PAEDIATRIC EMERGENCY & TRAUMA TRAINING
Paediatric injuries are one of the leading cause of death and disability in Nepal. Despite this care is limited by a lack of training in triage and stabilisation of acutely injured children. Whilst courses such as Advanced Trauma Life Support (ATLS) and Advanced Paediatric Life Support (APLS) exist, these are not adapted for paediatric trauma in low-resource settings.
A SOLUTION: PAEDIATRIC EMERGENCY & TRAUMA TRAINING
In 2019, a 4-day Paediatric Emergency and Trauma course was conducted at Chautara District Hospital. A bespoke course was designed and delivered by a multidisciplinary faculty including paediatric surgeons , doctors and nurses, who have experience working in low-resource settings. The course focussed on new-born resuscitation, paediatric emergencies and trauma using simulation training techniques. Twenty Nepalese doctors, nurses and medical students from regional and district-level hospitals were trained.
Feedback and assessments from participants of our pilot Paediatric Emergency and Trauma course demonstrated improved knowledge and confidence levels in managing paediatric emergencies. Our work on the development of the Paediatric Trauma Training Programme was formally presented at the Capetown International Trauma Conference in November 2019.
Our next steps are to expand the course, deliver the course at more rural hospitals in Nepal and to develop a ‘Train the trainers’ component for Nepalese clinicians.