Categories
Medical guidelines

Interim Clinical Guidance for Management of Patients with Coronavirus Disease 2019

Read or download the current Interim Clinical Guidance for Management of Patients with Coronavirus Disease here

Categories
Introductions Medical tips

Making a Referral

As we have expanded and started to offer advice in Malawi and also take on more clinical officers in Zambia, we thought it would be helpful to do a quick post of what to include in your referral to the Virtual Doctors advisors.

The picture below highlights the most important information to include.

Observations are really important so that we can advise upon the urgency of a clinical decision and get an idea of how unwell your patient is.

Knowing their background- age, gender and whether they have known HIV is really helpful as we can then rule in or rule out certain diagnoses.

Understanding why they have come to see you and what their main complaint is, is probably the most important thing to know, but putting this in context, by knowing if they have any past medical history or take any medication is also very important. If they have no past history and take no medication, please say so!

As we reply upon what you tell us, sending us any relevant examination findings, including photos is really useful. You are our eyes in the field! Our advice can only be as good as the information we receive!

Part of the process is to help with learning and education. It is helpful for us to know what you are thinking. What do you think is going on with the patient? Most importantly, what are you worried about? what do you want help with?

Please try and be specific when possible. This will help us be able to offer you the best advice we can to benefit the patients and clinical officers using the service.

Diagram Slide1.jpg

Categories
Acute care

ABC assessment

The WHO “Basic Emergency Care: approach to the acutely ill and injured”(Geneva: WHO and ICRC 2018) course is open access online. The workbook contains lots of helpful information. The first module covers ABC assessment

https://www.who.int/publications-detail/basic-emergency-care-approach-to-the-acutely-ill-and-injured

Categories
Medical guidelines

Integrated Management of Childhood Illnesses

Read or download the World Health Organisations Integrated Management of Childhood Illnesses here

Categories
Medical guidelines

Zambia Consolidated Guidelines & National Health Insurance Scheme Operational Manual

The latest Zambia Consolidated Guidelines & National Health Insurance Scheme Tariffs and Benefits Operational Manual are now available.

Open or Download Zambia Consolidated Guidelines

Open or Download National Health Insurance Scheme Tariffs and Benefits Operational Manual

Categories
Acute care Medical guidelines

WHO and mhGAP

Today we have made sure that you should be able to access the full WHO website via the phones. There are many excellent resources here. If you have had any difficulty accessing the links I’ve flagged on the website previously, I hope this will now be resolved. There should also be a new link on your phones which takes you to the mhGAP intervention guide. This is produced by the WHO and is a very helpful guide on mental health, neurological and substance abuse disorders, for health care workers in non-specialist settings. I think this may prove very useful; you can click through the flow charts to use it as a decision making tool when assessing patients. Let me know what you think!https://www.paho.org/mhgap/en/

Categories
Acute care Medical tips

Rapid Neurological assessment of a patient with an altered mental state

Categories
Charts/tables/references Medical tips

GCS assessment

Categories
Charts/tables/references

References

Categories
Acute care

Organophosphorus Poisoning

Click on the link for a summary of how to assess and manage a patient with organophosphorus poisoning ( as requested). I will upload some useful references too as you will not be able to access the sites directly on your devices

Categories
Acute care

Poisoning

Click on the link for an aide memoire for managing patients who present with accidental or deliberate poisoning. Hope it helps!