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Association for Nature Conservation & Social Upliftment
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PUBLICATIONS
Inclusion of incorrect information in a snakebite first-aid curriculum in schools and universities in Nepal
Date: 2010-07-20
Author/s Deb Prasad Pandey
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PUBLICATIONS
Health Problems of Geriartic Age Group In Chitwan District
Date: 2009-08-10
Author/s Laxmi Subedi, MPH
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PUBLICATIONS
Education, campaigning and awareness program
Date: 0000-04-22
Author/s The F.A Team, Ancsu
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PUBLICATIONS
Violence Against Women in Nepal -- An Overview
Date: 0000-00-00
Author/s Dr. Sunil kr. Joshi & JN Kharel
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PUBLICATIONS
Vermicompostingfor Sustainable Resource Utilization
Date: 2008-12-01
Author/s The Envt. & BC Team, Ancsu
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Inclusion of incorrect information in a snakebite first-aid curriculum in schools and universities in Nepal

 Abstract

Background: A study in Nepal noted that victims did not have pressure immobilization bandaging (PIB) and local compression pad immobilization (LCPI) performed or performed incorrectly, despite of public health efforts advocating its use and its inclusion in textbooks. Hence, this study was aimed to determine the reasons why this first aid measure had not been adopted. Results: Sixteen textbooks were analyzed. Between 60 and 100% of first-aid measures advocated differed significantly from published guidelines, including omissions of appropriate activities and commissions of recommending inappropriate treatment. Seven of the errors were felt to be common and serious omissions or misstatements that have the potential to cause harm to patients. Discussion: The most common failing of the guidelines commonly used in Nepal was the omission of World Health Organization (WHO) recommended first aid measures that include the application of a PIB or LCPI. A simple and cost-effective public health education course given to Community Health Volunteers in Nepal reduced paediatrics fatality rate by 61% over the past decade by promoting mothers to go to nearest health post if their baby gets ill. Similarly, snakebite mortality rate can be reduced by emendation of curriculum in school and universities, rapid transport of snakebite victim to and management at a hospital provided with antivenom. Conclusion: The use of accurate published materials in the teaching of snakebite first-aid and subsequent snakebite management would likely further increase the appropriate management of snakebite and reduce its morbidity and mortality.

Key words: Curriculum, first-aid, snakebite, pressure immobilization bandage, local compression pad immobilization
 
Correspondence to:
ANCSU-Nepal, Office at Kathmand and Chiwan email:ancsunepal@gmail.com/
Deb Prasad Pandey, Department of Zoology, Birendra Multiple Campus, Tribhuvan University, Bharatpur, Chitwan, E-mail- debpandey@gmail.com, Cell: 977-9845055137
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© ANCSU 2008, ancsunepal@gmail.com
 
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