Acute Burn Care Fellowships for Kirtipur Team (September 2016)

September 07, 2016
Richard Bendell

A team from Kirtipur Hospital, Kathmandu, Nepal visited the Interburns Training Centre at Choithram Hospital and Research Centre in Indore, India to learn different aspects of acute burn care, under the supervision and guidance of Dr Shobha Chamania and her team. The fellows were a multi-disciplinary team that included Dr Bishal Karki, Dr Ajay Asthana, Binu Shrestha (Nurse), Nhashala Manandhar (Physiotherapist), Mira Shah (Nutritionist), and Padam Shova Maharjan (Burn technician).

Dr Bishal Karki and Dr Ajay Asthana learned about the clinical aspects of burn care along with leadership in the burn team. Binu Shrestha learned about the nursing care of burn injury. Nhashala Manandhar worked together with her physiotherapist and occupational therapist counterparts. Mira Shah had the opportunity to learn about the nutrition management in acute burn patients. Padam Shova Maharjan learned about the dressing, preventive aspects of acute burns and skin bank. Overall it was a comprehensive training mixed with enjoyment and fun.

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The fellowships covered a number of topics for the different disciplines:

  • Acute burn wound care
  • Surgical aspects of acute burns
  • Patient counselling
  • Documentation
  • Skin bank
    • Three of the team members went to observe skin harvest from a cadaver in a nearby house with the experts of the burn unit. They also demonstrated the skin processing in the skin bank. Kirtipur Hospital is setting up a skin bank for burn patients in Nepal.
  • Burn prevention
    • The team visited Ektanagar Aaganbadi and met children and women who were previously given lectures on burn prevention.
  • Critical care in acute burns
  • Physiotherapy in burns
  • Nutrition in burns
  • Platelet rich plasma (PRP) in burns
    • PRP preparation and its usage
      • Dr Bishal visited blood bank to see the procedure being done right from the time when blood is drawn from the patient to the time when it is used in the same patient leg ulcer.
    • Visit to the microbiology lab
      • The microbiologist demonstrated sophisticated machines like BACTEC used for blood culture and sensitivity.
    • Visit to the hemodialysis unit
      • Basic idea of hemodialysis was obtained.

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Choithram has a busy burn unit that provides an excellent, contextual learning environment for staff from other resource-poor countries, under the leadership of Dr Chamania. The training centre has provided fellowships ranging from 1 week to 6 months to dozens of surgical, nursing, therapy and nutrition staff (amongst others), from Bangladesh, India, Nepal, Afghanistan, Tanzania, Uganda, and Sri Lanka, in addition to visiting fellows and students from the UK, Europe and North America.

Interburns would like to particularly thank Dr Shobha and Shekhar Chamania for their hospitality in hosting the fellows and Dr Shankar Rai of Kirtipur Hospital. Special thanks to all the fellows and the staff of the burn unit at Choithram Hospital for making the fellowships a success.