clinicOver 15 medical practitioners from the Northern Regional Hospital have been participating in a three day workshop conducted by a representative from BERT and the American Heart Association in Belize.

The training is aimed at disseminating information on first response, emergency response standards and procedures aimed at keeping the patient alive and stable.

The coordinator for the training is Javier Canul from BERT and the training center coordinator for the American Heart Association in Belize. Our news team was there today and filed the following report.

Yari Catzim- Reporter

Javier Canul- BERT/American Heart Association

“This is a part of requirements for all nurses and doctors who works in a hospital. It is reaching a position where it is becoming a standard for all hospitals across the country basically this is what we call advance cardiac support. It has a lot to do with the heart and basically if a patient comes in with a heart problem you need to monitor what is happening to them and do different treatments to enable them to become stable.”

The training is divided into three sessions. The first thing to bear in mind is to observe the algorithms on the patient’s heart, categorizing their condition.

Javier Canul- BERT/American Heart Association

“There are times when your patience will not be breathing properly and so you need to make sure they breathe properly so, there are different tools that we can use to maintain an airway. You could start off with what we call an Oral Ferinjal Airway, if the person does not have a gauging reflex you can use an Oral Ferinjal Airway and to do this you need to have the right size and to insert it properly, and if it doesn’t work you need to do what we call Advance Airway. It would be anything like Combitube because it has two points and it has some holes at the bottom and some holes at the base as well which are all use for short term intubation or you can use what we call LMA and things like LMA are used for short term intubation meaning that it is just to make sure the patient airways becomes available and you can use other techniques so it is a short term intubation or you can use what we call the King Airway. The King Airway is the newest device of the block because you can do CPR and insert this into the patient, with the other airway you have to stop CPR and you don’t what to stop CPR you want to keep it going so with the King Airway while the person is doing CPR you can actually insert this in and get it up and get an airway.”

Every five years the American Heart Association, through observation, makes amendments to the first response procedures. For this training the participants are adapting to the new amended procedures from airway, breathing, then circulation to circulation, airway, and then breathing.

canulJavier Canul- BERT/American Heart Association

“For example we use to do airway breathing and circulation for CPR, now it has gone to circulation, airway and then breathing meaning first we use to open the airway give breathe first and then if there is not breathe give breathe and then check for a pulse and start a CPR. Now they are saying if you find a person on the ground and unconscious what you want to do with that person is immediately shake and shout the patient on the shoulders and then immediately if there is no response you want to send for help and then check for a pulse and if there is no pulse then immediately instead of opening the airways you immediately want to start a chest compression, what happen is that the layman in the past use to say in the past is that if somebody is on the ground I am not going to do CPR on him because he looks dirty and stinks up or whatever but by doing only chest compression you are assisting that patient until help arrives.”

In conducting their emergency response the team uses a variety of tools which can make all the difference between life and death.

Javier Canul- BERT, American Heart Association

“There are three classes, there is the basic life support which is CPR in its new stages and then there is two days for the advance cardiac life support which is the one that we are doing.”

Yari Catzim- Reporter

“You said CPR in its new phase talk to us about that?”

Javier Canul- BERT, American Heart Association

“What happened is that the American Hearts Association is the people who do the leading studies on the heart and basically they are in charge of doing CPR and advanced cardiac life support and paediatric advance life support and every five years they study the heart. What they usually do is that they put together a certain amount of studies that they have seen that was successful and then they put it out as protocols, they put it out as algorithms and those are the charts that you will see, so basically every five years they renew the algorithms because news studies reveals new technologies shows new things that need to be done.”

The response from the doctors and nurses in the session has been very positive. At the end of today’s training, Canul hopes that if these persons are to encounter such an emergency scenario, they will know exactly how to proceed and save the patient’s life.

Javier Canul- BERT/American Heart Association in Belize

“This class is designed to ensure all nurses and doctors are familiar with standards of how to treat different patients for their different purpose. As you go around you will see them in different stations and at each station everybody has to combine all the rhythms together in a mega code for example a patient will start with a chest pain and as you are treating that chest pain it is so severe that the patient collapse and starts to have a heart attack at that point you will have to treat that patient for a heart attack. Probably you will deliver your shocks and use your drugs and at that time the patient will recover and go into another rhythm which will be maybe a Synod Pericardia but that is not a normal rhythm and you need to take them up to that. “

The training ended today. Canul hopes to conduct similar seminars in the rest of the districts as it is imperative that all medical personnel are prepared for any emergency scenario.

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