Data-driven prehospital training to decrease motorcycle crash deaths in a Sub-Saharan African urban center

Rosenberg, Ashley; Uwinshuti, Fraterne Zephyrin; Dworkin, Myles; Nsengimana, Vizir; Kankindi, Eugenie; Niyonsaba, Mediatrice; Uwitonze, Jean Marie; Kabagema, Ignace; Dushime, Theophile; Jayaraman, Sudha; Krebs, Elizabeth

doi:10.1080/15389588.2019.1665438

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Over five months, short didactics were given on conduct of research, abstract and manuscript writing, oral presentations, and posters. All teams developed and presented original research including at the African Conference on Emergency Medicine (AfCEM) and College of Surgeons of East Central and Southern Africa (COSECSA) [ 21 22 23 ]. Long term research capacity led to 11 staff, including anesthetists, nurses, and emergency medicine physicians, obtain advanced degrees at the University of Rwanda, University of Global Health Equity and University of Johannesburg.…”

Section: Resultsmentioning

confidence: 99%

Building Trauma and EMS Systems Capacity in Rwanda: Lessons and Recommendations

Jayaraman

Ntirenganya

Nkeshimana

et al. 2021

Annals of Global Health

View full text Add to dashboard Cite

Background: Surgical capacity building has gained substantial momentum. However, care at the hospital level depends on improved access to emergency services. There is no established model for facilitating trauma and EMS system capacity in LMIC settings. This manuscript describes our model for multi-disciplinary collaboration to advance trauma and EMS capacity in Rwanda, along with our lessons and recommendations.Methods: After high-level meetings at the Ministry of Health in Rwanda (MOH), in 2016, a capacity building plan focusing on improved clinical services, quality improvement/ research and leadership capacity across prehospital and emergency settings. The main themes for the collaborative model included for empowerment of staff, improving clinical service delivery, and investing in systems and infrastructure. Funding was sought and incorporated into the Sector Wide Approaches to Planning process at the Ministry of Health of Rwanda.Findings: A shared mental model was created through a fully funded immersion program for Rwandese leaders from emergency medicine, nursing, prehospital care, and injury policy. Prehospital care delivery was standardized within Kigali through a train-thetrainers program with four new context-appropriate short courses in trauma, medical, obstetric/neonatal, and pediatric emergencies and expanded across the country to reach >600 staff at district and provincial hospitals. Forty-two protocols and checklists were implemented to standardize prehospital care across specialties. The WHO Trauma SUDHA

show abstract

Section: Resultsmentioning

confidence: 99%

Building Trauma and EMS Systems Capacity in Rwanda: Lessons and Recommendations

Jayaraman

Ntirenganya

Nkeshimana

et al. 2021

Annals of Global Health

View full text Add to dashboard Cite

show abstract

“…Our collaboration in Rwanda, a country of 12 million people, 42% of whom are younger than the age of 16 years, has focused on trauma and emergency medical service capacity building for many years. [15][16][17][18][19][20][21][22] Pediatric injuries are common in Rwanda, with 20 deaths per 100,000 people. 23 The most common pediatric injuries are falls, road traffic crashes, burns, and assault.…”

mentioning

confidence: 99%

Developing Sustainable Prehospital Pediatric Care in Rwanda

et al. 2022

View full text Add to dashboard Cite

Objective: Unintentional injury is the leading cause of death in children older than 1 year and disproportionately affects pediatric patients in lowand middle-income countries.Improved prehospital care capacity has demonstrated the ability to improve care and save lives. Our collaboration developed and implemented a sustainable prehospital emergency pediatrics care course (EPCC) for Service d'Aide Medicale Urgente, the public emergency medical service in Rwanda.Methods: A 1-day context-specific EPCC was developed based on international best practices and local feedback. Two cohorts were created to participate in the course. The first group, EPCC 1, was made of 22 Service d'Aide Medicale Urgente providers with preexisting knowledge on the topic who participated in the course and received training to lead future sessions. After completion of the EPCC1, this group led the second cohort, EPCC 2, which was composed of 26 healthcare providers from around Rwanda. Each group completed a 50 question assessment before and after the course.Results: Emergency pediatrics care course 1 mean scores were 58% vs 98% (pre vs post), EPCC 2 mean scores were 49% vs 98% (pre vs post), using matched-pair analysis of 22 and 32 participants, respectively. When comparing unequal variances across the groups with a 2-tailed paired t test, EPCC 1 and EPCC 2 had a statistically significant mean change in pretest and posttest assessment test scores of 40% compared with 46%, P < 0.0001, with 95% confidence interval. A 1-way analysis of variance mean square analysis for the change in scores showed that regardless of the baseline level of training for each participant, all trainees reached similar postassessment scores (F(1) = 1.45, P = 0.2357).Conclusions: This study demonstrates effective implementation of a context-appropriate prehospital pediatric training program in Kigali, Rwanda. This program may be effective to support capacity development for prehospital care in Rwanda using a qualified local source of instructors.

show abstract

Data-driven prehospital training to decrease motorcycle crash deaths in a Sub-Saharan African urban center

Cited by 2 publications

References 0 publications

Building Trauma and EMS Systems Capacity in Rwanda: Lessons and Recommendations

Building Trauma and EMS Systems Capacity in Rwanda: Lessons and Recommendations

Developing Sustainable Prehospital Pediatric Care in Rwanda

Contact Info

Product

Resources

About