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Clinical Training for the Project

Training Objectives

The Myanmar Snakebite Project covers many aspects of improving the outcome for snakebite patients, including the training of health workers, from senior doctors through to village health assistants. As part of this training activity, senior members of the Project team have provided training sessions in Myanmar.

Project team members involved in training of health workers:
Prof. Julian White, Prof. Chen Au Peh, Dr. Sam Alfred, Dr. Afzal Mahmood, Prof. Khin Thida Thwin and Prof. David Warrell.

Training Lectures

In July 2016 a day-long training seminar was held for doctors from many levels of the health system in the Mandalay region, including a number of township regions draining to Mandalay. The lectures given at the seminar were recorded to video and are provided below as an educational training resource for health workers in Myanmar. All lectures are delivered in English.

The lecture material presented is all copyright to the individual lecturers and the Project team. Please respect this copyright.

Lecture Videos

An Introduction to Clinical Toxinology (36½ minutes) View here
Presented by Prof. Julian White (Toxinology Dept., Women’s & Children’s Hospital, Adelaide, Australia)
This lecture provides a global overview of clinical toxinology, the range of animals producing toxins and the effects of those toxins.

Snakebite Assessment and Management (36 minutes) View here
Presented by Dr. Sam Alfred (Emergency Department, Royal Adelaide Hospital, Adelaide, Australia)
This lecture provides an overview of how to assess a patient in Myanmar with snakebite and then how to approach management of envenoming, based on national agreed guidelines.

Antivenoms (28½ minutes) View here
Presented by Prof. Julian White (Toxinology Dept., Women’s & Children’s Hospital, Adelaide, Australia)
This lecture provides an overview of the theory and practice of antivenoms as a prime tool in managing patients with envenoming.

Acute Renal Failure After Russell’s Viper Bite (16¾ minutes) View here
Presented by Prof. Chen Au Peh (Dept. of Renal Medicine, Royal Adelaide Hospital, Adelaide, Australia)
This lecture provides an overview of the problem of acute kidney injury following Russell’s viper bite including approaches to medical management.

Major Venomous Snakes of Myanmar (15¾ minutes) View here
Presented by Prof. Julian White (Toxinology Dept., Women’s & Children’s Hospital, Adelaide, Australia)
This lecture provides a brief overview of some of the major venomous snakes found in Myanmar.

Clinical Support Documents (34½ minutes) View here
Presented by Dr. Sam Alfred (Emergency Department, Royal Adelaide Hospital, Adelaide, Australia)
This lecture provides a detailed explanation of the various clinical support documents created by the Myanmar Snakebite Project team to help guide the management of Myanmar snakebite patients including how these documents, such as diagnostic and treatment flow charts, should be used in the patient treatment pathway.

These documents can be downloaded here:
Myanmar snakebite management guidelines
Myanmar snakebite referral letter
Myanmar guide to performing the 20WBCT to detect coagulopathy