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Critical Care in resource-restricted settings

Emerging Diseases Clinical Assessment and Response Network

The World Health Organisation (WHO) Emerging Diseases Clinical Assessment and Response Network (EDCARN) delivers interactive courses in critical care and case management in epidemics using a severe acute respiratory infections (SARI) epidemic model.

criticalThe courses are delivered in collaboration with national ministries of health and WHO country offices. They include visits to national facilities, meeting with national thought leaders and subsequent recommendations on preparedness and case management. In recent years, additional training has focused on empowering local educators to take ownership of the courses. Some countries such as Uzbekistan have adopted this approach in their national post graduate training programme. Dr Kobus Preller has acted as facilitator in various countries including Turkmenistan, Uzbekistan, Tajikistan, Azerbaijan, Armenia and Palestine.

Outbreak investigation is coordinated by WHO Global Outbreak Alert and Response Network (GOARN). The Global Intensive Care Working Group (GICWG) of the European Society for Intensive Care Medicine (ESICM) is an example of a group which facilitates the opportunity to contribute to improving the outcomes of patient who are severely unwell in resource restricted environments.  

 

Publications

  1. Papali, A., Schultz, M.J., Dünser, M.W. et al. Intensive Care Med (2018) 44: 1133. Recommendations on infrastructure and organization of adult ICUs in resource-limited settings

  2. World Journal of Emergency Surgery 2017, Global Alliance for Infection in Surgery 

  3. Published in Volume: 18 Issue 8: November 1, 2017, A Global Declaration on Appropriate Use of Antimicrobial Agents across the Surgical Pathway

 

Colleagues in LMIC often struggle to find time for research and publication. Work groups such as the GICWG specifically aim to attract and enable contributions from these colleagues.


Related links

The WHO Emerging Diseases Clinical Assessment and Response Network (EDCARN)

The European Society of Intensive Care Medicine (ESICM)

Global Outbreak Alert and Response Network (GOARN)