Government of Kerala as part of their IMR reduction strategy gives due importance to Congenital heart Disease Management viz, Detection of new cases at the earliest, pre surgical care, surgery and post surgical care. Department of Health and family Welfare through National health Mission takes up major activities in institutions under Directorate of Health Services and Directorate of Medical education across Kerala. Among these listed few, it is expected to improve the survival and quality of life of a lot of children. In this venture GoK has partners like UNICEF, Children's heartLik (USA) and Indian Pediatric Association. The strategy adopted is to improve the early detection of cases especially those critical congenial heart disease and offer the best timely treatment and treat pre surgical and post surgical complications in time with outmost care.
The Department of Health& Family Welfare (Kerala), Children’s HeartLink (USA) and the Indian Academy of Pediatrics (Kerala Chapter), cordially invite you to attend the CME on Practical Challenges and Contemporary Trends in Paediatric Cardiac Care.
Background: Congenital Heart Disease (CHD) is the most common of all birth defects, occurring in about nine per 1000 live births globally and it is the fourth leading cause of neonatal deaths and must be addressed if we need to reduce the Infant Mortality Rate (IMR). Kerala is estimated to have:
Before looking at treatment options for CHDs, it is essential to focus on early detection, diagnosis, timely referral and safe transportation. It is very important to have a vibrant and mature pediatrician community (who happen to be the primary physician contact for a sick child) if a comprehensive care plan for combating CHDs needs to evolve. Training of the pediatricians is essential not only for diagnosis and referral but also for post-surgical follow up. They are an integral part of the care giving team for a child with CHD and it is essential to empower and upgrade their knowledge periodically. It was decided at the Stakeholder’s Meeting convened by the Government of Kerala (GoK) in January 2017, to organize CMEs in pediatric cardiology for pediatricians in the state as part of a comprehensive plan to provide improved access and management of CHDs.List of CME Venues:
|1||Contemporary Trends In Pediatric Cardiac Care and Practical Challenges||Calicut||Kozhikode, Kannur, Wayanad, Malappuram||28 May 2017
|2||Contemporary Trends In Pediatric Cardiac Care and Practical Challenges||Medical College HospitalThiruvananthapuram||Kollam, Thiruvananthapuram, Pathanamthitta||19 August 2017|
|3||Contemporary Trends In Pediatric Cardiac Care and Practical Challenges||Kochi||Ernakulam, Alappuzha. Kottayam||22 December 2017 (TBD)
|Registration Programme Schedule|
The main goals of the CME are:
Preterm with PDA: Decision making
Duct dependent circulation in newborn
Cyanotic newborn: Surgical options
Large left to right shunt with pneumonia in an infant
Fulminant myocarditis and advanced heart failure
Recent advances and emerging trends
Overcoming challenges in transporting newborns with critical congenital heart disease
An introduction to echocardiography for the pediatrician
Practical challenges in introducing a mass screening program for detection of congenital heart disease in newborns
Fetal Cardiac Screening as a mandatory component of mid trimester anomaly scans: A training protocol for obstetricians and radiologists.
The benefits of doing fetal heart evaluation as a mandatory component of mid trimester anomaly scans:
Mandatory screening of the fetal heart as per a standard protocol will lead to earlier suspicion of fetuses with abnormal hearts. This will lead to earlier referral and detailed evaluation by an expert. A complete diagnosis and a detailed counseling of the family about the prognosis of the CHD can offer more options to the expectant family including termination of pregnancy for complex CHDs (before 20 weeks gestation) or planned delivery in cardiac facility for critical defects.
This can reduce the burden of very complex defects enabling the more optimal utilization of healthcare infrastructure towards more correctable CHDs.List of CME Venues: Fetal Cardiac Screening A training protocol for obstetricians and radiologists
|1||Fetal Cardiac Screening A training protocol for obstetricians and radiologists||SAT Hospital, Trivandrum||Thiruvananthapuram||18 August 2017
|2||Fetal Cardiac Screening A training protocol for obstetricians and radiologists||MCH, Calicut||Kozhikode||20 October 2017
|3||Fetal Cardiac Screening A training protocol for obstetricians and radiologists||GH Ernakulum||Eranakulam||November 2017
|4||Fetal Cardiac Screening A training protocol for obstetricians and radiologists||MCH Parippally||Kollam, Pathanamthitta||December 2017
|5||Fetal Cardiac Screening A training protocol for obstetricians and radiologists||Thrissur||Palakkad, Thrissur , Idukki||06 January 2018 (TBD)
Govt medical College Thrissur.
|Registration Programme Schedule|
Goals of the training program:
Location of the training programs:
CHD as a public health problem – The Kerala Scenario
Indications for fetal echocardiography
Protocol for fetal heart screening
Live demo of fetal heart screening – the normal heart
Counseling of fetal heart abnormalities – what an obstetrician should know
Impact of fetal diagnosis on outcomes of CHD