An Overview of Afghan National Army Critical Care Capabilities

Lin, Andrew H; Glover, Dennis; Myers, Joseph S.

doi:10.7205/milmed-d-11-00036

Cited by 5 publications

(6 citation statements)

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“…In a research done to evaluate the nutritional content and viscosity of hospital-prepared BTF using feeds prepared in-house kitchen of 4 different hospitals in Philippines, the researchers discovered that the in-house prepared feeds had unpredictable nutritional values and varying consistencies although they were prepared according to instructions of dietitians 16 . The providers of BTF in this study claimed that the feeds were nutritionally complete 6 . Vitamin levels and trace elements such as Zinc were undetectable in many samples 16 .…”

Section: Discussionmentioning

confidence: 84%

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Do South Asian Nutrition Guidelines for Critically Ill Recommend Commercial Feeds or Blended Tube Feeds? – A Narrative Review

Raheem

Yusof

Yii

et al. 2020

Bangladesh Crit Care J

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In the previous years, blended tube feeds have been replaced by commercialized feeds; however, literature suggests that blended tube feeds are still being used to feed critically ill patients. Aim of this narrative review is to review the South Asian Critical Care Nutrition Guidelines type of feed recommendations. From the eight South Asian Countries, Critical Care Nutrition Guidelines are available only from Pakistan, India and Sri Lanka. Review of these guidelines indicate discrepancies with types of feed when compared to international guidelines such as nutrition guidelines from American Society for Parenteral and Enteral Nutrition. Indian and Sri Lankan Guidelines give way to administer Blended Tube Feeds in critically ill patients. There is no available literature to back their recommendation regarding use of blended tube feeds in critically ill patients. Reasons and evidence for recommendations of blended tube feeds need to be explored, while determining whether theses feeds are valid replacement for commercial enteral feeds. Bangladesh Crit Care J March 2020; 8(1): 48-52

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Section: Discussionmentioning

confidence: 84%

“…in Katmandu city, Nepal 5 . No exact data is available regarding number of ICUs in Afghanistan, but it has been reported that a 10-bed ICU was in the main referral hospital in Kabul, Afghanistan 6 . No data is available regarding the number of ICUs or ICU beds in Pakistan, Bhutan or Maldives.…”

mentioning

confidence: 99%

Do South Asian Nutrition Guidelines for Critically Ill Recommend Commercial Feeds or Blended Tube Feeds? – A Narrative Review

Raheem

Yusof

Yii

et al. 2020

Bangladesh Crit Care J

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“…In developing settings similar to Afghanistan, economic barriers are suggested to play prominent roles in observed gaps in staff training and performance . This may be why military facilities, which benefit from close cooperation with foreign military health care advisors, excelled in all transfusion safety measures in this study . There were relatively few military facilities in this sample of high‐volume facilities; however, this number illustrates the generally low number (n = 6) of military facilities that provide blood collection and/or transfusion services nationally.…”

Section: Discussionmentioning

confidence: 88%

“…6,23,24 This may be why military facilities, which benefit from close cooperation with foreign military health care advisors, excelled in all transfusion safety measures in this study. 25,26 There were relatively few military facilities in this sample of high-volume facilities; however, this number illustrates the generally low number (n = 6) of military facilities that provide blood collection and/or transfusion services nationally. These facilities were disproportionately likely to receive capacity development activities compared to public sector facilities.…”

Section: Discussionmentioning

confidence: 92%

Blood supply safety in Afghanistan: a national assessment of high‐volume facilities

et al. 2012

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“…17 In another small study, mentorship by NATO countries in an ANA intensive care unit was shown to improve in-hospital mortality. 6 The CFHS, as part of NATO, has had previous experience in training Afghan military health care providers in Kandahar province. It was noted that providing an appropriate curriculum to Afghan trainees in 2007 necessitated an increased emphasis on the basic principles of medical education, including anatomy and physiology.…”

Section: Discussionmentioning

confidence: 99%

Medical mentorship in Afghanistan: How are military mentors perceived by Afghan health care providers?

Beckett

Fowler

Adhikari

et al. 2015

cjs

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Background: Previous work has been published on the experiences of high-resource setting physicians mentoring in low-resource environments. However, not much is known about what mentees think about their First World mentors. We had the opportunity to explore this question in an Afghan Army Hospital, and we believe this is the first time this has been studied. Methods:We conducted a pilot cross-sectional survey of Afghan health care providers evaluating their Canadian mentors. We created a culturally appropriate 19 -question survey with 5-point Likert scores that was then translated into the local Afghan language. The survey questions were based on domains of Royal College of Physicians and Surgeons of Canada's CanMEDS criteria. Results:The survey response rate was 90% (36 of 40). The respondents included 13 physicians, 21 nurses and 2 other health care professionals. Overall, most of the Afghan health care workers felt that working with mentors from high-resource settings was a positive experience (median 4.0, interquartile range [IQR] 4-4), according to CanMEDS domains. However, respondents indicated that the mentors were reliant on medical technology for diagnosis (median 5.0, IQR 4-5) and failed to consider the limited resources available in Afghanistan. Conclusion:The overall impression of Afghan health care providers was that mentors are appropriate and helpful. CanMEDS can be used as a framework to evaluate mentors in low-resource conflict environments.Contexte : Des travaux ont déjà été publiés sur l'expérience des médecins de milieux favorisés en ressources qui font du mentorat dans des milieux défavorisés en ressources. Toutefois, on en sait relativement peu sur ce que pensent les pupilles de leurs mentors des pays industrialisés. Nous avons eu l'occasion d'explorer cette question dans un hôpital militaire afghan et nous croyons qu'il s'agit de la première fois que ce sujet est étudié.Méthodes : Nous avons réalisé un sondage pilote transversal auprès des professionnels de la santé afghans pour qu'ils évaluent leurs mentors canadiens. Nous avons créé un sondage culturellement approprié comportant 19 questions assorties d'échelles de Likert à 5 points, qui a ensuite été traduit en langue afghane locale. Les questions du sondage s'inspiraient des domaines des critères CanMEDS du Collège royal des médecins et chirurgiens du Canada.Résultats : Le taux de réponse au sondage a été de 90 % (36 sur 40). Les répondants étaient : 13 médecins, 21 infirmières et 2 autres professionnels de la santé. Dans l'ensemble, la plupart des professionnels de la santé afghans ont estimé que de travailler avec des mentors provenant d'un milieu favorisé en ressources a été une expéri-ence positive (médiane 4,0; intervalle interquartile [IIQ] 4-4), selon les domaines CanMEDS. Les répondants ont toutefois indiqué que les mentors se fiaient à la technologie médicale pour le diagnostic (médiane 5,0; IIQ 4-5) et négligeaient de tenir compte des ressources limitées accessibles en Afghanistan.Conclusion : L'impression globale des profes...

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An Overview of Afghan National Army Critical Care Capabilities

Abstract: Significant progress was made in the critical care capabilities of the ANA critical care physicians. The medical mentoring mission is an effective weapon in building the health care capacity of the ANA medical system.

Cited by 5 publications

References 1 publication

Do South Asian Nutrition Guidelines for Critically Ill Recommend Commercial Feeds or Blended Tube Feeds? – A Narrative Review

Do South Asian Nutrition Guidelines for Critically Ill Recommend Commercial Feeds or Blended Tube Feeds? – A Narrative Review

Blood supply safety in Afghanistan: a national assessment of high‐volume facilities

Medical mentorship in Afghanistan: How are military mentors perceived by Afghan health care providers?

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