by Dr Mahesh Raj Ghimire, Nepal

It was almost 8pm on 2nd July, we reached on our destination hotel “Atrium” at Mainz, Germany. Arrangements were superb, the welcome dinner was delicious. While having dinner, my mind was imagining of the training that is going to be held on next day. So, I was little anxious and more excited.

On next day morning, I remember my first session. The trainer was focusing on the problem that we are facing on day-to-day life, like landing stroke patient in wrong hospitals. I was surprised by this statement as we are experiencing similar problem in our Nation. I was thinking like I came to right training place. This training was especially for doctors, nurses, and Neurologist from and around the European countries which includes almost 40 participants. Among 40, we me and my friend were only from the Asia, Nepal. Initially I thought, other countries might not be facing difficulties while treating the stroke patient, but with the session being gone by I find that we all are facing similar kind of difficulties in different form.

This training was full time training for two days, focusing on immediate treatment of stroke. Although I traveled for 16 hours by flight to reach there one day before, I was so thrilled by the session that I never felt the slightest amount of tiredness and was attentive throughout. Whole training was divided in different sessions like Pre-hospital management, Hyperacute management, learning of basics on CT-scan for stroke, decision making on treatment of stroke and post-acute care. All the session were practical, simple with the full of illustration of experiences on problems that we were facing during the treatment of stroke patients and solution for each minute difficulties.

Like our country, some of the other countries from Europe also facing the bonding problems with pre-hospital delivery system with the hospitals. We can overcome this problem by training them and make them understand the value of seconds in treatment of stroke patients. Taking patients directly to the CT-scan room is another new learning experience for me. Once a brain hemorrhage has been ruled out by a CT scan of the head and the patient meets the criteria for thrombolytic therapy, we can start the thrombolysis from the CT-imaging room. To perform this task effectively and efficiently all team members should have the thorough knowledge about how to reduce the time spent on unimportant tasks while treating the stroke.

The training was very practical, they involved each member on how to deal with the difficult and different situation. With the color coding they make 4 different groups. During that session I got opportunity, get to know closely with other fellow and we discussed on the current situation on treatment of stroke patients in our own countries. The task given us on how to do team work to reduce the unnecessary time while working in hospital was amazing. Those tasks further create a different bonding between the participants.

Another amazing experience is the learning through the simulation program that was related with difficult situation of stroke.  The group discussion throughout the simulation program was another learning opportunity for me. All the Trainer from the WSO were friendly, supportive, kind, and experienced one who know how to pass this legacy of treating the stroke patient and give them the second chance.

Thank you Dr Christopher Gumbinger being with us on Heidelberg, despite of having busy schedule we sit together and get to know each other. Throughout the session, being with us and solving our problems, I would like to thank Jessica Golenia, one of the friendliest persons I have ever met. Also, without whom this opportunity would not have been possible, I would like to thank Dr Christine Tunkl for encouragement and continuous support.

Plese send me the free “Stroke Knowledge” materials: