International

What a way to end the year!

The international child health team reach children across the globe and use their expertise to improve healthcare in developing countries particularly in Nepal, India and Africa.

A team of our staff ended 2018 by travelling to Kanti Children’s Hospital in Nepal to deliver advanced paediatric life support training, they were:

Craig Fox-Smith – Resuscitation officer and planner
Bimal Mehta – Consultant ED
Jo Minford – Consultant Surgeon

The team were supported by the newly formed Department of International Health to arrange their travel and the trip was financed by income generation and personal funding.

Craig Fox-Smith, Resuscitation officer and planner here at Alder Hey, gave us some insight in to the trip. He said; “Packing for travel is always an issue but packing for Nepal with its extremes of hot to freezing cold weather and still keeping enough space to carry the training mannequins adds to the challenge!

     training pic nepal.jpg


After a 20 hour flight, some rather crazy driving and carrying a case packed with enough layers to cope with the cold nights and all the training manuals, we received a warm welcome. The people were charming wonderful beautiful who will do anything for you and the food was lovely“

We spent a lot of time in PICU/NICU which stood out as being the best managed service within Kanti Hospital. The financial challenges they faced became clear when looking at staffing levels where the ratios are very different to those in Alder Hey with nursing numbers being 25:1 regardless of clinical need.

The lack of funding could also be seen in the theatre rooms where the air flow system was broken and surgeons raised concerns around survival rates from post-surgical sepsis. Our team was able to provide guidance that included how to investigate the source of infections based on each surgery to determine where the problems arise from, recommending a resuscitation and sepsis lead and providing educational information.”

Craig continued “Being a good trainer requires you to adapt your approach depending on the audience. We faced a lot of challenges including the language barrier, a different healthcare system and no standardised protocols. The team in Nepal also found it a challenge with many saying the APLS exam was more difficult than becoming a doctor!

Despite all that, it was an incredible experience for both them and us and we’re proud to say we successfully trained 24 members of staff in Advanced Paediatric Life Support.”

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