Cricothyroidotomy in Indians - A Study Posted by webmaster on May 14 2010
Morphometric analysis and clinical application of the working dimensions of cricothyroid membrane in south Indian adults: With special relevance to surgical cricothyroidotomy Ivan J Prithishkumar and Suresh S David
Institute of Anatomy, Government Madras Medical College and Research Institute, Chennai and
Department of Emergency medicine, Christian Medical College and Hospital, Vellore, India
Objective:
To measure the working dimensions of the cricothyroid membrane in the adult south Indian population and to establish the association between the working dimensions and the appropriate endotracheal tube size for the purpose of cricothyroidotomy.
Methods:
Cross-sectional evaluation of 50 fresh adult autopsy cases (35 men, 15 women) in a medical university teaching hospital in South India.
Conclusions:
Working dimensions are smaller in the Indian group compared with western publications. Endotracheal tubes ranging from size 3.0 to 6.0 might be used for cricothyroidotomy in the adult south Indian population.
Starting of MD (Emergency Medicine) course at B.J. Medical College, Ahmedabad u/s 10 A of the Indian Medical Council Act, 1956.
Read: the Council Inspectors report (December, 2009) on the physical and other teaching facilities available at the B.J. Medical College, Ahmedabad for starting of MD(Emergency Medicine) course under the Gujrat University, Ahmedabad u/s 10A of the IMC Act, 1956.
The Postgraduate Committee considered the Council Inspectors report (December, 2009) and decided to recommend to the Central Govt. to issue Letter of Permission for starting of MD(Emergency Medicine) course at B.J. Medical College, Ahmedabad under Gujrat University, Ahmedabad u/s 10A of the IMC Act, 1956 prospectively i.e. from the academic session 2010-2011 restricting the number of admission to 2(Two) students per year, till the first batch admitted appears in the final examination of the said course. The institution be advised to apply for recognition of the qualification at the time of first available examination as per the provision of Section 11(2) of the IMC Act, 1956.
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To prescribe the Eligibility Criteria for Teachers in the Broad Speciality and Super-Speciality Courses.
Read: To prescribe the Eligibility Criteria for Teachers in the Broad Speciality and Super-Speciality Courses.
The Postgraduate Committee noted that the General Body of the Council at its meeting held on 18.11.2009 considered the matter with regard to prescribe the Eligibility Criteria for Teachers in the Broad Speciality and Super-Speciality Courses alongwith the recommendation of the Postgraduate Committee taken at its meeting held on 13.11.2009 and the Council approved the following recommendation of the Postgraduate Committee:-
The Postgraduate Committee considered the recommendation of the TEQ Sub- Committee for prescribing the eligibility criteria prescribe the Eligibility Criteria for Teachers in the Broad Speciality and Super-Speciality Courses and noted the Notification dated 21/07/2009 following Postgraduate Medical Qualifications have been added in the Schedule to Postgraduate Medical Education Regulation 2000:-
The matter was placed before the TEQ Sub-Committee at its meeting held on 05.10.2009 to prescribe the Eligibility Criteria for Teachers in the Broad Speciality and Super-Speciality courses. The Committee decided as under: - The Teachers Eligibility Qualifications Sub-Committee considered the matter with regard to prescribing the Eligibility Criteria for Teachers in the Broad Speciality and Super Speciality Courses and decided that a joint meeting of Chairman, Teachers Eligibility Qualifications Sub-Committee with Chairman, Post Graduate Committee be held on mutually agreed date to define curriculum, syllabus and Teachers Eligibility Qualifications for Broad Speciality and Super-Speciality Courses.
The Postgraduate Committee noted that inadvertently doctoral and postdoctoral teachers of the concerned discipline have not been mentioned in the list of eligible teachers. Hence, the Postgraduate Committee proposed the following amendments to the eligibility criteria for teachers as under:-
For M.D. in Emergency Medicine
MD (Emergency Medicine)
M.D.(General Medicine) with 2 years training in Emergency Medicine
M.S.(Genl.Surgery) with 2 years training in Emergency Medicine
M.D. (Resp. Medi.) with 2 years training in Emergency Medicine
M.D.(Anaesthesia) with 2 years training in Emergency Medicine
M.S. (Orthopaedics) with 2 years training in Emergency Medicine
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Minimum Qualifications for Teachers in Medical Institutions (Amendment ) Regulations, 2009
Teachers Eligibility Qualifications for MD Emergency Medicine
Professor
MD (Gen Medicine) with 2 years training in Emergency Medicine
MD (Respiratory Medicine) with 2 years training in Emergency Medicine
MD (Anesthesia) with 2 years training in Emergency Medicine
MS (General Surgery) with 2 years training in Emergency Medicine
MS (Orthopedics) with 2 years training in Emergency Medicine
Reader / Associate Professor
Same as above
Assistant Professor / Lecturer
Same as above
Tutor / Demonstrator / Resident / Registrar
MBBS
NOTE: The academic qualification as shown above will be the academic qualification required for teaching faculty post for a period of 10 years w.e.f. date of notification. It is reiterated that only the academic qualification of MD (Emergency Medicine) will be the required academic qualification for appointment to the post of teaching faculty after the expiry of the period of 10 years from the date of notification.
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A New Taj Mahal Posted by webmaster on August 22 2009
Ladies and Gentlemen,
Today at 0100 hours (Aug 12th 2009), I inscribe a new sentence on the milestone of our specialty in India. The Medical Council of India has recognized the Specialty of Emergency Medicine! This is the beginning of a new era. Yes, this day marks the end of a long walk through the tunnel of uncertainty. The pages, in the book of time, have indeed turned very slowly over the past 15 years. We have waited patiently, so close to the Finish Line, for so long, that we have forgotten the taste of sweet victory!
Some moments in our lives are distinct. This is one such. when we are summoned to the threshold of a new horizon, a new millennium for the fledgling fraternity of Emergency physicians in India; the fraternity, which will carve the image of our hopes and dreams, the fraternity of young lions and lionesses, who will salvage the deplorable state of emergency care in our country and raise it to the high ground which I have prayed for, since 1994.
On this day, let us remind ourselves, not to be torn by divisions of geography, language, pride or ego; not to be wooed or inflated by self-centric agencies that promise more than they can deliver. I pause on this gloomy note, since the shadow of rhetoric darkness descends periodically on our country; a shadow which threatens to splinter our forces and prevent us from being one. Let us lower our voices, strengthen our shoulders, raise our hands and stand together to garner the inner strength which prevails in all us, to address the common goal of advancing our specialty, through our thought, word and practice.
As trainers and trainees, let us learn not to force but to impart, not to transplant but to transform, not to teach but to inspire, the hundreds which are to follow us in the future. Let us balance technology against affordability, forced clinical practice against realism and resources.
Our task is to build a new Taj Mahal, because we can do it; because we have done it, in the past! We have endured the long night of waiting; as we glimpse at the emerging rays of dawn, come, join with me, as I dance with joy, this moment of awe and jubilation!
Prof. Suresh David, MS, FACEM
Department of Accident & Emergency Medicine
Christian Medical College, Vellore, India.
