Specialty in Rwanda Gabin Mbanjumucyo MbChB Resident Emergency - - PowerPoint PPT Presentation

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Specialty in Rwanda Gabin Mbanjumucyo MbChB Resident Emergency - - PowerPoint PPT Presentation

Mar 08, 2023 661 likes •870 views

Emergency Medicine :A new Specialty in Rwanda Gabin Mbanjumucyo MbChB Resident Emergency Medicine Outline Introduction Evolution of Emergency Medicine Challenges Future of EM in Rwanda Disclosure No competing interests

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SLIDE 1

Emergency Medicine :A new Specialty in Rwanda

Gabin Mbanjumucyo MbChB Resident Emergency Medicine

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SLIDE 2

Outline

  • Introduction
  • Evolution of Emergency

Medicine

  • Challenges
  • Future of EM in

Rwanda

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SLIDE 3

Disclosure

  • No competing interests
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SLIDE 4

Rwanda

  • Population 11.2 M
  • 20% urban population
  • 43.3% < 15yrs
  • 1994 Genocide

Ref:Rwanda demographic and health survey 2010

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SLIDE 5

Rwanda

  • Fast growth
  • Transition rural urban
  • Epidemiology &

industrialization.

  • More Non communicable

diseases and Trauma

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SLIDE 6

Health care system

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SLIDE 7

Emergency Care in Rwanda

  • HC staffed by nurses.
  • ED staffing by Gps in

District Hospitals.

  • Limited resources .
  • Residency based only

in CHUK largest referral hospital.

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SLIDE 8

Human Resource for Health

  • Support of Residency by US-

HRH/( EM -Brown/ Columbia/ SidHARTe)

  • Strengthen specialized health

care workforce

  • 16 Universities provide 100

Faculty members over 7 yrs.

The Human resources for health in Rwanda- A New partnership NEJM 2013

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SLIDE 9

Development of EM

  • Improve Emergency

Care delivery

  • 2 Tiered

PGD 2013-2015-DH MMED ongoing 14 students

  • Recognition of EM

specialty

Ref-state of emergency medicine in Rwanda-2015

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SLIDE 10

ED Practice

  • Pts triaged on arrival.
  • ED based management
  • Consult other depts. for

non-EM interventions and admission .

  • Research and Evidence

based practice.

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SLIDE 11

Trauma Epidemiology Research

  • Male 733 (77.7%)
  • Age: 30.5 years
  • Most common cause of

traumatic injury: RTA 718 (76%) – 308 (61.4%) RTA involve motorcycles . – 155 (30.9%) RTA involve pedestrians .

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SLIDE 12

6 ambulances 6 ambulances 5 ambulances 6ambulances 6ambulances 7 ambulances 8 ambulances 5ambulances 7ambulances 7 ambulances 6 ambulances 5 ambulances 6ambulances 8ambulances 8ambulances 5ambulances 5 ambulances 6 ambulances 11 ambulances 6ambulances 6ambulances 8ambulances 5ambulances 5 ambulances 13 ambulances 5 ambulances 7 ambulances 6 ambulances 6 ambulances

Prehospital

9 ambulances 1water ambulance

912

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SLIDE 13

Strengths

  • Population satisfaction.
  • M&E through Research

& QI projects

  • Collaboration with

training other specialties and hospitals

  • Shaping of health

system.

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SLIDE 14

POCUS as a strength

  • Available US machine
  • Time to imaging and

interpretation.

  • Creation of US image

bank

  • Faculty by PURE
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SLIDE 15

Challenges

  • Limited resources
  • Overcrowding
  • Lack of emergency

nursing training

  • Maturing system
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SLIDE 16

Future of EM in Rwanda

  • Urge for expansion to

more hospitals

  • More research on

Rwandan based health care

  • Co-ordination of

prehospital, nursing and MD.

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SLIDE 17

Rwanda Emergency Care Association(RECA)

www.recaonline.org “ The best time to have a map is before you start exploring ”

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SLIDE 18

Thank you Murakoze