Emergency & Essential Surgical Care

Dr Meena CherianEmergency & Essential Surgical Care Clinical Procedures UnitEssential Health Technologies Dept.EHT/CPR

Guidelines | 27 July 20062 |

Emergency & Essential Surgical Care

•Injuries•Congenital •Infection

•Equipment•Drugs•Specialists

Lack of Access to Emergency & Essential Surgical Care

Guidelines | 27 July 20063 |

Emergency & Essential Surgical Care

Clinical Procedures unit 2004Emergency & Essential Surgical Care

Clinical Procedures unit 2004

This team will be responsible for ensuring efficacy, safety &

equity in the provision of clinical procedures in surgery,

anaesthetics, obstetrics & orthopaedics, particularly at the

district hospital level.

It will also be in charge of promoting the

appropriate effective & safe use of cell,

tissue & organ transplantation, including

surveillance of risks, in particular

in xenotransplantation trials."

Guidelines | 27 July 20064 |

Building capacities towards improving access to Emergency & Essential Surgical Care

Building capacities towards improving access to Emergency & Essential Surgical Care

Vertical Programmes

Horizontal ProgrammeBridging the Gap

Front line health personnel, medical & nursing schools, training programs

Guidelines | 27 July 20065 |

Global Initiative for Emergency & Essential Surgical Care 2005

Global Initiative for Emergency & Essential Surgical Care 2005

Strengthening Health Systems

Research

Advocacy

Training

Appropriate

technologies at primary health care facilities

Guidelines | 27 July 20066 |

Integrated Management for Emergency & Essential Surgical Care (IMEESC) tool

Integrated Management for Emergency & Essential Surgical Care (IMEESC) tool

www.who.int/surgery

Standardized trainingDistance learning Reference

Guidelines | 27 July 20067 |

WHO IMEESC tool: Policy

WHO IMEESC tool: Policy

•Standards

•Needs assessment

•Training curriculum

•Anesth.infrastructure/supplies

•Emergency Equipment

Access Safety

Guidelines | 27 July 20068 |

•Sterilization•Waste disposal •HIV prevention•Antibiotic prophylaxis•Hand washing•Skin preparation•Evaluation: Self Learning/Training•Inventory EE Equipment •Monitoring & Evaluation

WHO IMEESC tool: Quality & Safety

Best Practice Protocols

Guidelines | 27 July 20069 |

WHO IMEESC tool: Quality & Safety WHO IMEESC tool: Quality & Safety

•Anaesth./surgery•Patient consent/records •Burns •Trauma•Emergency obstetrics•Disasters •Postop. Management•Pain Relief

Best Practice Protocols

Guidelines | 27 July 200610 |

WHO IMEESC tool: Access & Use WHO IMEESC tool: Access & Use

Implementation MoH, Partners/programs

•Training guide • Slides• Film• SCDH manual• Workshop agenda, report

Guidelines | 27 July 200611 |

Patient Procedure: surgery /anaesthesia

Site Time

Trained health personnel

Emergency & Essential Surgical Care

Thank You