The objective of medicine cannot be achieved unless we provide real care to the critically ill patient & save their lives. Every year, thousands of patients become critically ill because or various infections, diseases and motor vehicle accidents or road traffic accidents in Nepal. Out of these, many will need treatment in Intensive Care Unit which is currently very much far behind the need of the country. Currently, there are around 60 ICUs in the country with around 700 ICU beds and only around 200 Mechanical Ventilators. The vast majority of critical care facilities and the Intensive care units (ICU) are limited mainly in the capital city, Kathmandu. Rest of the country has very few ICUs with limited resources and care. And also, the quality, standard of care and outcome of these ICUs has never been published and thus unknown. This is mainly due to lack of trained human resources, technologies and management. There is no national policy in critical care and ICU is not a priority of Government and Nepalese hospitals mainly because of cost factor. Both the quality and quantity are compromised. In fact the critical care medicine is in its infancy.
Nepalese Society of Critical Care Medicine (NSCCM) was established in April 2010 with the aim of development of Critical Care Medicine in Nepal. NSCCM is working towards development of Critical Care Medicine by creating awareness among public & policy makers, creating interest among physicians, nurses and other concerns by updating them with latest knowledge, skills, practices etc, conducting CMEs, trainings, workshops and conferences; formulating National policy and developing protocol and guidelines to be used daily in ICUs; initiating and supporting educational program like DM (Doctorate of Medicine) & Fellowship Programs in Critical Care medicine in Nepal.
The NSCCM is getting support and like to have more cooperation and collaboration with National and International Societies, institutes and organizations. The only motto of NSCCM is qualitative and quantitative development of Critical Care services and education in Nepal. We are getting progress but there is a lot to be done. I take this opportunity and sincerely request all colleagues from home and abroad to support and actively participate to fulfill our mission to serve critically ill patients in Nepal.
Prof. Dr. M. N. Marhatta MD, DA, FCPS.
Professor and Head, Department of Anaesthesiology,
Institute of Medicine, TU Teaching Hospital,
Maharajgunj, Kathmandu, Nepal