Sakra Institute of Emergency Medicine

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Introduction to Emergency Medicine:

In today’s fast paced world, unplanned and unexpected medical emergencies are becoming the norm. Patients in pain & distress due to accidents, lifestyle diseases, communicable diseases or complications of ongoing treatments, present themselves to the emergency departments seeking urgent help.

There is an acute need for “Emergency Specialists” to identify and treat these emergencies. The availability of highly skilled and keen doctors, who are well oriented to emergency situations and can keep a cool head to handle an emergency is the need of the hour in today’s healthcare scenario. The growth of emergency medicine, from concept to its current state has happened over a short time. It has only been recognized as an independent specialty since the last decade in India. While it could be considered a fledgling medical specialty, it is also one of the fastest growing specialties in health care at present.

The uniqueness of this specialty is that it handles severe illness at the most crucial time irrespective of different organ systems that could be involved due to the illness. Hence it demands for knowledge of and coordination with all the other existing specialties in healthcare today. The doctors in emergency medicine besides being able to resuscitate acutely ill patents and provide trauma care, need to have expert level knowledge and skills concerned with all branches of heath care like General medicine, Surgery, Critical Care, Orthopedics, Neurosciences, Radiology, Geriatrics, Pediatrics and Obstetrics and Gynecology.

Doctors trained in emergency medicine have both medical and managerial dexterity. Quality care in time saves lives and also saves costs, these are traits that a good Emergency physician brings to a healthcare system. Such qualities are in great demand in today’s health care scenario creating a tremendous employment opportunity for emergency trained doctors in premier health care facilities across the country.

An emergency physician can also opt to choose to make a niche for themselves in the sub-specialties of emergency medicine. These include pre-hospital care like EMS, Helicopter EMS (HEMS), Disaster & Mass gathering medicine or In-hospital subspecialties like Pediatric Emergency Medicine, Critical care or acute medicine, ultrasound and toxicology. With a background in emergency medicine one can even consider careers in Research, Forensic and Legal medicine, Industrial health care and injury prevention. For emergency physicians who have a taste for adventure, out of hospital branches like, Environmental health, Hyperbaric and undersea medicine, Sports medicine, Expedition and Wilderness medicine are some interesting considerations.

This course is not under the purview of the Medical Council of India.

About Us

Sakra Institute of Emergency Medicine (SIEM) is a center of excellence in Emergency Medicine at Sakra World Hospital. Sakra World Hospital is a joint venture by SECOM and TOYOTA TSUSHO, built on the principle vision of enhancing quality of life by providing world class medical care.

Sakra Institute of Emergency Medicine (SIEM) is affiliated to SEMI (Society of Emergency Medicine in India). SEMI collectively represents Emergency Medicine in India to the world. It also takes responsibility of ensuring excellence in academics, research and clinical emergency medicine.

Sakra Institute of Emergency Medicine is dedicated to achieve excellence in both clinical and academic emergency medicine. The faculty in the department and have qualified their Members of the Royal college of Emergency Medicine (MRCEM) exam.

Dr. Bevin D’Silva

Head – Department of Emergency Medicine

The department is headed by Dr Bevin D'Silva who is also a Member of the Royal College of Emergency Medicine by examination. Being one from the first batch of residency trained emergency physicians in the country himself, Dr Bevin D'Silva is the Vice President of SEMI (Society for Emergency Medicine - Karnataka Chapter) and a full time examiner for the RCEM. He has more than a decade of experience in training and mentoring numerous aspiring emergency physicians.

Sakra Institute of Medicine Emergency is offering “MASTERS IN EMERGENCY MEDICINE”, certified By Society of Emergency Medicine India (SEMI).

Candidate for admission to fellowship programme shall be required to possess the following qualifications:
  • He/she must have a qualified MBBS Degree
  • Obtained permanent registration certificate from any one of the State Medical Councils or Medical Council of India
  • Foreign Medical Graduated should have cleared their FMG screening exam before enrolling into the course and have to submit their FMG screening exam result copy to the society as mentioned in the application.
  1. Attested copy of MBBS mark list.
  2. Attested copy of MCI Registration
  3. Attested copy of Certificate to prove Date of Birth
  4. Conduct/Character certificate from the Head of the Institution where the candidate last studied.
  5. Transfer Certificate
  6. Recent passport size photographs.
Three years
(36 Months)
No exemption shall be given from the period of training. Leave – as per institutional policy. The head of the department will approve the duty hours for the candidates at the end of each month.
  1. Those fulfilling the eligibility criterion, the candidate will be called for a personal interview following which the admission list will be drawn.
  2. The personal interview will be conducted by the head of the department and the selected list of candidates will be recommended to SEMI with complete set of details as requested in the application form on or before 20 days prior to the commencement of the course for that year.
  3. The final decision of acceptance and enrollment for the course rests with SEMI and incomplete applications will be rejected.
  4. All the candidates successfully enrolled will receive an acceptance letter from SEMI and recommended to register for SEMI membership.

Note: This course entitles the participant to an attractive stipend. This course is not under the purview of the Medical Council of India

The goal of the training program is to produce Emergency Physicians with the necessary knowledge, skill and attitude to diagnose and manage a wide range of clinical problems in Emergency Medicine as seen in the community or in secondary/tertiary care setting in an effective manner. The qualities to be absolutely necessary:
  • Sound knowledge and skills of the emergency aspects of medical and surgical speciality, and its application within the golden hour.
  • Competent in life saving emergency interventions and appropriately use various diagnostic tests, and interpret their results intelligently & promptly.
  • Be familiar with the fundamentals of research methodology.
  • Possess humanistic qualities, attitudes and behaviour necessary for the development of appropriate patient-doctor relationship.
  • To assist and if necessary train juniors.
  • To keep up-to-date and be familiar with all recent advances in the field of Emergency medicine.
    As a result of the training under this program, at the end of 3 years of postgraduatetraining, a resident must acquire the following knowledge, skills and competencies:
    • A thorough knowledge of pathological abnormalities, clinical manifestations, and principles of management of a large variety of medical and surgical emergencies of pediatrics, adults and geriatrics, affecting any organ system.
    • Skill and competence to choose and interpret correctly the results of the various routine investigations necessary for proper management of the patient. While ordering these investigations, a resident must be able to understand the sensitivity, specificity and the predictive value of the proposed investigation, as well as its cost effectiveness in the management of the patient.
    • Skill and competence in emergency interventions like end tracheal intubations, needle cricothyrotomy, tracheostomy, needle thoracocentesis, Intercostal drain placement, pericardiocentesis, defibrillation, mechanical ventilation, hemodialysis, ultrasonography, Echo so on and so forth.
    • Skills and competence to perform commonly used diagnostic procedures, namely, lumbar puncture, bone marrow aspiration/biopsy, liver/nerve/muscle/ skin/ kidney/pleural biopsy, fine needle aspiration cytology of palpable lumps, pleural/pericardial/abdominal/joint fluid aspiration.
    • Skill and competence to choose and interpret correctly the results of specialized investigations including radiologic, ultra-sonographic, biochemical, hemodynamic, electro-cardio graphic, electrophysiological, pulmonary functional, hematological, immunological, nuclear isotope scanning and arterial blood gas analysis results.
    • Skill and competence to provide consultation to other medical and surgical specialties and sub-specialties, whenever needed.
    • Skill and competence to function effectively in varied clinical settings, namely emergency/critical care, ambulatory care, out-patient clinic, inpatient wards.
    • Skill and competence to take sound decisions regarding hospitalization, or timely referral to other consultants of various medical sub specialties recognizing his limitations in knowledge and skills in these areas.
    • Proficiency in selecting correct drug combinations for different clinical problems with thorough knowledge of their pharmacological effects, side effects, interactions with the other drugs, alteration of their metabolism in different clinical situations, including that in the elderly.
    • Skill and competence to advise on the preventive, restorative and rehabilitative aspects including those in the elderly, so as to be able to counsel the patient correctly after recovery from an acute or chronic illness.
    • Skill and competence to understand research methodology in Emergency medicine and to undertake a critical appraisal of the literature published in various emergency medical journals and be able to apply the same in the setting in which the resident is working.
    • Skill and competence to work cohesively in Resuscitation team along with paramedical personnel, maintain discipline and healthy interaction with the colleagues.
    • Skill and competence to communicate clearly and consciously, and teach other junior residents, medical students, nurses and other paramedical staff, the theory as well as the practical clinical skills required for the practice of Emergency Medicine.

    • The entire educational program will be conducted in an integrated and coordinated manner in association with various pre-clinical, para-clinical and clinical departments.
    • The senior staff members of these departments will be requested to give lectures on various topics in relation with Emergency medicine, and focus on applied aspects.