Polypharmacy: A recipe for potential disaster.


Modern Medicine has contributed enormously to improving the overall health of patients, controlling diseases, managing outcomes, and keeping people productive parts of society. Diseases, especially the longstanding chronic illnesses, are controlled by medications belonging to different classes of chemicals and therapeutic agents. These drugs have been used for quite some time with good safety margin. […]

Urgent Care Clinics: Do these have a place in the healthcare of Pakistan?


When we get sick we go and seek medical advice. The choice is usually our family doctor or local General Practitioner. They treat almost all stable conditions but are limited in case of any emergency or semi-emergency. In that case our option is usually emergency department which is mostly crowded and a time consuming proposition. […]

What is crowding in Emergency Department and why does it matter?


The healthcare system in Pakistan is broken down system with the Emergency Department being the weakest part because of plenty of reasons, some of which I have explained multiple times in my posts.   Today we will discuss a very important reason and that is crowding. Our healthcare system is broadly divided in Government sector and […]

Introducing Pre-hospital in Pakistan: focus on 1122.


Healthcare can never deliver excellent results unless it is supported by a robust pre-hospital care system. Most sick patients cannot be transferred to the hospital safely, or get treated in appropriate time if there is no effective pre-hospital care system. There is a misconception that pre-hospital care is designed to take care of trauma, and […]

Complete Trauma Care and its development in Pakistan.


Trauma or injury is leading cause of death and disability in young age. Our society as a whole is accident prone. This is mostly because our roads are not properly built and are accident prone. Bridges and roads are improperly constructed, with premature opening of the roads in unsafe conditions, so on and so forth. […]

Improving Trauma Care in Pakistan: Value of Collaboration and Teamwork.


Trauma related death is among the top reasons of mortality in younger population. A lot of emphasis has been placed on saving these lives including better pre-hospital care, golden hour pathway of care and early definitive care in hospitals through better surgical input and improved critical care. The trauma care has come a long way […]

Training in Emergency Medicine can transform people to become leaders.


Last few years we saw few Emergency Medicine (EM) trained doctors taking senior clinical management roles and establishing themselves as well positioned leaders. Can it be by chance, or it is because of any other reason. It is easy to say that it all seems like a stroke of luck, yet let us talk about […]