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26 September 2018
The Cardiac Simulation lab in action

There’s an electric atmosphere in the operating theatre of the Faculty of Health Sciences, as Dr Taha Gwila and his team focus with intense concentration on the fleshy exposed heart beating rhythmically in the opened chest of the patient lying in front of them. The enormous demands of open-heart surgery are evident to everyone looking on. But there’s a catch. 

The patient is faceless and rubberised. The red liquid flowing in the pipes that network from the body is not blood. And the pulsating heart was beating in the body of a pig not too long ago. 

Cutting edge technology
 
This Cardiac Simulation laboratory supplied by Medtronic is the newest addition to the School of Biomedical Sciences’ clinical simulation and skills unit. 

“There’s nothing like this in Africa, and only a few in the world,” says a beaming Prof Francis Smit, Head of Cardiothoracic Surgery at the Faculty of Health Sciences.
He explains that this new cutting edge medical technology will revolutionise the way cardiac surgeons and other health professionals are trained and assessed.

Practicing specific procedures

The simulation facilities give students with various levels of competency the opportunity to practice specific procedures in their own time and at their own pace.
“Traditionally training followed the apprentice model, where surgeons started with simple tasks and worked their way up. They assisted senior personnel and their exposure to procedures depended on the conditions presented by the patients before them,” explains Prof Smit.

The simulation technology now enables them to repeatedly practise a certain procedure without any risk to a patient. A sophisticated electronic grading system gives detailed feedback after each session, so they know in which areas to improve.  

Simulated emergencies

The system also allows trainers to create a medical emergency that the trainees then have to deal with.

“Assisting senior surgeons with high levels of competency means that in the past, trainees would often never get the chance to experience these kinds of complications during operating procedures. Now we give them a chance to build that confidence so they’ll be able to handle different situations.”  

Training hub for Africa
 

The UFS cardiothoracic programme is being designed to become a training hub for the whole of Southern Africa, combining distance learning with an on-site high-fidelity simulation and assessment centre.

“This is 100% real!” says an excited Dr Gwila after successfully completing his first simulation session. “As a Senior Registrar at the Cardiothoracic Department I’ve done similar procedures on real patients and there’s really no difference at all. Every registrar should do this before ever touching a real body.”

News Archive

UFS DiMTEC will help compile national emergency management system
2017-10-11

Description: UFS DiMTEC will help compile national emergency management system Tags: UFS DiMTEC will help compile national emergency management system

Preparedness and response are the two most important aspects of managing disaster when it strikes. Prof Andries Jordaan, Head of the Disaster Management Training and Education Centre for Africa (DiMTEC) at the University of the Free State (UFS) recently attended an incident command course in California in the US.

Learning from US disaster management systems
More than 20 specialists from 17 countries attended the course where participants 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.

The professor also had the opportunity to visit among others the Federal Emergency Management (FEMA) headquarters in California, some State Coordination Centres as well as several other disaster management centres. He also had the chance to shadow an Incident Management Team (IMT) during active operations.

Providing training for local disaster management
Insight gained during this course, as well as Prof Jordaan’s experience as senior officer in the South African National Defence Reserve Forces, provided him the necessary background to conduct training and give assistance in terms of disaster management.

Through DiMTEC Prof Jordaan will assist the National Disaster Management Centre with the implementation of a national emergency management system. He will also provide training for incident management teams.

“DiMTEC is currently also in the process of developing a Master module in disaster response. Command and control and Incident Command will form a sub-module in the disaster response module,” he said.

From South Africa, Prof Jordaan was joined on the course by General Elias Mpumelelo Mahlabane from the South African Police Services, who is responsible for disaster management in the SAPS. Savage Breytenbach, a trainer in rural fire fighting who assists Mangaung with command and control structures, also attended the course.

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