Emergency Medicine

The Emergency Department (ED) is the primary point of entry for patients with acute illnesses and injuries requiring urgent evaluation and treatment. Operating 24 hours a day, seven days a week, the department provides comprehensive emergency medical, trauma, and critical care services for patients of all ages. The ED works closely with inpatient specialties, diagnostic services, and pre-hospital teams to ensure timely stabilization, definitive management, and appropriate disposition of patients.
In addition, the ED leads Bhutan’s pre-hospital emergency care system through its ground ambulance network and the Bhutan Emergency Aero-medical Retrieval (BEAR) Service, providing critical care transport by land and air. It also plays a central role in hospital disaster preparedness and mass casualty management.

Our Mission

To deliver patient-centred emergency care 24 hours a day through rapid assessment, evidence-based treatment, effective coordination of care, and continual advancement in emergency medicine, education, research, and disaster preparedness.

Our Vision

To provide timely, equitable, and high-quality emergency care through clinical excellence, innovation, education, and teamwork.

Our Core Values

Patient-Centered Compassion

We treat every patient with empathy, dignity, and respect, recognizing and responding to their individual physical, emotional, and cultural needs.

Clinical Excellence and Safety

We maintain the highest standards of anesthesia practice through evidence-based medicine, robust safety measures, and continuous quality improvement.

Collaborative Teamwork

We value open communication, mutual respect, and multidisciplinary cooperation to provide seamless perioperative care and support successful surgical outcomes.

Equity and Accessibility

We are committed to ensuring all patients receive timely, inclusive, and equitable anesthesia care regardless of their background or circumstances.

Integrity and Accountability

We uphold ethical principles, transparency, and professionalism while remaining accountable to our patients, colleagues, and the wider community.

Innovation and Lifelong Learning

We encourage innovation, embrace advancements in medical technology, and promote a culture of continuous learning, education, and professional growth.

History of Anesthesia Services in Bhutan

Anesthesia services in Bhutan began in the late 1970s and early 1980s at Thimphu General Hospital under Dr. G.C. Sharma from Assam, who transferred to Trashigang Hospital in 1983, leaving Dr. Sarkar to continue the service until UN Volunteer anesthetist Dr. Phone Kyaw took over in 1984. A major milestone occurred in 1983 when Dr. Yanki Shipmo joined Thimphu General Hospital and founded Bhutan’s first Nurse Anesthetist Training Program to address severe staff shortages. In February 1988, Mr. Singye and Mr. Lungten Jamtsho became the first Bhutanese nurses selected for this specialized track; after six months of rigorous training, they provided autonomous anesthesia services at Gelephu General Hospital and Tsimalakha Hospital, laying the groundwork for a system that now includes over 30 nurse anesthetists nationwide.

In early 1998, Bhutan’s first nationally qualified anesthesiologist returned to work at JDWNRH, served at the Military Hospital in Dewathang during security difficulties, and officially entered civil service in January 1999. Later that year, Dr. Singay Dorji became the first Head of the Department of Anesthesiology, where he upgraded clinical services, drugs, and equipment, and established JDWNRH’s first three-bed intensive care unit (ICU).

Dr. Gosar Pemba succeeded him as department head from 2009 to 2014, modernizing services and helping establish Bhutan’s anesthesia residency training program before becoming JDWNRH’s Medical Superintendent, at which point Dr. Jampel Tshering took over leadership. Ultimately, Bhutan’s anesthesia services have evolved from simple open-drop ether methods into a modern system featuring advanced anesthesia workstations, sophisticated monitoring, advanced critical care, labor analgesia, comprehensive pain management clinics, and ultrasound-guided regional anesthesia.