The "Guideline for Health Institutes Established Upgrade Standard, 2070" outlines requirements for emergency care facilities in health institutions. Here's a breakdown of the key points mentioned:

1. 24-Hour Emergency Services:

   • Staffing: The emergency department should be operated by MDGP (Medical Doctor in General Practice), well-trained house officers, and experienced health assistants.
   • Triage and Trauma Care: The facility should have a robust triage system and be equipped to handle trauma cases efficiently.

2. Preparedness:

   • Disaster Preparedness: The emergency department must be well-prepared for disasters with adequate resuscitation areas.
   • Trained Personnel: Paramedics and staff should be trained and regularly updated in life-saving protocols such as PTC (Primary Trauma Care), BLS (Basic Life Support), ATLS (Advanced Trauma Life Support), and ACLS (Advanced Cardiac Life Support).
   • Protocol Adherence: The facility should follow strict management, admission, and referral protocols while maintaining confidentiality, especially in medico-legal cases, and adhere to ethical standards.
   • Research-Oriented Approach: The institution should have a focus on research within the emergency care domain.

3. Emergency Facilities:

   • Laboratory and Diagnostic Services: The emergency department must be fully equipped with an emergency lab and radio diagnostic services.
   • Emergency Response System: There should be a well-established emergency response system, including trained assistants with first aid and BLS training.
   • Ambulance Services: The facility should have an ambulance service equipped and staffed for emergency situations.

This guideline ensures that emergency departments in health institutes are well-equipped, properly staffed, and prepared to provide high-quality emergency care.