Srinagar, JAN 02: Directorate of Health Services, Kashmir (DHSK) in an effort to handle cardiac emergencies at peripheral hospitals has performed thrombolysis on routine basis across Kashmir Division since 2016. Thrombolysis is the breakdown of blood clots formed in blood vessels, using medication. It is used in ST elevation myocardial infarction, stroke, and very large pulmonary embolisms. The department under its gap analysis initiative has been working on capacity & skill development programmes under which establishment of Kashmir Skills & Simulation Centre, Orientation of Doctors by conducting routine trainings on medical emergencies & establishment of Emergency Rooms (ERs) was possible. Timely thrombolysis in case of STEMI (Heart Attack) patients is of utmost significance and DHSK till now have performed 200 thrombolysis in various Emergency Rooms of peripheral hospitals which includes 115 at District Hospital Anantnag, 43 at District Hospital Pulwama, 25 at District Hospital Baramulla & 12 at District Hospital Leh under the supervision of well-trained ER staff. In order to extend the level of cardiac emergency care to remote areas DHSK has launched “Save Heart Initiative” which aims to minimise loss of time in STEMI patients and encourage timely thrombolysis even at the distant area and at Sub District Hospital(SDH) levels so that myocardium is saved and post MI(Heart Attack) complications and deaths are reduced. The initiative has started imparted training, sensitising and confidence building of medical officers so that they can handle cardiac emergencies without delays, hence saving precious lives. This initiative has linked via network most of the specialists in Health Services and Cardiac Experts of tertiary care centres who are accessible for opinions and advise in complicated scenarios 24×7.In addition the department under this initiative is helping to treat many fatal cardiac disorders and arrhythmias in all districts and remote hospitals. The directorate under this initiative has started performing thrombolysis at SDH level also which in itself is a big achievement. Since its launch, thrombolysis have now been performed at DH Bandipora, DH Handwara, DH Shopian, SDH Pampore, SDH Sopore and will include all major & select SDH institutes in Phase 1 of initiative. It is pertinent to mention that Kashmir Skills and Simulation Centre (KSSC)-Trauma and Emergency management program was adjudged as one of the best practice nationally at 4th National Summit on Good, Replicable and Innovative Practices in Public Healthcare System in India, Indore, MP dated July 07/2017 and Ministry of Health & Family Welfare, Government of India(MoHFW,GoI). MoHFW has already directed various states to visit Kashmir so to inculcate this Trauma/Cardiac Emergency Programme in their peripheral & rural hospitals.