Tag: critical care medicine

  • Common misconceptions about the ICU

    Common misconceptions about the ICU

    Intensive Care Units (ICUs) in hospitals, particularly in limited-resource countries, are often subject to various misconceptions. Addressing these misconceptions is crucial for improving healthcare delivery and fostering a more accurate understanding of the challenges and realities faced by these vital medical facilities. The ICU provides critical care and life support for acutely ill and injured patients.…

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  • Critical care medicine services survey form

    Critical care medicine services survey form

    We are conducting a survey to gather insights from health workers about the state of Critical Care Medicine in Papua New Guinea. Your responses will help us understand the current challenges and areas that need improvement. This survey is anonymous, and your participation is highly appreciated. Read more about critical care medicine in PNG by…

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  • Critical Care Medical journey to Sir Joseph Nombri Kundiawa Provincial Hospital 2021.

    Critical Care Medical journey to Sir Joseph Nombri Kundiawa Provincial Hospital 2021.

    I was invited by Dr. Bobby Wellsh (young enthusiastic, energetic Emergency Physician), with the blessing of the office of Director Curative (a/DCHS Dr. Raymond Saulep), and final authorization by the office of Simbu Provincial Health Authority Chief Executive Officer, Dr. Francis Wandi to their institution in the year 2021. Dr. Wellsh did his postgraduate Diploma…

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  • Critical Care Medical Journey continues at Alotau part 2

    Critical Care Medical Journey continues at Alotau part 2

    I closed my eyes, asked the Holy Spirit, and He told me to give digoxin, I ordered digoxin, and my team was scared because this would be their first time to give this drug. I reassured them that I would take full responsibility and not them. So, the drug was given. I was standing right…

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  • Critical Care Medical Journey continues at Alotau

    Critical Care Medical Journey continues at Alotau

    Alotau Provincial Hospital March 2006 After a month settling in, I was in the operating theatre on a Friday at 3 pm. A call comes in from our Emergency Department (ED), the young enthusiastic intelligent Service Medical Officer (MO) asked me for help with a 7-year-old child that had stopped breathing. Critical Care Medicine Training…

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  • Antimicrobial resistance; the AMR PNG crisis and contributing factors to AMR (part 3)

    Antimicrobial resistance; the AMR PNG crisis and contributing factors to AMR (part 3)

    What is the AMR PNG crisis? In Papua New Guinea (PNG), antimicrobial therapy constitutes a major form of treatment for almost all our patients we attend to. Endemic and emerging infectious diseases are implicated in half of childhood deaths and over 40% of all mortality in the country. (1) It is mainly empirical due to…

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  • Critical Care Medicine in Papua New Guinea. Part 3

    Critical Care Medicine in Papua New Guinea. Part 3

    START OF THE CRITICAL CARE MEDICAL TEAM IN PNG. Then we redesigned the system, the team stabilizes the patient in Emergency Department, and admits to the Intensive Care Unit for continuous monitoring and reassessment. This is where the core business of Critical Care Medicine takes place. So, we ended up giving the name Monitoring and…

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  • Critical Care Medicine in Papua New Guinea. Part 2

    Critical Care Medicine in Papua New Guinea. Part 2

    Journey from Port Moresby General Hospital to Madang In Madang in 1998, I turned up at my workplace Operating Theatre and my team was already there in full swing at 0730 hours, they were called early at 6 am for an emergency operation to help an expatriate mother deliver her baby. The baby came out…

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  • Critical Care Medicine in Papua New Guinea. Part 1

    Critical Care Medicine in Papua New Guinea. Part 1

    Journey from Port Moresby General Hospital to Madang While doing my first year Residency Medical Officer training at PMGH in 1991, I discovered this Medical Speciality called Critical Care Medicine which was already a sub-speciality of Clinical Medicine in the developed world. Every time one of our patients succumbed under our care or at the…

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