Basic Seismic Response Capability of Hospitals in Lima, Peru

Liguori, Nicola; Tarque, Nicola; Bambarén, Celso; Santa-Cruz, Sandra; Palomino, Juan; Laterza, Michelangelo

doi:10.1017/dmp.2018.47

Cited by 11 publications

(11 citation statements)

References 19 publications

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“…A lack of resources and equipment were highlighted in 58% (33/57) of papers [ 9 , 25 – 56 ]. This was a deficiency in both pre-hospital and hospital sectors.…”

Section: Resultsmentioning

confidence: 99%

“…The lack of standardised protocols and guidelines was highlighted in 51% (29/57) of papers [ 9 , 25 , 27 – 32 , 36 , 37 , 40 – 44 , 47 , 52 , 54 , 55 , 59 , 61 , 62 , 65 – 67 , 71 – 74 ]. Key themes relating to lack of protocol include those in relation to record-keeping (six papers) and pre-hospital communication, (six papers).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 28% (16/57) of articles reference transport and logistical concerns as a barrier to trauma care [25,26,29,30,41,46,47,49,50,52,55,56,65,74,78,79] . Eight articles highlight issues with ambulances including locations of ambulance bases, time taken to deploy ambulances, time taken to reach patient, distance from hospital and traffic, all of which increase pre-hospital time.…”

Section: Transport and Logisticsmentioning

confidence: 99%

“…A total of 23% (13/57) papers discuss 'socio-cultural' barriers [25,31,33,34,40,41,46,53,56,58,60,62,71]. The hierarchical nature of teams and poor communication between team members was raised in seven articles.…”

Section: Socio-cultural Factorsmentioning

confidence: 99%

“…Fourteen articles [25,29,33,47,55,56,59,62,64,66,68,69,75,79] were assessed against the RTI item bank for risk of bias. Five articles were reviews or reports [39,44,54,76,77], and therefore could not be evaluated.…”

Section: Risk Of Biasmentioning

confidence: 99%

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Barriers to Trauma Care in South and Central America: a systematic review

Kinder

Mehmood

Hodgson

et al. 2021

Eur J Orthop Surg Traumatol

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Introduction Trauma is widespread in Central and South America and is a significant cause of morbidity and mortality. Providing high quality emergency trauma care is of great importance. Understanding the barriers to care is challenging; this systematic review aims to establish current the current challenges and barriers in providing high-quality trauma care within the 21 countries in the region. Methods OVID Medline, Embase, EBM reviews and Global Health databases were systematically searched in October 2020. Records were screened by two independent researchers. Data were extracted according to a predetermined proforma. Studies of any type, published in the preceding decade were included, excluding grey literature and non-English records. Trauma was defined as blunt or penetrating injury from an external force. Studies were individually critically appraised and assessed for bias using the RTI item bank. Results 57 records met the inclusion criteria. 20 countries were covered at least once. Nine key barriers were identified: training (37/57), resources and equipment (33/57), protocols (29/57), staffing (17/57), transport and logistics (16/57), finance (15/57), socio-cultural (13/57), capacity (9/57), public education (4/57). Conclusion Nine key barriers negatively impact on the provision of high-quality trauma care and highlight potential areas for improving care in Central & South America. Many countries in the region, along with rural areas, are under-represented by the current literature and future research is urgently required to assess barriers to trauma management in these countries. No funding was received. Clinical Trial Registration: PROSPERO CRD42020220380.

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“…A lack of resources and equipment were highlighted in 58% (33/57) of papers [ 9 , 25 – 56 ]. This was a deficiency in both pre-hospital and hospital sectors.…”

Section: Resultsmentioning

confidence: 99%