ReSurge Africa is looking to recruit a hospital nurse to improve the quality and standards of care by training local qualified nurses at Holy Spirit Hospital, Makeni , Sierra Leone
Dr Mohammed Kargbo has arrived India¬†at the start of the¬†long training process to be Sierra Leone’s second (!) only Doctor anaesthetist. This first year is a placement with the anaesthetics department at the Ganga hospital in Coimbatore.
We, as a charity, are indebted to Prof Raja Sabapathy, who has made this possible. Professor Sabapathy was previously affiliated with Canniesburn. He has made possible Ghanaian Dr Edem Anyigba’s year-long fellowship and the attendance at the international hands surgery conference by Ghanaian registrars. ¬†Professor Sabapathy is an invaluable ReSurge Africa partner.
During her visit to Sierra Leone in September, ReSurge Africa director Catherine Liao visited the nursing school in Makeni. ¬†Here she found an impressive set up with a well furnished computer room and library…Catherine was delighted to find that the generous donations of computers were being put to good use, and we would like to express our gratitude to David Lindsay, Gavin Dickson, James Bremner and all the staff at NHS Education for Scotland for their ongoing support with hardware donations.
Despite no internet connection as yet, the students were using them to write their essays. Sister Evelyn has employed a tutor to teach the students basic computing skills and this has made a huge difference.
Still needed for the library is a photocopier, and a large screen television for teaching purposes.
Supported by ReSurge Africa – Reconstructive plastic surgeons Dr Charles Asiedu, Dr Elliot Boham and Dr Warigbani Pieterson from Ghana have arrived in Glasgow for a month to complete a Canniesburn Flap & Perforator course, a Microsurgical workshop and 2 weeks as an observer¬†at the Canniesburn Plastic Surgery Unit. ¬†Dr Pieterson, Dr Boham and Dr Asiedu are all attached to ¬†ReSurge partner, Korle Bu Teaching hospital in Accra, Ghana. ¬†We welcome them to Scotland…
Major streets in Freetown have been blocked, houses destroyed, property lost, some people killed as a result of a day of rains and flooding in Freetown, Sierra Leone. In a country struggling to recover from the deadly effects of the Ebola Crisis, this is sad news indeed.
Sierra Leonean Anaesthetist trainee Dr Mohamed Kargbo has arrived in Accra, Ghana where he will spend a couple of weeks at the Reconstructive Plastic Surgery and Burns Unit, Korle Bu Training hospital before leaving for India where he will embark upon his training in Anaesthesiology at Professor Raja Sabapathy’s ¬†unit in Coimbatore – supported by ReSurge Africa and the Sierra Leone Ministry of Health. ¬†Dr Kargbo had planned to begin his training last year, however when the Ebola Crisis took hold, Dr Kargbo admirably opted to remain in Sierra Leone where he felt that he was needed most.
During his stay in Accra, Dr Karbo will be hosted by ReSurge director and head of the Unit in Accra, Mr Opoku Ware Ampomah ¬†and fellow Sierra Leonean Dr Abdulai Jalloh. ¬†He will also receive guidance from one of the Ghana unit’s qualified Reconstructive surgeon, Dr Edem Anyigba who has spent time in the Coimbatore Unit, returning to Ghana from training ¬†in India last year.
The team at ReSurge and ¬†our American¬†partners at Surg+Restore wish Dr Kargbo all the best.
Dr Levi Ankrah from Ghana, now almost two years into his training attachment to Canniesburn and having passed his membership exam, has been¬†appointed as a registrar in Plastic surgery.¬† Congratulations Levi from all of us at ReSurge Africa – you have earned this!
Earlier¬†this year, with the support of ReSurge Africa, three Sierra Leonean nurse candidates started their SRN training at Njala University in Bo, Sierra Leone. Foday Koroma, ¬†Fatmata Jalloh and Augustine Kamara are¬†now four months¬†further down the line.
On the 27th July 2015, Augustine Kamara writes:
“Greetings, I am Mr. Augustine Kamara, Trainee State Registered Nursing in Sierra Leone , four months back I¬†traveled¬†from my home Makeni city to Bo city with the purpose of going through the State Registered Nursing Programme¬†at Njala University and becoming a well trained and qualified State Registered Nurse (SRN),This is indeed a great opportunity and I thank RE-SURGE AFRICA charity and partners for their assistance, I should have started this course eleven¬† months back but due to the present Ebola outbreak in the country, His Excellency the president Dr. Ernest¬† Bai Koroma and the World Health Organisation (WHO) decided that all schools, colleges and universities across the country should be closed as this is one of the preventive measures to be put in place for combating the disease.
when the confirm Ebola cases has decreased, His Excellency the president permits learning institution to reopen again on the 16th April 2015, but before this could happen we have lost one academic year and the educational system has been depreciated, Notwithstanding, the government and the ministry of education have put modalities in place to restructure the educational system in the country.
¬†As a State Registered Nurse Trainee, I am really enjoying the course even though there are a lot of challenges. Four weeks back I have been posted by the University to Bo city government hospital for practical training on nursing procedures, I really enjoyed the practical training on the procedures of nursing at the hospital, I have returned from the hospital to continue my theoretical classes.
State Registered Nursing training at Njala University involves two exams each academic year, presently I am preparing for the first exams which will commence on the first week of next month.
The course has been a challenge on several issues however¬† I thank God¬† for the grace to persevere, my family and RE-SURGE AFRICA¬† team for their assistance, May GOD continue to bless RE-SURGE AFRICA members and partners.”
Fatmata and Foday add:
“As a State Registered Nurse Trainee, we are expected to be computer literate. But to my disadvantage I don‚Äôt know how to use a computer and cannot afford to buy one and am facing challenges in school to do my research and project writings. I have been posted by the University to a surgical clinic in BO city a few weeks ago. I happen to learn about various surgeries which I have never witness during my course as a State Enrolled Community Health Nurse (SECHN) and even during my working experience at the HOLY SPIRIT HOSPITAL.
I really enjoyed the practical training. I have returned from the hospital postings to continue my theoretical classes. We are suppose to start our first semester exams on the first week of August.”
I thank you for providing such a wonderful opportunity of capacity and human resources training, I promise to give back more to HOLY SPIRIT HOSPITAL and its wider Sierra Leone community at large.”¬† ¬† Fatmata Jalloh
“As a state registered nurse trainee, I am really enjoying the course even though there are a lot of challenges. Four weeks back I have been posted by the university to mercy hospital manage by the united Methodist church organisation Bo city for my first practical training on nursing procedures and for me I was refreshing on what I have been doing because nothing was strange during the practical training, I have returned from the hospital to continue my theoretical classes.
State registered nursing training at Njala University involves two exams each academic year, presently I am preparing for the first semester exams which will commence on the first week of August.
The course has been a challenge on several issues but however, I thank God for his grace upon my life to persevere, My family, the Re surge Africa team and the holy spirit hospital for their assistance, May God continue to bless Re surge Africa team and partners.” Foday Koroma
The BAPRAS Summer Meeting 2015 was held in conjunction with the Royal Belgian society for Plastic Surgery (RBSPS) in the outstandingly beautiful city of Bruges from 25th to 27th of June 2015. ¬†The venue for the meeting was the Concertgebouw, Bruges. ¬†It was also the 60th anniversary of the RBSPS.
The Meeting was attended by Dr Levi Ankrah. ¬†Dr Ankrah, from Ghana, is a Registrar in plastic surgery whom the charity has supported to undertake post-fellowship training at Canniesburn Hospital in Glasgow.
Dr Levi Ankrah writes:
“My presentation was on the afternoon of day 1, 25th¬†June, in a parallel session on Burns, Skin and Vascular. It was my first time in Belgium and the first time I was making a presentation abroad at an international conference. I had previously submitted an epidemiological study on burn-related injuries in the National Reconstructive Plastic Surgery and Burns Centre (NRPSBC), Korle Bu Teaching Hospital (KBTH) which had been accepted as an oral presentation. The title of the paper was ‚ÄúLiquefied petroleum gas-related burn injuries: An experience from an emerging oil and gas economy‚ÄĚ and it had previously been accepted (though not presented) for oral presentation at the ISBI meeting 2014. “
Liquefied petroleum gas related burns: An experience from a burns unit in an emerging oil and gas economy
Levi Nii Ayi ANKRAH, Edem ANYIGBA, Kwame DARKO, Opoku Ware AMPOMAH, Albert PAINTSIL
National Reconstructive Plastic Surgery and Burns Centre, Korle Bu Teaching Hospital, Accra, Ghana.
Liquefied petroleum gas (LPG) has gained widespread acceptance and usage in Ghana. As a domestic fuel, consumption rates have risen four-fold in urban areas within the first decade of this millennium. In 2008, the transport sector accounted for about a third of LPG-consumption, with many commercial drivers using hybrid engines that run on both petrol/gasoline and LPG. However, unpublished data from our unit indicated a rising trend in the incidence of LPG-related burn injuries (12.8% in 2008, 15.1% in 2009 as presented at the 1st and 2nd Ghana Burns Conferences respectively). With the recent discovery and drilling of commercial quantities of crude oil along the Ghanaian coastline, we anticipated an increase in consumption as a result of greater availability and cheaper prices. This we hypothesized might eventually lead to a possible increase in LPG-related burns. Data on burn injuries was therefore required to inform national policy.
A prospective study was conducted over a 20 month period (January 2013 to August 2014) in 480 patients. Data was collected on the patient‚Äôs demographics, aetiology of injury, extent of burns (%TBSA), presence of inhalation injury, length of hospital stay and mortality. Statistical analysis was done using Statistical Package for Social Sciences (SPSS) version 21.
The commonest cause of burn injury was scalds (52.3%) and LPG-related burns as the second (21.7%). This was a significant difference from earlier results where burns from open flame (e.g. being trapped in a burning building) ranked second. Furthermore, in combination with burns from other petroleum-related products (such as petrol, diesel or kerosene related fires), these accounted for a quarter (26.1%) of all burn injuries presenting to our centre. Children under 5 made up 42.1% of all burn injuries, with 72% of these from scalds.
The LA50 for our centre was a %TBSA of 24.27%. The mean hospital stay was 28.8 days. The mortality rate was 26.5%, more than a third of all deaths (36.8%) resulted from LPG-related burns. The average TBSA burn percentage in LPG-related burns was 30.56% (range of 6 to 95%) which was second only to petrol-related burns. There was a significant difference in survival and %TBSA based on the aetiology of burn (p <0.01).
This is the first study that investigates the epidemiology of burn injuries in Ghana‚Äôs largest teaching hospital and indicates a worrying trend in the increase in LPG and other petroleum-related burn injuries. In light of the recent mass casualties resulting from petrol explosions and the high incidence of LPG-related burn injuries, significant national policy guidelines and protocols need to be developed in order to curb this trend. Our centre is also faced with some peculiar challenges in managing severe burn injuries and with the recent steps to establish a Burns Intensive Care Unit, we expect some improvements in morbidity and mortality figures. Targeted interventions are also required in children under 5 to reduce the incidence of scalds.
NHS Doctor, Dr Guy Stanley, with a special interest in Burns and reconstructive surgery is visiting Accra in Ghana as part of a research project. ¬†Dr Stanley arrived on June 3rd as deadly floods were striking Accra. ¬†He writes from Ghana:
“I arrived in Ghana on Weds 3rd June at 8 pm, during torrential rain. ¬†I was picked up in a van, which got stuck in a river, with rising water. ¬†There were many objects, which struck the van – furniture, building materials and vegetation but fortunately we didn’t get washed away. ¬†The van did take on a lot of water and needed bailing out for 4 hours. ¬†When the flood eventually subsided, the driver and I tried to push the van out of danger and jump start it, to no avail. ¬†Consequently, I walked to my accommodation with all luggage, making the first day pretty scary and eventful. ¬†While I had a prolonged journey, I would later find out that many people lost their lives in the floods. ¬†I’m currently learning about the clinical duties required of a plastic surgeon, spending time on the wards and in theatre. ¬†This involves caring for two young victims of a tragic explosion, which killed many people, during the flooding. ¬†These patients have sustained substantial facial, thoracic and upper limb burns and are both being treated on the unit, as there are not enough Intensive Care beds available. ¬†There is a great deal of media interest and we have had visits from the presidents of Ghana and Togo as well as a delegation from Ivory Coast along with a prominent religious leader, Archbishop Nicholas Duncan-Williams.”
Dr Guy Stanley