Critical care training course held for resuscitation experts

WHO/Samandar Gulshoev

Hands on practice during training session on critical care
In response to gaps identified during the polio outbreak in Tajikistan, an assessment of critical care capacity was carried out in June 2010. The assessment identified significant gaps in clinical capacities to manage patients with airway and breathing difficulties. Support from the Central Emergency Response Fund provided training in critical care and procurement of equipment for facilities.

Three consultants with knowledge and expertise in critical care were identified and recruited to undertake development of a three day train the trainer course. The course covered emergency (critical care) medicine training with a focus on initial (general) airway and ventilation problems while addressing problems faced by acute paralysis patients (including polio) – not a specific approach, but a problem-based medicine approach.

The course took place 25-27 October 2010 in Dushanbe City Clinical Hospital of Emergency Care and doctors and resuscitation specialists, as well as a representative of the Ministry of Health participated. Some of these national trainers were then involved in conducting the field courses at the oblast levels in November. The majority of the participating doctors were critical care specialists; however other doctors such as pediatricians were also present. During the three day training a wide range of topics were covered through lectures, presentations, hands on practice using medical equipment and video. Participants discussed clinical cases and practiced performing techniques such as cardiopulmonary resuscitation, maintaining patency of airways and intubations.

Emergency care stations across the country vary at the different levels. In the districts there is a lack of human resources and medical care is delivered by a chief on duty. In the oblasts the situation is a little different. Emergency service is independent from the hospital structure, and although human resource availability is better, the same critical conditions in terms of funding and equipment supply exist.