be life threatening like Ac. Chest pain, Ac. Respiratory distress, RTA with profuse Blood loss, Hypoglycemia, Diarrhea with severe dehydration, Severe Ante partum hemorrhage etc.
Category IV: Patients who need not to be admitted but need specific treatment over a short time period after which the patient may be discharged if symptom relieved or admitted or referred out if symptom not relieved or aggravated; like Ac. exacerbation of bronchial asthma, Hypoglycemia, Pain abdomen, Ac. Gastritis,
Category V: Moribund / gasping patient.
3. To provide proper treatment to the patient who mainly belong to category III & IV and also basic resuscitation of category V. Emergency Observation Ward adjacent to the existing Emergency is required in every Teaching hospitals, District Hospitals, Sub Divisional Hospitals, State General hospitals & RH with more than 50 bed.
4. Each Emergency Observation Ward should have at least 16 Bed (8 for male patient & 8 for female patient) in every Teaching hospitals, at least 8 bed (4 for male patient &4 for female patient) in every District Hospital and 4 bed (2 for male patient & 2 for female patient) in every Sub – divisional, State General Hospitals and RH with more than 50 bed. Provision for future expansion should be planned accordingly.
Objectives
1. Zero Delay in the initiation of treatment of acutely ill patients. 2. Ensure primary stabilization of critically ill patients before sending to the ward or
other higher centers. 3. Provide treatment over a short span of time to make patient relieved from the
symptom and ambulatory to go home and avoid unnecessary admission and ensure indoor beds to the patients of real need in an overcrowded hospitals.
Service package standards for Emergency Observation Ward:
1. Each Emergency Observation Ward should have at least 16 Bed (8 for male patient & 8
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for female patient) in every Teaching hospitals, at least 8 bed (4 for male patient & 4 for female patient) in every District and Sub - divisional Hospital and 4 bed (2 for male patient & 2 for female patient) in every State General Hospital & RH with more than 50 bed. Provision for future expansion should be planned accordingly.
2. Patient treated in Emergency Observation Ward should get short time primary treatment for relieving from his/her suffering or primary stabilization.
3. Emergency Observation Ward should be located adjacent to the general emergency room.
4. Emergency Observation Ward should not be meant for in-patient treatment service. Patient should be transferred to the specific ward or referred to the higher centers or released after giving primary treatment in the emergency.
Human Resource Standards 1. Patient managed in EOW will be treated by the Emergency Medical Officers and supported
by the nursing personnel present in the Emergency. If required the Specialist Doctor/Faculty (Consultant) of concerned discipline who will be the bed in- charge (BIC) on that particular day may be consulted.
2. Patient retained in the EOW will be the responsibility of the On-duty Emergency Medical Officer.
3. Emergency Observation ward with bed strength below 16 will require no extra dedicated Medical Officer. One of the two Medical Officers posted in the General Emergency (as per the two doctor norms in each Emergency shift) should look after the patient retained in EOW in addition to normal emergency duty.
4. Each EOW with capacity above 16 bed should be manned by one medical officer designated only for that EOW at any shift.
5. One of the senior MO will be the Emergency –in-charge and responsible for the daily functioning of EOW and General emergency along with making duty roster of the Medical Officers.
6. Nursing-in-charge of emergency or any one of the Nursing personnel will be Nursing-in-charge and responsible for the inventory management of EOW and General emergency along with making duty roster of the Nursing Personnel.
7. Overall in-charge of the EOW will be the respective Hospital Superintendent (in case of non-teaching hospital) or MSVP (in case of teaching hospital).
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Standard Operating Procedures:
1. No patient will be admitted separately in EOW. Patients will be retained here only for a brief period of time. Admission, if necessary, will be done only after sending the patient to the respective ward. In any case, patient should be transferred to the ward at the earliest or on the same day.
2. In case of Medical College & hospitals, if bed is not available in ward, patient may be retained for a longer time but patient should be transferred under the supervision of the respective unit or Bed-in charge.
3. Patient will be retained not more than 6 hour in case of EOW of RH, SGH, SDH or DH and not more than 48 hour in case of EOW of Medical College & hospitals.
4. Patient will be treated under the responsibility of the Medical Officers present in the General emergency during the stay in EOW.
5. Patients belong to category III, IV & V should get at least primary treatment like Intravenous infusion, Nebulisation, Non-invasive ventilation by Bi-PAP apparatus, Moist oxygen inhalation, application of emergency injectables etc./ as per necessity.
6. Although the patients will be under the supervision of Emergency MOs, respective On-call Specialist available for that day may be consulted, if required.
7. Category III patient should be transferred to the ward or referred out to the higher centers at the earliest after giving initial primary support or treatment for stabilization. Respective On-call Specialist available for that day should be consulted during stabilization prior to transfer or refer.
8. Category IV and V patients should be treated or resuscitated with proper consultation with respective On-call Specialist available for that day if required.
9. Treatment details of the patient should be recorded in respective Emergency Tickets and outcome (Transfer to ward, referred out to higher centers, relived or leave against medical advice, death etc.) along with any relevant medical advice should be recorded in the said tickets (if necessary in separate sheets).
10. If patient dies during treatment in EOW, then certificate of death is to be issued by on duty MO present in emergency or EOW.
Essential investigation to be done in EOW depending on signs and symptoms:
1. ECG – ECG to be done by on duty nursing staff. 2. Blood glucose level monitoring by glucometer. 3. Trop – T or Trop - I test by available kit in case of acute chest pain. 4. Test available to detect malaria (by Antigen detection kit) etc. in case of fever
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5. If CCU or HDU available in that hospital then Arterial Blood Gas analysis, Blood cell count or other available emergency tests can be done with the help of available equipment of that CCU or HDU.
Except the above mentioned list any available emergency investigation required to stabilize the patient to be done in EOW.
• In the first phase, protocol should be implemented properly in every EOW irrespective
of bed strength.
• Essential equipment, medicine & consumables (as listed below) should be available first
in every EOW and additional equipment & other items will be procured later on
depending on the requirement of the individual EOW.
• ECG should be done in EOW by on duty nursing staffs as per Government guideline, if
Nursing Staffs are untrained, then proper training (in-house) should be given.
• Infrastructural up gradation (as per guideline) if required, to be planned in next phase.
Annexure: I
Infrastructural Requirements for 4 Bedded EOW
(Applicable to all type of EOW)
A. CIVIL CONSTRUCTION:
• Position & access: Adjacent to the General Emergency. Preferably on ground floor. Room should be separated in Male & Female ward with two bed in each ward. Partition may be of temporary one.
• Front Gate – Single entry/exit for both areas.
• Floor space for Patient care area: 70 - 80 Sq. Ft. / Bed.
• Wash basin – one each for male & female ward
• Head end: 2 Ft. away from the wall.
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• Additional Space: 100 – 150% of Pt. care area,
• Wall Rack @ height of 5 ft from floor size 1½ft X 1ft
• Coving at the junction of wall with floor for better cleaning
• Wall should be tiles fitting up to the height of 6ft
• Drainage hole in the walls for cleaning purpose is essential with proper drainage system
• Floor with vitrified tiles (ante skid)
• Rack beside Nursing Station for emergency medicine cum equipment store
• Windows 2 piece Sliding with frosted glasses .
• Screen should be available for all Doors and Windows. • Drinking water supply is must (may be through water purifiers).
• All the doors should have self-closing property.
• Colour of the ceiling should be white. • Colours of the walls are either light cream or Off-white or light pesta. • Beds are separated by mobile screen. The screen also should be light coloured and
preferably made by easily washable material. • Annual Maintenance of the whole Unit from civil part is must.
B. ELECTRICAL CONSTRUCTION: • 8 Electric Points per bed of which 4 may be near the floor, 2 on each side of the patient.
• Electric outlets/Inlets should be common 5/15 amp pins. Should have pins to accommodate all standard electric pins/ sockets. Adapters should be discouraged.
• Power backup is must for at least 50% of points.
• Voltage stabiliser for the entire unit.
• Total load per bed is 1.5 KV.
• A/C should be split type.
• At least one electrical extension board with earthing should be supplied to each room
• Wall Hanging fan is essential on the head end of the patient on the wall at 8 ft height from floor
• Wiring should be of concealed type with fire retardant wires
• One calling bell in each room with switch outside the complex (outside Buffer zone) should be there.
• Additional electric board to be established on the wall at the back of nursing station for charging equipment. That board will be of same specification as earlier, number of boards should be at least 2.
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• Annual Maintenance of the whole Unit from electrical part is must.
C. ENVIRONMENTAL: • Fully A/C – Controlling – Temp. / Humidity. Preferably Split A/C.
• Temperature maintained = 16 – 250 Celsius
• Humidity should be <70%
• Minimum of six total air changes /room/hour with two changes/ hour by outside air
• Re-circulated air must pass through appropriate filter : HEPA filter
D. CENTRALISED LAMINAR FLOW: • Oxygen outlet = 1 per bed where centralised oxygen supply is available • Vacuum outlet= 1 per bed where centralised suction system is available • With alarm system
E. WHERE TRILAMINAR FLOW NOT AVAILABLE:
i) Oxygen:
• Preferably through pipeline with manifold room at the same floor.
• One point at head end of each bed.
• Oxygen supply key is to be established on the pipeline at least two in number, one just outside EOW and other at manifold room.
• Flow meter with Humidifier is essential for each oxygen port
ii) Suction:
• Preferably through central suction system & vacuum port.
• Can be performed by suction machine in CMS Category too. (⅟4 H.P.)
• In case of suction machine, ratio should be 1/ bed.
F. LIGHTING: • Spot light for procedures.
• Overhead lighting at least 20 ft. Candle
• Overhead lighting by one twin tube set, box covered with transparent glass
G. NOISE CONTROL: • Noise level is to be under 45 dBA - daytime, 40 dBA - evening and 20 dBA - night
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H. WASTE DISPOSAL & POLLUTION CONTROL: • Four covered bins – colour coded –(Yellow, blue, Red, Black)
• Availability of wash basins.
• Availability of toilets (for male & female separately).
Annexure: II
Standard Equipment list for Emergency Observation Ward
Equipment required in each EOW will be divided in two group – Major equipment & Ancillary equipment. Equipment belonging to CMS Category will be purchased from CMS approved firms. Major Non CMS category items will be purchased by respective CMOH / Superintendent within their financial power, otherwise procurement may be done centrally by WBMSCL and Ancillary Non CMS category items will be purchased by respective CMOH or Superintendent.
The standard list of equipment & furniture are given below. Essential equipment & essential items should be available first and additional equipment & items will be available later on depending on the requirement of the individual EOW.
List of CMS item is given as per 2013-14 catalogues. Respective units should check CMS list before procurement.
• Major Equipment - CMS Items
Essential Equipment
Additional Equipment
Sl No. Item Description Requirement for a 4
Bedded EOW Requirement for a 8 Bedded EOW
Requirement for a 16 Bedded EOW
4. Nebuliser* 4 4 6 5. Syringe Infusion Pump* 4 6 8
6. Multi- channel Monitor* 4 8 16
Sl No. Item Description Requirement for a 4
Bedded EOW Requirement for a 8 Bedded EOW
Requirement for a 16 Bedded EOW
1. ECG Machine 1 1 1
2. Over bed Table 4 8 16
3. Fowler’s Bed 4 8 16
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*Nebuliser, Syringe Infusion Pump and Multi-channel Monitor will be procured in half of the above mentioned quantity at first and may be increased in phase wise depending upon the requirement.
• Major Equipment - Non CMS Items
Essential Equipment
Sl. No. Item Description Requirement for a 4
Bedded EOW Requirement for a 8 Bedded EOW
Requirement for a 16 Bedded EOW
1. Non Invasive BI-PAP Ventilator 1 1 1
2. Rapid Infusion Pump 1 2 3 3. Fogger Machine 1 1 1
Additional Equipment
Sl. No. Item Description Requirement for a 4
Bedded EOW Requirement for a 8 Bedded EOW
Requirement for a 16 Bedded EOW
1. Biphasic External Defibrillator 1 1 1
• Ancillary equipment - CMS Items Essential Items
Sl No. Name of Equipment Requirement for a 4
Bedded EOW Requirement for a 8 Bedded EOW
Requirement for a 16 Bedded EOW
1. Trolley 2 2 2 2. AMBU – Bag & Mask 2 2 2 3. Laryngoscope with Blade 1 1 1 4. Glucometer 1 1 1 5. Emergency Medicine tray 2 2 2 6. Refrigerator 1 1 1 7. Instrument sterilizer 1 1 1 8. Emergency light 2 2 2 9. X- Ray View box 1 1 1 10. Suction machine 2 2 3 11. Portable spot light 2 2 2 12. Stethoscope 1 2 2 13. Instrument tray 2 2 2 14. Scissors 4 4 4 15. Drip Stand 4 8 16 16. Needle Destroyer 1 1 1 17. Cut Down Set 1 i. Instrument tray 1 1 1 ii. Sponge Holding Forceps 1 1 1
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iii. Mosquito Artery Forceps 4 4 4 iv. Scissors 1 1 1 v. Venesection Hook 2 2 2 vi. Allies' Tissue Forceps 4 4 4 vii. Needle Holder 4 4 4 viii. Scalpel Blade No 15 2 2 2 ix. B. P. Handle 2 2 2 18. Tracheostomy Set 1 2 2 i. Instrument tray 1 2 2 ii. Sponge Holding Forceps 1 2 2 iii. Mosquito Artery Forceps 2 4 4 iv. Scissors 1 2 2 v. Allies' Tissue Forceps 2 4 4 vi. Needle Holder 1 2 2 vii. B. P. Handle 1 2 2 viii. Silk 100 100 100
ix. Tracheostomy tube (disposable) 2 2 2
19. Oxygen Cyllinder Medium 2 4 8 20. Oxygen Cyllinder Large 2 4 8
• Ancillary equipment - Non CMS Items Additional Items
Sl no. Item Description
Requirement for a 4 Bedded EOW
Requirement for a 4 Bedded EOW
Requirement for a 4 Bedded EOW
1. Ophthalmoscope 1 1 1 2. Heater 1 1 1 3. Computer 1 1 1 4. Magnifying glass 1 1 1 5. Hand wash dispenser 4 8 16 6. Medicine Box 4 4 6 7. Torch 2 2 2 8. Kidney Tray 4 8 16
• Furniture - CMS Items Essential Items Sl no. Item Description
Requirement for a 4 Bedded EOW
Requirement for a 4 Bedded EOW
Requirement for a 4 Bedded EOW
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1. High stool 2 4 8 2. Towel Rack 2 2 2 3. Table small wooden 2 2 2 4. Ward Screen 2 6 12 5. Instrument cabinet 1 2 2 6. Strecher Trolley 2 2 2
Additional Items
Sl no. Item Description
Requirement for a 4 Bedded EOW
Requirement for a 4 Bedded EOW
Requirement for a 4 Bedded EOW
1. Steel Rack 2 2 4 2. Chair with arms 4 8 16 3. Stool 4 8 16 4. Ward locker 4 8 16 5. F. C. Armed Chair 4 4 4
• Furniture - Non CMS Items
Additional Items
Sl no. Item Description Requirement for a 4 Bedded EOW
Requirement for a 4 Bedded EOW
Requirement for a 4 Bedded EOW
1 Steel Almirah without locker 1 2 2
2 Rack open all sides 1 2 2
3 Steel Locker Cabinet 8 chamber 1 2 2
Annexure: III
Requirement of Medicine & Consumables for EOW:
Essential list of medicines and consumables should be available first and additional list of medicines and consumables will be available later on depending on the requirement of the individual EOW.
Amount of medicine and consumables will be depending on the requirement of the individual EOW.
The following list is an indicative one, any medicine or consumables outside the list can be available depending on the requirement of the individual EOW.
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List of CMS item is given as per 2013-14 catalogues. Respective units should check CMS list before procurement.
• List of Essential Medicines
Sl No. Name of Medicine Sl No. Name of Medicine
1. Tab Amlodepin 5mg 25. Inj Ondansetron 4mg/2ml 2. Tab Alprazolam 0.25 26. Inj Paracetamol 3. Tab Losartan Pot 50 27. Inj Phenobarbitone 4. Inj Adrenalin 28. Inj KCl 5. Inj Atropine 29. Inj Ranitidine 6. Inj Calcium Gluconate 30. Inj Salbutamol 7. Inj Ceftriaxone 1gm 31. Inj Sodi-Bi-Carb 8. Inj Dexamethasone 32. Inj DNS 9. Inj Dextrose 10% 33. Inj NS 3% 10. Inj Dextrose 25% 34. Inj NS 0.9% 11. Inj Dextrose 5% 35. Inj RL 12. Inj Diazepam 36. Inj Theo+Eto 13. Inj Diclofenac Na 37. Inj Tramadol 14. Inj Dicyclomine 38. Inj Tranaexaminic Acid 15. Inj Dopamine 250 (dobutamine) 39. Inj Vit-K 16. Inj Dopamine 200 40. Neb Ipratroprium 17. Inj Frusemide 41. Neb Salbutamol 18. Inj Hydrocortisone Na Succinate 42. Lot Povidone Iodine 5% 19. Inj Insulin Soluble 43. Syr KCl 20. Inj Mag Sulph 10% 44. Oin Lignocaine 2% 21. Inj Mannitol 20% 45. Oin Povidone Iodine 5% 22. Inj. Tetanus Immunoglobulin 250 46. Inj Pantoprazole 40 23. Inj. Tetanus Immunoglobulin 500 47. Inj Phenytoin 100mg 24. Inj. Tetanus Toxoid 48. Neb Budesonide
• List of Essential Consumables
Sl No. Name of Consumable Sl
No. Name of Consumable
1. 3 way I.V. Stopcock 27. Adhesive Plaster 2. Bi-pap Mask (Reusable) 28. Bed Pan 3. Nebulisation Kit 29. Binasal Oxygen Cannula 4. Nebulisation Mask 30. Cotton Roll 5. Urometer 31. Disposable blood Lancet 6. B. T. Set 32. Disposable Cap
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7. Bed Sheet 33. Disposable Mask 8. Blanket 34. Disposable Syringe 10ml 9. Canvas for Stetcher 35. Disposable Syringe 1ml 10. Chlorhexidine Hand Rub 36. Disposable Syringe 2ml 11. Disposable Plastic Appron 37. Disposable Syringe 50ml 12. Hand Care 38. Disposable Syringe 5ml 13. Hand Towel 39. E.T. Suction Catheter 14. I.V. Saline Set 40. ECG Gel 15. Oxygen Mask 41. ECG Paper Roll 16. P. M. Line 42. Folley's Catheter 17. Rolled Bandage (Dozen) 43. Glucometer strips 18. Spirit 44. Insulin Syringe 19. Sterile Gauge 45. Jelco No 16G 20. Urine Pot (Female) 46. Jelco No 18G 21. Urine Pot (Male) 47. Jelco No 20G 22. Plastic Bag For Waste Bin 48. Jelco No 22G 23. Surgical Gloves 6.0 49. Jelco No 24G 24. Surgical Gloves 6.5 50. Rubber Cloth (in meter) 25. Surgical Gloves 7.0 51. Ryle's Tube 26. Surgical Gloves 7.5 52. Urobag
List of Additional Consumables List of Additional Medicines
Sl No. Name of Consumable
Sl No. Name of Medicine
1. Chlorhexidine Mouth Wash 1. Inj Dextran 40 2. Sputum Mug 2. Lot Glutaraldehyde 2% 3. Measuring Tape 3. Oin White Soft Paraffin 1kg 4. Paraffin Gauge Sterilised 4. Oin Nadifloxacin 1% 5. Pillow 5. Inj Adenosine 6. Closed Suction System 6. Oin Mupirocin 2% 7. E. T. Tube (2 sizes) 7. Inj Methyl Prednisolone 1gm 8. Micropore Adhesive 8. Inj Nor Adrenalin 9. Mucous Extractor
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Emergency Observation Wards (EOW) have been setup in the following Institutions:
Sl No. Name of the Hospital Name of District Type of Hospital
1 Alipurduar Sub-Division Hospital Alipurduar SDH 2 Assansole District Hospital Asansol HD DH 3 Durgapur Sub-Division Hospital Asansol HD SDH 4 Bankura Sammelani MCH Bankura Teaching Inst. 5 Khatra Sub-Division Hospital Bankura SDH 6 Basirhat District Hospital Basirhat HD DH 7 Suri District Hospital Birbhum DH 8 Bolpur Sub-Division Hospital Birbhum SDH 9 Bishnupur District Hospital Bishnupur HD DH
10 Burdwan MCH Burdwan Teaching Inst. 11 Kalna Sub-Division Hospital Burdwan SDH 12 Katwa Sub-Division Hospital Burdwan SDH 13 MJN District Hospital Coochbehar DH 14 Dinhata Sub-Division Hospital Coochbehar SDH 15 Mathabhanga Sub-Division Hospital Coochbehar SDH 16 Mekhliganj Sub-Division Hospital Coochbehar SDH 17 Tufanganj Sub-Division Hospital Coochbehar SDH 18 Balurghat District Hospital Dakhin Dinajpur DH 19 Gangarampur Sub-Division Hospital Dakhin Dinajpur SDH 20 North Bengal MCH Darjeeling Teaching Inst. 21 Darjeeling District Hospital Darjeeling DH 22 Siliguri District Hospital Darjeeling DH 23 Kalimpong Sub-Division Hospital Darjeeling SDH 24 Kurseong Sub-Division Hospital Darjeeling SDH
25 D-Harbour District Hospital Diamondhurbour HD DH
26 Howrah District Hospital Howrah DH 27 Uluberia Sub-Division Hospital Howrah SDH 28 Fort Gloster State General Hospital Howrah SGH 29 Belur State General Hospital Howrah SGH 30 Gabberia State General Hospital Howrah SGH 31 South Howrah State General Hospital Howrah SGH 32 TLJ Hospital, Liluah Howrah SGH 33 Udaynarayanpur State General Hospital Howrah SGH 34 Chinsurah District Hospital Hugli DH 35 Arambag Sub-Division Hospital Hugli SDH 36 Chandannagar Sub-Division Hospital Hugli SDH 37 Srirampore Sub-Division Hospital Hugli SDH
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38 Uttarpara SGH Hugli SGH 39 Jalpaiguri District Hospital Jalpaiguri DH 40 Mal Sub-Division Hospital Jalpaiguri SDH 41 Birpara SGH Jalpaiguri SGH 42 Jhargram District Hospital Jhargram HD DH 43 Kolkata MCH Kolkata Teaching Inst. 44 N R S MCH Kolkata Teaching Inst. 45 R G Kar MCH Kolkata Teaching Inst. 46 National MCH Kolkata Teaching Inst. 47 IPGMER Kolkata Teaching Inst. 48 College of Medicine & Sagar Dutta Hospital Kolkata Teaching Inst. 49 College of Medicine & J N M Hospital Kolkata Teaching Inst. 50 Bangur Institute of Neurology Kolkata Teaching Inst. 51 Chittaranjan Sevasadan & Sishu Sadan Kolkata Teaching Inst. 52 Dr. B C Roy Post Graduate Institute Kolkata Teaching Inst. 53 School of Tropical Medicine Kolkata Teaching Inst. 54 ID & BG Hospital Kolkata Teaching Inst. 55 Maldah MCH Malda Teaching Inst. 56 Chanchal Sub-Division Hospital Malda SDH 57 Murshidabad MCH Murshidabad Teaching Inst. 58 Domkal Sub-Division Hospital Murshidabad SDH 59 Jangipur Sub-Division Hospital Murshidabad SDH 60 Kandi Sub-Division Hospital Murshidabad SDH 61 Lalbag Sub-Division Hospital Murshidabad SDH 62 Krishnanagar District Hospital Nadia DH 63 Ranaghat Sub-Division Hospital Nadia SDH 64 Tehatta Sub-Division Hospital Nadia SDH 65 Chakdah SGH Nadia SGH 66 Nabadwip SGH Nadia SGH 67 Shantipur SGH Nadia SGH 68 Contai Sub-Division Hospital Nandigram HD SDH 69 Barasat District Hospital North 24 PGs DH 70 Barrackpur Sub-Division Hospital North 24 PGs SDH 71 Bongaon Sub-Division Hospital North 24 PGs SDH 72 Salt Lake Sub-Division Hospital North 24 PGs SDH 73 Ashoknagar SGH North 24 PGs SGH 74 Baranagar SGH North 24 PGs SGH 75 Bhatpara SGH North 24 PGs SGH 76 Habra SGH North 24 PGs SGH 77 Naihati SGH North 24 PGs SGH 78 Panihati SGH North 24 PGs SGH 79 Sibani Arogya Niketan North 24 PGs SGH 80 Sri Balaram Seba Mandir North 24 PGs SGH
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81 Medenipur MCH Paschim Midnapur Teaching Inst.
82 Ghatal Sub-Division Hospital Paschim Midnapur SDH
83 Kharagpur Sub-Division Hospital Paschim Midnapur SDH
84 Tamluk District Hospital Purba Midnapur DH 85 Egra Sub-Division Hospital Purba Midnapur SDH 86 Haldia Sub-Division Hospital Purba Midnapur SDH 87 Digha SGH Purba Midnapur SGH 88 Deben Mahato District Hospital Purulia DH 89 Raghunathpur Sub-Division Hospital Purulia SDH 90 Rampurhat District Hospital Rampurhat HD DH 91 MRB District Hospital South 24 PGs DH 92 Baruipur Sub-Division Hospital South 24 PGs SDH 93 Canning Sub-Division Hospital South 24 PGs SDH 94 Kakdwip Sub-Division Hospital South 24 PGs SDH 95 Bagha Jatin SGH South 24 PGs SGH 96 Bijoygarh SGH South 24 PGs SGH 97 Garden Reach Hospital South 24 PGs SGH 98 Vidyasagar SGH South 24 PGs SGH 99 Raiganj District Hospital Uttar Dinajpur DH
100 Islampur Sub-Division Hospital Uttar Dinajpur SDH 101 Kaliaganj SGH Uttar Dinajpur SGH
In order to strengthen the human resources Module for training of Medical Officers in Basic and Advanced Life Saving Support is in the final stages and training schedule is being prepared. This will help in management of emergency/ Post Crash trauma cases from BPHC level to Medical College & Hospital Level.
In addition to the normal investigation facilities like blood examination & conventional X-rays the following centres have been equipped with many advanced facilities like Digital X-ray (DR), CT Scan, MRI and Dialysis in PPP(Public Private Partnership) mode.
Name of the Hospital Service Name of the District
Alipurduar SD Hospital Dialysis Alipurduar Alipurduar SD Hospital CT Scan Alipurduar Alipurduar SD Hospital Digital X-Ray Alipurduar Asansol SD Hospital Dialysis Burdwan Bankura Medical College & Hospital Digital X-Ray Bankura Bardhaman Medical College & Hospital Digital X-Ray Burdwan Baruipur SDH CT Scan S-24 Pgs Basirhat DH Dialysis N-24 Pgs
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Birbhum District Hospital Dialysis Birbhum Birbhum District Hospital Digital X-Ray Birbhum Bishnupur DH CT Scan Bankura Bolpur SDH Dialysis Birbhum Calcutta Medical College & Hospital (MC&H) Dialysis Kolkata
Calcutta National Medical College Dialysis Kolkata Calcutta National Medical College Digital X-Ray Kolkata Calcutta National Medical College MRI Kolkata Canning SD Hospital CT Scan S-24 Pgs College of Medicine & JNM Hospital, Kalyani Dialysis Nadia College of Medicine & JNM Hospital, Kalyani Digital X-Ray Nadia College of Medicine & Sagar Dutta Hospital CT Scan N-24Pgs College of Medicine & Sagar Dutta Hospital MRI N-24 Pgs Coochbehar District Hospital Dialysis Coochbehar Darjeeling District Hospital Digital X-Ray Darjeeling Diamond Harbour DH Dialysis S-24 Pgs Diamond Harbour DH Digital X-Ray S-24 Pgs Dkshin Dinajpur DH, (Balurghat) Dialysis Dakshin Dinajpur Dkshin Dinajpur DH, (Balurghat) Digital X-Ray Dakhin Dinajpur Dr. B.N. Bose ,Barrackpore SDH Dialysis N-24 Pgs Gangarampur SD Hospital Dialysis Dakshin Dinajpur Gangarampur SD Hospital CT Scan Dakshin Dinajpur Hooghly District Hospital Dialysis Hooghly Hooghly District Hospital Digital X-Ray Hooghly Howrah District Hospital Dialysis Howrah Howrah District Hospital Digital X-Ray Howrah IDBG Hospital Dialysis Kolkata Jalpaiguri Diatrict Hospital Dialysis Jalpaiguri Jalpaiguri Diatrict Hospital Digital X-Ray Jalpaiguri Jhargram SD/ District Hospital Dialysis West Medinipur Jhargram SD/ District Hospital CT Scan West Midnapur Khagragpur SD Hospital Digital X-Ray East Midnapore Malda MC & H MRI Malda Midnapur Medical College & Hospital Digital X-Ray West Midnapur Murshidabad Medical College & Hospital Dialysis Murshidabad Murshidabad Medical College & Hospital Digital X-Ray Murshidabad Murshidabad Medical College & Hospital MRI Murshidabad Nadia District Hospital Dialysis Nadia North 24 Pargnas DH, Barasat Dialysis N-24 Pgs North 24 Pargnas DH, Barasat Digital X-Ray N-24 Pgs North Bengal Medical College & Hospital Digital X-Ray Darjeeling NRS Medical College & Hospital Digital X-Ray Kolkata Purba Medinipur District Hospital Dialysis East Medinipur Purba Medinipur District Hospital Digital X-Ray East Midnapore Purulia District Hospital Dialysis Purulia Purulia District Hospital Digital X-Ray Purulia Rampurhat District Hospital CT Scan Birbhum S 24 Parganas District Hospital Dialysis S-24 Pgs S 24 Parganas District Hospital Digital X-Ray S-24 Pgs Siliguri District Hospital Dialysis Darjeeling Siliguri District Hospital CT Scan Darjeeling Siliguri District Hospital Digital X-Ray Darjeeling SN Pndit Hospital Digital X-Ray Kolkata
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Uluberia SDH Dialysis Howrah Uluberia SDH CT Scan East Midnapur Uttar Dinajpur District Hospital CT Scan Uttar Dinajpur Vidyasagar State General Hospital (SGH) Dialysis S-24 Pgs Vidyasagar State General Hospital (SGH) CT Scan S-24 Pgs Vidyasagar State General Hospital (SGH) Digital X-Ray S-24 Pgs
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Blood Bank Facilities / Blood Storage Units are also available as per the following list spreading over a wide range of Institutions from Medical Colleges to Rural Hospitals.
List of State Govt. Blood Banks Sl Name of the blood bank District Name and Designation of the BB
incharge E-mail ID
1 Alipurduar S.D. Hospital Blood Bank, Alipurduar
Dr. Martanda mondal (MOIC) - 8348090946
[email protected] [email protected]
2 Asansol Dist. Hospital Blood Bank, Asansol HD Dr. Sanjit Chatterjee (MOIC) - 9474347380
[email protected] [email protected]
3 Bankura Sammilani Medical College & Hospital Blood Bank, Bankura
Dr. Tapan Ghosh (Director) - 9434167747
[email protected] [email protected] [email protected]
4 Khatra SDH, P.O. - Khatra, Dist - Bankura, Pin - 722140 Bankura Dr. S. Biswas (MOIC) - 9434160366 [email protected]
5 Basirhat S.D. Hospital Blood Bank, Basirhat HD Dr. Haripada Mondal(MOIC)-9733649581
[email protected] [email protected]
6 Suri Dist. Hospital Blood Bank, Birbhum Dr. A.Roy (MOIC)-9830388785 [email protected]
7 Bolpur S.D. Hospital Blood Bank, Birbhum Dr. Tirthankar Chanda (MOIC) - 9232362053 [email protected]
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8 Bishnupur S.D. Hospital Blood Bank, Bishnupur HD Dr. Tarit Kanti Pal (MOIC) - 9434015072 [email protected]
9 Burdwan Medical College & Hospital BB, Burdwan
Dr. Soma Dutta Ghosh (Director RBTC) - 9474638140
[email protected] [email protected] [email protected]
10 Durgapur S.D. Hospital Blood Bank, Burdwan Dr. Indrajit Majhi (MOIC) - 9434373298 [email protected]
11 Katwa S.D. Hospital (Hemraj) Blood Bank, Burdwan
Dr. Banibrata Acharya (MOIC)- 9434387842 Dr. Kartick Chandra Das, MO - 9475633303
[email protected] [email protected] [email protected]
12 Kalna S.D. Hospital Blood Bank, Burdwan Dr.Partha S Ganguly(MOIC)-9126442648 [email protected]
13 Coochbehar Dist. Hospital (MJN) Blood Bank, Coochbehar
Dr. P.K.Das(MOIC)-9434191441/ 9474519458
14 Balurghat Dist. Hospital Blood Bank, Dakshin Dinajpur
Dr. A. Mridha (MOIC) 9434503552
[email protected] [email protected]
15 Gangarampur SDH Blood Bank Dakshin Dinajpur
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16 North Bengal Medical College & Hospital BB, Darjeeling
Dr. M. Das (Director, RBTC)-9434121152 [email protected]
17 Darjeeling Dist. Hospital Blood Bank, Darjeeling Dr. Chhetry (MOIC)- 9434557979 [email protected]
18 Kurseong S.D. Hospital Blood Bank, Darjeeling
Dr. Tashi Palam Dukpa (MOIC) 7679657411 [email protected]
19 Kalimpong S.D. Hospital Blood Bank, Darjeeling Dr. Renuka Lama (MOIC) - 9932792250 [email protected]
20 Siliguri S.D. Hospital Blood Bank, Darjeeling Dr.Joya Bagchi Samaddar (MOIC) 9434641050 [email protected]
21 Diamond Harbour S.D. Hospital Blood Bank,
Diamond Harbour HD
Dr. Moumita Naskar Das(MOIC)-9434232956
22 Chinsura (Imambara) Dist. Hospital (Hooghly Dist Hospital) BB, Hooghly
Dr. S.B.Goswami (MOIC)-9433114777
[email protected] [email protected]
23 Chandannagar S.D. Hospital Blood Bank, Hooghly Dr. Lotika Lahiri(MOIC)- 9830141621
24 Serampore S.D. Hospital (Walsh) BB, Hooghly Dr. Bandana Chakraborty(MOIC)-
9433437383 [email protected]
25 Arambagh S.D. Hospital Blood Bank, Hooghly
Dr. Neogi-MOIC - 9732872366 Dr. Santanu Nandy, Super -
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26 Howrah Dist. Hospital Blood Bank, Howrah
Dr. Narayan Chatterjee (Super) - 8334900993
[email protected] [email protected]
27 Uluberia S.D. Hospital Blood Bank, Howrah
Dr. A. Sarkar-(MOIC) 9433182956 [email protected]
28 Jalpaiguri Dist. Hospital Blood Bank, Jalpaiguri
Dr. Kailash Ch. Roy (MOIC)-9593854768
29 Jhargram S.D. Hospital Blood Bank, Jhargram HD Dr. Alo Hansda (MOIC)- 9800244688 [email protected]
30 Institute of Blood Transfusion Medical & Immuno Haematology (Central Blood Bank),
Kolkata Dr. Sekhar Bhowmick (Asstt. Director, RBTC) - 9433156415 [email protected]
31 SSKM Hospital Blood Bank, Kolkata Dr. Pratik Dey (MOIC) - 9433114019 [email protected]
32 Calcutta Medical College & Hospital BB, Kolkata
Dr. Biswajit Haldar (Director, RBTC) & MOIC- 9433737234 (M) Dr. T. K. Lahiri-Principal : 9433254572
33 Calcutta National Medical College BB, Kolkata
Dr. Madhusudan Mondal (Director,) - 9433204823
34 Chittaranjan National Cancer Institute BB, Kolkata Dr. G.K. Mondal (MOIC)-9231856613 [email protected]
35 R.G. Kar Medical College & Hospital BB Kolkata
Dr. Malay Ghosh (Director, RBTC) - 9433126109 [email protected]
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36 ESI Hospital, Maniktala Blood Bank, Kolkata Dr. Amit Chatterjee (MOIC)-9830169971 [email protected]
37 N.R.S. Medical College & Hospital BB, Kolkata Dr. D.K. Panda, (Director, RBTC) -
9433135529 [email protected] [email protected]
38 Malda Dist. Hospital Blood Bank, Malda Dr. Asish Chakraborty (MOIC)-9434455488
[email protected] [email protected] [email protected]
39 Baharampur Dist. Hospital (Murshidabad MCH) Blood Bank, Murshidabad
Dr.Pravash Ch. Mridha (MOIC)- 9932613072
40 Jangipur S.D. Hospital Blood Bank, Murshidabad
Dr. Prabir Kr. Saha (MOIC) - 9830385878 [email protected]
41 Kandi S.D. Hospital Blood Bank, Murshidabad Dr.Mallick (MOIC)-9232380181 [email protected]
42 Lalbagh S.D. Hospital Blood Bank, Murshidabad Dr. Apurba Chattoraj (MOIC) - 9434481693 [email protected]
43 Gandhi Memorial Hospital Blood Bank, Nadia Dr. Sushil Biswas (MOIC) - 9433915014 [email protected]
44 Krishnanagar (Saktinagar) Nadia Dist. Hospital BB Nadia
Dr. Somnath Sarkar (MOIC)9434425906/98366973620 [email protected]
45 Ranaghat S.D. Hospital Blood Bank, Nadia Dr. Sisir Ghosh(MOIC) - 9475112860 [email protected]
46 Jawaharlal Nehru Memorial (JNM) Hospital Blood Bank, Nadia
Dr. Smita Chakraborty (MOIC) - 9433792699 [email protected]
47 Nabadwip SGH Blood Bank Nadia
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48
College of Medicine & Sagore Dutta Hospital Blood Bank, 578, B. T. Road, Kamarhati, Kolkata - 700 058.
North -24 Parganas Durba Banerjee, Assistant Super - 9830116902 [email protected]
49 Barasat Dist. Hospital Blood Bank, North -24 Parganas Dr.Chaitali Bala (MOIC) -9433038175 [email protected]
50 Barrackpore S.D. Hospital (Dr. B.N. Bose) Hospital Blood Bank, North -24 Parganas Dr.Prabir Mondal (MOIC) - 9433350085, [email protected]
51 Bongaon S.D. Hospital (Dr. J.R. Dhar) BB, North -24 Parganas Dr. Gopal Poddar - 9433169164 (MOIC) [email protected]
52 Medinipur Medical College & Hospital BB, Paschim Medinipur
Dr. Basori Mohan Maity (MOIC) - 9474069238 [email protected]
53 Kharagpur S.D. Hospital Blood Bank, Paschim Medinipur
Dr.Jhuma Mukherjee (MOIC) 9434005862
54 Ghatal S.D. Hospital Blood Bank, Paschim Medinipur
Dr. Durga Sankar Das (MOIC) - 9474896980 [email protected]
55 Tamluk Dist. Hospital Blood Bank, Purba Medinipur
Dr. Tusher k. Maity (MOIC) - 9433379879
56 Contai S.D. Hospital Blood Bank, Purba Medinipur Dr. Avijit Mondal (MOIC) -9434507566 [email protected]
57 Haldia S.D. Hospital Blood Bank, Purba Medinipur
Dr. Madhumita Ganguly (MOIC) - 9433559729
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58 Purulia Dist. Hospital (Deben Mahato) BB, Purulia
Dr. Robin Roy (MOIC) - 8016039467 [email protected]
59 Rampurhat S.D. Hospital Blood Bank, Rampurhat HD
Dr. Himadri Halder (Supdt.-cum-MOIC)-9830322157 [email protected]
60 M.R. Bangur Dist. Hospital Blood Bank, South 24 Parganas
Dr. Bhupali Saha (MOIC)9830140887, Dr. Somnath Mukherjee (Super)9477328216 [email protected]
61 Baruipur SDH Blood Bank South 24 Parganas
62 Raiganj Dist. Hospital Blood Bank, Uttar Dinajpur
Dr. Pradip Mondal (MOIC) - 9434154741
[email protected] [email protected]
63 Islampur S.D. Hospital Blood Bank, Uttar Dinajpur
Dr. Q. Imam (MOIC)-9434960848
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Blood Storage Facilities are also available at the following points where patients under severe shock due to blood loss can be given blood transfusion.
List of Blood Storage Units Sl No District Health Facility Status of BSU
1 Bankura Khatra SDH Functional 2 Bankura Amarkanan RH Functional 3 Bankura Kotalpur RH Functional 4 Birbhum Lavpur RH Functional 5 Birbhum Murarai RH Functional 6 Coochbehar Tufanganj SDH Functional 7 Coochbehar Mathabhanga SDH Functional 8 Coochbehar Dinhata SDH Functional 9 Coochbehar Haldibari RH Functional
10 Dakshin Dinajpur Gangarampur SDH Functional 11 Darjeeling Kharibari RH Functional 12 Hooghly Tarakeshwar RH Functional 13 Hooghly Dhaniakhali RH Functional 14 Hooghly Pandua RH Functional 15 Hooghly Chanditala RH Functional 16 Howrah Udaynarayanpur SGH Functional 17 Howrah Domjur RH Functional 18 Howrah Bagnan RH Functional 19 Jalpaiguri Mal SDH Functional 20 Jalpaiguri Birpara SGH Functional 21 Jalpaiguri Falakata RH Functional 22 Malda Chanchal SDH Functional 23 Malda Gajal RH Functional 24 Nadia Tehatta SDH Functional 25 Nadia Karimpur RH Functional 26 Nadia Bethuadahari RH Functional 27 North 24 Parganas Taki RH Functional 28 Paschim Medinipur Garbata RH Functional 29 Paschim Medinipur Chandrakona RH Functional 30 Puruliya Raghunathpur SDH Functional 31 Puruliya Manbazar RH Functional 32 South 24 parganas Canning SDH Functional 33 South 24 parganas Baruipur SDH Functional 34 South 24 parganas Kakdwip SDH Functional
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Locating trauma care facility Notification (Memo No. HF/SPSRC/114/2015/184, dated 1st July, 2015) listing 25 facilities where emergency management for Trauma Care/ Post Crash Responses is available. The facilities have emergency management for Trauma Care along with the basic life saving support. The Notification has been sent to the Additional Secretary & Additional Member Secretary, State Road Safety Council, Govt. of West Bengal, with the request to display the emergency contact numbers in all Police Station, Police Outpost, Panchayet Offices and other prominent places.
Based on Geospatial distribution to accident prone areas in highways and other major roads, catchment area and availability of such centres in proximity and expected load trauma etc. the following Institutions have been incorporated in the 12th Five Year Plan and feasibility study is under process by Government of India.
Sl. Name of Hospital Level of Trauma Care
Location Contact No.
1. Raiganj DH Level- III Raiganj Municipality, Uttar Dinajpur 03523 -252509 2. Alipurduar DH Level -III Alipurduar Municipality, Alipurduar. 03564-255085
3. Durgapur SDH Level -III Durgapur Municipality, Burdwan 0343-2534608
4. Murshidabad MCH Level- II Murshidabad Municipality, Murshidabad.
03482-252131
5. Uttar Mechogram RH Level -III Uttar Mechogram, Purba Medinipur (03228)-239375
6. Ranaghat SDH Level -III Ranaghat Municipality, Nadia 03473-210043
7. Diamond Harbour DH Level -III Diamond Harbor Municipality, South 24 Parganas.
03174-257191
8. Singur RH Level - II Singur, Hooghly. 033-2630-0383
Murshidabad MCH
Name of Hospital for proposed Trauma Care Facility
Murshidabad Medical College & Hospital
Level of Trauma Care Facility Level- II Name of Hospital in charge Dr. (Prof) Manimoy Bandopadhyay
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Address of Hospital Murshidabad Medical College & Hospital, NG Campus
Email Id [email protected] Telephone/ Mobile No 03482-252039 Fax No. Is the hospital receiving funding for trauma care from any Central Govt Scheme viz NHM etc. If yes then please furnish details.
No
General Information of Hospital Name of National Highway N.H - 34 Distance from the National Highway ( in Km) 3km Accessibility of Hospital from Highway / Main Road Yes Level of Health Care Medical College & Hospital Name of the nearest referral Hospital N.R.S Medical College & Hospital, Kolkata Distance of nearest referral Hospital ( in Km ) 220 km No. of ambulance in Hospital 3 Total No. of Beds in Hospital Female Male Total
1. General Surgery 78 93 171 2. Orthopaedic Surgery 23 43 66 3. Neuro Surgery - - - 4. Casualty Department - - -
No. of Operation Theatres 13 Availability of ICU Yes Availability of 24 X 7 hour service Yes Availability of 24X7 hours Blood Bank Yes Availability of Casualty Department No No. of patients admitted in IPD in a month (Average)
3526
No. of Trauma cases in a month ( Average) 1500 No. of deaths related to Trauma in a month ( Average)
Majority of serious cases are referred
Space available for proposed Trauma Care Facility ( in sq ft)
i) 103.35 m2 ii) 127 m2
Uttar Mechogram BPHC
Name of Hospital for proposed Trauma Care Facility
Uttar Mechogram BPHC
Level of Trauma Care Facility Level- III Name of Hospital in charge Dr. Kanailal Doloi Address of Hospital Vill+P.O- Uttar Mechogram, PS- Panskura, Dist-
Purba Medinipur, PIN-721139 Email Id [email protected] Telephone/ Mobile No 03228-239375 Fax No.
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Is the hospital receiving funding for trauma care from any Central Govt Scheme viz NHM etc. If yes then please furnish details.
No
General Information of Hospital Name of National Highway N.H - 6 Distance from the National Highway ( in Km) 4 Km Accessibility of Hospital from Highway / Main Road Yes Level of Health Care Block Primary Health Centre Name of the nearest referral Hospital Tamluk DH Distance of nearest referral Hospital ( in Km ) 36 Km No. of ambulance in Hospital Total No. of Beds in Hospital Female Male Total
1. General Surgery 2. Orthopaedic Surgery 3. Neuro Surgery 4. Casualty Department
No. of Operation Theatres 0 Availability of ICU No Availability of 24 X 7 hour service Yes Availability of 24X7 hours Blood Bank No Availability of Casualty Department No No. of patients admitted in IPD in a month (Average)
240
No. of Trauma cases in a month ( Average) 14 No. of deaths related to Trauma in a month ( Average)
2
Space available for proposed Trauma Care Facility ( in sq ft)
2000 sft
Ranaghat SDH
Name of Hospital for proposed Trauma Care Facility
Ranaghat SDH
Level of Trauma Care Facility Level- III
Name of Hospital in charge Dr. Atindra Nath Mondal
Address of Hospital Jogpur Road: Anula. Ranaghat, Nadia.PIN- 741255 Email Id [email protected] Telephone/ Mobile No 03473-210043 Fax No. 03473-210043 Is the hospital receiving funding for trauma care from any Central Govt Scheme viz NHM etc. If yes then please furnish details.
No
General Information of Hospital Name of National Highway NH-34
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Distance from the National Highway ( in Km) 1 Km Accessibility of Hospital from Highway / Main Road Yes Level of Health Care Sub Divisional Hospital Name of the nearest referral Hospital College of Medicine,& JNM Hospial, Nadia Distance of nearest referral Hospital ( in Km ) 35 Km No. of ambulance in Hospital 01 Total No. of Beds in Hospital Female Male Total
1. General Surgery 2. Orthopaedic Surgery 3. Neuro Surgery 4. Casualty Department 250
No. of Operation Theatres 01 Availability of ICU N o Availability of 24 X 7 hour service Yes Availability of 24X7 hours Blood Bank Yes Availability of Casualty Department Yes ( 2 beds) No. of patients admitted in IPD in a month (Average)
2600
No. of Trauma cases in a month ( Average) 130 No. of deaths related to Trauma in a month ( Average)
5
Space available for proposed Trauma Care Facility ( in sq ft)
3000 sft
Singur Rural Hospital
Name of Hospital for proposed Trauma Care Facility
Singur Rural Hospital
Level of Trauma Care Facility Level- II Name of Hospital in charge Dr. Moutushi Singha Address of Hospital Singur Rural Hospital, Singur, Hooghly, PIN-712409 Email Id [email protected], [email protected] Telephone/ Mobile No 033-2630-0383 Fax No. 033-2630-0383 Is the hospital receiving funding for trauma care from any Central Govt Scheme viz NHM etc. If yes then please furnish details.
No
General Information of Hospital Name of National Highway NH-2 Distance from the National Highway ( in Km) Accessibility of Hospital from Highway / Main Road Yes Level of Health Care Rural Hospital Name of the nearest referral Hospital Srirampur Walsh Hospital Distance of nearest referral Hospital ( in Km ) 25 Km No. of ambulance in Hospital 1
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Total No. of Beds in Hospital Female Male Total 1. General Surgery 30 30 60 2. Orthopaedic Surgery 0 0 0 3. Neuro Surgery 0 0 0 4. Casualty Department 0 0 0
No. of Operation Theatres 1 Availability of ICU No Availability of 24 X 7 hour service Yes Availability of 24X7 hours Blood Bank No Availability of Casualty Department No No. of patients admitted in IPD in a month (Average)
No. of Trauma cases in a month ( Average) No. of burn cases in a month ( Average) No. of deaths related to Trauma in a month ( Average)
Space available for proposed Trauma Care Facility ( in sq ft)
Alipurduar DH
Name of Hospital for proposed Trauma Care Facility
Alipurduar District Hospital
Level of Trauma Care Facility Level-III Name of Hospital in charge Dr. R. Minhaz Address of Hospital Alipurduar Hospital Road
PO+Dist - Alipurduar Email Id [email protected] Telephone/ Mobile No 03564-258538 Fax No. 03564-258538 Is the hospital receiving funding for trauma care from any Central Govt Scheme viz NHM etc. If yes then please furnish details.
General Information of Hospital Name of National Highway NH 31 C Distance from the National Highway ( in Km) 6 Km Accessibility of Hospital from Highway / Main Road Yes Level of Health Care District Hospital Name of the nearest referral Hospital MJN Hospital Coochbehar Distance of nearest referral Hospital ( in Km ) 26 km No. of ambulance in Hospital 0 Total No. of Beds in Hospital Female Male Total
1. General Surgery 2. Orthopaedic Surgery
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3. Neuro Surgery 4. Casualty Department
No. of Operation Theatres Availability of ICU No Availability of 24 X 7 hour service Yes Availability of 24X7 hours Blood Bank Yes Availability of Casualty Department No No. of patients admitted in IPD in a month (Average)
2945
No. of Trauma cases in a month ( Average) 00 No. of deaths related to Trauma in a month ( Average)
00
Space available for proposed Trauma Care Facility ( in sq ft)
2000sft
Durgapur SDH
Name of Hospital for proposed Trauma Care Facility
Durgapur Sub Divisional Hospital, Durgapur
Level of Trauma Care Facility Level III
Name of Hospital in charge Dr. Debabrata Das
Address of Hospital Bidhannagar, Durgapur , 713206 Email Id [email protected] Telephone/ Mobile No 0343-2534608 Fax No. Is the hospital receiving funding for trauma care from any Central Govt Scheme viz NHM etc. If yes then please furnish details.
No
General Information of Hospital Name of National Highway NH-2 Distance from the National Highway ( in Km) 1 km Accessibility of Hospital from Highway / Main Road Yes Level of Health Care Sub Divisional Hospital Name of the nearest referral Hospital Burdwan Medical College Distance of nearest referral Hospital ( in Km ) 70 km No. of ambulance in Hospital 4 Total No. of Beds in Hospital Male Female Total
1. General Surgery 40 40 80 2. Orthopaedic Surgery 8 8 16 3. Neuro Surgery 0 0 0 4. Casualty Department 0 0
No. of Operation Theatres 4 Availability of ICU Availability of 24 X 7 hour service Yes
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Availability of 24X7 hours Blood Bank Yes Availability of Casualty Department yes No. of patients admitted in IPD in a month (Average)
No. of Trauma cases in a month ( Average) 37 No. of deaths related to Trauma in a month ( Average)
Space available for proposed Trauma Care Facility ( in sq ft)
Diamond Harbour DH
Name of Hospital for proposed Trauma Care Facility
Diamond Harbour District Hospital
Level of Trauma Care Facility Level III
Name of Hospital in charge Dr. Anwar Hossain
Address of Hospital New Town, Diamond Harbour, Ward No – 4, South 24 Parganas
Email Id [email protected] Telephone/ Mobile No 03174-255442 Fax No. Is the hospital receiving funding for trauma care from any Central Govt Scheme viz NHM etc. If yes then please furnish details.
No
General Information of Hospital Name of National Highway NH-117 Distance from the National Highway ( in Km) Accessibility of Hospital from Highway / Main Road Yes Level of Health Care District Hospital Name of the nearest referral Hospital Calcutta National Medical College Hospital Distance of nearest referral Hospital ( in Km ) 50 km No. of ambulance in Hospital 2 Total No. of Beds in Hospital Male Female Total
1. General Surgery 28 18 36 2. Orthopaedic Surgery 10 4 14 3. Neuro Surgery 0 0 0 4. Casualty Department 0 0 0
No. of Operation Theatres 4 Availability of ICU Availability of 24 X 7 hour service Yes Availability of 24X7 hours Blood Bank Yes Availability of Casualty Department No No. of Trauma cases in a month ( Average) 65
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Raiganj DH
Name of Hospital for proposed Trauma Care Facility
Raiganj District Hospital
Level of Trauma Care Facility Level III
Name of Hospital in charge Dr. Anup Hajra
Address of Hospital Raiganj , Uttardinajpur Email Id [email protected] Telephone/ Mobile No 03523-252509 Fax No. Is the hospital receiving funding for trauma care from any Central Govt Scheme viz NHM etc. If yes then please furnish details.
No
General Information of Hospital Name of National Highway NH-34 Distance from the National Highway ( in Km) 4 km Accessibility of Hospital from Highway / Main Road Yes Level of Health Care District Hospital Name of the nearest referral Hospital Maldah Medical College Hospital Distance of nearest referral Hospital ( in Km ) 72 Km No. of ambulance in Hospital 2 Total No. of Beds in Hospital Male Female Total
1. General Surgery 20 20 40 2. Orthopaedic Surgery 10 10 20 3. Neuro Surgery 0 0 0 4. Casualty Department 0 0 0
No. of Operation Theatres 2 Availability of ICU No Availability of 24 X 7 hour service Yes Availability of 24X7 hours Blood Bank Yes Availability of Casualty Department No No. of patients admitted in IPD in a month (Average)
9000
No. of Trauma cases in a month ( Average) 120 Space available for proposed Trauma Care Facility ( in sq ft)
Gap Analysis in the proposed institutions
Steps:
1. Primary facility survey by team in the hospitals and discussion with stakeholders 2. Gap analysis of facilities in the hospital for trauma and emergency care in terms of:
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a. Infrastructure b. Equipments c. Human resource
This was compared against the standards evolved for the purpose in operational guidelines.
The proforma for gap analysis is given below.
I. Infrastructure
S/No Infrastructure Requirement as per Trauma Care Scheme
Existing Infrastructure
Further requirement
1. ICU Beds 5 2. General Trauma Beds 5 3. Operation Theatres 1
II. Equipments
S/No Equipments Requirement as per Trauma Care Scheme
Existing equipments
Further requirement
A. Radiology Equipments 1. 500 mA digital X-Ray machine 1 2. 3 D Ultrasonography- Trolley
based 1
3. CT-scan 1 4. Portable USG 1 B. Rehabilitation Equipments 5. O.T table - 3 segment,
translucent top with orthopaedics attachment
2
6. Cautery machine – mono &bi-polar
2
7. O.T ceiling light 2 8. Suction machine 4 9. Anaesthesia machine with
monitor 2
10. Ventilator 5 11. Transport ventilator 1 12. ABG machine 1 13. Difibrilator with monitor 5 14. Monitor 5 15. Syringe infusion pump 1 C. Orthopaedic instruments 16. Power drill & power saw 1
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17. Pneumatic tourniquet 2 18. General orthopaedic
instrument set 1
D. Operation Theatre Equipments 19. General surgical instruments 2 sets 20. Humidity meter
1
E. Other Facilities 21. Electricity Back-up 1
III. Human resources
S/No Human resource Requirement as per Trauma Care Scheme
Existing Human Resource
Further requirement
1. Anaesthesist 2 2. Orthopaedic surgeon 2 3. General Surgeon 2 4. Casualty Medical officer 6 5. Staff nurse 25 6. Nursing attendant 13 7. OT technician 5 8. Radiographer 4 9. Lab technician 2 10. Multi task worker 12
3. Preparation of estimate based on the requirements in terms: a. Infrastructural modification in the existing casualty/Emergency Department. This was
based on standards for flow of trauma and emergency care and number and type of patients attending the casualty.
b. Equipments: considering the idling of equipments, requirements and maximum level of training which can be realistically provided at the emergency department.
c. Human resource: Requirement identified. 4. One nodal officer to be identified from each hospital for coordinating the activities and
training.
The estimate for setting up trauma care basic minimum facilities in the proposed emergency department as per the standards ( applicable for all the 14 hospitals)
S/No Area Facility Specification Qty Rate Amount 1. Receiving
area Wheel chairs With belt 2 7000.00 14,000.00 Plain stretcher on trolly
2 20,000.00 40,000.00
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Spine board 1 8000.00 8000.00 2. Registration
counter fabrication 1 150,000.00 150,000.00 PC with accessories, internet connectivity
1 60,000.00 60,000.00
3. Triage area Examination cot 1 10,000.00 10,000.00 Curtain hooked on top
1 5,000.00 5,000.00
4. Red area (resuscitation area)
Trauma care emergency & recovery trolley with accessories
1 150,000.00 150,000.00
5. Yellow area ( close observation area)
Fowler’s cot 4 male and 4 female
8 15,000.00 120,000.00
Curtain railing hooked on top
8 5,000.00 5,000.00
6. Green area ( Observation area)
cots 6 12,000.00 72,000.00
7. Nursing station
10*12 ft area Half wall aluminium fab with observation glass above
1 80,000.00 80,000.00
Sink for hand washing
Stainless steel 1 8,000.00 8,000.00
Shelve Stainless steel 1 15,000.00 15,000.00 7. Minor
OT/Procedure room
OT table 1 200,000.00 200,000.00
Spot light 2 71,000.00 142,000.00 OT trolley 2 15,000.00 30,000.00 Instrument
trolley 2 8,000.00 16,000.00
Total
Equipments: Budget requirement
The additional requirement for trauma and emergency care, based on the gap analysis done in each of the hospitals are detailed in the following tables. The requirements are calculated also based on the expected load of trauma and emergency cases, already available equipments and
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the services which can be provided at each of these hospitals once the trauma care services are established.
Equipment name Unit cost Additional Qty required Amount in Rs. 1. Airway management
1. Suction Machine 2. Ambu Bag 3. Ambu bag paediatric 4. Laryngoscope adult & paediatric 5. Magill forceps 6. Oral-nasal airway endotracheal tube
2. Breathing 7. Stethoscope 8 Pulse oxymeter 9 Blood gas analyser-500
Test/Mouth
10 Ventilator Portable 3. Circulation
11 BP apparatus 12 Thermometer 13 Weighing Balance- Electronic 14 Defivrilator with cardiac monitor 15 Semi Auto Biochemistry analyser 16 Multipara monitor with Capnogram
4. Head Injury 17 CT-Scan- 2 slice 18 Ophthalmoscope direct
5. Extremity and Spinal injury 19 Thomas splint (all sizes) 20 B B splint 21 DRB splint 22 Spine Board 23 Cervical collar 24 Mallet 25 Steinmann pin 4.5 26 T handle 27 Bohler’s stirrup 28 Atraumatic forceps 29 Artery forceps 6 30 Curved artery forceps 8 31 Hand drill 32 Digital X-ray
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33 Mobile X-ray 60 mA 34 C-arm Image intensifier system (Model
B)
35 Surgical diathermy 36 OT table Orthopedic Manual hydrolic
6. Burn & Wounds (mentioned in general) 7. Abdominal and Chest injury
37 Ultrasound machine 8. Safety of Health personnel
38 Sharp disposal-needle 9. General Equipments
39 ECG Machine single channel 40 Flash autoclave 41 Cleaning and dressing table 42 Cutting scissors 43 Trauma emergency cot 44 Nebuliser 45 Trauma care crash cart standard 46 Trauma care crash cart deluxe 47 Folding stretcher 48 Drip stand SS 49 Mayo table 50 Centralized gas system Total in Lakhs
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