Paediatric Emergency Department preparedness in Nigeria: A prospective cross-sectional study

Enyuma, Callistus O.A.; Moolla, Muhammed; Motara, Feroza; Olorunfemi, Gbenga; Geduld, Heike; Laher, Abdullah E.

doi:10.1016/j.afjem.2020.05.010

Cited by 3 publications

(1 citation statement)

References 26 publications

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“… [15] In a recent nation-wide survey, Enyuma et al found that a majority of medical and nursing staff in paediatric EDs in Nigeria have not completed relevant subspecialty training. [16] Likewise, Abiodun et al found that less than a fifth of paediatric trainees in Nigeria had certification in a paediatric advanced life support (PALS) course. [3] This can undermine ECC preparedness and worsen the prevalent poor health indices in this setting.…”

Section: Introductionmentioning

confidence: 99%

Bedside critical care training: A quasi-experimental study in the paediatric emergency department of a referral hospital in Nigeria

Abiodun,

Ochaba,

Kpongo-Ogieva

2024

South Afr J Crit Care

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Background. There is a need for critical care services outside intensive care units (ICUs), especially in emergency departments (EDs). However, there is a paucity of skilled manpower for ED critical care or emergency critical care (ECC) in resource-limited settings. Objective. To evaluate the impact of bedside training on emergency critical care practices of clinical staff. Methods. This was a quasi-experimental study using a pretest - post-test design in a paediatric ED. The intervention was a six-week structured bedside training on bubble continuous positive airway pressure (CPAP) high-flow nasal cannula (HFNC) and mechanical ventilation. Participants’ actual ECC practices pre and post training were evaluated, including their perceived proficiency on an uncalibrated 100 mm visual analogue scale (VAS). Descriptive and inferential analyses were done; p<0.05 was considered significant. Results. A total of 35 clinical staff participated in the training, comprising 9 (24.3%) paediatric registrars, 12 (32.5%) senior registrars, 10 (27.0%) nurses, 4 (10.8%) house officers and 2 (5.4%) paediatric consultants. The male:female ratio of the participants was 1:1.6, and their mean (SD) age was 33.24 (6.30 years. Participants’ understanding of testing the CPAP circuit, connecting the patient and weaning significantly improved following training (p=0.004). Their capacity to select appropriate HFNC parameters improved (p=0.013). They performed more endotracheal intubations in the post-training period (p=0.001). Their pretest-post-test proficiency in mechanical ventilation increased on VAS (mean scores 45.26+31.99 v. 63.26+22.26; p=0.038). Also, there was a significant increase in their perceived proficiency in paediatric analgesia/sedation (30.83+29.86 v. 49.83+23.90; p=0.029). Conclusion. Short-term bedside critical care training enhanced the self-reported competency of paediatric ED staff. There is a need for on-the-job ECC training and retraining of clinical staff in our setting.

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Section: Introductionmentioning

confidence: 99%

Bedside critical care training: A quasi-experimental study in the paediatric emergency department of a referral hospital in Nigeria

Abiodun,

Ochaba,

Kpongo-Ogieva

2024

South Afr J Crit Care

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Paediatric emergency medicine practice in Nigeria: a narrative review

et al. 2023

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The practice of paediatric emergency medicine in Nigeria is still evolving, and laden with enormous challenges which contribute to adverse outcomes of childhood illnesses in emergency settings. Deaths from childhood illnesses presenting as emergencies contribute to overall child mortality rates in Nigeria. This narrative review discusses existing structures, organization, and practice of paediatric emergency in Nigeria. It highlights some of the challenges and suggests ways of surmounting them in order to reduce deaths in the children emergency units in Nigerian hospitals. Important aspects of this review include current capacity and need for capacity development, equipment needs for emergency care, quality of service in the context of inadequate healthcare funding and the need for improvement.

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Strengthening safe children’s surgical care in Nigeria through paediatric advanced life support training

Obisesan,

Aria,

Seyi-Olajide

et al. 2024

Journal of Global Health Reports

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Background Cardiopulmonary resuscitation is a fundamental intervention for treating cardiac arrest, particularly when executed promptly and accurately. Paediatric Advanced Life Support (PALS), developed by the American Heart Association (AHA), is a specialized training designed for the emergency care of infants and children. Nigeria’s National Surgical Obstetric Anaesthesia and Nursing Plan (NSOANP) has prioritized emergency preparedness and, in collaboration with a cleft-focused organization (Smile Train Incorporated, New York), deployed PALS training across the country. This report evaluates the scope and short-term outcomes of this training initiative, highlighting its potential role in enhancing paediatric surgical safety and outcomes in resource-limited settings. Methods A retrospective review of 106 participants and 2 instructors trained in PALS over a period of 3 years. Results A total of 106 participants, including 67 (70.7%) males and 39 (38.6%) females, from diverse specialties, were trained across the six geopolitical zones of the country. Participants included 75 (70.8%) consultants and 31 (29.2%) junior doctors. All participants passed the post-test and received AHA certification. The median pre-test score was 81% compared to the median post-test score of 92% (p 0.05). Feedback indicated 100% improvement in skills, confidence in handling paediatric emergencies, and satisfaction with the training quality. Participants expressed willingness to disseminate their newly acquired skills to colleagues. In addition, 2 instructors trained during the period have been involved in training participants for basic life support as well as PALS. Conclusions The implementation of PALS training under NSOANP improved the knowledge and skills of healthcare providers in managing paediatric emergencies. This initiative demonstrates the potential impact of structured life support training in strengthening paediatric surgical safety and outcomes in low-resource settings.

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Paediatric Emergency Department preparedness in Nigeria: A prospective cross-sectional study

Cited by 3 publications

References 26 publications

Bedside critical care training: A quasi-experimental study in the paediatric emergency department of a referral hospital in Nigeria

Bedside critical care training: A quasi-experimental study in the paediatric emergency department of a referral hospital in Nigeria

Paediatric emergency medicine practice in Nigeria: a narrative review

Strengthening safe children’s surgical care in Nigeria through paediatric advanced life support training

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