Emergency Treatment and Assessment
AIC Kijabe nursing staff attended a 3 1/2 day World Health Organization ETAT course to upskill in assessing and treating pediatric emergency cases. The training is similar to APLS used in the West, but adapted to cover specific for conditions commonly seen in the developing world. For example triage involves checking the ABC signs – Airway, Breathing, Circulation. The ETAT course includes training in ABCD – D for dehydration, with specification for how to treat dehydration in cases of shock with and without severe acute malnutrition.
Learning objectives for the course are:
- Triage all sick children when they arrive at a health facility, into the following categories:
- – those with emergency signs
- – those with priority signs
- – those who are non-urgent cases.
- Assess a child’s airway and breathing and give emergency treatments.
- Assess the child’s status of circulation and level of consciousness.
- Manage shock, coma, and convulsions in a child.
- Assess and manage severe dehydration in a child with diarrhoea.
- Plan and implement ETAT in your own working area in your hospital.
- ETAT + Admission guidelines to ensure smooth transition to inpatient care.
Materials for ETAT can be found on the WHO website at: http://www.who.int/maternal_child_adolescent/documents/9241546875/en/