Critical Care Training Program for Health Care Workers: COVID-19

DAILY SCHEDULE

Inauguration and Pre-Test: 8:30- 9:00

Day 1: Overview, Evaluation, monitoring and medical Management of COVD-19 Patients

(Lecture duration: 5.5 hours)

TIME TOPICS RESOURCE PERSON

9:00-9:15 1. Purpose of Training NMA/NHTC

15 minutes

9:15 - 9:45 2. Overview of COVID-19 Dr. Shital Adhikari/WHO

including mucormycosis
30 minutes

9:45-10:15 3. Assessment of probable and Dr. Sabin Thapaliya/SIMON

confirmed cases of COVID-19
30 minutes

10:15- 10:30 4. Home/institutional isolation Dr. Prakash Poudel/SIMON

15 minutes
10:30- 10:45 Tea/Coffee break

15 minutes

10:45-11:00 5. Investigations Dr. Kamal Raj Thapa/SIMON

15 minutes

11:00 -11:30 6. Initial Management Dr Ritesh Lamsal/SAN

30 minutes

11:30- 11:45 7. Awake prone positioning Ms. Nisha Bhandari /CCNAN

15 minutes

11:45-12:15 8. Monitoring of critically ill Ms. Kabita Sitoula/CCNAN

patients
30 minutes

12:15-1:00 9. Oxygen therapy in COVID-19 Dr Navindra Raj Bista/SAN

45 minutes

1-1.30 10. Therapeutics in COVID-19 Dr. Pramod Poudel/SIMON

30 minutes
 1:30-2:00 Lunch Break

Skill station (2:30- 3:00): CCNAN/SAN (Break out session)

Awake prone positioning: Kabita Sitoula/ Samina Amatya

Oxygen therapy (devices, modes of delivery): Nisha Bhandari/ Dr. Basanta Gauli

Monitoring of Critically ill COVID -19 patients: Prabha Gautam/Kabita Sitoula

Day 2: Mechanical ventilation Management of COVD-19 Patients

(Lecture duration: 5 hours)

TIME TOPICS RESOURCE PERSON

9:00-9:30 1. Sepsis and septic shock Dr Gentle S Shrestha

30 minutes NSCCM

9:30- 10:00 2. Management of comorbidities, Dr Pramesh S Shrestha

Organ failure (overview)
30 minutes NSCCM

10:00-10:30 3. Mechanical ventilation I: Basics Dr. Hem Raj Paneru

modes, settings
30 minutes NSCCM
10:30- 11:00 4. Mechanical ventilation II: ARDS Dr. Diptesh Aryal

30 minutes NSCCM

11:00-11:15 Tea/Coffee break

11:15-11:45 5. NIV: CPAP, BiPAP Dr. Sanjeet Krishna

Shrestha/SIMON
30 minutes

11:45- 12:15 6. Mechanical Ventilator III: Dr Basanta Gauli/NSCCM

troubleshooting
30 minutes

12:15-12:30 7. Sedation and analgesia Dr Pawan Kumar Hamal

15 minutes SAN

12:30-12:45 8. End of life care Prof. Dr Subhash P

Acharya/NSCCM
15 minutes

12:45-1:00 9. Breaking bad news Dr. Mahesh Raj Sigdel

15 minutes SIMON

1:00- 1:30 Lunch Break

30 minutes
1:30 to 2:00: Post-test and Closing ceremony

Skill station (2:00- 3:00): SAN/NSCCM Break out session

Ventilator settings

Dr. Basanta Gauli/ Dr Hem Raj Paneru

Common scenario

Dr Ritesh Lamsal/ Dr Pramesh S Shrestha

Troubleshooting:

Dr Navindra Raj Bista/ Dr Gentle S Shrestha

NIV

Nisha Bhandari/Dr. Basanta Gauli