Annet Alenyo Ngabirano.
(That's Annet on the right in the photo with Kat Evans on the left and Mulinda Nyirenda in the middle.)
Emergency Medicine in the Uganda, the pearl of Africa.
Annet presented at dasSMACC and has become a huge personality in the the developing community of emergency medicine in the continent of Africa. While we associate Annet with Uganda she is really an Adventurer, on an adventure that goes beyond the borders of any country.
This is a wonderful insight into the curious journey of one special person. It stretches from Mbarara to Berlin, from South Africa to Sydney. There is much to learn and at every step there are surprises.
Annet found out so much about her own system through her normal training (normal for Mbarara) but also through personal tragedies. Her journey has turned her mind to things that she hadn’t thought of, she learned new practical skills and she even learned to ride a bike.
Dr Alenyo Ngabirano is interested in research but she is interested in research that asks the right questions. We all are but I cannot tell you what the right questions are for any sub-specialty and you cannot tell Annet what the right questions are for Ugandan Emergency Medicine.
Uganda is a country in which emergency medicine is only emerging. What exactly do we need to build? What exactly do we have? How do we even find that out?
There seems to be an increased effort by the FOAM / FOAMed community to spread the useful stuff around, spread the love, spread it beyond the big FOAMed three; USA, Australia and UK. That is not as simple as it sounds. We have to try to avoid all the mistakes that have been made in the past, this is not an opportunity to feel good about ourselves and the good thing we do. What we should do is listen to the people on the ground. Listen to the locals. Do the appropriate research. Support the people that are there and that will stay there. Figure out what we know and what we need to find out. Annet realises that even she needs to know more about the system in Uganda and she knows more about it than you ever could.
CODAchange wants to step into this space. It won’t be easy. There will be many opportunities to mess things up. To start with maybe we just need to talk to our colleagues in other places. It is about relationships. Take an interest. Find out more. Maybe even go and see for yourself but go there to learn stuff rather going there with some idea that you can tell people what to do.
Annet and I talk a about AFEM, the African Federation for Emergency Medicine ( aka Fedération Africaine de Médicine d’Urgence ) which is a fast growing pan-African organisation that works to ensure the development of collaborative, comprehensive, and cross-cutting emergency care systems in Africa. Check out their projects. Have look at their Handbook, available from Oxford University Press and everywhere. The second edition is out recently. The first edition had the same look as the legendary Oxford Handbook of Clinical Medicine. (I still have my first copy of that book, feeling a little bit nostalgic just considering that.)
https://afem.africa/what-we-do/
https://afem.africa/project/afem-handbook-of-acute-and-emergency-care/
Their next conference, the African Conference on Emergency Medicine (AfCEM) is in Mombasa, Kenya in November 2020. Why not go there? Why not show these guys respect and contribute to the growth of their conference and federation simply by attending as a delegate? Why not go one step further and Support a Delegate at the same time? The Support a Delegate appeal at dasSMACC was very successful. But it was not a one off. There are still conferences, there are still under-funded delegates. Please do not forget this practical and ultra-tangible way of lending a helping hand.
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Annet Alenyo Ngabirano.
(That's Annet on the right in the photo with Kat Evans on the left and Mulinda Nyirenda in the middle.)
Emergency Medicine in the Uganda, the pearl of Africa.
Annet presented at dasSMACC and has become a huge personality in the the developing community of emergency medicine in the continent of Africa. While we associate Annet with Uganda she is really an Adventurer, on an adventure that goes beyond the borders of any country.
This is a wonderful insight into the curious journey of one special person. It stretches from Mbarara to Berlin, from South Africa to Sydney. There is much to learn and at every step there are surprises.
Annet found out so much about her own system through her normal training (normal for Mbarara) but also through personal tragedies. Her journey has turned her mind to things that she hadn’t thought of, she learned new practical skills and she even learned to ride a bike.
Dr Alenyo Ngabirano is interested in research but she is interested in research that asks the right questions. We all are but I cannot tell you what the right questions are for any sub-specialty and you cannot tell Annet what the right questions are for Ugandan Emergency Medicine.
Uganda is a country in which emergency medicine is only emerging. What exactly do we need to build? What exactly do we have? How do we even find that out?
There seems to be an increased effort by the FOAM / FOAMed community to spread the useful stuff around, spread the love, spread it beyond the big FOAMed three; USA, Australia and UK. That is not as simple as it sounds. We have to try to avoid all the mistakes that have been made in the past, this is not an opportunity to feel good about ourselves and the good thing we do. What we should do is listen to the people on the ground. Listen to the locals. Do the appropriate research. Support the people that are there and that will stay there. Figure out what we know and what we need to find out. Annet realises that even she needs to know more about the system in Uganda and she knows more about it than you ever could.
CODAchange wants to step into this space. It won’t be easy. There will be many opportunities to mess things up. To start with maybe we just need to talk to our colleagues in other places. It is about relationships. Take an interest. Find out more. Maybe even go and see for yourself but go there to learn stuff rather going there with some idea that you can tell people what to do.
Annet and I talk a about AFEM, the African Federation for Emergency Medicine ( aka Fedération Africaine de Médicine d’Urgence ) which is a fast growing pan-African organisation that works to ensure the development of collaborative, comprehensive, and cross-cutting emergency care systems in Africa. Check out their projects. Have look at their Handbook, available from Oxford University Press and everywhere. The second edition is out recently. The first edition had the same look as the legendary Oxford Handbook of Clinical Medicine. (I still have my first copy of that book, feeling a little bit nostalgic just considering that.)
https://afem.africa/what-we-do/
https://afem.africa/project/afem-handbook-of-acute-and-emergency-care/
Their next conference, the African Conference on Emergency Medicine (AfCEM) is in Mombasa, Kenya in November 2020. Why not go there? Why not show these guys respect and contribute to the growth of their conference and federation simply by attending as a delegate? Why not go one step further and Support a Delegate at the same time? The Support a Delegate appeal at dasSMACC was very successful. But it was not a one off. There are still conferences, there are still under-funded delegates. Please do not forget this practical and ultra-tangible way of lending a helping hand.
Jellybean 104 Emergency Medicine in Chile SMACC 2019
Jellybean Podcast with Doug Lynch
27 minutes 16 seconds
6 years ago
Jellybean 104 Emergency Medicine in Chile SMACC 2019
FOAMed is just not for English speakers. We love a bit of FOAMote (FOAM other than English)
At SMACC I set out to meet the international visitors to find out about their version of Critical Care. And let me tell you, the Chilean version is pretty impressive.
Chile is special. The longest country in the world with the driest desert, the highest lakes, the highest volcano, a huge mountain range making it strangely isolated and then they have Patagonia.
The health system is highly developed. Emergency medicine has been growing for 25 years and there are conspicuous local and imported protagonists to thank.
https://developingem.com/2014/08/14/presenter-profile-billy-mallon/
If you only read one article to accompany this podcast let it be this one:
https://www.sciencedirect.com/science/article/pii/S0716864017300299
These days the home grown talent is taking up the reins and I was lucky to meet 4 of them at SMACC. Chile probably has the most high functioning health system in South and Central America. Based on a solid economy and a long history of professional advocacy the discipline of Emergency Medicine is now formally recognised by the Ministry of Health and by the rest of the world. Chile could become a power house of critical and emergency care in the Spanish speaking world. Do not underestimate these people.
Cesar, Loreto, Manuela and Josefina came to SMACC in Sydney where I was waiting to meet them. Have a listen to what this group have to say.
Challenges do, of course, remain. Chile has long since made the “epidemiological transition” to 1st world pathologies. The delivery of care still varies depending on location. Santiago is very well served but the regional and rural areas less so. They have robust public health and vaccination programs, but there is a resurgence of some infectious diseases in part related to population movement. Their economy is strong and their government has been increasingly willing to take on the responsibilities that go with being a regional power. Their borders are long and they have had a huge increase in asylums seekers, refugees and other immigration in recent years. Not insignificant numbers of French Creole speakers have come from Haiti, perhaps related to the presence of Chilean peace keepers. Mass immigration is new. The challenges it brings are huge.
It’s a steep learning curve. But, let’s face it, we like steep learning curves!
Some links, links are good;
The App Josefina Larraín spoke about is Reanimapp ( @reanimapp )
The city with the large indigenous population is Temuco. The indigenous language spoken in the hospital is Mapudungun.
“Do not underestimate the South American countries.” So said a wise woman from Santiago.
Chilean Spanish Language #FOAMed resources;
Mueve www.mue.cl Twitter @MUE_14
Sociedad de Chilena Medicina Urgencias www.socihmu.cl Twitter @Sochimu
MonKeyEM www.MonkeyEM.com Twitter @MonKey__EM
MCU Universidad de Chile www.mdu.cl Twitter @UChileEM
Conferences
Sochimu has its first Congreso Medicina de urgency 21-22 Nov. 2019
https://www.sochimu.cl/noticias/1%C2%BA-congreso-medicina-de-urgencia
The conceptos conference is in 11-14 September 2019
http://www.urgencia.uc.cl/conceptos/
These are not small events; Chris Nickson, Cliff Reid, Amal Mattu and Vic Brazil have spoken there. They know a bit about this sort of thing.
Chile is amazing. But don’t take my word for it.
Jellybean Podcast with Doug Lynch
Annet Alenyo Ngabirano.
(That's Annet on the right in the photo with Kat Evans on the left and Mulinda Nyirenda in the middle.)
Emergency Medicine in the Uganda, the pearl of Africa.
Annet presented at dasSMACC and has become a huge personality in the the developing community of emergency medicine in the continent of Africa. While we associate Annet with Uganda she is really an Adventurer, on an adventure that goes beyond the borders of any country.
This is a wonderful insight into the curious journey of one special person. It stretches from Mbarara to Berlin, from South Africa to Sydney. There is much to learn and at every step there are surprises.
Annet found out so much about her own system through her normal training (normal for Mbarara) but also through personal tragedies. Her journey has turned her mind to things that she hadn’t thought of, she learned new practical skills and she even learned to ride a bike.
Dr Alenyo Ngabirano is interested in research but she is interested in research that asks the right questions. We all are but I cannot tell you what the right questions are for any sub-specialty and you cannot tell Annet what the right questions are for Ugandan Emergency Medicine.
Uganda is a country in which emergency medicine is only emerging. What exactly do we need to build? What exactly do we have? How do we even find that out?
There seems to be an increased effort by the FOAM / FOAMed community to spread the useful stuff around, spread the love, spread it beyond the big FOAMed three; USA, Australia and UK. That is not as simple as it sounds. We have to try to avoid all the mistakes that have been made in the past, this is not an opportunity to feel good about ourselves and the good thing we do. What we should do is listen to the people on the ground. Listen to the locals. Do the appropriate research. Support the people that are there and that will stay there. Figure out what we know and what we need to find out. Annet realises that even she needs to know more about the system in Uganda and she knows more about it than you ever could.
CODAchange wants to step into this space. It won’t be easy. There will be many opportunities to mess things up. To start with maybe we just need to talk to our colleagues in other places. It is about relationships. Take an interest. Find out more. Maybe even go and see for yourself but go there to learn stuff rather going there with some idea that you can tell people what to do.
Annet and I talk a about AFEM, the African Federation for Emergency Medicine ( aka Fedération Africaine de Médicine d’Urgence ) which is a fast growing pan-African organisation that works to ensure the development of collaborative, comprehensive, and cross-cutting emergency care systems in Africa. Check out their projects. Have look at their Handbook, available from Oxford University Press and everywhere. The second edition is out recently. The first edition had the same look as the legendary Oxford Handbook of Clinical Medicine. (I still have my first copy of that book, feeling a little bit nostalgic just considering that.)
https://afem.africa/what-we-do/
https://afem.africa/project/afem-handbook-of-acute-and-emergency-care/
Their next conference, the African Conference on Emergency Medicine (AfCEM) is in Mombasa, Kenya in November 2020. Why not go there? Why not show these guys respect and contribute to the growth of their conference and federation simply by attending as a delegate? Why not go one step further and Support a Delegate at the same time? The Support a Delegate appeal at dasSMACC was very successful. But it was not a one off. There are still conferences, there are still under-funded delegates. Please do not forget this practical and ultra-tangible way of lending a helping hand.
