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Articles and discussions produced by clinicians for the benefit of healthcare providers around the world.


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If part of your job is to make decisions for the team, to guide and manage junior members of staff or decide on the next course of action on behalf of the organisation then you are a Leader and your team are counting on you to lead well.

Particularly in a crisis like the one we all face today, the quality of leadership could make or break the company, or be the difference between your healthcare service getting through the crisis smoothly or crumbling under the pressure and demands of the current climate. Too often individuals are put into leadership positions without any training on the subject, at its worst, this can lead to the team resenting the individual and working against them, morale plummets, communication ceases, the staff become anxious, depressed and eventually quit. Everyone suffers.

If you are involved in leading a team however large or small you can improve your skills and increase the effectiveness of the team. Metris Leadership produce excellent articles ‘leadership espressos’ via their mailing list. This free newsletter is prepared by special forces leaders to offer recommendations, practical advice and thought-provoking insights highlighting the salient qualities of successful leaders and high-performance teams.

Follow the link below for more information.


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"Frontline leaders discuss the vital role of simulation in a COVID-19 response"

Organised and hosted by Laerdal this webinar was a great opportunity to gain valuable insight into the benefits of simulation training in a health crisis. The speakers debriefed and shared feedback on the challenges they faced and how they were able to adapt and learn quickly to deliver the best possible care and avert a potential overwhelming situation.

The recordings are available on the Laerdal website along with a wide selection of great resources for healthcare providers. Follow the link below.



"COVID-19 in Nepal: Scarcity of Personal Protective Equipment (PPE) and its Alternative"

Background: The Coronavirus Disease (COVID-19), which was first discovered in Wuhan, China in December 2019, puts an entire world under unprecedented danger. Powerful nations such as the United States of America and European Union countries having their hardest time to get sufficient medical protective gear, ensure market operation, and eventually to save people from dying of corona infection. To date, 213 countries have been affected. WHO has confirmed 123,010 deaths and 1,914,916 cases with coronavirus positive as of 15 April 2020. It has created a global public health emergency. There is no specific prophylaxis or treatment available yet. Hand washing, covering one’s mouth when coughing, social distancing, self-isolation, and quarantine are preventive measures to hamper the spread of disease. Currently, Nepal has entered into the second phase of the outbreak. Health care workers (HCW) at the frontlines of the battle against COVID-19 are ill-equipped to treat coronavirus patients, due to not having adequate personal protective equipment in Nepal. Additionally, there is a shortage of PPE in the world market due to the aggressive buying of PPE globally.

Conclusion: In this global scarcity, locally made PPE has become another alternate way for Nepal. Hence, some of the local garments, hospitals, and local rural municipalities have prepared and delivered to HCWs. Although these Nepal-made PPE are not as high quality as imported ones, they at least offer some protection to medical staff. Our recommendations are: a) Learn- from countries with the lowest mortality rate and best medical & preventive practices policies, as fast as possible. b) Alternative: Approaches are necessary to decrease the risk of exposure to HCWs and are safe for patient care in this global market scarcity of PPE. c) Solidarity- between richer and poorer countries is necessary. d) Cooperate globally- international cooperation between governments, scientists, corporations and health care professionals is not only needed, but also necessary to end this pandemic.

Laxmi Panthy, Jagadishwor Panthi, Kapil Amgain, Pooja Thapaliya, Jos Van Laar

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