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Adapting available equipment

 To clear secretions in patient’s mouth in a resource-constrained area. I use a 60 ml syringe and a naso-gastric tube of different size, according to the age of the patient. I insert the tube in the patients mouth as far as i can see. I then attach a 60ml sryinge to the tube and was able to withdraw out secretions. This is done periodically to maintain a patent airway for critically ill patients

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Alhagie MM Baldeh

The Gambia

 

 

Twitter

Do you use Twitter?

Look out for #FANE Free Accessible Nurse Education and #FANEcc Free Accessible Nurse Education critical care . Both Twitter hashtags are for nurses who work in resource constrained environments or Developing Health Systems. They will be emphasising resources that are low bandwidths or that have been ammended to reduce the size of the content..

Conference

WFCCN Conference in Sri Lanka

critical care nursing in Nepal | CCNEPal 2017

https://joeniemczura.wordpress.com/tag/critical-care-nursing-in-nepal/

Early Enteral Feeding

Early enteral feeding is not dependent on presence of bowel sounds but should be delayed in patients with >500 millilitres gastric residual volume in 6 hour period.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5323492/#__ffn_sectitle

South African Triage Scale (SATS)

Patients become critically ill before they appear on ICU. Ideally, a pre-hospital life support is available within a local ambulance service. In reality, many deteriorating patients simply arrive at a clinic or hospital and join a queue of people waiting to be seen by a doctor or a nurse.

The SATS system is an effective and evidence-based method of sorting and prioritising adults and children according to the severity of their illness. It provides a way of screening the severity of illness of adults and children as they arrive at a clinic or hospital.

http://emssa.org.za/sats/

The above website contains a large collection of clinical guidelines and learning resources.

The manual is currently under review and a revised version is scheduled for late 2017.

The SATS system has been designed and tested in resource limited environments and the literature and audio-visual guides are full of practical content.

The Silent Child

The silent emergency – the critically ill child. What are the oxygen requirements?

Information about neonatal resuscitation in resource limited environments

Neonatal resuscitation in low resource settings

Neonatal resuscitation and immediate newborn assessment and stimulation for the prevention of neonatal deaths

Link

Essential Obstetric Care in resource poor settings

Essential Obstetric Care in resource poor settings

Caring for the Critically Ill in the Tropics

This book is published by Macmillan and it is available in the Africa catalogue. It can be difficult to locate as it is currently out-of-print but a reprint is scheduled for July 2011. There is a chapter that discusses the nursing care of critically ill patients in the Tropics, aka, critical care nursing in resource limited environments.