द ण पि चम रे लवे

South Western Railway

कोिचगं िडपो अिधकारी का कायालय Office of Coaching Depot Officer
कोिचगं िडपो , मैसरू Coaching Depot, Mysore
इरिवन रोड , मैसरू – 570001 Irwin Road, Mysore- 570001

No: .M.271/VB Corr िदनांक /Date: 29/07/2024

Sr. DCM/MYS

Sub: Responsibility for filling medicines in First Aid Box in Vande Bharat Train
Ref: 1. Paras 703 (11), 704 and 706 of IRMM 2000.
2. Railway Board's letter No. 2016/H/Treatment facility dated 23.3.2018
3. Railway Board's letter No. 2023/H/16/1Misc dated 23.5.2023

MYS coaching depot is maintaining Vande Bharat rake with 8 coach formation (Train No
20663/20664). All the coaches are provided with first aid boxes. As per IRMM chapter VII/Special
First Aid Boxes, first aid boxes are under the charge of Train superintendent (TS) and he will be
responsible for replenishing it from hospitals/ health units.

Therefore, you are requested to issue necessary instructions and arrangements for getting
First aid boxes of Vande Bharat rake replenished as per existing guidelines.

Encl: As referred.

KUMAR Digitally signed by

KUMAR DIGVIJAY

DIGVIJAY Date: 2024.07.29

10:57:01 +05'30'

कुमार िदि वजय / Kumar Digvijay

को. िड. अ. / CDO/MYS
Copy to: Sr. DME/MYS for kind information
 covlRNNlt.-\'t oF tiiDl.{ 8{r{d TT6:-{
NftNtsTRY OF I{ATI.W,1YS tfr frn]aq
(RAI LN A YBo/\Rn ldrd att)

\o..1023/H/l {t/l t{isc Nerv Delhi, dxted- ::1.{}il.i1l:1.1

l')rillciprl Chief lvcdiclrl Diteotor,

$ ester[: l{lrill} )',
1'Iu mhni.

Subi- ResponsibiliE for lilling medicines ir'l Ilirst ,ilid lirr iu Vanil€ Llhtr*f"l'rti i
- regarding.
I{ch- Central Raihra}'s lettet' No.l\'lD- I 73/lassergcrs tllltcr! l5.1li.2i,ll

lleise rei'er rc Ccntfal Railwa] s lcttcr ciacd undcl r:llLclrr:. Lr tlLi: iort.:... ll ,r

ed!r.fd LhnL noccssiLrv in the.rilltcr may bc takcn as pi inslrua-rions lssucal ..,iJc lloar(L :, l:lier
No Ii) I arrHr'-l r darrncrn l'dcilily il.rled :-r.0.1.l{lI8.
I

iDr. I{. :;: idluf i

Eriecutiye l)irector Elerith (tienrlal)
liailrvay Boai'd.
iele,011-478-43i32.
Email : edh6llh.r'ailtet.gov"ilr
 CHAPTER VII

MEDICAL AID AT THE TIME OF RAILWAY ACCIDETS

701.GEERAL POLICY:(1) The general policy in the case of Railway accidents in which
casualties occur is that of rapid evacuation after rendering immediate and necessary first aid treatment. This
is always preferable to prolonged detention and elaborate treatment at the site of accident as the time factor
is of paramount importance in removing the injured persons to the nearest hospitals by the first available
means of transport to enable all necessary medical aid to be rendered.

(2) It is therefore, essential that the Railway doctors know thoroughly their duties not only when called
upon to render medical aid to the injured but also in connection with the preparations made by the Railway
administration to deal with accidents and the maintenance and use of accident relief medical equipment.

(Ministry of Railway's letter No. 383.T.G/dt. 31/3/1951)

702.TYPES OF ACCIDET RELIEF MEDICAL EQUIPMET: With a view to provide

prompt medical aid, the following types of accident relief medical equipment are provided on the Railways.

(1) Scale I - in medical vehicles, as part of accident relief trains. Contents as per Annexure I

(2) POMKA (POrtable Medical Kit for Accidents)-in all health units, polyclinics and sub divisional,
divisional and zonal hospitals, (Annexure II)

(3) Scale II- in boxes, at specified stations.(Annexure III)

(4) First aid boxes in all stations dealing with passenger traffic, workshops, marshalling yards, loco
sheds, and C & W depots, and in breakdown vans of accident relief trains and guards (Annexure IV)

(No. 87/H/7/12 dt.. 15/09/1989 and dt .02/08/1995)

(5) Special first aid boxes – provided in all long distance superfast, Shatabdi and Rajdhani trains
(Annexure V)
(Bd.'s letter 85/H/7/9 dt. 30.6.95)

(6) First aid box for gangmen- (AnnexureVI)

Apart from the equipment referred to above, every Railway doctor should be provided with an emergency
medical bag in which he can carry the injectables, pain relieving drugs and other medicines and dressings
required in emergency. If a Railway doctor happens to be on the spot of an accident, he can start relief work
without waiting for the regular medical equipment to arrive.

(Para 1414 of Indian Railway Establishment Manual and Min. Of Railways letter No.69/H/2/6 dt.
16/8/71 and Rly Bd.'s letter No.87/H/7/12 dated 15/09/89)

703. POLICY REGARDIG PROVISIO OF DIFFERET TYPES OF ACCIDET

RELIEF MEDICAL EQUIPMET:

(1) Accident Relief Medical Equipment Scale I in Medical vehicles forms a unit of the accident relief
train and is stationed at divisional headquarters and at other selected important stations preferably where
there are hospitals or health units in charge of Railway medical officers. The function of the vehicle is to
carry medical equipment to the site of accident so that prompt medical aid could be rendered and injured
persons transported expeditiously to the nearest hospitals.

(2) An auxiliary van is also provided along with the medical vehicle and stabled in the same siding
with both ends open. The auxiliary van should have provision for emergency tools for extricating passengers
from debris and should also carry adequate supply of drinking water and provision for tea, coffee and light
refreshment to be served to affected passengers.

193
 (3) As far as possible, items of medical equipment likely to be required immediately for opening a
temporary field dressing station should be kept in portable containers which should be numbered, each
container having a printed card attached to it in the front giving the details of the contents.

(4) The medical vehicle should be stabled in a siding having opening at both ends. Although the
responsibility of placing of medical vehicle in a suitable position for taking it out quickly at a moments
notice rests with the operating and mechanical departments, yet it is the duty of medical department also to
keep an eye on the position in which medical van is stabled. If it is stabled in any manner likely to cause
delay in it's movement in an emergency, it should at once be brought to the notice of official in charge for
necessary action.

(5) The medical portion of the accident relief train i.e. the medical vehicle should be stabled separately
or so marshalled on the relief train that it can, if necessary, be despatched in advance of the rest of the rake
without any delay.

(6) In despatching an accident relief train to the site of accident site, any factors likely to reduce the
speed, such as the presence of a crane on the train, should be taken into account in deciding as to whether
the medical vehicle should be sent in advance.

ote: All medical vehicles should be so built as there is no speed restriction when they are despatched
to the site of accident. Further the train examiner should ensure that all bearings etc. of these vehicles are in
good working condition.

Portable Medical Kit for Accident (POMKA)

(7) Contents of POMKA as per annexure II should be stored in a convenient suitcase ( Size 21 inches)
for easy transport by road / rail. There should be one set of POMKA in Health units & polyclinics and two
sets in sub- divisional hospitals. The divisional/ zonal hospitals are required to have three sets of POMKA
with some additional items as per annexure II to this chapter.

Scale II  Equipment

(8) Accident relief medical equipment Scale II is located at selected stations where there is no accident
relief train. They should be located at every 80 to 100 km. apart, and preferably where there is a Railway
hospital or a health unit. Generally there should be at least one scale II equipment stationed on either side of
a scale 'I' equipment so that in case of major accidents, at least one or the other can reach and be available at
the site of accidents in quick time.

(9) The equipment which now consist of 3 sets of POMKA and additional item as per Annexure III
should be in charge of the Station Manager/Dy..S.S and should be stored in portable boxes of suitable size
and standard pattern as approved by the Chief Medical Director, on a raised concrete platform so that it's
bottom does not touch the floor, in a separate room in or adjacent to the station building. If necessary, a
room should be specially constructed for the purpose. It should have separate entry and exit one on either
side, and it should be so situated as to facilitate easy loading of the boxes in train. For quick transporting,
loading and unloading of the boxes containing scale II equipment, a wheelbarrow with handle should also be
provided.

(10) This equipment is intended for use in major accidents only and is to be handled by any doctor or
by qualified first-aiders under the supervision of the doctors. It should not be normally utilised for minor
accidents.
Special First Aid Boxes

(11) (a) The special first aid boxes with contents as per the list at Annexure V should be
provided in all the long distance, super fast, Shatabdi and Rajdhani Trains. The tablets and injectables
provided in these boxes will be used by any qualified allopathic doctor who may be travelling in the train.
Other first aid material provided, including tablet paracetamol (for Headache/Fever) can be used by a first
aid trained person.

194
 (b) These boxes will be under the charge of the Train Supdt.s. in the trains, who will
be responsible for getting these boxes replenished from the hospitals/health units.

(c) In the trains where train Supdt.s. are not posted/available, such boxes will be
given in the charge of departmental Pantry Car Managers who, likewise, will be responsible to get them
replenished from the hospitals.

(d) The boxes with Trains Supdt.s./Pantry Car Managers in the above mentioned
trains will be in addition to those provided to Guards.

(e) The additional boxes and items required for the purpose may be supplied from
the Railway hospitals and no additional budgetary sanctions on this account will be provided. The size of
these special boxes will be 46 cms in length, 30 cms in widt.h, and 13 cms height and should be metallic one
only. The requisite number of the boxes on each Railways may be assessed as per the number of rakes of
such trains, keeping in mind an additional cushion for replacements/additional future provisions in more
trains. CMDs on the Railways will arrange to process procurement of these boxes through the Controller of
Stores.
(Railway Board’s letter No. 95/H/7/9 dated 30.06.95)

First aid boxes

(12) Static first aid boxes in breakdown vans of accident relief trains, and at stations, workshops,
yards, loco sheds and carriage and wagon depots etc., should be hung in a prominent place on a wall bracket
in the respective offices. These boxes should be made of metal, preferably aluminium, with the lid fitting
well down over the sides as to be dust proof, and should have a handle or a canvas strap arrangement for
ease of carrying. The exact size and pattern of the boxes should be standardised by the Chief Medical
Director.

(13) The first aid boxes for guards of passenger carrying trains should be of the standards as fixed by
the St. John Ambulance Association of India and the contents should be as detailed in Annexure IV. These
boxes should be the personal equipment of the guards and should be carried by them in their guard-boxes.

(14) The first aid box of guards of suburban trains may be compact and smaller in size. They should
have canvas strap arrangement so as to be carried on the shoulder.

(15) The equipment in first aid boxes in the workshops may differ from the standard first aid boxes to
comply with the rules prescribed by the respective state Govts. under the Factories Act, in case they are
different from those laid down by the Ministry of Railways.

(16) First Aid box for gangmen shall be an aluminium or metallic box, which is not likely to be rusted.
It should be sturdy. Wooden boxes wherever used may be retained till they are fit for use. Their replacement
should be by aluminium boxes only.

(17) The equipment contained in the first aid boxes is only for first aid and is to be used by those
qualified in first aid. Even though no first aid box has been provided for the guards of the goods trains, the
guards and drivers of such trains are expected to be trained in first aid, so that, life saving measures like
stopping of haemorrhage and transport of case with fractured limbs can be undertaken at site.

(Para 1415 and 1416 of Indian Railway Establishment manual and Ministry of Railways' letters
No.62/142/118/M(C) dt. 12/10/1962,No 66/M(M&P) 7/2 dt. 4/09/1967 and 27/07/1968,No.69/H/2/6 dt.
16/08/1971,dt. 3/12/1971 and dt. 22/12/1972)

704. Maintenance of keys:

Scale I Equipment

(1) The keys of the locks of the various external doors of the medical vehicle will be in duplicate, one
set to be in charge of the Junior Engineer (Loco) or the Station Master and the other with the medical officer
in charge of the station where the vehicle is located. The keys in both the cases should be suitably marked

195