SVimal Krishnan
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View article: Baseline Knowledge and Change in Confidence after Learning First Aid from Emergency Physicians: A Pre–Post Interventional Study of 2462 High School Junior Red Cross Cadets
Baseline Knowledge and Change in Confidence after Learning First Aid from Emergency Physicians: A Pre–Post Interventional Study of 2462 High School Junior Red Cross Cadets Open
Background: Public awareness of the importance of first aid (FA) significantly impacts patient care. Even though it is understood that FA awareness and training should be made universal, it is often debated whether FA education should be m…
View article: Barriers to Effective Prehospital and Hyperacute Stroke Care in India: A Physician Perspective
Barriers to Effective Prehospital and Hyperacute Stroke Care in India: A Physician Perspective Open
Introduction: The incidence of stroke is increasing in India. Prehospital stroke care is crucial for reducing stroke morbidity and mortality, but its implementation in India faces several challenges. Limited original research exists on pre…
View article: E-HEART score
E-HEART score Open
OBJECTIVE: Cardiovascular disease is the leading cause of death worldwide. As there is an increase in the global burden of ischemic heart disease, there are multiple scoring systems established in the emergency department (ED) to risk stra…
View article: Removing Barriers to Emergency Medicine Point-of-Care Ultrasound: Illustrated by a Roadmap for Emergency Medicine Point-of-Care Ultrasound Expansion in India
Removing Barriers to Emergency Medicine Point-of-Care Ultrasound: Illustrated by a Roadmap for Emergency Medicine Point-of-Care Ultrasound Expansion in India Open
Point-of-care ultrasound (PoCUS) has a potentially vital role to play in emergency medicine (EM), whether it be in high-, medium-, or low-resourced settings. However, numerous barriers are present which impede EM PoCUS implementation natio…
View article: A Comparison between Ultrasound-guided Short-axis Approach and Oblique Axis Approach for Internal Jugular Venous Cannulation in the Emergency Department
A Comparison between Ultrasound-guided Short-axis Approach and Oblique Axis Approach for Internal Jugular Venous Cannulation in the Emergency Department Open
Background: Central venous catheter (CVC) placement is a frequently performed procedure in the emergency department (ED). We aim to compare two different ultrasound (US)-guided techniques, the short-axis (SAX) approach and the oblique axis…
View article: Indigenously Developed Ultrasound Phantom Model versus a Commercially Available Training Model
Indigenously Developed Ultrasound Phantom Model versus a Commercially Available Training Model Open
Background: The commercially available training phantoms being expensive, homemade models are popular surrogates for training. We intended to study how comparable our indigenously developed ultrasound phantom (IDUP) was with the commercial…
View article: The Art of Sim-Making
The Art of Sim-Making Open
The components of each stage have similarities as well as differences, which make each unique in its own right. As the film-making and the movie industry may have much we can learn from, some of these will be covered under the different se…
View article: P117 Changes in prescription of home non-invasive ventilation (NIV) in Southern Adelaide Local Health Network (SALHN) from 2016 – 2020
P117 Changes in prescription of home non-invasive ventilation (NIV) in Southern Adelaide Local Health Network (SALHN) from 2016 – 2020 Open
Background Long term NIV is established therapy for patients with chronic type 2 respiratory failure (T2RF) due to neuromuscular disorders and obesity hypoventilation syndrome (OHS) without significant OSA. There is emerging evidence that …
View article: The 2021 toolkit for emergency preparedness and mitigation to combat surge of pediatric COVID-19 patients in India: The world health organization collaborating center for emergency and trauma in South East Asia recommendations
The 2021 toolkit for emergency preparedness and mitigation to combat surge of pediatric COVID-19 patients in India: The world health organization collaborating center for emergency and trauma in South East Asia recommendations Open
The authors of this toolkit focus on children under the age of 18 comprising approximately 41% of the total population in India. This toolkit has been created with an objective to prepare, mitigate the effects of any surge of COVID-19 in o…
View article: Are we prepared? Lessons from Covid-19 and OMAG position paper on epidemic preparedness
Are we prepared? Lessons from Covid-19 and OMAG position paper on epidemic preparedness Open
Covid-19 has once again brought into focus our limited preparedness to deal with epidemics. Most nations, across the globe, have responded with a resolve to come stronger out of this crisis and leaderships across the world have shown great…
View article: Infection control measures, in situ simulation, and failure modes and effect analysis to fine-tune change management during COVID-19
Infection control measures, in situ simulation, and failure modes and effect analysis to fine-tune change management during COVID-19 Open
Coronavirus disease 2019 (COVID-19) was an impetus for a multitude of transformations - from the ever-changing clinical practice frameworks, to changes in our execution of education and research. It called for our decisiveness, innovativen…
View article: Fighting antimicrobial resistance: Status paper with action points by organized medicine academic guild
Fighting antimicrobial resistance: Status paper with action points by organized medicine academic guild Open
ABOUT ORGANIZED MEDICINE ACADEMIC GUILD The need for having an umbrella organization of all like-minded professional associations working for human health was realized in a meeting of Global Health Security Agenda held in 2017 at Mangalore…
View article: A comparison of internal jugular vein cannulation by ultrasound-guided and anatomical landmark technique in resource-limited emergency department setting
A comparison of internal jugular vein cannulation by ultrasound-guided and anatomical landmark technique in resource-limited emergency department setting Open
The real-time USG guided technique significantly reduces the number of attempts to cannulate, has a higher first-pass success rate, a quicker flash time, and fewer complications when compared to the AL technique. In EDs equipped with USG, …
View article: A health care delivery model focusing on development of a cadre of primary care physicians—Recommendations of Organized Medicine Academic Guild
A health care delivery model focusing on development of a cadre of primary care physicians—Recommendations of Organized Medicine Academic Guild Open
Organized medicine is the academic guild of professional medical organizations in India. It was founded at the annual conference of Indian Academy of Pediatrics (PEDICON) on January 7, 2018. Organized medicine is constituted by leading pro…
View article: The “Case-Based Learning Conference” Model at EMINDIA2017: A Novel Implementation of Problem-Based Educational Paradigm
The “Case-Based Learning Conference” Model at EMINDIA2017: A Novel Implementation of Problem-Based Educational Paradigm Open
INDUSEM was established as an INDO-US Satellite Knowledge Network in 2005. It brought together the academic leaders and innovators from India and the US with the goal of creating collaborative synergies and creative solutions to advance th…
View article: Utility of clot waveform analysis in Russell's viper bite victims with hematotoxicity
Utility of clot waveform analysis in Russell's viper bite victims with hematotoxicity Open
CWA showed changes which provided information earlier than the conventional coagulation studies in the snakebite victims studied. While aPTT or WBCT reflects clotting time, CWA conveys the dynamic process of clot formation and stabilizatio…
View article: Factors affecting early treatment goals of sepsis patients presenting to the emergency department
Factors affecting early treatment goals of sepsis patients presenting to the emergency department Open
The sepsis bundle goals were not achieved because of various factors such as under triaging, delay in diagnosis, logistical delay, and financial constraints. Further studies on whether sensitization of medical fraternity about sepsis, impl…
View article: The 2017 Academic College of Emergency Experts and Academy of Family Physicians of India position statement on preventing violence against health - care workers and vandalization of health - care facilities in India
The 2017 Academic College of Emergency Experts and Academy of Family Physicians of India position statement on preventing violence against health - care workers and vandalization of health - care facilities in India Open
There have been multiple incidents where doctors have been assaulted by patient relatives and hospital facilities have been vandalized. This has led to mass agitations by Physicians across India. Violence and vandalism against health-care …
View article: The need for a population-based, dose optimization study for recombinant tissue plasminogen activator in acute ischemic stroke: A study from a tertiary care teaching hospital from South India
The need for a population-based, dose optimization study for recombinant tissue plasminogen activator in acute ischemic stroke: A study from a tertiary care teaching hospital from South India Open
There is a need for a properly randomized, dose optimization study of i.v rt-PA in the Indian subcontinent.
View article: The 2017 International Joint Working Group white paper by INDUSEM, The Emergency Medicine Association and The Academic College of Emergency Experts on establishing standardized regulations, operational mechanisms, and accreditation pathways for education and care provided by the prehospital emergency medical service systems in India
The 2017 International Joint Working Group white paper by INDUSEM, The Emergency Medicine Association and The Academic College of Emergency Experts on establishing standardized regulations, operational mechanisms, and accreditation pathways for education and care provided by the prehospital emergency medical service systems in India Open
The government of India has done remarkable work on commissioning a government funded prehospital emergency ambulance service in India. This has both public health implications and an economic impact on the nation. With the establishment o…
View article: Factors delaying management of acute stroke: An Indian scenario
Factors delaying management of acute stroke: An Indian scenario Open
Lack of awareness regarding stroke leads to delayed seeking of treatment for the same. The factors that contribute to the in-hospital delay included patient admission procedure delay, lack of staff to transport the patient, and the distanc…