Haiti Acute and Emergency Care Conference: descriptive analysis of an acute care continuing medical education program
# Background Several disasters over the past decade have highlighted the need for strong acute-care systems in Haiti. As part of a multifaceted approach to improving national acute-care training, the Research and Education consortium for Acute Care in Haiti (REACH) launched the inaugural Haiti Acute...
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| Vydáno v: | Journal of global health reports Ročník 3 |
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Inishmore Laser Scientific Publishing Ltd
30.04.2019
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| Abstract | # Background Several disasters over the past decade have highlighted the need for strong acute-care systems in Haiti. As part of a multifaceted approach to improving national acute-care training, the Research and Education consortium for Acute Care in Haiti (REACH) launched the inaugural Haiti Acute and Emergency Care Conference (HAECC). # Methods REACH is a Haitian-led, multinational collaboration based out of Saint Lûc Hospital in Port-au-Prince. The first HAECC was held in April, 2017. Pre- and post-course evaluation consisted of subjective and objective components. Differences between pre- and post-responses were determined using McNemar's test of paired proportions. # Results 57 participants from 21 hospitals in five Haitian departments were included. The majority (37/58, 63.8%) were physicians. Most (33/57, 57.9%) had no prior training in acute or emergency care, but 8/57 (14.0%) had taken ATLS/ACLS, 11/57 (19.3%) had taken a formal course not internationally recognized, and only 1/57 (1.8%) had completed acute care specialty training. 43.7% (25/57) reported routine access to point-of-care ultrasound. Following course completion, participants felt significantly more comfortable managing basic emergency conditions (up to 25/57, 43.9% increase, *P*\<0.01) and using ultrasound (up to 30/57, 52.6% increase, *P*\<0.01), but improvements on objective testing were not significant (ranging from -2 (-3.5%, *P*=1.00) to +5 (8.7%, *P*=0.15) change). # Conclusions While continued quality review is necessary for future iterations of the conference, the inaugural HAECC provided a useful "first pass" for current front-line providers in Haiti. |
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| AbstractList | # Background Several disasters over the past decade have highlighted the need for strong acute-care systems in Haiti. As part of a multifaceted approach to improving national acute-care training, the Research and Education consortium for Acute Care in Haiti (REACH) launched the inaugural Haiti Acute and Emergency Care Conference (HAECC). # Methods REACH is a Haitian-led, multinational collaboration based out of Saint Lûc Hospital in Port-au-Prince. The first HAECC was held in April, 2017. Pre- and post-course evaluation consisted of subjective and objective components. Differences between pre- and post-responses were determined using McNemar's test of paired proportions. # Results 57 participants from 21 hospitals in five Haitian departments were included. The majority (37/58, 63.8%) were physicians. Most (33/57, 57.9%) had no prior training in acute or emergency care, but 8/57 (14.0%) had taken ATLS/ACLS, 11/57 (19.3%) had taken a formal course not internationally recognized, and only 1/57 (1.8%) had completed acute care specialty training. 43.7% (25/57) reported routine access to point-of-care ultrasound. Following course completion, participants felt significantly more comfortable managing basic emergency conditions (up to 25/57, 43.9% increase, *P*\<0.01) and using ultrasound (up to 30/57, 52.6% increase, *P*\<0.01), but improvements on objective testing were not significant (ranging from -2 (-3.5%, *P*=1.00) to +5 (8.7%, *P*=0.15) change). # Conclusions While continued quality review is necessary for future iterations of the conference, the inaugural HAECC provided a useful "first pass" for current front-line providers in Haiti. |
| Author | Papali, Alfred Costantino, Corey A Olwine, Shannon R Nielsen, Nathan D McCurdy, Michael T Davidson, Zena Zimmer, Donald F Losonczy, Lia I Augustin, Marc E Wilson, John W Patel, Bhavesh M Williams, Sarah Colas, L Nathalie |
| Author_xml | – sequence: 1 givenname: Lia I surname: Losonczy fullname: Losonczy, Lia I – sequence: 2 givenname: Sarah surname: Williams fullname: Williams, Sarah – sequence: 3 givenname: Alfred surname: Papali fullname: Papali, Alfred – sequence: 4 givenname: Corey A surname: Costantino fullname: Costantino, Corey A – sequence: 5 givenname: L Nathalie surname: Colas fullname: Colas, L Nathalie – sequence: 6 givenname: Bhavesh M surname: Patel fullname: Patel, Bhavesh M – sequence: 7 givenname: Donald F surname: Zimmer fullname: Zimmer, Donald F – sequence: 8 givenname: Shannon R surname: Olwine fullname: Olwine, Shannon R – sequence: 9 givenname: Zena surname: Davidson fullname: Davidson, Zena – sequence: 10 givenname: John W surname: Wilson fullname: Wilson, John W – sequence: 11 givenname: Michael T surname: McCurdy fullname: McCurdy, Michael T – sequence: 12 givenname: Marc E surname: Augustin fullname: Augustin, Marc E – sequence: 13 givenname: Nathan D surname: Nielsen fullname: Nielsen, Nathan D |
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