Dr. Aakash Pal
Experience: | 5 years |
Education: | Kathmandu University |
Academic degree: | MBBS (Bachelor of Medicine, Bachelor of Surgery) |
Area of specialization: | I am working in Emergency Medicine and Critical Care—honestly, not the easiest field out there, but I wouldn’t want to be anywhere else. I deal with real-time stuff, you kno.. where things are happening fast—trauma cases, strokes, cardiac arrest, sepsis, even things like massive respiritory failures. It gets intense, but I like being that person who shows up first when someone’s body is shutting down and needs help right now.
In the ICU, my role kinda shifts a bit—I go from immediate response to long-term support. Ventilator management, titrating meds minute to minute, placing lines, interpreting really complicated lab swings—basically holding that thin line between chaos and control. Critical patients need way more than just meds… it’s about coordinating care, spotting early signs of deterioration and adjusting treatment like almost hour-by-hour sometimes.
I use a lot of evidence-based stuff, always trying to stay updated. But not just tech—sometimes it’s knowing when to step back, give families some clarity, or just notice a small thing no one else saw. Machines help, sure, but the work’s still super human.
Fast decisions, clean execution and still making space for empathy, that’s kinda the balance I’m always chasing. Whether it's the ER or ICU, my job’s to stabilize, treat, and push for recovery—no matter how rough the case looks at start. |
Achievements: | I am certified in ACLS, ATLS, and Neonatal Resusctation—these were kinda non-negotiable for me early on cuz I knew I’d be dealing with real emergencies where there’s no time for second guessing. Then came the COVID thing, and that just changed everything... I had to rewire half of what I thot I knew, honestly. I also trained in diabetes management, oncology basics and some cardiology protocols—just wanted to handle more without having to pause and refer for every lil’thing.
My aim’s always been to keep learning without getting boxed in—these courses helped me feel more grounded in chaos. Whether it's a cardiac arrest, trauma bleed, or new-onset diabetic ketoacidosis, I try to stay clear-headed and fast. Training aside, what really matters is being able to use all that when it counts—and yea, I do that part with full intent. |
I am someone who kinda grew into emergency medicine not just by choice, but honestly by seeing how critical that first few mins can be for any patient. Over the last 5 yrs, I’ve worked across ERs, ICUs, step-down units, and even small community setups where you’re the only doc on floor managing multiple things all at once. My work usually involves handling acute medical emergencies, starting ventilatory support when needed (both invasive and non), managing Hemodialysis sessions, and even doing temporary pacings if required. I’ve also had fair exposure to giving general and regional anesthesia during critical procedures—those moments can get tense real quick. Admissions to nursing homes for continued care is something I handle directly too, acting as a solo consultant at times, where I take over complete patient management once stabilized from ER. It’s tough sometimes tbh, you're constantly juggling—interpreting unstable vitals, responding to collapsing airways, thinking of 3-4 differential diagnoses at once while also explaining things to relatives who are scared and confused. But that’s kind of the thing I like about emergency care... it demands fast thinking, calm hands and clear judgement. Working in high-pressure environments helped me understand how different every patient is. No one protocol works for all, and reading between the lines of clincial signs—like that subtle drop in consciousness or lab value that just doesn’t “fit”—can make or break outcomes. My goal’s always been to stabilize fast but also plan smart. Not just act but act right for long-term safety. Even outside hospitals, I’ve kept learning. The field moves fast—new evidence, new ventilator modes, even how anesthesia interacts with dialysis now gets updated. Staying current is part of the job. And yea, I’ve had my share of nights where decisions had to be made in seconds, no second opinions, just gut and training. Those moments stay with you. Honestly? Emergency medicine isn't just a branch for me, it’s kind of my zone. The rush, the decisions, the unpredictability—it’s hard but it fits how I think and work. And if I can make it a little easier or safer for just that one patient in crisis, I’d say the day was worth it.
