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11 April 2018 Photo Leonie Bolleurs
First accredited ICS training in SA presented at UFS
Prof Andries Jordaan, Head of DiMTEC, with Greg Archer from the United States Forest Services, and Yong Sebastian Nyam, a DiMTEC PhD student from Cameroon.
The University of the Free State’s (UFS) Disaster Management Training and Education Centre for Africa (DiMTEC) and the Free State Umbrella Fire Protection Association (FSUFPA) presented the first training exercise in the Free State, offering practical experience regarding the implementation of the Incident Command System (ICS) under simulated emergency conditions.

An Exercise Coordination Team (ECT), consisting of US instructors, under the leadership of Mike Kopitzke from the United States Forest Services, together with Johann Breytenbach from FSUFPA and supported by local personnel, facilitated the exercise.

Training complete with sand table exercise 
This dual site desktop exercise took place at the Rooipoort Training Centre outside Dewetsdorp and the DiMTEC offices in the Agriculture Building on the UFS Bloemfontein Campus. The Incident Management Team (IMT) training – complete with a sand table exercise   was presented at Rooipoort, At the same time a simulation of an Emergency Operations Centre (EOC) was offered at the DiMTEC offices. 

According to Prof Andries Jordaan, Head of DiMTEC, the exercise was based on a variety of actual scenarios that had previously taken place elsewhere in the Free State. The exercise simulated a train and bus accident on the Thaba Nchu road. “Using an incident like this keeps the training realistic and relevant,” he said.

In these exercises the work of different departments, including South African Police Services (SAPS), South African National Defence Force (SANDF), Transnet, Spoornet, Traffic Department, and Eskom are coordinated. “We would like to work with the National Disaster Management Centre (NDMC) to implement a uniform Incident management system in South Africa where all departments speak the same language and have the same understanding of the role and responsibilities of a command structure,” Prof Jordaan said.

Accredited training the outcome
In 2017 Prof Jordaan, General Elias Mahlabane from the SAPS, and Johan Breytenbach from the FSUFPA, attended an incident command course in California in the US. They were introduced to the National Incident Management System (NIMS) in the US. The system was implemented after lessons learned during 9/11. “According to the NIMS structure, all government organisations at all levels, as well as emergency agencies, had to standardise terminology and systems,” said Prof Jordaan.

Insight gained during the visit and a work relationship with the United State Forest Services, provided Prof Jordaan and Breytenbach the necessary background to conduct training for incident management teams.

Currently DiMTEC is offering accredited ICS 100, 200 and 300 courses. To qualify as incident command managers, students need to attend the ICS courses together with the practical training. As part of the training they also need to shadow a qualified ICS manager during two real incidents. These courses are taking place in conjunction with the FSUFPA. 

News Archive

UFS cardiologists and surgeons give children a beating heart
2015-04-23

Photo: René-Jean van der Berg

A team from the University of the Free State School for Medicine work daily unremittingly to save the lives of young children who have been born with heart defects by carrying out highly specialised interventions and operations on them. These operations, which are nowadays performed more and more frequently by cardiologists from the UFS School of Medicine, place the UFS on a similar footing to world-class cardiology and cardio-thoracic units.

One of the children is seven-month-old Montsheng Ketso who recently underwent a major heart operation to keep the left ventricle of her heart going artificially.

Montsheng was born with a rare, serious defect of the coronary artery, preventing the left ventricle from receiving enough blood to pump to the rest of the body.

This means that the heart muscle can suffer damage because these children essentially experience a heart attack at a very young age.

In a healthy heart, the left ventricle receives oxygenated blood from the left atrium. Then the left ventricle pumps this oxygen-rich blood to the aorta whence it flows to the rest of the body. The heart muscle normally receives blood supply from the oxygenated aorta blood, which in this case cannot happen.

Photo: René-Jean van der Berg

“She was very ill. I thought my baby was going to die,” says Mrs Bonizele Ketso, Montsheng’s mother.

She says that Montsheng became sick early in February, and she thought initially it was a tight chest or a cold. After a doctor examined and treated her baby, Montsheng still remained constantly ill, so the doctor referred her to Prof Stephen Brown, paediatric cardiologist at the UFS and attached to Universitas Hospital.

Here, Prof Brown immediately got his skilled team together as quickly as possible to diagnose the condition in order to operate on Montsheng.

During the operation, the blood flow was restored, but since Montsheng’s heart muscle was seriously damaged, the heart was unable to contract at the end of the operation. Then she was coupled to a heart-lung machine to allow the heart to rest and give the heart muscle chance to recover. The entire team of technologists and the dedicated anaesthetist, Dr Edwin Turton, kept a vigil day and night for several days.

Prof Francis Smit, chief specialist at the UFS Department of Cardiothoracic Surgery, explains that without this operation Montsheng would not have been able to celebrate her first birthday.

“After the surgery, these children can reach adulthood without further operations. Within two to three months after the operation, she will have a normal active life, although for about six months she will still use medication. Thereafter, she will be tiptop and shortly learn to crawl and walk.”

Mrs Ketso is looking forward enormously to seeing her daughter stand up and take her first steps. A dream which she thought would never come true.    

“Write there that I really love these doctors.”

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