This year 68 persons donated ZAR 147,000 ($11,000) to sponsor the attendance of 17 delegates from a number of African countries (including Nigeria, Ghana, Tanzania, Ethiopia, DR Congo, Rwanda and Uganda). These delegates would not have been able to fund their attendance without Supadel. A special thanks has to go out to the #DasSMACC delegates who contributed three quarters of this year’s sponsorship. This is the eighth year that Supadel has enabled peer-to-peer sponsorship through the power of #ubuntu. Over the last eight years Supadel channelled a whopping ZAR 1.9 million ($140,000) of sponsorship to 206 delegates from a total of 598 peers. You can also become a Supadel superhero by clicking here and donating.
Part 1: Emergency care on the cutting edge
Next level resus: The periarrest tox patient – Zeyn Mohammed
Zeyn took us through a range of challenging cases for the critically ill tox patient. Whilst it’s worth re-iterating that a lot of tox management is simply about supportive management, there a number of situations where specific therapies are recommended.
The critical care transport of patients on & for ECMO – Maryna Venter
This built on Maryna’s talk yesterday. Within South Africa, most patients are actually referred for ECMO rather than on ECMO. That means that while transporting a patient ON ECMO is logistically difficult, transporting a patient FOR ECMO is clinically challenging.
The patient for ECMO is referred when all other conventional interventions have failed. These patients are already physiologically strained and have very limited physiological reserve. The transport stress may push these patients over the edge. Monitoring appropriately and optimise before transport. Anticipate instability.
The patient on ECMO should have coordinated movement and deliberate securing of equipment and indwelling devices. Take extreme caution to avoid kinking of the ECMO lines or the anastamosed perfusion lines. You must be able to see all lines – if the patient remains exposed adjust the vehicle’s temperature.
In summary, ECMO retrieval should be done by a multi-disciplinary teams that are experts in their own field; they complete they’re individual role well.
Paediatric trauma – important considerations: Brittany Murray
Brittany is a paediatric emergency medicine specialist originally from Canada but has crossed the border down to the USA. She has been involved in a lot of fantastic work in Tanzania helping Muhimbili Hospital set up their EM programme and training the doctors there.
She gave a great review of paediatric trauma, with a lot of focus of ABCDE and doing the basics well. There were several pearls about important differences in assessments and injury patterns.
Checkout the VAPP course on Venomous Animals and Poisonous Plants here.
This blog and the other 2 in the EMSSA series were cocreated by a range of authors. Apologies if I’ve missed anyone! By co-created we mean that we all logged into the same online document and wrote the blogs as they happened. We used the Papers function on Dropbox. This appeared to work really well for capturing the conference narrative. Thanks to all.
- Kayleigh Lachenicht @EPICEMC
- Kyleigh Rodrigues @Kylz13
- Katya Evans @kat__evans
- Craig Wylie @craigwylie
- Jen Hulse @coffeeheadaches
- Willem Stassen @willem_stassen
- Stevan Bruijns @codingbrown
- Victoria Stephen @EMCardiac
- Chris Wearmouth @CCWearmouth
- Jo Park-Ross @joparkross