Author: Bishal

Crisis is a time of difficulty where proper decision should be made in low time. The crisis can be of two types; first, the man-made crisis and second is natural crisis. Across the globe, manmade crisis is more indulging than the natural crisis. Crisis is never ending process, right one after another events of crisis occurs and crisis management is blue print to protect worsening condition of crisis. Crisis management is a strategies to be followed by an organization or a country during the time of crisis. Hence, it is the process to deal with a sudden emergency situation.
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Is anyone feeling or felt that word (Like, Love, Haha, Wow, Sad & Angry) in their life? You might be asking questions to yourself, or you are confused. Almost everyone love facebook, and everyone uses it, people use facebook on average of 14 times a day, study says. You might be wondering, Do I use that many times in a day? However, either you have never noticed or you are not counted under the average person. Does anyone know that why facebook is so popular and still in a same pace for long time? We should know that, to survive in business world, you have to keep changing your business structure according to the target market. When people get tired of using same thing, then you should start working on something new so that your targeted user will like your product or services better than any other one.

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I am standing at the age of thirty, an age when almost all of my friends have two kids. Our culture was long reputed for being a place of premature marriage; the scenario, however, is gradually changing due, largely, to some random odd guys like me. While at 30, I can’t see forth my marriage coming even at the furthest point, most of the guys tie the knot at 25 or so. For girls? Subtract 3 or 4.
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Sometime I ask myself, Why I was born in Nepal? But I feel proud sometime. When my country, Nepal, gets better or win on something than I feel proud to be Nepali. Wait – I ask question myself, Is that fair? When my country win, I feel proud and when my country gets bad, I feel guilty of being Nepali. Why is that? Why ever people in this world become selfish? I always worry about my country, even though I live far from it. Every people from abroad worry about their country. However, we just speak about the bad things and cannot do any sacrifice to our country. One more question again – Is it fair? or Is it selfish?

-By Bishal Aryal
By now, everyone is familiar with the facebook messenger. Especially we use facebook messenger in mobile to chat with friends and families within the facebook friends list. This messenger also works in the browser as well. You can go to www.messenger.com and login using your facebook account to login to your messenger and you can chat with your friends within the browser also. Recently, we have found that facebook has a hidden feature or we can say hidden game.
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Pre-hospital care encompasses the scenario out of hospital, on scene. It refers to medical care provided by medical team on board, ground or air with all the required life saving medicine/medical equipments to intervene traumatic and medical emergencies as well during transport to and between medical facilities.

Understanding all the facts of geography, difficult roadways, lack of communications, public unawareness and the scarcity of well-trained medics on ambulances carrying large volume of patients are some issues that needs to be dealt with in order to provide emergency medical care on a timely manner.

In order to perform a high quality pre-hospital care, all the six stages of star of life should be followed and the concerned medical team should always be committed to capture the Golden hour theory. These six aspects are: 1) Early detection 2) Early reporting 3) Early response 4) On scene care 5) Case in transit 6) Transfer to definitive care.

A total of 16,000 people die everyday in the world due to injuries only, and 90 percent of these occur in the developing countries. In this context, Nepal is placed in a very vulnerable situation. If we talk only about the road-related accidents apart from other injuries, in the year 2012-2013, a total of 13582 accidents sustained injuries in accidents and the fatalities were 1816, serious injuries were 3986 and slight injuries were 8000. Statistics show that half of the accidents occur in the Kathmandu valley alone. Moreover, vast majority of the victims fall on the productive age group. Apart from other medical emergencies and injuries these RTA can be addressed on scene promptly.

Emergency Medical Services can address a diverse set of diseases that span the spectrum of communicable infections, non-communicable conditions, obstetrics and injuries. Patients with all these conditions may present to the emergency medical system either in the acute stages (such as diabetic hypoglycaemia, septicaemia, premature labour or asthma) or may present with conditions that are acute in their natural presentation (such as myocardial infarction, acute haemorrhage or injuries).

The implementation of the emergency medical system (EMS) will help increase health equity and will prevent the existing health disparities from exacerbating. More importantly, this could function as the foundation stone in terms of establishing proper EMS in Nepal. In this context, medical evacuation using helicopters begun by Grande International Hospital since 2013 is commendable.

(Dr Karki is the Coordinator, Pre Hospital Care Service, Grande International Hospital)

When Member of Parliament Rabindra Adhikari requested me to put my views on the release of his book at this Literature Festival, I could not say no as I had also written a preface to his book. But I was really clueless about what I should say, I still am.
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