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NIMS emergency services in ICU
The glory of emergency services of theNizam\'s Institute of Medical Sciences (NIMS) is losing its sheen gradually due to lack of infrastructure, increased patient overload and callous attitude of the administration. NIMs have been attracting criticism for sending away the patients citing lack of doctors, beds and ventilators. Even for simple emergency services like gastritis nad heatstroke, patients have to wait for hours and no specialist doctors are available.
Hyderabad: The glory of emergency services of theNizam's Institute of Medical Sciences (NIMS) is losing its sheen gradually due to lack of infrastructure, increased patient overload and callous attitude of the administration. NIMs have been attracting criticism for sending away the patients citing lack of doctors, beds and ventilators. Even for simple emergency services like gastritis nad heatstroke, patients have to wait for hours and no specialist doctors are available.
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NIMS was a pioneer in emergency medical services in the undivided Andhra Pradesh State. This used to be the first choice for any emergency Medical services (EMD). NIMS were considered to be one of the few hospitals where round the clock emergency services were attended by expert doctors even on Sundays and public holidays. NIMS had purchased more than 100 ventilators and many of them are not in use and there was a CBI enquiry on purchasing of these ventilators by the then director Dr Dharma Rakshak.
According to attendants of patients, though in spite of several ventilators are being kept unused at the EMD, daily about 40 to 50 patients were being sent away especially in the late hours and wee hours when it is difficult for us to go to another hospital. Surprisingly, when the entire emergency building is vacant, the reason for sending away the patients is ‘lack of beds’.
“The number of causality medical officers serving at EMD is very less in number. They seem to be indifferent and simply refer cases to the resident doctors,” said a doctor. “It takes an hour or so for the resident doctors to come and see the patients and takes more than an hour get into EMD and takes another hour for basic treatment to be initiated,” said another attendant of a patient.
“The EMD has 45 beds, 12 ventilators. Every 15 minutes one patient will come to EMD, average per day 100 to 120 patients queued up here. It takes 15 to 20 minutes to judge whether the case emergency or causality,” said a doctor on condition on anonymity. Especially, trauma patients who are met with accidents are not taken care immediately and being sent away by the Causality Medical Officers, though the building is meant for only trauma and emergencies.
“The patients are coming to EMD only for ventilators. Corporate hospitals are sending patients to NIMS at the last stage,” hospital doctors maintain. The director of NIMS Dr L Narendranath has denied responding the plights of patients and difficulties at the EMD.
By:Naveen Kumar
