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Essential Emergency and Critical Care: a neglected area in child health - Shared screen with speaker view
Yvette Ribaira
Greetings from Madagascar. Good morning, good afternoon everyone. Yvette Ribaira, the USAID/MIHR Community Health Lead
John Borrazzo
Hello, all. John Borrazzo, Child Health Director, USAID-supported MOMENTUM Country and Global Leadership project, based in Washington, DC
Ntogwiachu Daniel Koboh
Great to join you all from Cameroon. Daniel
David Muir
Hello Everyone I'm UK based bt undertake academic and pro bono clinical advice in various countries in Africa. I'm looking forward to learning more about critically ill children. David Muir
Sita Strother
Welcome all! Please feel free to put your questions in the chat
John Borrazzo
For most children, the fraction ending up requiring critical care is something we can influence with our broader public health approaches to common childhood killers - pneumonia, PSBI, diarrhea, malaria, acute malnutrition, etc. It is important that EECC be part of that larger context for children, including the link back to community. But I certainly agree that timely assessment of children requiring critical care and being able to provide the basics at the lowest level of the systems will save lives (including sustaining/leveraging COVID-related investments in pulse oximetry and oxygen, as was noted by Dr. Khakid), so this is a welcome analysis One question @Tim: in the modeling work for impact, has the mortality impact been broken down by age - specifically, for children under 5?
Anne Rerimoi
Thank you for an informative and interesting presentation. What cadre of health workers will provide this care?
Anne Rerimoi
In the hospital surveys, how did hospitals perform with regard to paediatric equipment - BP cuffs, oximetry sensors even for the smallest e.g. preterms etc? Do we have standards for LMICs for these vital signs e.g BP by age for children
Baljit Cheema
Hi Tim & colleagues - great presentation - very useful summary of the main issues. My question: Do you see any role for Telemedicine support for junior/rural medical staff with unstable/critically ill children?
Fikru Letose
Hi, well presentations
Lydia kelane- Lesotho
l like plans in Tanzania ..please share presentations
Sita Strother
The presentation and recording will be shared with all participants via email and on the Child Health Task Force website
Baljit Cheema
@anne rerimoi re: question on equipment standards. I know of a couple of resources for equipment standards for the emergency care of children: 1) http://www.emct.info/paediatric-emergency-care.html - standards developed for emergency care of children in WC Province of SA and 2) https://www.ifem.cc/standards_of_care_for_children_in_emergency_departments_v3_2019 = International Federation of EM standards
Happines Biyengo
Hello,when all cadres and at all levels of health care providers will be training and reminded of the basics for EECC then in turn it will improve care to all patients. This is a good presentation and good plan. Thank you for sharing.
Janeth Masuma
Thanks for the excellent presentation
Anne Rerimoi
Thank you Baljit for sharing
Anne Rerimoi
Thank you Jane and thank you team
Baljit Cheema
@Karima wrt Cadres who can provide EECC - I believe Non-Physician Clinicians should also be included in the groups who can provide this care in LMIC. They are an often neglected group - but they provide a huge amount of care in Africa
Tamah Kamlem
What would you consider the most important take away from the study and how does it inform future efforts for providing care to children?
Ally Akrabi
Is EECC, a package of training, or uncertified training? i mean is.there a manual for training?
Leith Greenslade
Tim and colleagues, can you comment on the recent CHAIN study that showed a large proportion of child deaths were among children following hospital discharge across Africa and South Asia - https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(22)00118-8/fulltext. How can EECC address this problem?
Kathleen Hill
Many thanks for the really excellent presentations. I appreciate Tim's clear point that ECCC does not equal ICU. I imagine this point is very important for advocacy and immediate action in all settings. Also appreciate the emphasis on service delivery readiness, clinical care processes, importance of ongoing clinical mentoring and importance of improving overall organization of care for critically ill children/persons in hospitals (e.g. rapid triage, coordination across hospital units, etc.)
Kathryn Maitland
Lets make sure that the ECCC embraces the evidence from the relevant multi-centre clinical trials
Baljit Cheema
@Karima - great idea - we can get so much support from colleagues in WhatsApp groups - some downsides - but lots of potential for benefit too
Ntogwiachu Daniel Koboh
Administrative support , staff motivation and sustainability in this concept implementation is paramount. How can we get the approach in Tanzania copied in most African countries? This could give hope for global continuous evidence of the importance of the implementation.
Tim Baker
Everyone interested - please join our network! www.eeccnetwork.org
Baljit Cheema
@Karima - Regular simple resuscitation simulations run in-situ are absolutely great for unearthing these sort of glitches I.e. the locked away IO needles etc
John Borrazzo
thanks for the presentation and discussion. Need to drop off.
Kathryn Maitland
Anne Detjen
Stay tuned for an upcoming webinar discussing the CHAIN study results
Leith Greenslade
Yes! The risk factors for death following discharge were all about child nutritional status and mother access to $ and mental health.
Kathryn Maitland
We have proposed that better nutritional support for children recovering from severe illness may present post discharge deaths
Leith Greenslade
Great to hear Kath.
Juan Carlos Alegre
Thank you very much for the presentation!
Baljit Cheema
Thanks everyone for a fantastic presentation and discussion.