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Effective Humanitarian Work: Teaching Medical Skill Sets in Ukraine

The senior authors traveled to Ukraine to teach specific skills to Ukrainian physicians and other medical professionals, utilizing a 2-day ATLS course, workshops in point-of-care ultrasonography (POCUS), lectures and webinars on damage control resuscitation, damage control surgery, and transfusion o...

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Autores principales: Baker, Michael S., Stevens, Rom A., Baker, Jacob
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10668876/
https://www.ncbi.nlm.nih.gov/pubmed/38025923
http://dx.doi.org/10.5334/aogh.4306
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author Baker, Michael S.
Stevens, Rom A.
Baker, Jacob
author_facet Baker, Michael S.
Stevens, Rom A.
Baker, Jacob
author_sort Baker, Michael S.
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description The senior authors traveled to Ukraine to teach specific skills to Ukrainian physicians and other medical professionals, utilizing a 2-day ATLS course, workshops in point-of-care ultrasonography (POCUS), lectures and webinars on damage control resuscitation, damage control surgery, and transfusion of whole blood. The authors have focused on providing skill sets that Ukrainian doctors can utilize within their existing system to improve immediate patient care for casualties resulting from the unanticipated Russian invasion and improve outcomes. Given the resource limitations and differences of the Ukrainian healthcare systems, the authors believe Western-based professionals who come to Ukraine to help for short periods should resist the temptation to offer western solutions that may not work in Ukraine. Major improvements in Ukrainian health care will require long-term efforts in teaching but also need to include increased efforts to improve hospitals, clinics, staffing, education, supplies, and equipment. Those who travel to help in Ukraine can still teach short courses that provide skills that Ukrainian doctors and nurses can use within their existing healthcare system to improve the quality of patient care in the immediate period of crisis and hopefully improve outcomes in the near term. It is not a reasonable expectation to think that the delivery of 2-day courses such as ATLS or POCUS will significantly change the country-wide delivery of healthcare. This sort of practice change requires the engagement of medical and political leaders and a sustained reform effort over years, not days or weeks. Supportive countries and non-governmental organizations need to prepare for a long and extensive investment in improving Ukrainian healthcare.
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spelling pubmed-106688762023-11-20 Effective Humanitarian Work: Teaching Medical Skill Sets in Ukraine Baker, Michael S. Stevens, Rom A. Baker, Jacob Ann Glob Health Viewpoint The senior authors traveled to Ukraine to teach specific skills to Ukrainian physicians and other medical professionals, utilizing a 2-day ATLS course, workshops in point-of-care ultrasonography (POCUS), lectures and webinars on damage control resuscitation, damage control surgery, and transfusion of whole blood. The authors have focused on providing skill sets that Ukrainian doctors can utilize within their existing system to improve immediate patient care for casualties resulting from the unanticipated Russian invasion and improve outcomes. Given the resource limitations and differences of the Ukrainian healthcare systems, the authors believe Western-based professionals who come to Ukraine to help for short periods should resist the temptation to offer western solutions that may not work in Ukraine. Major improvements in Ukrainian health care will require long-term efforts in teaching but also need to include increased efforts to improve hospitals, clinics, staffing, education, supplies, and equipment. Those who travel to help in Ukraine can still teach short courses that provide skills that Ukrainian doctors and nurses can use within their existing healthcare system to improve the quality of patient care in the immediate period of crisis and hopefully improve outcomes in the near term. It is not a reasonable expectation to think that the delivery of 2-day courses such as ATLS or POCUS will significantly change the country-wide delivery of healthcare. This sort of practice change requires the engagement of medical and political leaders and a sustained reform effort over years, not days or weeks. Supportive countries and non-governmental organizations need to prepare for a long and extensive investment in improving Ukrainian healthcare. Ubiquity Press 2023-11-20 /pmc/articles/PMC10668876/ /pubmed/38025923 http://dx.doi.org/10.5334/aogh.4306 Text en Copyright: © 2023 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Viewpoint
Baker, Michael S.
Stevens, Rom A.
Baker, Jacob
Effective Humanitarian Work: Teaching Medical Skill Sets in Ukraine
title Effective Humanitarian Work: Teaching Medical Skill Sets in Ukraine
title_full Effective Humanitarian Work: Teaching Medical Skill Sets in Ukraine
title_fullStr Effective Humanitarian Work: Teaching Medical Skill Sets in Ukraine
title_full_unstemmed Effective Humanitarian Work: Teaching Medical Skill Sets in Ukraine
title_short Effective Humanitarian Work: Teaching Medical Skill Sets in Ukraine
title_sort effective humanitarian work: teaching medical skill sets in ukraine
topic Viewpoint
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10668876/
https://www.ncbi.nlm.nih.gov/pubmed/38025923
http://dx.doi.org/10.5334/aogh.4306
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