72nd World Health Assembly adopts resolution on emergency and trauma care

Delegates to the 72nd World Health Assembly have adopted a resolution on emergency and trauma care aimed at helping countries to ensure timely care for the acutely ill and injured. It is estimated that more than half of deaths in low- and middle-income countries result from conditions that could be treated with prehospital and emergency care, including injuries; infections; acute exacerbations of cancer, diabetes and other noncommunicable diseases; and complications of pregnancy. Effective emergency care systems save lives.

During the discussions, 22 Member States spoke in support of the resolution, which was tabled by the Governments of Ethiopia and Eswatini and co-sponsored by over 30 countries. In their remarks, they praised the sponsoring countries for bringing attention to this area, committed to the recommended actions and requested near-term WHO support for specific activities, including: training for all cadres of health workers, system- and facility-level assessments, implementing standards for essential equipment and processes at each level of the health system, and data collection and quality improvement. They also emphasized the importance of fully integrating emergency care into ongoing universal health coverage planning processes.

“No one should die for the lack of access to emergency care, an essential part of universal health coverage,” said WHO Director-General Dr Tedros Adhanom Ghebreyesus. “We have simple, affordable and proven interventions that save lives. All people around the world should have access to the timely, life-saving care they deserve.”

Recent studies have ranked components of emergency care as among the most cost-effective public health interventions. Strengthening prehospital care by training community-based providers and using staffed community ambulances has been estimated to cost less than US$ 100 per life saved, and has been shown to reduce mortality by 25-50% in some low- and middle-income country contexts.

The World Health Assembly resolution seeks to overcome some of the main challenges facing countries, including poor coordination of prehospital and facility-based care; limited or no coverage of prehospital systems, especially in rural areas; shortage of fixed staff assigned to emergency units; lack of standards for clinical management and documentation; and insufficient funding. In addition, a lack of security for prehospital and facility-based emergency care staff remains a challenge in many countries.

The resolution suggests that all Member States, regardless of available resources, can take steps towards strengthening their emergency care systems. Recommended activities for Member States include creating policies to ensure universal access to emergency care for all; conducting a WHO emergency care system assessment to identify gaps and priorities for action; developing clinical protocols identified in the WHO Emergency Care Systems Framework; and providing emergency care training for all relevant health providers. The WHO Secretariat is invited to expand its technical support to Member States. 

In the coming years much of WHO’s support to Member States on emergency and trauma care will be provided through the Global Emergency and Trauma Care Initiative, launched with the AO Foundation in December 2018. The Initiative seeks to rapidly increase capacities to provide quality emergency care in countries and to foster awareness through a global advocacy campaign about its potential to save lives.  

Well-organized emergency care is a key mechanism for achieving a range of Sustainable Development Goal targets, including those on universal health coverage, road safety, maternal and child health, noncommunicable diseases, infectious diseases, disasters and violence. It also helps WHO to fulfill the mandate of its Thirteenth General Programme of Work 2019-2023 to strengthen health systems, widen coverage of essential health services and improve integrated service delivery.

Emergency Medicine Conference 2019

This was last year...

This year we are going next door...it's going to be EPIC!!

This year, the Emergency Care Symposium 2019 goes regional. The Emergency Medicine Kenya Foundation (EMKF) and Emergency Medicine Uganda (EMU) will host a joint Emergency Medicine Conference in Jinja, Uganda from the 1st to 3rd of August 2019. The conference will bring together delegates from all over the world and we have garnered a prestigious panel of international speakers and experts from around the region who will come together to discuss emergency care development and collaborations in the region under the theme, ‘Beginnings and Beyond’.

Pre-conference workshops (1st August 2019)

Time: 1300 – 1800 hrs

Venue: Jinja Nile Resort Hotel

Cost: Free as part of conference registration.

Faculty: The PURE ultrasound team, EMKF Team

Pax: 40

This workshop delivers all you need to know to get you scanning with confidence at the bedside. This hands-on learning experience under the guidance of experienced POC ultrasound instructors will include:

Basic physics, Knobology (operating the machine), EFAST, Aorta assessment, Inferior vena cava assessment (IVC), DVT assessment, Vascular access, and Basic cardiac echo (FEEL).

A must for every medical practitioner!

Time: 1300 – 1800 hrs

Venue: Jinja Nile Resort Hotel

Cost: Free as part of conference registration.

Faculty: WHO and Ministry of Health Uganda

Pax: 60

Over the last 15 years, Uganda has faced and averted several viral haemorrhagic fever (VHF) outbreaks including Ebola, Marburg, Crimean Congo, and Yellow fever. In this workshop participants will learn about our Integrated Disease surveillance and response strategy (IDSR).  You will also experience the feel of working in a viral haemorrhagic fever outbreak in our simulated Ebola isolation treatment facility. The frontline team will take you details of clinical case management including how to wear personal protective gear, decontamination, contact precautions and also share their field experiences. 

This workshop is targeted at anyone whose community is at risk of a VHF outbreak……………….. everyone!

Time: 1300 – 1800hrs

Venue: Jinja Nile Resort Hotel

Cost: Free as part of conference registration.

Faculty: Laura and the Malteser International team

Pax: 40

According to the World Health Organization (WHO), road traffic injuries accounted for 1.25 million deaths in 2014, and trauma is expected to rise to the third leading cause of disability worldwide by 2030. Majority of trauma deaths occur on the scene or within the first 24 hours after injury. This workshop will equip you with a standardised approach to the assessment and management of the injured patient and offer practical skills for pre-hospital and emergency department care. It will also include a special 1-hour session on plaster of paris application and other immobilisation techniques. Excellent for students, pre-hospital emergency care providers, nurses and Doctors.

Time: 1300 -1800 hrs

Venue: Jinja Nile Resort Hotel

Cost: Free as part of conference registration.

Faculty: The Emergency Medicine Kenya Foundation

Pax: 40

Become the ECG master while taking in the glorious source of the river Nile! This interactive workshop addresses the needs of medical students, nurses, doctors and allied health professionals who encounter ECG monitoring and traces frequently. ‘The heart wants what it wants’ journey is led by experts and begins its voyage with an understanding of the anatomy and physiology of the heart and its conduction systems,  courses through atrial and ventricular abnormalities towards conduction disorders, then appreciates rhythm recognition, ischaemia and infarction, before terminating in fun and interactive clinical case studies. 

Come aboard our workshop towards ECG mastery.

Time: 1300 – 1800 hrs

Venue: Jinja Nile Resort Hotel

Cost: Free as part of conference registration.

Faculty: Sarah Mikhail, Elisha Okaisu, Kenneth Bagonza, Doreen Okong

Pax: 40

Optimal care of a critically ill or injured patient requires not only medical expertise and mastery of resuscitation skills but also effective communication and teamwork among all members. This workshop focuses on teaching how to resuscitate in a team with pit-stop sleekness. Participants will learn how to optimise their roles as team members and as a team leader. Our carefully selected faculty combines years of training experiences from the WHO’s Basic Emergency Care Course, European Resuscitation Council and the American Heart Association to deliver high-quality content suitable for our context.

Remember — The most important pulse in the resuscitation room is that of the team leader.

Register (Kenyans Only)

Regional and international delegates can register directly with Emergency Medicine Uganda. CLICK HERE

Registration includes conference attendance and full-board accommodation at the Jinja Nile Resort for 3 days. (http://jinjanileresort.com-uganda.com/)

Students, EMTS, Nurses, Clinical officers

  • Single room sharing (2 people) - Kes 11,200 (USD 110) per person
  • Single room sharing (3 people) - Kes 9,200 (USD 90) per person
  • Registration only (NO ACCOMMODATION) - Kes 3,200 (USD 30) per person

Doctors

  • Single room - Kes 25,500 (USD 250) per person
  • Single room sharing (2 people) - Kes 18,400 (USD 180) per person
  • Single room sharing (3 people) - Kes 13,250 (USD 130) per person
  • Registration only (NO ACCOMMODATION) - Kes 7,200 (USD 70) per person

Deadline for Early Bird registration is 30th May 2019. Late registration will attract a 10% late fees charge.

Apply for sponsorship

We understand that not everyone can afford to attend, so we are providing an opportunity for some delegates to be sponsored through the ‘Support a delegate’ (Supadel) program.

Eligibility

  • Sponsorship is open to nurses, doctors, clinical officers, pre-hospital care providers,  and any other professionals in emergency care
  • Students are encouraged to apply
  •  Applicants must be from a low/middle income African country

Sponsorship details
Sponsorship will cover:
  • Workshops
  • Conference registration
  • Full-board accommodation for entire conference duration: all meals and shared 2-3 same sex accommodation
  • Group travel to/from Mulago Guest House – Jinja Nile Resort
Sponsorship does not cover any other form of transportation

Selection criteria
Applicants will be selected based on their involvement and interest in the development of emergency care systems in Africa

Application guidelines
To apply, submit the following documents to info@emergencymedicineuganda.org
  1. Resume/CV
  2. Two (2) references/recommendation letters (1 from your workplace/school and the other from a senior colleague/mentor)
  3. Motivation letter
  4. Passport Bio page
  5. Current students ID (students)

For more details, WhatsApp +256 780 745 551 or email info@emergencymedicineuganda.org

APPLICATION DEADLINE IS JUNE 30TH 2019

TUGENDE UGANDA!!

Emergency Care in Kenya has never been stronger and we are growing everyday. To make sure we all get to Uganda (and everyone comes back and is not left at the Nyege Nyege festival, EMKF will be organising a bus for those interested in travelling in style and want to have fun all the way to JInja and back. The cost should be the average return cost for a bus to Uganda…we will communicate this in due course. So, to book your seat now!! Once you have registered, send us a WHATSAPP message with your proof of payment to +254 710 633 855 and we will send you a confirmation that you are on THE BUS. Like most things, FIRST COME FIRST TO GET TO UGANDA! TUGENDE!!

For more information or enquiries, contact us at emkf@emergencymedicinekenya.org or +254 710 633 855

Lack of first aid skills should not cost us any more lives, teach all

  • First Aid should be made compulsory in schools so that children are aware of what to do in case of emergencies.
  • Nurses, doctors and allied health workers must have CPR accreditation every year to continue with their practice.

All you need to know about emergency care in Kenya

Kakamega County Referral Hospital Emergency Department

The Ministry of Health in Kenya reported that in 2016, about 13,159 people were seriously injured on the road. It is not just road traffic accidents, but also tens of thousands others lose their lives due to other emergencies such as heart attacks, stroke, maternity cases such as the killer pregnancy-induced blood pressure and falls from buildings.