“Life exists as long as you are inspiring; once you stop you expire.” We have to take new initiatives. I feel, as a professional organization, ISNACC primarily has two responsibilities: Professional Responsibilitytowards the practicing neuroanaesthesiologists (which is being done well) and Social Responsibilitytowards the community.
Welcome to ISNACC !
Blessed are those who during their lifetime get an opportunity to walk in the footsteps of their teachers whom they admire. I am lucky to be one of them! I am stepping in the footsteps of three of my great teachers: Dr Hari Hara Dash, Dr Parmod Bithal and Dr Mary Abraham. They have been my guide and mentors in my journey in anaesthesia and neuro-anaesthesia and are past presidents of ISNACC. Today, as I take over as President of ISNACC, I would like to express my gratitude to them.
I take charge from Dr Amna Goswami. She is a symbol of simplicity, compassion and care. I am her keen admirer. Great teachers and leading neuro-anaesthesiologists of the country like
Prof R C Rathod, Prof GS Umamaheswara Rao, Prof V K Grover and others have been guiding this society. With so many stalwarts having been the president of ISNACC, I find an uphill task ahead. It shall be my endeavor to follow the path laid by them.
To make ISNACC strong we need to strengthen our existing academic activities:
DM (Neuroanaesthesiology), Post Doctoral Certificate Course and our own Post Doctoral Fellowship Programme. ISNACC is in correspondence with National Board of Examinations for fellowship in neuroanaesthesiology. We hope that it will soon be granted.
ISNACC now has its own journal: “Journal of Neuroanaesthesiology & Critical Care. Being in infancy, it still needs to be nurtured well. I appeal to all our members to submit their good quality research to this journal and help it acquire good impact factor in next 5 years.
Next, let’s identify some of the new goals for ISNACC and its social responsibilities:
I suggest a ‘tagline’ for ISNACC: “Think New; Think Good.” The words ‘think big’ have deliberately not been used as, occasionally, there is a risk of vested interests creeping in, foregoing the ‘goodness’, which may not be in the interest of the professional society. We have to be focused and purposeful.
Traumatic Brain Injury (TBI) is a serious health problem in India. Not infrequently, the potential survivors of TBI are lost because the first responders in the community are not trained in how to manage TBI. I propose that we devise the ISNACC TBI Training Programme for the Community Health Workers in India. We need to train the health care workers at District level, Community Health Centres and Primary Health Centres to ensure that basic care is provided to victims of TBI till they reach the hospital. Only this can minimize secondary brain injury and improve the outcome after TBI. The National Rural Health Mission (NRHM) is the health programme in a "Mission Mode" to improve the health status of the people, especially those who live in the rural areas. We, from ISNACC, have to strive that this training program devised by ISNACC finally gets incorporated in the NHRM. This, I feel, is essential if we intend to improve the survival of the TBI patients in India.
Society guidelines form the foundation stone of clinical practice. Leading professional organizations like Brain Trauma Foundation, Society for Neuroscience in Anesthesiology and Critical Care (SNACC) and NICE have their devised their guidelines. These, however, cannot be blindly applied in our health care system. Why can India not have guidelines of its own? It can. Given an opportunity, I propose that we create ISNACC practice guidelines which can be applied in Indian subcontinent.