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Location
Building No.P-08
(Heritage
Building)
Scheme of Presentation

•   Introduction
•   Background
•   Role
•   Restructuring
•   Manpower status
•   Departments
Background : The path
• Established as Naval Medical Research and
  Training Centre (NMRTC): 1964
• Re-designated as Institute of Naval Medicine
  (INM):1974
Background: The path
• Accorded status of Category ‘A’ training
  establishment: 1975
• Placed under command & control of HQWNC :
  1986
  – Head of INM re-designated as ‘Director’ : 1987
• Restructured & placed under command &
  control of INHS Asvini: 2004
Role of INM : core concepts
• Training
• Research
• Operational Medical support
Role of INM : Core concepts
                Training


• Develop , maintain and impart
  – Standardised professional training to
     • Medical Officers
     • Probationer Nurses
     • Medical Assistants
  – Training in Marine medicine to
     • Medical Officers
     • Medical Assistants
Role of INM : Core concepts
                      Training
• Impart training to Medical Assistants in
  – Initial
  – Higher rank        courses
  – Specialist
• Conduct post –graduate specialist courses in
  Marine Medicine
• Conduct Shipmasters Medicare courses
  – For civilian non-medical personnel of the Merchant
    Marine
Role of INM : Core concepts
                      Training
• Conduct professional conferences like
  – Annual conference of Marine Medical Society
  – Bombay Medical Congress
  – CME programmes in
     • Marine Medicine
     • Aviation Medicine
Role of INM : Core concepts
                    Research
• Function as a nodal agency for co-ordination of
  all Armed Forces Medical Research Committee
  (AFMRC) projects
Role of INM : Core concepts
           Operational Medical support

• Carry out medical examination / conduct medical
  boards of
   – Divers
   – Submariners        of Navy & Coast Guard
   – Aircrew
Functional structure
           IHQ MOD (Navy)


                  HQWNC


                  ASVINI




EXO     DIR INM          CMDE
                                   HsOD
                       ACADEMICS
Internal structure
                        Departments
                                  DIR INM

                           Research & Trg Co-ord.


 Undersea Medicine Dept                             Hyperbaric Medicine Dept
                                                      (Chamber Complex)


 Naval Aviation Med Dept                             Maritime Health Dept



      Maritime Lab
                                                     Sports Medicine Dept

                                                    Research & Analysis Wing
NBC & Radiation Med Dept                            Applied physiology
                                                    Applied psychology
                                                    Record analysis
                                                    Publication
                                                    Statistics
Manpower status: Officers


Category              Auth   Borne
Director               01     01
Marine Medicine        03     03
Aviation               02     01
Physiology             02     01
Preventive Medicine    02     01
Sports Medicine        01     Nil
Diving Officer         01     01
TOTAL                  12     08
Manpower status: Officers

         Specialist officers earmarked for
               primary work at INM
  Specialist       Auth   Borne
Psychiatrist        01     Nil
ENT Specialist      01     Nil

Ophthalmologist     01     Nil

Physician           01     Nil

Psychologist        01     Nil

Nuclear Medicine    01     Nil
Manpower status : Sailors
                             BORNE
• SENIOR SAILORS   INM          04
                         Distribution
                   SNM          02
                   SNH          02
• JUNIOR SAILORS   INM          05
                         Distribution
                   INM          05
                   SNM          NIL
                   SNH          NIL

• CIVILIANS        INM          13
                         Distribution
                   INM          09
                   SNM          02
                   SON          02
Departments - Activities
UNDERSEA MEDICINE
   DEPARTMENT
Activities

• The activities of the Department can be broadly
  classified under the following heads
  – Clinical
  – Research
  – Training
Clinical
• Details of Hyperbaric Oxygen Therapy rendered are

                        2008     2009      2010 till date


   Number of patients   144       182           77

    Number of           2361     1721          999
therapies (sessions)

• Medical evaluation of divers, including civilian divers,
  commandos and submariners undertaken.

• Specialist opinions are rendered as and when required.
Hyperbaric Oxygen Therapy (HBOT)
HBOT
Research
ON-GOING AFMRC PROJECTS -
 (Principal worker from the Dept)
DRDO Projects

• Indigenisation of Submarine Escape Set.

• Submarine escape from 120 meters.
Training Load
                                    2008             2009        2010 till date

Officers                     Courses Trainees Courses Trainees Courses Trainees

1. Diploma     in   Marine     02          06   02          06    01       03
   Medicine
2. Basic Submarine             02          04    -          -     02       04
   Course Medical Phase
   (MOs)
3. Naval Medicine Course       01          13   02          26    03       46
4. Clearance Diving            02          04   02          12     -       -
   Officers    Medicare
   Course
5. Underwater Medicine         01          02    -          -      -       -
   Course International
   MOs
Training Load

                                  2008             2009         2010 till date


Sailors                    Courses Trainees Courses Trainees Courses   Trainees

1. Basic Submarine           02          03   02          09   01         03
   Course
2. Clearance Divers          02          33   02          51   02         42
   Medicare
                             01          04   01          01   01         02
3. UWM I Course

4. UWM I/II Courses          01          05   01          04   02         06
   For International MAs
Training Load
                           2008             2009        2010 till date
Civilians           Courses Trainees Courses Trainees Courses   Trainees
Masters Medicare
 for LBS Nautical     04          61   02          30   02        30
 College
Total                 18      135      14      139      14        136
CHAMBER COMPLEX
Multi place Diving Chamber
Old Chamber

• Installed in 1983
• Hyperbaric Chamber having a 30 bar working
  pressure
• Procured from Comex Industries,France
• Sanction for long overdue repairs taken froMHQWNC
• Work package completed
COMEX CONTROL PANEL
Status of new chamber
  Following additions / alterations carried out


• Oxygen gauges at the control panel replaced to provide
  additional supply of oxygen to all BIBS.
• Pressure and depth gauges on the control panel calibrated.
• Sealing gaskets of the chamber replaced to enable mating with
  existing one man portable chamber (Dragger).
• Decompression pipes replaced with larger diameter pipes for
  faster decompression.
• Oxygen dump pipe replaced with a larger diameter pipe.
Status of new chamber
School of Naval Health:
                      Training
          Course                 2008         2009       2010 till   Total
                                                            date


Indian Trainees (H-I)              08          06           05        21

International students (H-I)       02          06           06        14

Indian Trainees (H-II)             11          05           05        21

International students (H-II)      07          02           03        12

Hygiene & Sanitation               25          25           Nil       50
Courses for Topasses


                Including 10 educational / field visits per course
School of Naval Health
              Other activities
• O i/C SNH is statistical consultant / adviser for
   – AFMRC projects
   – Departmental projects
   – Dissertations done by PG residents of INHS Asvini
Naval Aviation Medicine Cell
          Operational Medical Support

                            Year

                     2009          2010

AME Aircrew          135            10

Opinion on            19            05
Aircrew medical
status
Naval Aviation Medicine Cell :
          Research
      Ongoing AFMRC projects
       (PW from Department)
Applied Physiology
                            Year


Investigation       2009      2010 (till date)


PFT                 67        32


HUTT                58        28


TMT                 44        20
Applied Physiology :
Ongoing AFMRC projects
 (PW from Department)
ARMED FORCES MEDICAL
 RESEARCH COMMITTEE
      PROJECTS
AFMRC Projects (Navy)



Unit                      Ongoing AFMRC     New project
                             projects       proposals for
                                                2011
Asvini                        29 (22+07)         26

Out station                   19 (17+02)         01

TOTAL                         48 (39+09)         09

•No. of Final reports not submitted : Nil
Inm

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Inm

  • 1.
  • 3. Scheme of Presentation • Introduction • Background • Role • Restructuring • Manpower status • Departments
  • 4. Background : The path • Established as Naval Medical Research and Training Centre (NMRTC): 1964 • Re-designated as Institute of Naval Medicine (INM):1974
  • 5. Background: The path • Accorded status of Category ‘A’ training establishment: 1975 • Placed under command & control of HQWNC : 1986 – Head of INM re-designated as ‘Director’ : 1987 • Restructured & placed under command & control of INHS Asvini: 2004
  • 6. Role of INM : core concepts • Training • Research • Operational Medical support
  • 7. Role of INM : Core concepts Training • Develop , maintain and impart – Standardised professional training to • Medical Officers • Probationer Nurses • Medical Assistants – Training in Marine medicine to • Medical Officers • Medical Assistants
  • 8. Role of INM : Core concepts Training • Impart training to Medical Assistants in – Initial – Higher rank courses – Specialist • Conduct post –graduate specialist courses in Marine Medicine • Conduct Shipmasters Medicare courses – For civilian non-medical personnel of the Merchant Marine
  • 9. Role of INM : Core concepts Training • Conduct professional conferences like – Annual conference of Marine Medical Society – Bombay Medical Congress – CME programmes in • Marine Medicine • Aviation Medicine
  • 10. Role of INM : Core concepts Research • Function as a nodal agency for co-ordination of all Armed Forces Medical Research Committee (AFMRC) projects
  • 11. Role of INM : Core concepts Operational Medical support • Carry out medical examination / conduct medical boards of – Divers – Submariners of Navy & Coast Guard – Aircrew
  • 12. Functional structure IHQ MOD (Navy) HQWNC ASVINI EXO DIR INM CMDE HsOD ACADEMICS
  • 13. Internal structure Departments DIR INM Research & Trg Co-ord. Undersea Medicine Dept Hyperbaric Medicine Dept (Chamber Complex) Naval Aviation Med Dept Maritime Health Dept Maritime Lab Sports Medicine Dept Research & Analysis Wing NBC & Radiation Med Dept Applied physiology Applied psychology Record analysis Publication Statistics
  • 14. Manpower status: Officers Category Auth Borne Director 01 01 Marine Medicine 03 03 Aviation 02 01 Physiology 02 01 Preventive Medicine 02 01 Sports Medicine 01 Nil Diving Officer 01 01 TOTAL 12 08
  • 15. Manpower status: Officers Specialist officers earmarked for primary work at INM Specialist Auth Borne Psychiatrist 01 Nil ENT Specialist 01 Nil Ophthalmologist 01 Nil Physician 01 Nil Psychologist 01 Nil Nuclear Medicine 01 Nil
  • 16. Manpower status : Sailors BORNE • SENIOR SAILORS INM 04 Distribution SNM 02 SNH 02 • JUNIOR SAILORS INM 05 Distribution INM 05 SNM NIL SNH NIL • CIVILIANS INM 13 Distribution INM 09 SNM 02 SON 02
  • 18. UNDERSEA MEDICINE DEPARTMENT
  • 19. Activities • The activities of the Department can be broadly classified under the following heads – Clinical – Research – Training
  • 20. Clinical • Details of Hyperbaric Oxygen Therapy rendered are 2008 2009 2010 till date Number of patients 144 182 77 Number of 2361 1721 999 therapies (sessions) • Medical evaluation of divers, including civilian divers, commandos and submariners undertaken. • Specialist opinions are rendered as and when required.
  • 21.
  • 22.
  • 23.
  • 25. HBOT
  • 26. Research ON-GOING AFMRC PROJECTS - (Principal worker from the Dept)
  • 27. DRDO Projects • Indigenisation of Submarine Escape Set. • Submarine escape from 120 meters.
  • 28. Training Load 2008 2009 2010 till date Officers Courses Trainees Courses Trainees Courses Trainees 1. Diploma in Marine 02 06 02 06 01 03 Medicine 2. Basic Submarine 02 04 - - 02 04 Course Medical Phase (MOs) 3. Naval Medicine Course 01 13 02 26 03 46 4. Clearance Diving 02 04 02 12 - - Officers Medicare Course 5. Underwater Medicine 01 02 - - - - Course International MOs
  • 29. Training Load 2008 2009 2010 till date Sailors Courses Trainees Courses Trainees Courses Trainees 1. Basic Submarine 02 03 02 09 01 03 Course 2. Clearance Divers 02 33 02 51 02 42 Medicare 01 04 01 01 01 02 3. UWM I Course 4. UWM I/II Courses 01 05 01 04 02 06 For International MAs
  • 30. Training Load 2008 2009 2010 till date Civilians Courses Trainees Courses Trainees Courses Trainees Masters Medicare for LBS Nautical 04 61 02 30 02 30 College Total 18 135 14 139 14 136
  • 33. Old Chamber • Installed in 1983 • Hyperbaric Chamber having a 30 bar working pressure • Procured from Comex Industries,France • Sanction for long overdue repairs taken froMHQWNC • Work package completed
  • 34.
  • 36. Status of new chamber Following additions / alterations carried out • Oxygen gauges at the control panel replaced to provide additional supply of oxygen to all BIBS. • Pressure and depth gauges on the control panel calibrated. • Sealing gaskets of the chamber replaced to enable mating with existing one man portable chamber (Dragger). • Decompression pipes replaced with larger diameter pipes for faster decompression. • Oxygen dump pipe replaced with a larger diameter pipe.
  • 37. Status of new chamber
  • 38.
  • 39. School of Naval Health: Training Course 2008 2009 2010 till Total date Indian Trainees (H-I) 08 06 05 21 International students (H-I) 02 06 06 14 Indian Trainees (H-II) 11 05 05 21 International students (H-II) 07 02 03 12 Hygiene & Sanitation 25 25 Nil 50 Courses for Topasses Including 10 educational / field visits per course
  • 40. School of Naval Health Other activities • O i/C SNH is statistical consultant / adviser for – AFMRC projects – Departmental projects – Dissertations done by PG residents of INHS Asvini
  • 41. Naval Aviation Medicine Cell Operational Medical Support Year 2009 2010 AME Aircrew 135 10 Opinion on 19 05 Aircrew medical status
  • 42. Naval Aviation Medicine Cell : Research Ongoing AFMRC projects (PW from Department)
  • 43. Applied Physiology Year Investigation 2009 2010 (till date) PFT 67 32 HUTT 58 28 TMT 44 20
  • 44. Applied Physiology : Ongoing AFMRC projects (PW from Department)
  • 45. ARMED FORCES MEDICAL RESEARCH COMMITTEE PROJECTS
  • 46. AFMRC Projects (Navy) Unit Ongoing AFMRC New project projects proposals for 2011 Asvini 29 (22+07) 26 Out station 19 (17+02) 01 TOTAL 48 (39+09) 09 •No. of Final reports not submitted : Nil