FINAL DRAFT 5 day ESS EMCH course for doctors and nurses in
Brikama caring for mothers, babies and children (manual to go out 6
weeks before to each candidate) plus selected senior staff from
RVTH and one senior health care worker from each of the other 5
major health centres
Instructors
Course coordinator Resuscitation Nurse Liesje Cornwell (LC)
Course Director A&E Consultant with a specialist interest in paediatrics Alison
Gammon (AG)
Resuscitation Nurse Jim Davies (JD)
Obstetrician Brigid Hayden (BH)
Paediatrician Barbara Phillips (BP)
Anaesthetist Diane Watson (DW)
Paediatrician David Southall (DS)
Obstetrician Myriam Bonduelle (MB)
Time:
0800 – 0830
0830 – 0900
0900 – 0915
COURSE PROGRAMME DAY-I
Session Title:
Faculty Allocation:
Arrival/Registration/briefing on integration
with ESS EMCH teaching materials
MCQ
LC
Welcome, introduction and objectives of the
course.
AG
- Sensitize the participants about life saving
skills essential for health workers caring for
pregnant mothers, babies and children.
- Make the participants competent on most
commonly used life saving procedures.
- Provide skills for imparting hands on skills.
LC
0915 – 0930
Putting Emergency Care of Mothers and
Children into Context in The Gambia
0930 – 0955
Structured approach to emergencies in the child BP
and infant and mother
INAUGURATION CEREMONY & TEA BREAK
Basic Life Support BLS for all ages BUT
USING BAG VALVE MASK NOT DIRECT
MOUTH TO MOUTH , Talk & Demo BLS
JD
infant
Demo Child
DW
Demo Mother
BH
Skills with hands on practice: -
0955 – 1100
1100 – 1200
12.00-1400
Time
BLS infant
DW BP
BLS Child
DS
BLS Mother
BH MB
Choking in
children
AG
1400 – 1430
1430 – 1455
1455 – 1630
1630-1700
DS
1200– 1230
A
1230 – 1300
B
1300 – 1330
C
1330 – 1400
D
B
C
D
A
C
D
A
B
D
A
B
C
LUNCH
Recognition of serious illness in the mother
infant and child
Testing BLS
 Station 1 (infant)
 Station 2(older child / adult)
 Station 3 (retesting)
 Station 4 (practice)
Each Candidates 10 min
Faculty Meeting
COURSE PROGRAMME DAY-II
Time:
0900 – 0920
0920 – 0935
Session Title:
Faculty
Allocation
MB
BP
1005 - 1020
Resuscitation of the newborn lecture
Neonatal resuscitation demo using bag valve mask
With and without the need for resuscitation
Recognizing and managing neonatal emergencies
+ video
Tea break
1020 – 1045
Mother & child with breathing difficulties
DS
1045 – 1100
1100 – 1220
Demonstration airway and breathing
Skills / work (40 min each)
 Air way breathing Child, Infant, Mother
 Resuscitation of New born
1100 – 1140
DW
0935 – 1005
Time:
DS
1140 – 1220
Airway Breathing
Infant/Child/Mother
DW JD
Resuscitation of the
Newborn
BH
Airway Breathing
Infant/Child/Mother
DS BP
Resuscitation of the
Newborn
MB
1220 – 1240
1240 – 1420
Time
Triage mother/ETAT
child
BP BH
Basic Monitoring and
Patient Safety
DW
Management infected
upper airway and
severe pneumonia
DS
Blood transfusion
MB
1420 – 1450
1450 – 1630
Time
Child Abuse/
Domestic Violence
BH DS
Prescribing practice
DW
Infection Control and
HIV prevention
JD
Management of
severe gastroenteritis
AG BP
1630 – 1700
A
B
B
A
C
D
D
C
Tea Break.
BASELINE SKILLS/WORKSHOPS including
the use of directed cases: (4 x 25 minutes) –

Triage/ETAT

Basic Monitoring for patient safety

Management of severe upper and lower
respiratory tract infections
 Minimizing & making Blood transfusion
safer
1240 – 1305
A
1305 – 1330
B
1330 – 1355
C
1355 – 1420
D
D
A
B
C
C
D
A
B
B
C
D
A
LUNCH
BASELINE
SKILLS/WORKSHOPS including
the use of directed cases:
(4 x 35 minutes) –
 Child Abuse/Domestic Violence
 Prescribing practice
 Infection control and HIV
/hepatitis prevention
 Severe gastroenteritis
1450 – 1515
A
1515 – 1540
B
1540 – 1605
C
1605 – 1630
D
D
A
B
C
C
D
A
B
B
C
D
A
Faculty Meeting/ Tea Break
Time:
COURSE PROGRAMME DAY-III
Session Title:
Faculty Allocation:
0830 – 0900
The mother, infant, child with shock
DS
0900 – 0930
Demo scenario on massive PPH
0930 – 1000
Demo scenario on major trauma
Introduction Demo: Instructor-=
BH Candidate = DW Critique =
MB
Introduction Demo: Instructor-=
MB Candidate = JD Critique =
BP
1000 – 1015 Tea break
1015 – 1215
Common Treatment Pathways & Scenarios
 Common Pathways & Scenarios Stn 1
 Common Pathways & Scenarios Stn 2
 Common Pathways & Scenarios Stn 3
 Common Pathways & Scenarios Stn 4
Time
1015 – 1045
1045 – 1115
1115 – 1145
A
B
C
Scenarios Stn 1
Child trauma
abdominal
bleeding AG
Scenarios Stn 2
Massive PPH
BH
Scenarios Stn 3
Baby shock
gastroenteritis
DS BP
Scenarios Stn 4
Mother shock
puerperal sepsis
MB DW
1215 – 1230
1230 – 1300
1300-1330
1330 – 1350
1350 – 1550
Time
External jugular,
and long
saphenous
cutdown
AG
1145 – 1215
D
D
A
B
C
C
D
A
B
B
C
D
A
TEA
The mother, newborn, child with altered conscious level
DS
The newborn infant and child with convulsions
BP
VIDEOS OF IO NEEDLE AND UVC CATHETER
LUNCH
ESSkills: Circulation
 External jugular, femoral vein and Goat trotter, instructor ext jugular,
femoral pictures
long saphenous cutdown
Goat chest
 Thoracocentesis and chest drain
Goat throat
 Surgical airway
Cords in bottle, IO trainer, crunchie
 Umbilical vein and intraosseous
bars
needle insert
1350 – 1420
1420 – 1450
1450 – 1520
1520 – 1550
A
B
C
D
Thoracocentesis
and chest drain
DS DW
Surgical airway
JD BP
Umbilical vein
and intraosseous
needle insert BH
D
A
B
C
C
D
A
B
B
C
D
A
MB
1520 – 1550
Time:
Faculty Meeting/ Tea Break
COURSE PROGRAMME DAY-IV
Session Title:
Faculty Allocation:
0830 – 0855
Structured approach to emergencies in
pregnancy: Lecture
MB
0855 – 0920
0920 - 0940
Massive obstetric haemorrhage: Lecture
Demo scenario on ruptured ectopic pregnancy
0940 -0955
Complications of labour and delivery: Lecture
BP
DS Instructor. BP candidate
MB Critiquer
BH
0955 - 1010
Demo scenario: shoulder dystocia
1010 - 1030
Demo scenario: obstructed vaginal breech
1030 – 1055
1055 – 1255
Time
Vaginal breech
BH
Cord prolapse
and uterine
inversion
MB
Shoulder
dystocia
DW DS
PPH procedures
AG JD
1255 – 1400
1400 – 1425
1425 – 1450
Obstetric
Scenarios BH
Obstetric
Scenarios MB
MB Instructor: DS candidate
JD critiquer
BH Instructor: candidate DW
Critique BP
TEA
Pregnancy related skills
1055 – 1125
A
1125 – 1155
B
1155 – 1225
C
1225 – 1255
D
D
A
B
C
C
D
A
B
B
C
D
A
1550-1620
C
1620-1650
D
B
C
LUNCH
BH
Obstructed labour : lecture
The mother with convulsions:
eclampsia; lecture + video
1450-1520
1520-1550
A
B
D
A
MB
Obstetric
Scenarios BP
Obstetric
Scenarios MB
DS
C
D
A
B
B
C
D
A
1650 – 1745
Faculty Meeting
COURSE PROGRAMME DAY-V
Time:
Session Title:
Faculty Allocation:
0800 - 0850
Major trauma in the child and mother:
lecture
AG
0850 – 0950
Trauma related skills and workshops
Time
0850 – 0920
0920 – 0950
Stabilisation
and safe
transport JD
C
D
Safe oxygen
administration
DW
D
C
Stabilisation
and safe
transport BH
Safe oxygen
administration
DS
A
B
B
A
0950 – 1020
TEA BREAK
Trauma scenarios
Time
Scenarios T1/T5
1020 – 1050
1050-1120
1120 – 1150
A
B
C
B
C
D
C
D
A
D
A
B
DS
Scenarios T2/T6
BP JD
Scenarios T3/T7
AG MB
Scenarios T4/T8
DW BH
1150 - 1315
1315 – 1345
Lunch
MCQ testing
1345 – 1600
1600-1615
1615 – 1630
1630 – 1700
TESTING scenarios
All Faculty
Station I (mother = PPH)
Station II (child = trauma)
Station III (baby = sepsis/fitting)
(10 min for each candidate)
Faculty meeting
Candidate log book distribution and training
Closing Ceremony and Certificate Distribution