Evaluation of Fundamental Critical Care Course in Kenya: Knowledge, Attitude, and Practice

Infrastructure and Organization of Adult Intensive Care Units in Resource-Limited Settings

“…Four investigations, one in Ghana [52] and three in Sri Lanka [53][54][55], were about regional or national training programs for physicians, ICU nurses, and physical therapists. Dedicated courses in trauma and intensive care-and emergency medicine-related procedures improve knowledge in "best clinical practice" of healthcare professionals working in ICUs in resource-limited settings [56,57]. Focused training programs that use well-established training models, such as the "Fundamental Critical Care Support" course, facilitated immediate knowledge gain, especially in junior clinicians or those with limited practical experience taking care of critically ill patients [57].…”

“…Dedicated courses in trauma and intensive care-and emergency medicine-related procedures improve knowledge in "best clinical practice" of healthcare professionals working in ICUs in resource-limited settings [56,57]. Focused training programs that use well-established training models, such as the "Fundamental Critical Care Support" course, facilitated immediate knowledge gain, especially in junior clinicians or those with limited practical experience taking care of critically ill patients [57]. However, data on influences on patient care and longterm knowledge retention are limited.…”

Teaching the Principles of Pediatric Critical Care to Non-Intensivists in Resource Limited Settings: Challenges and Opportunities

“…Training of Kenyan physicians using the Fundamental Critical Care Study (FCCS) course has been shown to increase the knowledge and confidence of new critical care skills ( 45 ). FCCS course participants in Zambia and Kenya felt that the material was site-appropriate and demonstrated an increase in clinical knowledge and confidence with procedures ( 46 ). There is less experience and evidence for pediatric standardized critical care curricula in RLS.…”

Critical care in Africa: A surgical intensivist perspective

“…Though there remains controversy over the exact composition of the sepsis bundle, Levy and colleagues were able to show a correlation between sepsis bundle compliance and reduction in mortality as compared to hospital programs where compliance was poor. 37 Further, there are bundles like the ventilatorassociated pneumonia prevention bundle which is well substantiated in the literature as effective and many of the components are low cost maneuvers such as elevation of the head of the bed to greater than 30 o . 38 Therefore, these and other care bundles can assist in minimizing complexity of care that may be an obstacle to wide spread implementation.…”