Capacity building in Nepal

Healthcare providers from high-income countries often want to help underserved populations, but providing clinical care is not always a sustainable approach. Patan Academy of Health Sciences (PAHS), in Nepal, has taken an innovative approach to capacity building in healthcare. PAHS has partnered with rural family doctors from Canada to provide clinical bedside teaching to medical students in PAHS’s rural program, thereby making a sustainable contribution to healthcare in Nepal

Readiness of doctors and nurses towards family witnessed cardiopulmonary resuscitation in emergency department

Introductions: Presence of family during cardiopulmonary resuscitation is debatable. Doctors and nurses locally believe that family should be kept out of resuscitation. This study explores the attitude of doctors and nurses towards presence of family during resuscitation. Methods: This was a cross-sectional descriptive study conducted at Patan Hospital emergency in January 2017. Medical personnel working in emergency were given a set of questionnaires. The result was descriptively analyzed. Results: Sixty-four doctors and nursing staffs participated in the survey. Fifteen (23%) said that they would never allow presence of family during resuscitation, 37 (58%) said sometimes and 13 (20%) said always. Perception of health workers were, 32 (50%) thought it interferes with work; 25 (39%) legal problem; 33 (51%) bad reaction to the team; 35 (54%) psychological trauma to family; 23 (36%) difficult to stop resuscitation; 23 (36%) offence to family; 17 (26%) increase staff stress; 8 (12%) not culturally acceptable and 6 (9%) had no such practice observed.Conclusions: Family presence during resuscitation was not desirable for majority of medical person working at emergency department of Patan Hospital. Keywords: cardiopulmonary resuscitation, emergency physician, family presenc

Keraunoparalysis, a neurological manifestation after lightning strike: a case Report

Lightening strike can have wide range of physical and neuropsychiatric symptoms. Burn, extensive tissue damages, cardiac rhythm disturbances and secondary injuries are well described and observed. The patient may also go through transient neurological symptoms, which may go unseen in some cases while in some cases it may get extra attention and series of investigations. Keraunoparalysis is one of the immediate neurological complications encountered after lightning strike. This manifests as transient self-limiting symptoms. Keywords: keraunaparalysis, lightning, neurological symptom