Proceedings of Secondes Journées Pédiatriques Médecins Sans Frontières (MSF) (Dakar, 2018)

Poster

Basic ultrasound training of national staff for telemedicine specialist image interpretation and clinical guidance in patient-care in Nduta refugee camp, Tanzania

Cite this: Pan African Medical Journal - Conference Proceedings. Aug 2018; 9(9): 33. doi:10.11604/pamj.cp.2018.9.33.760

Submitted: 05 Jul 18   Accepted: 17 Jul 18   Published: 27 Aug 18

Key words: Telemedicine, basic ultrasound, POCUS, resources limited settings

© Kovach Colleen et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.proceedings.panafrican-med-journal.com/conferences/2018/9/33/abstract

Corresponding author: Kovach Colleen, Nduta Refugee Camp, Tanzania, Operational Center Geneva (OCG), Geneva (colleenmkovach@gmail.com)

This abstract is published as part of the proceedings of Secondes Journées Pédiatriques Médecins Sans Frontières (MSF)(SENEGAL, )

Basic ultrasound training of national staff for telemedicine specialist image interpretation and clinical guidance in patient-care in Nduta refugee camp, Tanzania

Kovach Colleen1,&, Kindo Jumaa1, Singh Saschveen1, Desai Sachin1

 

1Nduta Refugee Camp, Tanzania, Operational Center Geneva (OCG), Geneva

 

 

&Corresponding author
Kovach Colleen, Nduta Refugee Camp, Tanzania, Operational Center Geneva (OCG), Geneva

 

 

Abstract

Introduction: radiology services play an integral role in the provision of comprehensive medical services. However, access to these services in remote settings is often limited in both equipment availability and image interpretation. In Nduta refugee camp, Tanzania, a lack of imaging interpretation services restricted the utilization of available ultrasound equipment. This review aims to discuss the feasibility of training national staff (clinical officers and physicians) on basic ultrasound imaging with subsequent specialist consultation through image uploading into MSFs Telemedicine portal.

 

Methods: this is a review of telemedicine consults (using ultrasound images) conducted in Nduta refugee camp, Tanzania, from March - July 2017. Expatriate physicians with experience in bedside ultrasound instructed national staff providers on basic ultrasound imaging including standard abdominal and cardiac views and free fluid/effusion identification. Clinical images obtained by trained staff were then uploaded to MSFs telemedicine portal for consultant interpretation and guidance.

 

Results: national providers were successfully trained in basic ultrasound skills and effectively utilized telemedicine consultation for diagnostic and clinical management purposes. Cases reviewed include: 5 year-old male with facial fullness and edema; telemedicine interpretation of cardiac ultrasound - cardiac decompensation, 3 year-old male with edema; telemedicine interpretation of cardiac ultrasound - biventricular failure, 2 year-old female with palpable abdominal mass; telemedicine interpretation of abdominal ultrasound - hydrops of gallbladder, 18 month-old female with murmur and clubbing; telemedicine interpretation of cardiac ultrasound - suspect tetralogy of fallot with AVSD, 14 year-old male with murmur and dyspnea; telemedicine interpretation of cardiac ultrasound - enlarged LV/LA, pericardial effusion, suspected mitral valve insufficiency.

 

Conclusion: training on basic ultrasound skills in resource-limited settings with the subsequent use of telemedicine consultation for image interpretation and clinical guidance is both feasible and positively impactful on patient management. Further development of this model could significantly improve the quality of medical services in remote locations.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Dakar)

Country:

Dates: 15 Dec 17 - 16 Dec 17

Venue: Hotel Ngor Diarama

Organizers:

Secretariat: paediatricdays@msf.org

Contact person: Dr. Laurent Hiffler (paediatricdays@msf.org)