​​​Edition 37​                                                                                                                             ​  ​Spring 2020




The world as it was!

Balmy days – please enjoy the reports on some of our workshops this early spring. Seems such a long time ago now. Now, engines are ticking over and CIME is fully serviced ready to spring into action at the resumption of normal business. But we haven’t been sitting idly by. Next month we will provide pictorial evidence and narrative surrounding some of the amazing work we have helped facilitate during this painful time, and lets not stop there. Anyone with ideas for workshops or skills sessions, in CIME, to better equip our clinical colleagues, please be in touch: my door is always open.

Professor Charles Docherty






CIME responds to challenges posed by pandemic

The global outbreak of COVID-19 has led to the need of for many more trained professionals to help care for the rising number of infected patients. To assist, CIME partnered with the University Hospital's internal medicine and infection control teams to prepare frontline staff to deal with coronavirus affected patients through simulation-based education and practice.





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Community health nursing simulation in CIMEABAD!

Sharpening the cutting edge of community based simulation in Pakistan

Can you guess where this place is? Thinking of somewhere outside Karachi? Wrong! This is not located on the outskirts of the city, rather situated right in the heart of the city, in the country’s most technologically advanced simulation centre. Surprised? That’s how the post-RN BScN students felt when they explored this area during briefing for the first of, hopefully many, rural community-based simulation at CIMEABAD in CIME courtyard.






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Strengthening midwifery education

High maternal mortality rates have always been a major concern in Pakistan. Midwives play a crucial role in providing effective maternal and child health care during pregnancy, childbirth, and in the important days and weeks after birth. As part of our continuous engagement in improving maternal, newborn and child health through simulation-based education, CIME is committed to working with the School of Nursing and Midwifery (SONAM) and Nursing Education Services (NES) to support the teaching and learning of midwifery workforce. Read more…




Promoting safe injection practices

A huge number of people around the world get injectable drugs every year for various reasons. The spread of infectious diseases through unsafe injection practices has been a global concern.

LIFT (Focused Learning of Injection Technique) – an effort, in partnership with Sanofi Pakistan, to provide residents and emergency medical practitioners a platform where they learn about safe injection practices and procedures leading to the reduction of diseases caused by unsafe practices and medical errors. Read more…







Emergency skills workshop for students

32 medical and nursing students participated in this one-day Emergency Skills Workshop arranged by SPIE. Students experienced 4 simulation scenarios; road traffic accident trauma, wounds, urinary tract infection (UTI) hyperthermia and cardiogenic shock. The emphasis of the workshop was on practical skills in order to provide the students with the confidence to apply these skills in appropriate settings.





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Blood rush: a race against time

He could barely hear anything over the ringing sound echoing in his ears. A tight knot had formed in his throat, his hands felt weird as if they were numb but he knew there was no time to waste. With trembling hands, he cleared blood that was flowing out of the patient's wound. With the pressuring mounting with every passing second, he could feel himself perspiring as a drop of sweat formed and raced down his forehead, at the verge of dripping, his mind was focused on a singular thought “stay calm". However, it was a process easier said than done, as the blood drenched the white gauze colouring it a bright shade of crimson.

He noticed in his peripheral vision as the patient's vitals were rapidly dropping, driving him to a more anxious state. He reminded himself that there was no time to panic, that this young girl's life depended on him. He had to work fast for the whimpering girl in front of him was a victim of a road traffic accident that left her left leg severed below the knee. He repeated his mantra under his breath “Stay calm, stay focused!"






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Training of trainers

Updates in clinical & interventional pulmonary

CIME collaborated with the Sanofi Pakistan to arrange a training of trainers programme for 20 pulmonologists and internal medicine specialists from all over Pakistan. The Programme subjected towards updates in the management of community-acquired pneumonia, ventilator-acquired pneumonia, hospital-acquired pneumonia, diseases mimicking pneumonia. Read more…




Preparing nurses for high flow nasal cannula therapy

High flow nasal cannula (HFNC) is a safe, well-tolerated, and non-invasive method of respiratory support that has seen increasing use in the care of children with respiratory distress. A one-day simulation-based course was offered in collaboration with the Department of Emergency to improve the skills of registered nurses in the use of HFNC and its management. Read more…







Upper GI bleeding workshop

In partnership with Helix Pharma

Upper Gastrointestinal (GI) bleeding is a very common and life threatening medical emergency and needs skilled triage, assessment and treatment. 20 general physicians from across Pakistan participated in this workshop by applying their clinical skills and knowledge in simulated scenarios where patients with upper GI bleed arrive in emergency room. Learners took patient history, performed physical examination, investigated and managed all aspects of GI bleed.





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Swallowing assessment training for nurses

Nutrition is the fundamental human physiological need to survive. Patients in the Intensive Care Unit are one of the most vulnerable patients in hospital setting who are in great need of good nutritional support to combat critical diseases. Patients who stay long in ICU settings have swallowing problems after extubation and sometimes they do not tolerate swallowing assessment. The service line 10 in collaboration with CIME arranged a simulation-based session for the critical care nurses and technicians to equip them with the required skills and knowledge in swallowing assessment procedures.



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Strengthening education & empowering diabetes management

A two-day workshop on the management of hypoglycaemia was organised in association with the Sanofi Pakistan. Hypoglycaemia is a true medical emergency which requires prompt recognition and treatment to prevent organ and brain damage. This equipped 50 general practitioners with ample knowledge, skills to identify and manage hypoglycaemia events in the primary care set-ups. Learners were taught cardiovascular examination on the cardiology patient simulator, diabetic foot examination on simulated patient, hypoglycaemia management on SimMan and diabetic retinopathy fundoscopy on eye examination task trainers.




Monitoring of intrapartum CTG - A simulation workshop

In current clinical practice the assessment of fetal wellbeing during labor and delivery is commonly performed through fetal surveillance known as Cardiotocography (CTG), which measures continuously the fetal heart rate (FHR) in relation to the maternal uterine contractions.


A total of 20 obstetricians and midwives from the hospital participated. After an introductory lecture on the interpretation of CTG, the faculty demonstrated the functions of CTG, followed by a hands-on practice. The learners also performed in a simulated case “interruption of CTG” on Victoria.





Highlights from the 5th Annual Surgical Meeting







Workshop on resuscitative thoracotomy

Resuscitative thoracotomy is a special procedure performed only under certain circumstances. Simulation modality for training is the only best way to keep the trainees well prepared with up-to-date knowledge and skills to perform such high-stake and low-frequently occurring procedures. The CIME team with CTS team developed a task trainer in-house for this purpose.







Tube thoracostomy skill

Tube thoracostomy is one of the most commonly performed procedure which saves patients’ lives. This workshop was aimed to train the physicians in this life-saving skill and to create awareness and familiarize them to this bedside procedure in terms of indications, anatomical land marks and equipment used for tube thoracostomy.







Surgical airway management workshop

It was aimed at identifying airway emergency in setting of trauma in both clinical and non-clinical areas, its evaluation and management. Through the use of simulation, participants were instructed on airway anatomy, identification of developing airway emergencies, and effective implementation of appropriate airway interventions.






Mastering the art of advanced trauma care

Injury kills more people every year than HIV, TB and malaria combined. This advanced trauma course focused on the critical decision making during initial management in ER. Moulage on simulated patients delivered a high fidelity simulation through 6 stations; Limb amputation, Abdominal gunshot injury, Burn, Head injury, Spinal cord injury and Pneumothorax.




Surgical Olympics by students

More than 80 young students from the medical and nursing field participated in the Surgical Olympics, which included fun filled learning stations. Students were taught skills such as catheterization, suturing, assessment, etc., as well as learning time pressure and skill efficiency along with all other protocols for controlling infections and managing patients.





SSH Accreditation Celebration Highlight

This is how we celebrated becoming ​ South Asia’s first simulation-based educational institution to be accredited by the Society for Simulation in Healthcare (SSH) – the leading healthcare simulation accreditation body in the world. Congratulations! And a BIG Thank You to everyone for all your support! Watch video…



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Mailing Address:

Centre for Innovation in Medical Education (CIME), Aga Khan University, Stadium Road P.O. Box 3500, Karachi 74800, Pakistan

Tel: +92 21 3486 3733 | Email: cime@aku.edu | Website: www.aku.edu/cime