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Dr. Sayani Banerjee

Emergency Medicine Specialist, MBBS, MEM [GWU USA], MRCEM [UK], RCEM Examiner & ATLS Instructor

PORTFOLIO

About Me :

I think that my job is to observe people and the world, and not to judge them. I always like to position myself away from so-called conclusions. I would like to leave everything wide open to all the possibilities in the world and that quality about me makes me a decorous emergency physician.

I enjoy both the pace and the diversity of Emergency Medicine; no other field seems to offer such a wide variety of experiences.  I believe Emergency Physicians need a solid knowledge base in many different medical specialties, accompanied by excellent physical assessment and diagnostic skills. These characteristics fit my personality well; I requires stimulation and diversity in my work and personal life, yet I can be meticulous and detail-oriented when necessary. I am honest, hardworking and passionate about being a doctor. I allow my passion to find it's outlet in the work I do.  I believe, the only way to do great work is to love what we do. 

 

Career Goals:

Excellence is what I pursue, and success will follow reflexively.

Ever since I spend one and a half year of my career in the state of Uttarakhand, one among Indian Himalayan Region, I developed this passion about Wilderness Medicine

I also intend to make Teaching part of my career, as a way to continue my academic, clinical, and personal growth, as well as to contribute making in future emergency medicine specialists. 'In learning I shall teach, and in teaching I shall learn.'

I look forward to involvement in Research opportunities so that I might contribute to the exciting and rapidly growing field of Emergency Medicine research.

My ultimate goal is to improve the practice and delivery of Emergency Medicine as a leader and teacher in the setting in which I practice and lead some EM development project in my home state of West Bengal, India.

I enjoy my time being in nature, travelling, painting and crafting and I love gardening and plants.

Professional ExCELLENce & PROFESSIONAL EXPERIENCE

1. EXAMINER for ROYAL COLLEGE OF EMERGENCY MEDICINE

Since May 2024
  • Successfully applied and got approved as an Examiner for the Royal College of Emergency Medicine, demonstrating expertise and recognition in the field.
  • Scheduled to undergo the Examiner training course in October 2024, preparing to contribute to the examination process and uphold the standards of the Royal College.
  • Committed to maintaining the integrity and fairness of the examination process, ensuring accurate assessment and evaluation of candidates.

2. OSCE EXAMINER in BRISTOL MEDICAL SCHOOL, UNIVERSITY OF BRISTOL

Since 2023
  • Actively contribute as a formally trained OSCE examiner at Bristol Medical School, University of Bristol, assessing the clinical skills and knowledge of 4th-year medical students.
  • Participated in the OSCE examination process, evaluating students' performance and providing constructive feedback to support their learning and development.
  • Maintain a high level of professionalism and adherence to standardized assessment protocols, ensuring fairness and consistency in evaluating students' clinical competencies.
  • Collaborate with fellow examiners and faculty members to ensure the smooth and efficient administration of the OSCE examination.
  • Contribute to the ongoing improvement of the OSCE examination process, providing valuable insights and suggestions for enhancing the assessment experience for both students and examiners.

3. INTERNATIONAL ADVISORY BORAD

VISUAL JOURNAL OF EMERGENCY MEDICINE [Elsevier, ScienceDirect]
  • Served as a member of the International Advisory Board for the Visual Journal of Emergency Medicine, a prestigious publication under Elsevier and ScienceDirect.
  • Provided expert guidance and insights to ensure the quality and relevance of published content.
  • Collaborated with a diverse group of professionals to review and select articles for publication.
  • Contributed to the advancement of emergency medicine research and knowledge dissemination.
  • Played a key role in maintaining the journal's reputation as a leading resource in the field.

4. REVIEWER AT INTERNATIONAL PEER REVIEW JOURNALS

BMJ Case Reports, Annals of Medicine and Surgery
  • Served as a reviewer for prestigious international peer-reviewed journals, including BMJ Case Reports and Annals of Medicine and Surgery.
  • Conducted thorough and critical evaluations of research manuscripts, mostly case reports, ensuring adherence to rigorous scientific standards.
  • Provided constructive feedback and recommendations to authors, contributing to the improvement and quality of published articles.
  • Maintained confidentiality and integrity throughout the peer review process, upholding the reputation and credibility of the journals.
  • Collaborated with editorial teams to ensure timely and efficient review processes, meeting publication deadlines.

5. ATLS INSTRUCTOR

ROYAL COLLEGE OF SURGEONS, UK
  • Nominated as an ATLS instructor by the Royal College of Surgeons, UK, in November 2022, following successful completion of the ATLS instructor candidate course on 9th and 10th November 2023.
  • Currently serving as an ATLS instructor in the UK, delivering high-quality training to medical professionals.
  • Facilitate ATLS courses, providing comprehensive instruction on trauma management and life-saving techniques.
  • Collaborate with a diverse group of healthcare professionals, fostering a collaborative and inclusive learning environment.
  • Maintain up-to-date knowledge of the latest advancements in trauma management and incorporate them into training sessions.
  • Diligently proofread all training materials and documentation, ensuring accuracy and professionalism.
  • Continuously seek opportunities for professional development and growth, attending relevant workshops and conferences to enhance teaching skills. In future I aim to instruct and facilitate in ATLS courses, overseas.

6. APLS (6th & 7th July 2022) & ALS PROVIDER (22nd & 23rd February 2023)

RCUK
  • Completed APLS (Advanced Paediatric Life Support) certification on 6th & 7th July 2022 and ALS (Advanced Life Support) Provider certification on 22nd & 23rd February 2023.
  • Acquired comprehensive knowledge and skills in emergency medical procedures and life-saving techniques.
  • Demonstrated proficiency in providing advanced life support in critical situations.
  • Maintained up-to-date knowledge of the latest advancements and best practices in emergency medical care.
  • Collaborated effectively with healthcare professionals to ensure seamless patient care and optimal outcomes.
  • Applied critical thinking and problem-solving skills to assess and manage complex medical emergencies.
  • Adhered to strict protocols and guidelines to deliver high-quality care in time-sensitive situations.
  • Actively participated in ongoing professional development to enhance skills and stay abreast of industry trends.
12/01/202312/01/2026

Specialty Doctor in Emergency Medicine

University Hospital Bristol & Weston Foundation Trust
  • Independently managed patients and the emergency department during night shifts, showcasing strong leadership and decision-making abilities.
  • Collaborated with consultants in the emergency department during day and evening shifts, effectively coordinating patient care and ensuring smooth operations.
  • Performed emergency procedures with confidence and competence, both under supervision and independently, efficiently managing complications as they arose.
  • QIP Projects : Implemented various quality improvement projects and department audits in the emergency department, introducing initiatives such as Fascia Iliaca Block Packs, Epistaxis tray, expanding the ED Observation Unit, and implementing and facilitating ENP Teaching program.
  • Supervised and mentored junior doctors on the shop floor, providing support and guidance to ensure efficient patient management.
  • Managed patient flow and addressed exit blocks, optimizing departmental efficiency and minimizing wait times.
  • Assisted and supported nursing staff during shifts, fostering a collaborative and cohesive team environment.
  • Demonstrated leadership skills by effectively managing the department in the absence of consultants during night shifts.
18/01/202211/01/2023

Senior Clinical Fellow in Emergency Medicine

University Hospital Bristol & Weston NHS Foundation Trust
  • Acquired comprehensive knowledge of the NHS system, pathways, and guidelines, successfully navigating the complexities of the healthcare environment.
  • Independently managed patients and the emergency department during night shifts, demonstrating exceptional clinical skills and the ability to handle complications confidently.
  • Collaborated closely with consultants in the emergency department during day and evening shifts, providing valuable support and contributing to the efficient management of patient care.
  • Performed emergency procedures with and without supervision, ensuring patient safety and delivering high-quality care.
  • Implemented a successful quality improvement project in the emergency department, introducing Fascia Iliaca Block Packs to enhance patient outcomes and streamline processes.
  • Supervised and mentored junior doctors on the shop floor, providing guidance and support in patient management.
  • Effectively managed patient flow and addressed exit blocks, optimizing department efficiency and ensuring timely access to care.
  • Assisted junior doctors and nursing staff during shifts, fostering a collaborative and supportive work environment.
  • Demonstrated strong leadership skills by effectively managing the department in the absence of consultants during night shifts.
20/05/202115/12/2021

Associate Consultant, Emergency Medicine

Calcutta Medical Research Institute

JOB ROLE:

Clinical:

  • Clinical assessment, resuscitation and timely onward referral, admission or discharge of patients attending the Emergency Department at CMRI.
  • To lead the Emergency Department during rostered shop floor sessions, maintaining situational awareness and redeploying staff to address demand. There may rarely be a need to work with other Emergency Services to provide a pre-hospital mobile medical team.
  • Trauma Team Leader: to attend the Emergency Department when on call to fulfil this role.
  • Ward rounds, continuation of care and management supervision for patients staying in acute care unit.
  • Work together with colleagues to ensure effective management of cross-specialty referrals.
  • Share the rota equitably, including on call and late shifts.

Best practice and clinical audit:

  • QIP Project: Introducing STROKE PATHWAY to improve the quality in documentation and streamlining thrombolysis timing for Stroke patients. To help EMO and junior doctors managing stroke patients who are in window period. 
  • Adapt, assimilate and integrate best practice to continuously improve care.
  • Further the development of services as indicated by recommendations of NABH and international bodies.
  • Develop and maintain robust systems to ensure effective clinical audit in the specialty, including undertaking personal audit.
  • Develop appropriate services and techniques required to meet clinical needs within available resources. Work with colleagues, in charge, to identify additional resources needed to develop the service.
  • Optimise the use of all resources allocated to the post.

Teaching and educational supervision:

  • strategies approach towards education, training and development, taking into consideration the requirements of individual staff, the requirements of the service, and the availability of in-house and commissioned education programmes.
  • Supervise junior and middle grade ED medical staff during working hours.
  • Facilitate an effective learning environment.
    Contribute to in-house weekly junior and senior doctor teaching.
    Instructing on courses such as ACLS, BLS or PALS.

Research & Development:

  • Conducting research activities when opportunities arise and ensure use of evidence based practice within the department/unit.

WORK EXPERIENCE: AT A GLANCE

TIME PERIOD POSITION ORGANISATION
1/04/2024 - 6/08/2024 Specialty Doctor, SAS Grade, Emergency Medicine University Hospital Bristol & Weston, NHS Foundation Trust
18/01/2022 - 31/03/2023 Specialty Registrar in Emergency Medicine University Hospital Bristol & Weston, NHS Foundation Trust
20/05/2021 - 15/12/2021  Associate Consultant, Emergency Medicine Calcutta Medical Research Centre (CMRI), Kolkata, West Bengal
02/05/2019 - 13/05/2021 Consultant, Emergency Medicine Ramkrishna Care Hospital, Raipur, Chhattisgarh
22/08/2017 - 15/04/2019 Junior Consultant, Emergency Medicine Swami Rama Himalayan University, Dehradun, Uttarakhand
July 2015 - July 2017  Post Graduate Emergency Medicine Registrar in Peerless Hospital and B.K.Roy Research Centre, Kolkata, India  The Ronald Reagan Institute of Emergency Medicine at the George Washington University (RRIEM/GWU) : Peerless Institute Of Emergency Medicine And Truama Care
2013 - 2017 Locum ITU RMO Institute of Laparoscopic Centre Salt Lake, Kolkata
May, 2014 - June, 2014 Locum ICCU RMO Desun Hospital And Heart Research Institute, Kolkata
February, 2012 - June, 2013 Emergency Medical Officer Columbia Asia Hospitals Pvt. Ltd., Salt Lake, Kolkata
March, 2011 - September, 2011 SHO in Nephrology Department Burdwan Medical College Superspeciality Wing Hospital , Anamay : Department of Nephrology
23/03/2010 - 22/03/2011 Internship  Burdwan Medical College & Hospital
02/05/201913/05/2021

Consultant, Emergency Medicine

Ramkrishna Care Hospital, Raipur, Chhattisgarh

Raipur is the capital of state Chattisgarh in India, and, Ramkrishna Care Hospital is one it's biggest tertiary care centre. As a consultant my responsibilities are, to provide high quality care in Emergency Medicine (EM) for patients who present to the hospital’s Emergency Department (ED) and contribute to the development of emergency care services for the hospital’s catchment area population, as well as covering referrals from entire state and neighboring states like Odisha, Madhyapradesh, Uttarpradesh etc.

1) Provide senior clinical leadership to the ED: direct clinical care to individual patients, the supervision and support of doctors in training in EM and other specialties posted in ED.

2) A close working relationship with Departmental and Hospital management teams to ensure safe systems and processes are in place for all patients attending with emergent and urgent conditions.

3) Provide clinical leadership in the event of “Major Incident” activation, and also formulating departmental plan of action to deal with present situation of COVID-19 pandemic with my clinical lead and other colleagues, implementation of it, quality control & improvisation on it.

4) QIP: In the time of COVID, when we were floded with critically ill patients, gasping for breaths, no time for documentation, I introduced my "tick only" COVID pathway for our department initially. Later it was adopted in all Care group hospitals acroos India as well as other hospitals in Chhattisgarh State.

5) Other QIP: Emergency Discharge Summery, Emergency Leave Against Medical Advice Summery.

4) Providing academic guidance and continuous training to EM trainees, including post graduate resident of Society of Emergency Medicine, India (SEMI), physician assistance from AYUSH, nursing staffs and EMT staffs.

  • Thesis Co-Guide: Recently helped in completion of the thesis work of one of our SEMI post graduate trainee on "Correlation Between Cerebral Venous Thrombosis and Serum Homocysteine Level in a Tertiary Care Hospital in India: A Prospective Observational Study."
  • Article DOI: 10.21474/IJAR01/12302
  • DOI URL: http://dx.doi.org/10.21474/IJAR01/12302
22/08/201715/04/2019

Junior Consultant, Emergency Medicine

Swami Rama Himalayan University, Dehradun, Uttarakhand

My first job as an Emergency Physician:

This is a University Hospital, renowned as Himalayan Hospital in the state of Uttarakhand and one of the few tertiary care centres in Uttarakhand State. I joined here in this very nascent casualty, with lots of passion and dreams in my freshly graduate heart. I was lucky enough to befriend with my first teammate and the mentor of our team Dr. Sunil.K.Ahuja here. Three of us have gone above and beyond since then to create some semblance of a department here when none existed, not even the concept of Emergency  Medicine. This place is omnium gatherum of, not only the clinical challenges we faced but also a soul-stirring quest. And, here I am. Content. We made a name from a casualty to emergency department, for ourselves, not only as a part of the hospital, but, beyond that, in the heart of simplest people residing at the foothill of Himalayas, people who knew no complexities and recognized any loving, caring touch, appreciated. It is a triumphant chapter in my career. This place has been an adrenaline rush since the beginning, we then extended our ER up to 23 beds including paediatric and neonatal divisions, one labour room and 5 observation beds, our census is approximately 70-120 patients a day. My key role & responsibilities here:

1. Core Clinical Care:
a. Clinical management and direction of the ED, in conjunction with other Consultant & EM colleagues, the Clinical Director and the CEO.
b. Assessment and immediate care of all EM patients attending the
ED and linked Emergency Care Network units. This may be delivered personally or by supervision of other clinical staff.
c. Responsibility for the care of patients staying in EM Observation
Unit.
d. Undertake essential supporting duties for clinical care including, inter alia, risk management, critical incident investigation and oversight of rosters.
e. Ensure that duties and functions are undertaken in a manner that minimises delays for patients and possible disruption of services.
f. Ongoing participation in Major Incident Planning for the ED and the hospital.


2. Staff Supervision and Training:
a. The selection, supervision and training of Non-Consultant Hospital Doctors and the allocation of duties to them.
b. Contribute to the provision of structured training and situational learning opportunities for junior doctors and physician's assistance and support the clinical and professional development of medical staff in the ED.
c. The supervision of students in medical, nursing and allied health professions assigned to the ED.

3. Academic Duties:
a. Active participation in ED and hospital educational activities and the development of training and education in emergency care in the hospital.
b. Involvement in research activities in the department.

4. Clinical Governance:
a.Contribute to clinical governance and clinical operations improvement activities in the ED.

5. Brief Glance of Cases: I have dealt, paediatric and adult polytrauma cases need resuscitation, advanced airway, intercostal chest tube insertion, massive blood transfusion, urgent exploratory laparotomy etc., cases of blast injuries, blunt trauma chest+/-abdomen  by wild animals residing in nearby reserved forest of Rishikesh etc, various animal bite injuries, neonatal advanced life support, neonatal intubation, paediatric emergencies like diabetes ketoacidosis, sepsis, shock, PUO etc.,maxiofacial traumas need difficult intubation or surgical cricothyroidotomy (1), endemic infectious diseases: scrub typhus, dengue & dengue shock syndrome, malaria etc.

20132017

Locum ITU Registrar

Institute of Laparoscopic Centre Salt Lake, Kolkata
  • Led the code blue team and rapid response team, effectively managing critical situations and ensuring prompt and efficient medical interventions.
  • Conducted comprehensive clinical rounds, providing personalized care to patients and closely monitoring their progress.
  • Demonstrated expertise and precision in performing critical interventions and procedures, ensuring optimal patient outcomes.
  • Conducted thorough history-taking and clinical examinations of new admissions, ordering appropriate investigations and coordinating with other medical professionals for comprehensive patient care.
  • Maintained high clinical standards under the supervision of consultants, strictly adhering to established protocols and guidelines.
  • Collaborated closely with medical and nursing staff, as well as multidisciplinary team members, to facilitate effective patient management and ensure seamless coordination of care.
  • Communicated and counseled patients and their families regarding patient management and condition, providing support and guidance throughout the treatment process.
  • Provided teaching and training to nursing staff in the ITU, sharing knowledge and expertise to enhance their skills and improve patient care.
May, 2014June, 2014

Locum ICCU Registrar

Desun Hospital And Heart Research Institute, Kolkata

Roles & Responsibilities:

  • Leader of code blue team or rapid response team.
  • ITU rounds with critical care head, intensivist & primary consultants, to plan of ongoing care.
  • Performing critical interventions and procedures like, endotracheal intubation & mechanical ventilation, extubation, central venous catheterisation, arterial cannulation, intercostal chest tube insertion, bedside E-FAST scan, cardiopulmonary resuscitation and defibrillation, electrical cardioversion, chemical thrombolysis etc.
  • Taking a full history and clinical examination of new admissions and arranging appropriate investigations and assisting with medical procedures as required.
  • Managing medical conditions according to acceptable clinical standards under supervision of consultants.
  • Collaborating with other medical, nursing staff and multidisciplinary team members to facilitate patient management.
  • Communicating & counselling of family patient management & condition.
  • Assist consultant in organisation and performance of team teaching session as directed
  • Teaching and training of nursing staffs in ITU, as directed.
  • Monitor own performance and seek assistance from your senior staff or Consultant/ ITU in charge if uncertain about any aspect of your clinical work.
February, 2012 June, 2013

Emergency Medical Officer

Columbia Asia Hospitals Pvt. Ltd., Salt Lake, Kolkata
  • Provided 24x7 emergency medical care to a diverse patient population, effectively managing a wide range of complaints and formulating appropriate management plans.
  • Collaborated with specialty consultants and critical care teams, ensuring comprehensive and timely interventions for critically ill patients.
  • Demonstrated exceptional clinical skills and judgment, performing emergency procedures and critical interventions under supervision.
  • Effectively communicated diagnoses, treatment plans, and follow-up instructions to patients and their families, using clear and compassionate language.
  • Recognized for dedication and exceptional patient care, awarded Employee of the Month in September 2012.
  • Maintained accurate and detailed medical records, ensuring continuity of care and facilitating seamless handover between shifts.
  • Demonstrated professionalism and adherence to ethical standards in all interactions with patients, colleagues, and healthcare professionals.
  • Actively participated in continuous education and professional development activities, staying updated with the latest advancements in emergency medicine.
March,2011Sept., 2011

SHO in Nephrology Department

Burdwan Medical College Superspeciality Wing Hospital , Anamay : Department of Nephrology
  • Served as the first point of contact on the shift, providing immediate medical attention and care to patients in the Nephrology Department.
  • Conducted outpatient consultations, collaborating with the Head of Department and senior Nephrologists to diagnose and treat patients effectively.
  • Supervised hemodialysis sessions, ensuring the safe and efficient delivery of treatment and effectively managing any complications that arose.
  • Proficiently performed central venous catheterization in patients requiring urgent hemodialysis, demonstrating expertise in invasive procedures.
  • Conducted thorough clinical rounds for in-patients, collaborating with the Head of Department and senior Nephrologists to provide comprehensive care and treatment plans.
  • Actively participated in referrals, consulting with the Head of Department and senior Nephrologists to ensure appropriate and timely transfers for specialized care.
  • Maintained clear and concise documentation of patient records and treatment plans, ensuring accurate and up-to-date information for effective decision-making.
  • Collaborated with the interdisciplinary healthcare team, fostering effective communication and coordination to provide holistic care to patients.
23/03/201022/03/2011

Internship :

Burdwan Medical College & Hospital
  • Completed a comprehensive internship program at Burdwan Medical College & Hospital, rotating through various departments including General Medicine, Psychiatry, General Surgery, Anaesthesia, Obstetrics & Gynecology, Orthopedics, Pediatrics, Social Medicine, Ophthalmology, ENT, Casualty, and elective postings.
  • Assisted in performing a wide range of medical procedures under the guidance and supervision of experienced professionals, gaining hands-on experience and practical skills.
  • Demonstrated a strong work ethic and commitment to patient care, ensuring the highest standards of medical practice and adhering to ethical guidelines.
  • Maintained accurate and detailed patient records, documenting medical histories, diagnoses, treatments, and outcomes.
  • Effectively communicated with patients, families, and healthcare professionals, demonstrating strong interpersonal skills and empathy.
  • Adapted quickly to new environments and responsibilities, effectively managing time and prioritizing tasks to meet the demands of a fast-paced medical setting.
  • Participated in educational activities and professional development opportunities, staying updated with the latest advancements in medical research and practices.
  • Ensured accuracy and clarity in all medical documentation, avoiding jargon and using clear and concise language.

Education

EDUCATIONAL QUALIFICATION: AT A GLANCE

DATE OBTAINED QUALIFICATION INSTITUTION
October 2023 Fellowship of Royal College of Emergency Medicine (FRCEM) SBA Royal College of Emergency Medicine (RCEM), UK
June, 2016 - March, 2019 Memeber of Royal College of Emergency Medicine (MRCEM) Royal College of Emergency Medicine (RCEM), UK
July 2014 - June 2017 Post-Graduate Program in Emergency Medicine (GWU-MEM The Ronald Reagan Institute of Emergency Medicine at the George Washington University (RRIEM/GWU) : Peerless Institute Of Emergency Medicine And Truama Care
2005 - 2010 Bachelor of Medicine, Bachelor of Surgery (MBBS) Burdwan Medical College & Hospital : West Bengal University of Health Sciences
2004 Higher Secondary

West Bengal Council Of Higher Secondary Education : 

Uttarpara Government High School For Girls

2002 Secondary (MADHYAMIK PARIKSHA)

West Bengal Board of Secondary Education :

Deviswari Vidyaniketan School

June, 2016March, 2019

Memeber of Royal College of Emergency Medicine (MRCEM)

Royal College of Emergency Medicine (RCEM), UK
20142017

Post-Graduate Program in Emergency Medicine (MEM)

The Ronald Reagan Institute of Emergency Medicine at the George Washington University (RRIEM/GWU) : Peerless Institute Of Emergency Medicine And Truama Care

https://smhs.gwu.edu/reaganinstitute/international/india/curriculum

  • Completed a rigorous post-graduate training program in emergency medicine at the Ronald Reagan Institute of Emergency Medicine, George Washington University, in collaboration with the Emergency Medicine Faculty at Peerless Hospital & B.K. Roy Research Center, Kolkata, India.
  • Received continuous guidance and education in the specific topics and skills that constitute the field of emergency medicine through lectures, seminars, simulations, and clinical teaching of excellent standards.
  • Engaged with a diverse faculty, both internal and international, who provided valuable insights and expertise in the field.
  • Participated in continuous assessments throughout the three-year course, ensuring the maintenance of high-quality education programs.
  • Rotated for 6 months each year in the Emergency Department and various other departments and specialties like ITU, ICCU, Pediatric, Medicine, and General Surgery.
  • Successfully completed a centralized examination at the end of the course, demonstrating comprehensive knowledge and proficiency in emergency medicine.
  • Maintained accurate and detailed documentation of training activities, ensuring compliance with program requirements.
  • Actively engaged in professional development, staying updated with the latest advancements and best practices in emergency medicine.
  • Demonstrated a commitment to delivering high-quality patient care and contributing to the advancement of the field.

Achievements: 
1] Gold medal in Thesis
2] Best log book P.G. Year 1
3] Best Log Book Year 2 
4] Best Log Book Year 3

20052010

MBBS (Medicinae Baccalaureus Baccalaureus Chirurgiae)

Burdwan Medical College & Hospital : West Bengal University of Health Sciences

Passing Grade: 61% 
First Class
First attempt

2004

Higher Secondary

West Bengal Council Of Higher Secondary Education

Uttarpara Government High School For Girls
Passing Grade: 85.1%

2002

Secondary (MADHYAMIK PARIKSHA)

West Bengal Board of Secondary Education

Deviswari Vidyaniketan School
Passing Grade: 85%

THESIS PUBLICATION

DETECTION OF ENDOTRACHEAL INTUBATION BY INSERTION DEPTH OF ENDOTRACHEAL TUBE, BILATERAL CHEST AUSCULTATION AND OBSERVATION OF BILATERAL CHEST MOVEMENT DURING EMERGENCY INTUBATION : PROSPECTIVE OBSERVATIONAL STUDY

Indian Journal of Emergency Medicine / Vol. 3 No. 1 / January - June 2017

I have done this prospective observational study in the Department of Emergency Medicine and Intensive Care units of Peerless Hospital and B.K. Roy Research Centre, Kolkata, over a period of approximately 1½ year, to compare the sensitivity and specificity of different bedside methods of verifying correct placement of the endotracheal tube, like: bilateral auscultation of the chest; observation and palpation of symmetrical chest movements; use of the ‘cm’ scale printed on the tube; a combination of all three methods. And whether sensitivity and specificity of these clinical methods would increase as a function of the Doctor’s experience.

PUBLICATIONS

June 2023

Acute Abdominal Presentation in Emergency and a Prodigious Diagnosis of Acute Epiploic Appendagitis: A Rare Case Report

DOI: http://dx.doi.org/10.21088/ijem.2395.311X.9223.5

Background: Appendices Epiploicae, also referred as Epiploic appendages, are 50-100 fat filled finger like projection from the serosal surface of large intestine. Epiploic Appendagitis is a self-limiting, benign disease process which results from the inflammation of these Appendices Epiplocae or thrombosis of the draining vein of Appendices Epiplocae.

Case Report: We report a case of 49 year old female, generally well, presented to the A & E with complaints of a painful lump in her left iliac fossa growing in size for last four weeks. She presented to us because of acute increase in size and pain, resulting in significant discomfort. Owing to her history of CIN-1 we arranged a CT abdomen and pelvis with contrast fearing some sinister underlying ongoing pathology causing her symptoms. But to our surprise Ct reported a underrated cause of her abdominal pain, Epiploic Appendagitis. We were surprised of her presentation as a hard abdominal lump which was quite unusual for EA to present as. We assume it was secondary to an extensive underlying local inflammatory reaction. Patient was reassured and treated with NSAID, antibiotics and follow up with surgery ambulatory care.

Conclusion: We authors are reporting this case of primary epiploic appendagitis because we think every emergency and primary care physicians should be aware of this very rare condition which might present to emergency as an acute abdominal presentation mimicking other common presentations like acute diverticulitis and acute appendicitis. Being aware of this condition is utmost important to diagnose it early and avoid more invasive surgical managements and unnecessary antibiotic usage.

December 2022

A Rare Case Report of Ludwig’s Angina: Early Detection and Prevention of Airway Catastrophe

DOI: 10.5455/IJMRCR.172-1667403497

Background: Ludwig’s angina is infection of the soft tissue or gangrenous cellulitis, starting from the floor of mouth or base of the tongue. It can then directly spread to the soft tissue of neck, result in significant oedema and distortion of the adjacent airway, yielding fatal airway obstruction.

Case Report: We report a case of 29 year old female who presented to our emergency department with sore throat for 2 weeks, fever for 12 days, progressively increasing pain in throat for 1 week. She was unable to swallow any solid as well as liquids since last night. In our case we picked up a diagnosis of Ludwig’s Angina quite early as we kept a high threshold of suspicion secondary to subtle signs of an impending airway problem: change in patient’s voice and subtle swelling of her chin described by the patient herself. A CT neck & floor of mouth confirmed our clinical suspicion and diagnosis of Ludwig's Angina. We managed her with aggressive early intravenous (IV) antibiotics, IV steroids and IV hydration and could prevent a fatal airway complication to transpire.

Why Should an Emergency Physician Be Aware of This? We, the authors believe that every emergency physicians must be aware of Ludwig’s Angina, though a rare condition but can give rise to fatal airway obstruction and airway management mishaps in emergency departments. We highlighted the importance to recognise early signs of threatened airway, which can be subtle to begin with and easily be missed, if not a very high suspicion, which only comes from being perspicacious about this condition. Early diagnosis and management can reduce mortality and morbidity significantly.

June 2022

A Case Report of Pediatric Cerebral Venous Thrombosis with Undiagnosed Complex Congenital Heart Disease: Tetralogy of Fallot with OS ASD: A Cataclysmic Ending

DOI: 10.4236/ojem.2022.102010

Cerebral Venous Sinus Thrombosis (CVST/CSVT) is occlusion of cerebral veins and venous sinuses of brain secondary to blood clot formation resulting in hindrance in the blood drainage system in brain, leading to disturbances the internal homeostasis of brain, raised intracranial pressure, cerebral edema, and 50% of cases will have venous infarction or venous hemorrhage (stroke). CVST although being a Rare disorder but may be more common in children than adults with greater risk in neonatal period i.e. first 28 days of life. Here we are discussing a case of Pediatric CVST in a 7-month-old baby boy who presented to Emergency Room (ER) with recurrent discrete episodes of vomiting, fever, seizures, drowsiness and respiratory distress. The fatal outcome in our child was attributed to delayed presentation in a tertiary care center, hence missed early diagnosis and treatment. In this child the CVST could be result of amalgamation of complex underlying ongoing multiple pathological processes: an acute systemic illness like sepsis, severe dehydration, undiagnosed and untreated complex congenital heart disease, tetralogy of fallot with osteum secondum atrial septal defect, worsening the coagulopathy. It takes this case even more unique. This discussion is to bring focus on the importance of knowledge about CVST amongst emergency physicians and primary care physicians, specially managing this rare disorder with flummox presentation mimicking other more common disorders, especially in pediatric and neonatal population where definitive history and chief complaints are often vague and difficult to obtain, making it more difficult to diagnose. We the authors hence reporting this case with intent to spread awareness of CVST, how to doubt it, detect it and then manage it, especially in places like Chhattisgarh, India, where CVST is not so uncommon. We believe early diagnosis, early presentation to tertiary care center with aggressive early treatment can significantly reduce the mortality. Should the parents brought the baby early to any tertiary care center owing to his complex deteriorating symptoms like high grade fever progressed to drowsiness and seizure episodes, could there be a different outcome for this child as well as his parents.

March 2022

An Unwonted, Pedagogic Case Report on Effort Thrombosis of Right Brachial Vein

DOI: 10.4236/ojem.2022.101002

Deep vein thrombosis (DVT) is one or more blood clots formed inside the deep vein in the body resulting in complete or partial blockage of blood flow through the affected vein. Upper Extremity DVT (UEDVT) accounts for 5% - 10% of all cases of DVTs. Previously it was thought to be a rare disorder. However in recent years with the advent of various indwelling intravenous devices, hypercoagulable state like COVID-19, secondary UEDVT did not remain infrequent presentation anymore. Though primary UEDVT, also known as Effort Thrombosis, that takes place without any underlying obvious pathology is a rare form till now. We presented a case of 46 years female who presented to the emergency with complaints of progressively increasing pain (7 days) and swelling (3 days) of her right forearm since last 7 days following strenuous and heavy work by her dominant/ right hand during the period of festival. She initially ignored her condition because of the Durga Puja festival. As her symptoms deteriorated she eventually had to attend the emergency department. Eventually an urgent ultrasonography color Doppler was done on emergency basis which diagnosed underlying DVT of her right brachial vein. She was managed with low molecular weight heparin, urgent fasciotomy owning to her impending compartment syndrome. Other tests ruled out any secondary underlying pathology. She improved and discharged without any complications on oral anticoagulant. Exigent events in her history were trauma followed by fall on her right elbow 2 months back and then presenting signs & symptoms commencing at the same region following strenuous, tedious activities over 7 days and consequential effort thrombosis of her right brachial vein. All of that compelled us to ruminate on rare differentials of her presentation and eventually come to this rare diagnosis. The author hence brought this pedagogic case to the readers, especially emergency & primary care physicians and emphasised the importance of being intuitive about rare but deadly differentials which come from proficiency & experience in the field of medicine.

December 2021

A Case Report on Atypical Presentation of Cerebral Venous Sinus Thrombosis, a Young Adult with Recurrent Fall: A Clinical Quandary

doi: 10.4236/ojem.2021.94017.

Cerebral Venous Sinus Thrombosis (CVST) is blood clot in draining veins and venous sinuses of brain, causing hindrance in the blood drainage system in brain, disturbing the internal homeostasis of brain, resulting in local oedema, ischemia, venous haemorrhage, damage to brain parenchyma and blood brain barrier. In our case report, we discussed a rare presentation of CVST, a 16-year-old young boy who presented in emergency with history recurrent fall, weakness, tingling numbness. What makes it challenging to diagnose in his unusual presentation without common symptoms and on examination no positive neurological finding. This case brings focus on the importance of knowledge about CVST among emergency physicians. CSVT is considered more commonly as a differential diagnosis of stroke in young age group owning to genetic predisposition, hot humid climate of the state leading to severe dehydration, dietary factors leading to vitamin B12 deficiency & hyper-homocysteinemia etc. Moreover, present COVID-19, inducing a hypercoagulable state among affected individuals gave CVST a new momentous among emergency physicians. An early diagnosis can be very fruitful as it might prevent long term disability and reduce mortality significantly.

August 2021

A Case Series of Spontaneous Secondary Pneumothorax in Post Covid Period: A Clinical Insight

http://www.medtextpublications.com/open-access/case-series-of-spontaneous-secondary-pneumothorax-in-post-covid-period-875.pdf

Introduction: We are in the era of novel coronavirus pandemic. Each wave is teaching us something new about the disease pathology, long term prognosis. Nonetheless, COVID-19 is giving rise to new challenges to the clinicians every day with its new found complications, long haul Covid symptoms. Secondary
spontaneous pneumothorax has been reported to be a rare complication, seen in 1%-2% of COVID-19 patients with a mean time occurrence of 24.3 days from the hospital admission during the early phase of intubation.
Case discussion:
We report a case series of four patients in post COVID period presented with sudden onset respiratory distress and hypoxia, diagnosed with spontaneous secondary pneumothorax. Out of three only one patient received NIV support during his past treatment for COVID-19 and others were treated with oxygen. Therefore, barotrauma secondary to positive pressure ventilation and rupture of cystic bulla cannot be a sole cause of this complication. Persistent chronic inflammatory process and ischemic damage of alveoli are other possible etiologies.
Conclusion:
We highlight in our case series the importance of clinical examination, especially chest auscultation, which most clinicians circumvent owing to the trepidation of contracting COVID-19. We also proposed large researches to identify causal association with pneumothorax and previous use of steroids to treat COVID-19, persistent inflammation, age, gender, comorbidity etc to prevent it, as it can be debilitating and fatal. A clinician should always keep pneumothorax as a differential in sudden deteriorating breathlessness and hypoxia in post COVID period as it may happen as late as >40 days from primary COVID diagnosis.

February 2021

PNEUMOMEDIASTINUM, TENSION PNEUMOPERITONIUM, SECONDARY TO BOWEL PERFORATION IN POST COVID-19 PATIENT: A CASE REPORT 

https://www.anncaserep.com/open-access/pneumomediastinum-tension-pneumoperitoneum-secondary-to-bowel-perforation-in-post-covid-19-6681.pdf

We report a case of 85 years old female, in post COVID-19 period, presented
in emergency room with acute onset of pain abdomen and altered mental status with associated history of reduced oral intake for past 6 to 7 days. She was intubated and started on ventilator support secondary to severe respiratory acidosis and deteriorating sensorium. Cardboard rigidity was found during abdominal examination with absent bowel sounds, though family confirmed she was passing stool normally until the day before her presentation. CT chest revealed subcutaneous emphysema, pneumomediastinum and tension pneumoperitoneum with both lungs having obvious post COVID-19 pneumonia sequela. We managed her with intravenous fluid resuscitation, invasive ventilation, broad spectrum antibiotics and other supportive management. Surgery team managed her bowel perforation with bedside abdominal drain insertion in view of high risk for operation secondary to her co-morbid status. In spite of all efforts she died. We believed that our patient might had a complication of bowel perforation, most probably involving upper part of the gastrointestinal tract suggested by presence of subcutaneous emphysema in neck and pneumomediastinum, apart from tension pneumoperitoneum, as a post COVID-19 sequel. Apart from direct bowel wall inflammation by SARS-CoV-2, intestinal dysbiosis as well as immunological alteration in lung via gut-lung axis, local disseminated intravascular coagulation, vasculitis secondary to hypercoaguable state in COVID-19 infection, bowel edema leading to over distension of bowel all play important pathophysiology in bowel perforation, a possible fatal complication in COVID-19 patients, that physicians should be conversant of, especially in critically ill patients or with multiple comorbidity, as these patients may or may not present with gastrointestinal symptoms.

December 2020

EXTENSIVE ANTERIOR WALL ST ELEVATED MYOCARDIAL INFARCTION FOLLOWING STEERING WHEEL IMPACT AND BLUNT CHEST TRAUMA IN A ROAD TRAFFIC ACCIDENT: A RARE CASE REPROT

Article DOI:10.21474/IJAR01/12251
DOI URL: http://dx.doi.org/10.21474/IJAR01/12251 

Blunt trauma chest may rarely lead to acute myocardial infarction. Shear force generated from trauma causes tearing, laceration of coronary vascular intima and results in intraluminal thrombosis. Left anterior descending (LAD) artery is the most common to be involved secondary to its proximity to anterior chest wall. We report a case of 38year old hypertensive male presented in emergency room with complaints of left sided chest pain & diaphoresis for one hour following trauma to his chest from steering wheel following a collision between two four wheeler. During primary survey as per ATLS guideline 12 ECG revealed acute extensive anterior wall STEMI. Other associated injuries were left frontal non hemorrhagic contusion, bilateral minimal pneumothorax, multiple bilateral rib fractures, mild hemoperitoneum with small hematoma in retroperitoneum and serosal surface of stomach. Urgent coronary angiography done by cardiologist on call and patient was diagnosed with single vessel coronary artery disease involving LAD with severe systolic LV dysfunction. Percutaneous transmural coronary angioplasty (PTCA) was done by a drug eluting stent in LAD. An emergency physician should consider cardiac complications in patients with chest trauma including myocardial infarction, early diagnosis of which is critical to save the myocardium. Any delay in diagnosis can be detrimental. 

October 2019

A CASE REPORT ON PNEUMOMEDIASTINUM, PNEUMOTHORAX & SUBCUTANEOUS EMPHYSEMA FOLLOWING DROWNING.

Article DOI: 10.21474/IJAR01/9867      
DOI URL: http://dx.doi.org/10.21474/IJAR01/9867

We report a case of 18 year old male patient with alleged history of drowning evacuated from water within 2 minutes of submersion, needed initial resuscitation and ventilator support. Chest x-ray and CT chest diagnosed him with pneumomediastinum, bilateral pneumothorax and subcutaneous emphysema. Incidence of pneumomediastinum is a rare. It is usually managed conservatively. We are considering our case to be secondary pneumomediastinum as it developed following drowning and positive pressure ventilation. Though in literature several cases allowed to be reported as spontaneous pneumomediastinum following drowning or other causes, even when a possible causative factor was identified. Good prognostic indicators in case of near drowning in the emergency include GCS>5/15, short submersion time and spontaneous respiration and cardiac activity. Though our had respiratory failure, he was managed conservatively successfully and discharged home. Presence of pneumomediastinum, pneumothorax are not poor prognostic indicators per se in case of near drowning and can be treated conservatively.

June 2019

A CASE REPORT ON NEAR FATAL PRESENTAION WITH SULFAMETURON-METHYL (NON UREA SYNTHETIC SULFONYLUREA) HERBICIDE POISONING.

Article DOI: 10.21474/IJAR01/9244      
DOI URL: http://dx.doi.org/10.21474/IJAR01/9244

We present a case of a case of sulfonylurea herbicide poisoning of a 65 year containing Sulfometuron methyl (75%). Though the literature suggests they are less toxic to human in acute poisoning, in our case report patient presented with acute respiratory failure, ARDS, metabolic and respiratory acidosis.

Self-poisoning with these newer non-urea synthetic organic herbicides including metsulfuron-methyl is a newly emerging phenomenon in India. Limited information regarding their toxic effects in human poses several clinical challenges to the treating physician. Literature suggests they are less toxic to human in acute poisoning, which is contradictory to the presentation in our case. There is no specific antidote available for sulfometuron methyl poisoning. Thus further documentation and research are needed to contrive more organized understanding in the clinical presentation, fatal possible outcomes of these herbicides’ poisoning, thereby formulate a consensus regarding approach in the management.

September 2018

First Case Report on Metribuzine, A Herbicide Suicidal Poisoning, Presented with Fatal Metabolic Acidosis, Acute Renal Failure, Hypokalemia

Article DOI: 10.21474/IJAR01/7745      
DOI URL: http://dx.doi.org/10.21474/IJAR01/7745

A 27 years female patient presented within 21 hours of alleged history of suicidal ingestion of Metribuzine, a herbicide, in a drowsy state and with acute renal failure.

Patient’s arterial blood gas revelaed severe fatal metabolic acidosis and hypokalemia.  Inspite of aggressive resuscitation with early invasive positive pressure ventilation, intravenous crystalloid, intravenous potassium and soda bicarbonate, patient went into cardiac arrest and after 1 hour of high quality cardiopulmonary resuscitation patient died. During resuscitation clinical signs of pulmonary oedema and hemorrhage also noticed.

Metribuzine, inspite of being an widely used herbicide, no case has been reported so far, specially with fatal outcome. No data available in human. Animal studies conclude it is being a non acutely toxic herbicide in mammals. Though we differ seeing the fatal outcome in our case and suggest more extensive studies in human.

February 2018

A Case Report on Suicidal Liraglutide Overdose in a Non Diabetic Female Presented with Hypoglycemia

Indian Journal of Emergency Medicine Volume 4 Number 1, January - March 2018
DOI: http://dx.doi.org/10.21088/ijem.2395.311X.4118.12

A 27 years old non diabetic woman with suicidal liraglutide overdose presented in emergency with nausea, vomiting and burning pain abdomen.
Case Presentation: We reported her blood glucose of 54 mg/dl in emergency, have given her 25% dextrose intravenous bolus and started her on 10% dextrose intravenous infusion, with other supportive medications. Her symptoms improved with intravenous glucose infusion and blood glucose level maintained normal in next 24 hours. Her liver function test and serum amylase remained within normal range.
In our case one episode of hypoglycaemia was reported in emergency (blood glucose 54mg/dl and drowsiness), though hypoglycaemia was never reported in any previous case report of liraglutide overdose. So, hypoglycaemia, though rare, can still be a possible complication of liraglutide overdose.

June 2017

DIAGNOSTIC DILEMMA IN A CASE OF ISCHAEMIC CVA

Indian Journal of Emergency Medicine, Volume 3 Number 1, January - June 2017
DOI: http://dx.doi.org/10.21088/ijem.2395.311X.3117.20

Acute stroke patients may have ischaemic changes and/or QT prolongation in ECG and elevated cardiac troponins, probably as a result of neurogenic cardiac damage, which may arise diagnostic dilemma for the emergency physician as in this case of a 72 years aged female patient patient presented with history of chest pain which was resolved with pain medication. Later she developed slurring of speech, weakness of left side of body, hoarseness of voice, deviation of mouth to right.

June 2016

PERFORATION OF MECKEL’S DIVERTICULUM BY CHICKEN WISHBONE – A CASE REPORT AND REVIEW OF LITERATURE

Article DOI: 10.21474/IJAR01/693      
DOI URL: http://dx.doi.org/10.21474/IJAR01/693

Acute abdomen caused by perforation of Meckel’s diverticulum by foreign body is extremely rare in adults. In this article, we report a case of perforated Meckel’s diverticulum by a chicken bone with localized peritonitis in a 16-year old boy who presented to the hospital with complains of abdominal pain, episodes of vomiting and fever mimicking acute appendicitis. The purpose of this report is a review of the literature and to record a further case of perforation of Meckel’s diverticulum by a foreign body. 

June 2015

ANILINE POISONING: PITFALLS AND CONSIDERATIONS IN THE MANAGEMENT OF CHEMICALLY INDUCED METHEMOGLOBINEMIA

INDIAN JOURNAL OF EMERGENCY MEDICINE VOL. 1 NO.1 JANUARY - JUNE 2015
http://nebula.wsimg.com/28797e46f40a6bd6a07206a4a2461f03?AccessKeyId=0F2E591B4F2C16921212&disposition=0&alloworigin=1


Aniline toxicity most frequently causes methemoglobinemia and haemolytic anaemia. We report the case of an 18 years old previously healthy male who presented to our Emergency Department (ED) with a history of bluish discoloration of fingers and mouth, weakness and uneasiness and subsequently diagnosed to have methaeglobinemia. On our literature search, we found that previous studies have shown that clinicians, in general, have a low index of suspicion of this potentially life threatening condition that often results in a delay in reaching the correct diagnosis and starting appropriate treatment. We take this opportunity to and discuss the possible pitfalls and considerations in the management of chemically induced methemoglobinemia.

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