Central Government Health Scheme (CGHS) - List of Emergency Conditions

List of Emergency Conditions

The medical emergency conditions included under the purview of CGHS Act are enlisted below:

• Acute Coronary Syndromes viz. (Coronary Artery By-pass Graft or Percutaneous Trans-Luminal Coronary Angioplasty) including Myocardial Infarction, Unstable Angina, Ventricular Arrhythmias, Paroxysmal Supra- Ventricular Tachycardia, Cardiac Tamponade, Acute Left-Ventricular Failure, Severe Congestive Cardiac Failure, Accelerated Hypertension, Complete Heart Block and Stokes-Adams Attack, Acute Aortic dissection.

• Acute Limb Ischemia, Rupture of Aneurism, Medical and surgical shock and peripheral circulatory failure.
• Cerebro-Vascular Attack, Strokes, sudden Unconsciousness, Head Injury, Respiratory failure, De-compensated Lung Disease, Cerebro-Meningeal Infection, Convulsions, Acute Paralysis, Acute Visual Loss.
• Acute Abdomen
• RTA (Road Traffic Accident) with injuries including fall
• Acute Poisoning
• Acute Renal Failure
• Acute Abdomen in females including Acute Obstetrical and Gynecological Emergencies.
• Heat Stroke

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O.P.D (Outdoor Patient Department) treatment and subsequent follow-up after hospitalization is not permitted in Private Hospitals and Diagnostic Centres recognized under CGHS. Exceptions for follow-up treatment are permissible in following conditions for a period of 3 to 6 months after conducting the surgical procedure, are as follows:

• Neuro-surgery
• Cardiac Surgery including Angioplasty
• Cancer Surgery, Radiotherapy and Chemotherapy
• Organ transplant viz. Kidney
• Knee replacement.
• RTA (Road Traffic Accident)