CCNEPal is a small #NGO with one mission: teach Advanced Cardiac Life Support in #Nepal.
For months, we planned a “road trip” outside the Kathmandu Valley with twelve sessions. We made 500 sets of handouts, printed 500 certificates, pre-positioned our teaching supplies, and at each location there was a contact person to alert the future participants as to where and when to appear.
How is it going?
I thought you would never ask!
We now have completed four of the twelve, at P.U. in Biratnagar and CMC in Bharatpur.
We teach two similar versions of our class. The 3-day version is for nurses. They have not had as much science as the docs have had, and we spend more time going over ecg when we teach them. The usual curriculum of nursing school has not covered ecg, though more and more B Sc schools are including ecg in their senior year work ( due in part to our promotion of this subject and providing them with teaching materials).
The 2-day version goes straight to the protocols and skills needed to perform and lead a team. We use the protocols of the American Heart Association, with specific adaptations to reflect the current medical practice. For example, certain pieces of equipment are not widely available here and for some of the drugs a less expensive substitute is used.
Note: CCNEPal uses the AHA protocols but we are NOT part of AHA, nor does this course award the participants with the official AHA course completion card for ACLS. Our course is based on the needs of Nepal, and our certificate has little Nepal flags on it. 🙂
CCNEPal has taught 62 sessions of this training since it’s inception in 2011. Like in the USA, this is not a lecture class. Consistently, the students are surprised by how practical it is. Much of the class consists of simulated patient situations. The team of instructors guides the student in role play and gives feedback on performance. There are prop we use to make it more realistic, but we keep these inexpensive and low-tech. For example, we use a set of child’s playground balls instead of CPR manikins. These can be deflated for travel.
Right now, the best time for new doctors to take this training is during the final months of MBBS program, before beginning their internship year.
UPDATE April 21st
I encourage all the MBBS students to share with others, as to the value of this training. Their testimony and support will do more to promote this than I ever could do…..
with eight sessions to go, the Road Trip is turning out very well. The students have been great, and in particular, the support from CMC has been wonderful. In my opinion, CMC needs to develop more as the regional resource for this kind of medical training – they are more accessible for the Terai region than Kathmandu will ever be, and the expertise is excellent.
Want more photos?
In the meantime, you can see a lot more pictures if you go to the FaceBook page for CCNEPal.
The Sacrament of the Goddess – a novel set in a hospital in Nepal
If you wish to learn more about the specific challenges of Nepal health care, you can read one of my two books that described boots-on-the-ground bedside care and decision-making. The second is a novel titled “The Sacrament of the Goddess” – I chose that format to keep it readable. Click here for a review in Nepali language. You can get this novel in Thamel at Vajra Books, and it has a cult following among young docs and nurses in Nepal. Oh, and it is available in USA too!