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First aid, trauma, surgical care, anaesthesia

Snakebite - Engaging Traditional Healers

In Zimbabwe there are a lot of snake bite especially at the beginning of rain season. Many people lose lives due to delays mostly in seeking modern medicines. There is need to involve those in traditional medicine practice to come up with standardized care.

'Twice as many die' in Africa after surgery (3)

In my opinion, one other contributory factor could be the lack of information on the part of the patient. There are usually unaware of the likely complications of surgery and hence fail to identify these and seek medical attention on time.

The limited resources in terms of staff and facilities also puts pressure on the healthcare personal and they are unable to give information to the patients.

'Twice as many die' in Africa after surgery (2) Lumbar puncture

Lumber-puncture has always been a dreadful thing in our hospitals at least the ones I have heard about in Zambia among other surgery operations.
Despite Medical doctors pacifying and educating that it is very safe to undergo such an operation, A lot of patients end up dying according to a number of informants although there is no empirical evidence or studies to refute this myth according to some health workers.
Whoever, their philosophy (medical doctors) behind this is to isolate the disease attacking a patient so that they (doctors) could administer a correct drug than

Global surgery and the neglected tropical diseases

At the sunset of the Millennium Development Goals there was a global awakening that hundreds of millions of people living in resource-poor countries lacked safe and equitable access to even basic surgeries. In response, a Lancet Commission on Global Surgery was launched... highlighting that an astonishing 5 billion people lack accessible surgical care and that investing in scaling up surgical services until 2030 is necessary and cost effective.

Effective, polyvalent, affordable antivenom needed to treat snakebite in Nepal

'Many Nepalese depend on traditional healers and or do not seek hospital treatment because they consider themselves to be too poor to pay for treatment, or think there will be no benefit. If the numbers of out-of-hospital deaths caused by snakebite are to be reduced in Nepal, there needs to be improvements in the public awareness of the benefits of snakebite treatment in hospital and in the pre-hospital care of snakebite – as seen, for example, in Sri Lanka.

Forum 2015 - Access to Health Research: Improving the availability of local research

As a US trained neurosurgeon supporting the training of Cambodian neurosurgery trainees since 2013, the discussion about local research is highly relevant. 

Management of poisoning (5) Challenges of finding practical healthcare information on the internet (4)

TOXNET is a group of databases and my impression is that it requires a relatively high degree of health literacy to use it/them. For example, I tried a search on acetaminophen (paracetamol - one of the commonest causes of fatal poisoning worldwide) and got 14,505 results. The #1 hit was a brief and uninformative abstract of a case report dated 1979, in a restricted-access journal. If I had been looking urgently on what to do for someone who had overdosed on paracetamol, I would have been left frustrated...

"A little knowledge is a dangerous thing" (4) Do-it-yourself surgery on the internet

'Written medical information and power point presentations/videos of most common surgical operations are available from several websites. So, ordinary Nigerians have not only become nurses, laboratory scientists, pharmacists, physicians but also surgeons with disastrous consequences. [*see note below] Even within the professions, members readily overstep their bounds to make the most financial gratification from the hapless patients. '


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