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ISRO , Health Quest and World Emergency Day


Hey all

In my life , I was a part of amazing gathering of intellect and execution on 26th May.Banter ahead . Read at your own risk. 
... Ok?
Minds are like parachutes they work best when open.
So with an open mind I took an invite to go to a HEALTH QUEST ( quality of gradation enabled through space and technology) meeting at ISRO. It was more of an impulsive decision I'd say honestly.I thought it was just "another" Quality Workshop. Despite reviewing the agenda my tubelight didn't lighten up.

It was mainly " the aura" about ISRO that took me there but 
the best thing I did was to go there with my mind open,
open to possibilities
open to troubleshooting
open to take opinion from experts who are not from my field
open to introspect 
 open to listen to scope of improvement
open to create benchmark. 

SAFETY IN CURRENT SCENARIO 
It was very pleasant to hear that It was safer to travel in a rocket over a airplane in Bangalore and that the roads are so unsafe.( No objection after spending 2 hours in traffic Jam).( Elon Musks idea is actually good in that case 😜)
As healthcare workers we are aware of the errors that take place in treating patients. We cannot deny the errors do happen but accepting them and working effectively towards decreasing them as the first step towards creating benchmarks.

The COLLABORATION 
It was nice to hear the how the idea of collaboration between ISRO and emergency medicine that is AHPI and semi was conceived over a normal conversation. The enormous amount of patience it had taken off over 5 years to make this into a reality. The best healthcare systems in the world have an error rate of 8-10 % while the space industry operates at 0% error, as even the most minor error can prove catastrophic.

ODD WOMAN OUT THERE
In midst of highly cerebral people , it was me totally overwhelmed trying to figure out what I could and the huge ladder to climb. After about 15 minutes, I put aside all the preconceived notions and decided just listen. One step leads to another. One right decision ( to enrol for the leaders course, one right move to fill the interest form to join this meeting,lead me here). So yeah , there is never one right move, there are series of events that take you places. 

Major takeaway ISRO chairman
The chairman of ISRO initially appeared quiet when he took over the stage and spoke about their culture inclined over continuous improvement and how they troubleshoot. He discussed how Interplay of multitude of systems are always understood only in a group and never at individual level.The concept of collective wisdom. Behind Every successful product The idea behind is - Anything can fail at anytime. How many ways can it fail? The concept of Culture Creation. I could say nothing but agree!💯

Major takeaway AHPI head
When the AHPIs head unveiled the book on effect of Climate Change by health sector . I was like man! seriously? Its in a free downloadable version. I am attaching a link here.

The book is called "Climate Change and the health sector".


Technology team major takeaway
It was a great to see their collaborative approach ( the scientists and engineers ) of ISRO had created multiple ventilators like VaU , PRANA , SVASTA and oxygen concentrator - Shwaas. (SVASTA) is designed to work without electric power.VaU is a dual-mode ventilator that can work with either medical oxygen from the hospital or with ambient air. Here is the news article if you've missed on this just like I did.

VSSC gets ready to help with COVID care, develops three ventilator models




This has helped multiple patients during the pandemic. I went and spoke up to the engineer/scientist who was a part of the team he smiled and said it was a "work from home" activity for us during the pandemic, we had been closely working with critical care doctors and after testing various modes of ventilation the affordable model was released to industries to manufacture.

ISRO Quality head major takeaway
The Quality head spoke about the multiple models for Human Error Identification , Mental load / work load assessment , Probability risk assessment etc. In short something that is not usually taught in your medical school or your emergency medical curriculum is thought provoking of how problems can be solved at Various levels with help of simple tools. It was exciting as well as overwhelming for me as it was too good in so less time... I had to sit down and introspect my troubleshooting skills ( laughing at myself sarcastically) .Swiss Cheese Model for accident causation , Modified Cooper Harper Rating Scale, Hazard Identification and Risk Analysis , Failure Scenario Identification.While I spent last couple of years in trouble shooting the ventilator there was something so amazing happening around the world.

Emergency medicine and Space Technology 
Chaos and emergency medicine go hand in hand and the number of quality markers/ Checklists , they have created in their collaboration to reduce errors in the lifesaving process is commendable ,thought-provoking and extremely sensitive.I know for sure that it is going to create huge benchmarks in the Indian healthcare as the hospitals aligned to this are fully armed to improve the quality of their emergency departments. We are very different when compared to healthcare of developed industries like the US and the UK and still better than the underdeveloped ones in Africa so it was it is it is very important for us to create separate benchmarks for ourselves. A step on time , saves nine.

Socializing

Admitting to the ignorance that in my mind healthcare in northeast is pretty underdeveloped it was heartwarming to see emergency doctors from Nagaland and Manipal come and be part of the quality project that really was such a pleasant move.
This makes me bullish over growth of emergency medicine in India. 

ED design
It was also great to see the leaders in EM talk about designing emergency departments for young ED doctors from basics like the number of rooms to distance between the beds. 

WHO Tools
They also spoke about WHO approach towards emergency medicine.The amount of tools WHO has designed for emergency departments to make their work simpler with an eye opener or something I didn't know existed. The world does takes emergency medicine very seriously.
Here is a link to anybody who would want to learn more about it.


WHO and Emergency Medicine:

Global Emergency and Trauma Care Initiative

WHO-ICRC Basic Emergency Care: approach to the acutely ill and injured

 The day before emergency medicine day was more special and enlightening for me than the emergency medicine day.This emergency medicine day I am absorbing what happened yesterday. 

Things I wish were there
Aah! I wish that security around emergency departments was at least 10% of what it is around ISRO. Man ! They didn't let me click a picture of the building😅! P.S. We deposited out phones outside. Yes , it was a crash internet detox 😜The guns scared hell out of me.

All in all what the only thing I I think would complete the perfect day was a tour into the headquarters of ISRO. I know it was not planned or was neither a part of the schedule due to security reasons. Here is me with equally curious mind .I would always be more curious secretly wished even till the last 5minutes that we would get the tour inside. Nevermind ,I had it go to chance to listen to the great minds of the organization.
Here is a picture from Google 

Here is a link to the video : Some great pieces have been skipped out, God and ISRO knows why! https://youtu.be/QCsXKDT092s 
P.S. Live was better.


So far so much
I guess too much
Ok Bye!

Comments

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