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Critical Care Medical Journey continues at Alotau

Alotau Provincial Hospital March 2006 After a month settling in, I was in the operating theatre on a Friday at 3 pm. A call comes in from our Emergency Department (ED), the young enthusiastic intelligent Service Medical Officer (MO) asked me for help with a 7-year-old child that had stopped breathing. Critical Care Medicine Training in Alotau Provincial Hospital started, I went up to the ED…

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Antimicrobial resistance; the AMR PNG crisis and contributing factors to AMR (part 3)

What is the AMR PNG crisis? In Papua New Guinea (PNG), antimicrobial therapy constitutes a major form of treatment for almost all our patients we attend to. Endemic and emerging infectious diseases are implicated in half of childhood deaths and over 40% of all mortality in the country. (1) It is mainly empirical due to a relative lack of appropriate laboratory facilities for culture and…

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Reimagining Healthcare in Papua New Guinea: Leveraging Modern Tools for Enhanced Medical Practice

In Papua New Guinea, the challenges in healthcare delivery are numerous, characterized by limited resources and a low doctor-to-patient ratio. Traditional medical practice in such settings is often constrained, making it difficult to reach and effectively treat the widespread population. However, embracing the concepts of leverage as described by Naval Ravikant—labor, capital, code, and…

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Critical Care Medicine in Papua New Guinea. Part 3

START OF THE CRITICAL CARE MEDICAL TEAM IN PNG. Then we redesigned the system, the team stabilizes the patient in Emergency Department, and admits to the Intensive Care Unit for continuous monitoring and reassessment. This is where the core business of Critical Care Medicine takes place. So, we ended up giving the name Monitoring and Reassessment Unit rather than Intensive Care Unit. Because…

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Critical Care Medicine in Papua New Guinea. Part 2

Journey from Port Moresby General Hospital to Madang In Madang in 1998, I turned up at my workplace Operating Theatre and my team was already there in full swing at 0730 hours, they were called early at 6 am for an emergency operation to help an expatriate mother deliver her baby. The baby came out completely flat (can’t breathe), so our team started trying to revive the baby without luck, the…

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Critical Care Medicine in Papua New Guinea. Part 1

Journey from Port Moresby General Hospital to Madang While doing my first year Residency Medical Officer training at PMGH in 1991, I discovered this Medical Speciality called Critical Care Medicine which was already a subspecialty of Clinical Medicine in the developed world Every time one of our patients succumbed under our care or at the Emergency Department, our senior and experienced team…

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The 58th Medical Society of Papua New Guinea Symposium

The Papua New Guinea Medical Symposium is held every year to bring together local and international researchers and medical practioners to address national health issues. This year the symposium will be hosted by the Western Highlands Provincial Health Authority in Mt Hagen. The theme of this year’s symposium is “Burden of Trauma and its impact on Health and Socioeconomic Wellbeing”. Come…

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Navigating the Interagency Integrated Triage Tool (IITT) at Port Moresby General Hospital's Children's Emergency Department

Navigating the Interagency Integrated Triage Tool (IITT) at Port Moresby General Hospital's Children's Emergency Department By Dr.Kumbeli

Navigating the Interagency Integrated Triage Tool (IITT) at Port Moresby General Hospital’s Children’s Emergency Department (CED) involves an understanding of its origins, patient flow management, and the triage process. Since its introduction at the CED in December 2023, the IITT has been instrumental in enhancing the efficiency of emergency care at Port Moresby General Hospital, building upon…

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Welcome to PNG Medical Blog video

Join us at PNG Medical Blog. Papua New Guineas first medical blog. Educating Papua New Guineans and the world about medicine in PNG.

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Papua New Guineas first medical blog!

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Antimicrobial resistance; what is antimicrobial resistance? (part 2)

What are antimicrobials? These drugs include antibiotics for bacteria, antivirals for viruses, antifungals for fungi, and antiparasitics for parasites – are medicines used to prevent and treat infectious diseases in humans, animals and plants. (1) The most common antimicrobials in use in our public hospitals are antibiotics which include: Amoxicillin, Penicillin, Chloramphenicol, septrin,…