Point of care ultrasound for sepsis management in resource-limited settings: time for a new paradigm for global health care

2012 ◽  
Vol 38 (8) ◽  
pp. 1405-1407 ◽  
Author(s):  
Gabriele Via ◽  
Enrico Storti ◽  
Alberta Spreafico ◽  
Lawrence Melniker ◽  
Luca Neri
Keyword(s):  
Health Care ◽  
Global Health ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
New Paradigm ◽  
Resource Limited Settings ◽  
Sepsis Management ◽  
Resource Limited ◽  
Global Health Care

Point of care ultrasound for sepsis management in resource-limited settings: response to Via et al.

2012 ◽  
Vol 38 (8) ◽  
pp. 1408-1409
Author(s):  
Martin W. Dünser ◽  
◽  
Emir Festic ◽  
Arjen Dondorp ◽  
Niranjan Kissoon ◽  
...  
Keyword(s):  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Resource Limited Settings ◽  
Sepsis Management ◽  
Resource Limited

The Global Health Service Partnership: An Innovative Program to Address Shortages of Pediatric Health Care Workers in Resource-Limited Settings

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 363A-363A
Author(s):  
Kiran Mitha ◽  
David Ries ◽  
Libby Cunningham ◽  
Julie Anathan ◽  
Sadath Sayeed ◽  
...  
Keyword(s):  
Health Care ◽  
Health Service ◽  
Global Health ◽  
Health Care Workers ◽  
Resource Limited Settings ◽  
Pediatric Health ◽  
Pediatric Health Care ◽  
Resource Limited ◽  
Care Workers ◽  
Innovative Program

scholarly journals Experiential Learning Curriculum Delivery Approach for Quality Improvement in Resource Limited Settings: Mobile Learning for Point-of-Care Technologies

2019 ◽  
Vol 11 (13) ◽  
pp. 158
Author(s):  
Nkosinothando Chamane ◽  
Tivani Phosa Mashamba-Thompson
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Experiential Learning ◽  
Service Delivery ◽  
Point Of Care ◽  
Service Improvement ◽  
Quality Service ◽  
Resource Limited Settings ◽  
Primary Health ◽  
Resource Limited

BACKGROUND: Despite impressive progress that has been made in the provision of health care services to all, the issue of quality service delivery still remains a challenge particularly for point-of-care (POC) diagnostics in resource-limited-settings. Poor competency of primary health care workers in these settings has been shown to be amongst the main contributors to poor quality service delivery. FINDINGS: Participatory-based continuous professional development (CPD) strategies to support technology advancements in health care are recommended. Experiential learning approaches have been shown to be efficient in supplementing traditional teaching methods for both health care students and professionals. These approaches have been shown to further contribute towards continuous skills development and lifelong learning. CONCLUSION: This review therefore provided an overview of literature on experiential learning as one of CPD approaches in relation to health care service improvement in resource-limited setting. In addition, this review has recommended a mobile-based experiential learning approach to help deliver a quality POC technology curriculum to Primary health care-based workers in resource-limited settings.

Global health: A new paradigm for medical mission?

2020 ◽  
pp. 009182962097238
Author(s):  
Giles N Cattermole
Keyword(s):  
Health Care ◽  
Global Health ◽  
Medical Missions ◽  
New Paradigm ◽  
Medical Mission ◽  
Christian Mission ◽  
Health Care Context ◽  
History Of ◽  
Global Health Care ◽  
The 19Th Century

This article explores the practice of Christian mission in the developing field of global health care. First, the definition and context of global health is discussed. Second, the history of medical missions is traced, from their origins in biblical healing, through traditional medical missions in the 19th century, to today’s global health-care paradigm. Third, the situation of Christian medical mission today is described – in hospitals and non-governmental organisations, and in partnerships with governments and other secular agencies delivering health care. Two key challenges for Christian mission in the global health-care context are then discussed: increasing distance from individuals and increasing pressure not to evangelise. The reasons for evangelicals sometimes appearing to succumb to this latter pressure are considered. Finally, an attempt to resolve this tension is made in the context of Christian calling and the task all Christians have to make disciples, whatever their role in life.

scholarly journals Point-of-care Ultrasound Diagnosis of Pulmonary Hydatid Cyst Disease Causing Shock: A Case Report

2021 ◽  
Vol 5 (4) ◽  
pp. 403-406
Author(s):  
Alexandra Hill ◽  
Marco Guillén ◽  
David Martin ◽  
Andrea Dreyfuss
Keyword(s):  
Case Report ◽  
Hydatid Cyst ◽  
Surgical Intervention ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Resource Limited Settings ◽  
Diagnostic Studies ◽  
Resource Limited ◽  
Pulmonary Hydatid Cyst ◽  
Time Critical

Introduction: Point-of-care ultrasound (POCUS) is accepted as an important tool for evaluating patients presenting to the emergency department (ED) with dyspnea1 and undifferentiated shock. Identifying the etiology and type of shock is time-critical since treatments vary based on this information. Clinicians typically rely on the history, exam, and diagnostics tests to identify the etiology of shock. In resource-limited settings where there is reduced access to timely laboratory and diagnostic studies. The use of POCUS enables rapid classification and directed treatment of shock. Additionally, POCUS can aid in the diagnosis of rarer tropical diseases that can be important causes of shock in resource-limited settings. Case Report: We discuss a case of a pediatric patient who presented to an ED in Cusco, Peru, with acute dyspnea and shock. Point-of-care ultrasound was used to expedite the diagnosis of a ruptured pulmonary hydatid cyst, guide proper management of septic and anaphylactic shock, and expedite definitive surgical intervention. Conclusion: In resource-limited settings where there is reduced access to timely laboratory and diagnostic studies, the use of POCUS enables rapid classification and directed treatment of shock.

Point-of-Care Ultrasound: A Useful Diagnostic Tool in Africa

Praxis ◽  
2020 ◽  
Vol 109 (8) ◽  
pp. 608-614
Author(s):  
Omary Ngome ◽  
Martin Rohacek
Keyword(s):  
Point Of Care ◽  
Clinical Work ◽  
Traumatic Shock ◽  
Clinical Findings ◽  
Diagnostic Tools ◽  
Point Of Care Ultrasound ◽  
Resource Limited Settings ◽  
Resource Limited ◽  
The Impact ◽  
Work Up

Abstract. In resource limited settings with limited tests and diagnostic tools, most of diagnoses are based on clinical findings, and patients are managed empirically, e.g. with anti-tuberculosis drugs. This article aims at describing the use of point-of-care ultrasound in diagnosing the most important conditions in Africa, in addition to clinical work-up. Different protocols exist for the diagnosis of trauma-related disorders, tuberculosis, schistosomiasis, thromboembolism, causes of dyspnea, and non- traumatic shock. Point-of-care ultrasound might be a beneficial tool in Africa, aiding diagnostics and management of patients with these conditions. However, studies must be done to assess the impact of point-of-care ultrasound on mortality.

Point-of-Care Ultrasound in Resource-Limited Settings: Common Applications

2018 ◽  
Vol 111 (7) ◽  
pp. 424-433 ◽  
Author(s):  
Matthew Fentress ◽  
Thomas F. Heyne ◽  
Keith R. Barron ◽  
Neil Jayasekera
Keyword(s):  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Resource Limited Settings ◽  
Resource Limited

scholarly journals Demonstration of a Longitudinal Medical Education Model (LMEM) Model to Teach Point-of-Care Ultrasound in Resource-Limited Settings

POCUS Journal ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 20-25
Author(s):  
Michael Yao ◽  
Lauren Uhr ◽  
George Daghlian ◽  
Junedh M. Amrute ◽  
Ramya Deshpande ◽  
...  
Keyword(s):  
Medical Education ◽  
Clinical Examination ◽  
Point Of Care ◽  
Healthcare Delivery ◽  
The United States ◽  
Objective Structured Clinical Examination ◽  
Point Of Care Ultrasound ◽  
Resource Limited Settings ◽  
Resource Limited ◽  
Medical Education And Training

Background: Short-term medical missions prevail as the most common form of international medical volunteerism, but they are ill-suited for medical education and training local providers in resource-limited settings. Objective: The purpose of this study is to evaluate the effectiveness of a longitudinal educational program in training clinicians how to perform point-of-care ultrasound (POCUS) in resource-limited clinics. Design: A retrospective study of a four-month POCUS training program was conducted with clinicians from a rural hospital in Haiti. The model included one-on-one, in-person POCUS teaching sessions by volunteer instructors from the United States and Europe. The Haitian trainees were assessed at the start of the program and at its conclusion by a direct objective structured clinical examination (OSCE), administered by the visiting instructors, with similar pre- and post- program ultrasound competency assessments. Results: Post-intervention, a significant improvement in POCUS competency was observed across six different fundamental areas of ultrasound (p < 0.0001). According to our objective structured clinical examination (OSCE), the mean assessment score increased from 0.47 to 1.68 out of a maximum score of 2 points, and each trainee showed significant overall improvement in POCUS competency independent of the initial competency pre-training (p < 0.005). There was a statistically significant improvement in POCUS application for five of the six medically relevant assessment categories tested. Conclusion: Our results provide a proof-of-concept for the longitudinal education-centered healthcare delivery framework in a resource-limited setting. Our longitudinal model provides local healthcare providers the skills to detect and diagnose significant pathologies, thereby reducing avoidable morbidity and mortality at little or no addition cost or risk to the patient. Furthermore, training local physicians obviates the need for frequent volunteering trips, saving costs in healthcare training and delivery.

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