This document provides a summary of the history and development of emergency medicine in Calicut, India from its humble beginnings in 2007. It outlines key milestones and programs that helped establish emergency medicine practices and popularize emergency care, including establishing ANGELS for pre-hospital care, various awareness campaigns, mock disaster drills, and response to floods and other disasters. It highlights the transformation of ambulances into lifesaving vehicles and training of emergency medical technicians. The document also recognizes individuals and institutions that have contributed to the progress and excellence of emergency care.

1. CASUALTY TO
ED
TRANSFORMA
TION…
FEW RANDOM
THOUGHTS
Dr.Venugopalan P P
Director & Lead Consultant
Emergency Medicine
Aster DM Health care

2. How was it
started ?
What are the
challenges ?
How it get
popularised ?
What are the
landmark
programs ?
EM Nurses
and beyond
…

3. A HUMBLE BEGINNING
OF EMERGENCY
MEDICINE IN A SMALL
CITY LIKE CALICUT IN
2007

4. ER Physiology
ER Anatomy
ER Chemistry

5.  Triage
 Training
 Resuscitation
 Protocol
 Teamwork
 Communication
 Social connect

6.  Aster MIMS Calicut

7.  Doctors
 Nurses
 Paramedics
 Public

8.  ED Excellence by NABH

9. COMMUNITY CONNECT

10.  ANGELS – Active Network Group
of Emergency Life Savers
 Established in Calicut ,Kerala Feb
18 , 2011 as PPP model of
community based Ambulance
Network
 Worked in 5 districts of Kerala with
600 ambulances in the network
 Central console and GPS tracked
ambulances belonging to various
operators

11.  Easy access to prehospital care
 Change the status of ambulances
from dead body carrier lifesaving
vehicles
 Taken the ambulances from post
hospital limb to pre-hospital care limb
 Initiated to equip ambulances with
BLS and ALS level
 Community based EMCT training
 Huge public awareness on emergency
medical care , Pre-hospital care and
disaster management

12.  Angels attempted to do….

15. Brown HA, Douglass KA, Ejas S, Poovathumparambil V. Development and implementation of a novel
prehospital care system in the State of Kerala, India. Prehosp Disaster Med. 2016;31(6):1-4
• Community based Prehospital care
system with upgradation of existing
facilities
• Amazing model of PPP
• Instrumental to save many lives

16.  Black Friday July 2020
 Excellent Civilian Response
 Excellent Golden hour management
 Poor Pre-hospital care and victim transport
manegement

17.  Pre-mock drill training of 857 airport staff and 250 lay people in and around
airport
 Plane crash scenario of 200 passengers on board
 3 Foam based most modern and highly powerful fire fighting extinguishers to
control fire
 500 volunteers including doctors ,paramedic ,EMCTs, Nurses and medical
students participated
 150 patients(Moulages) were transported to various hospitals in
Malappuram & Calicut districts
 175 ambulances participated
 Post Mock drill analysis and reports to authorities
 Authorities made correction in many areas
 Mock drill made Calicut plane crash management more streamlined

18. • First time in EM India part of
EMCON 2013
• Huge EM Awareness campaign
• Covered 14 districts in 14 days
• 102 shows covered both rural
& Urban Kerala
• Educating General public on
need of emergency care
• Covered rural & Urban Kerala
• Kerala Casualties were
changed grossly to emergency
departments subsequently

19.  Co-ordinated and systematic approach in 2018
Kerala floods
 System operated through central console to deliver
Medical & Non- medical needs in Kozhikode
district
 Acceptable model of Public –Private –
Participation(PPP)
 Project enabled proper healthcare delivery and
resource utilization
 The exacerbation of the existing diseases like
DM,COPD, CAD, CKD , Asthma , Hypertension,
Seizure diseases were the one the major challenge (
Relief camp scenario )
 Project was duplicated in entire state subsequently
and later in 2019 flood as well

20.  Conversion from dead body carriers to
life savers

21. EMCT – ASAP &
COMMUNITY
EMCT
 Programs helped to popularize the EM
among lay public

22.  A history in EMS/EM Nursing
empowerment

23.  SUPPORT TO SABARIMALA DEVOTEES: 2012,2013 &
2014
PREVENTED AN AVERAGE 100 DEATHS AND ENSURED SAFE TRANSPORT OF
SICK AYYAPPAS
RECENTLY – AYYPPAS HEALTH CHECK CAMP DONE ON 22 & 23 NOVEMBER
2022 AT CALICUT

24. ANGELS WORLD GUINNESS RECORD IN HANDS ONLY CPR -16-
NOVEMBER 2019 AT KOCHI – TRAINED 26546 STUDENTS IN 8
HOURS

25. WORLD
GUINNESS
RECORD IN
HANDS
ONLY CPR
TRAINING
The Biggest & High-
quality CPR awareness
program in the world
• World Guinness record -
16th November 2019
• The highest numbers of
school children- 28523 ( 8,9
and 10 standards) who
received quality CPR
training within 8 hours

26.  Recent road show focusing on road safety
 Pre- Hospital trauma care

27.  20 Oxygen beds with BiPap/
NIV/HFNC support
 10 Ventilator beds with Multipara
monitoring
 20 bed ventilator beds in Makeshift
ICUs
ED acted as a hospital inside the
hospital in Covid 19- 2 wave

28. • https://www.acep.org/intl/newsroom/aster-
mims-calicut-a-southern-india-hospitals-
investment-helps-turn-the-tide/

29.  India’s First POC Ultrasound in ER at Aster
MIMS Calicut in 2010
 India’s Rural EM project at Malappuram in
2022
 EM networking across rural Kerala

30.  Dr Noorjahan V.A
 Aster MIMS Calicut

31.  Quality AHA Training
 Series of Works shops
 EmergenZ 2022 at Calicut

32.  First batch at Calicut