Evaluation of Trauma Care Capabilities in Four Countries Using the WHO‐IATSIC <i>Guidelines for Essential Trauma Care</i>

Mock, Charles; Nguyen, Son; Quansah, Robert; Arreola-Risa, Carlos; Viradia, Ramesh; Joshipura, Manjul

doi:10.1007/s00268-005-0768-4

Cited by 163 publications

(166 citation statements)

References 36 publications

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“…These findings seem to correlate with findings in similar assessments from South America, Africa and from Asia [9][10][11][12]21]. The highest level facilities assessed seems to be more adequately staffed, equipped and trained, although with deficiencies, while districts are covered by generalist hospitals or clinics with very limited trauma care capacity and substantial trauma load, especially along the major roads, which highlights the need for improved trauma care in rural areas.…”

Section: Discussionsupporting

confidence: 70%

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Trauma Care in Africa: A Status Report From Botswana, Guided by the World Health Organization’s “Guidelines for Essential Trauma Care”

et al. 2012

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Section: Discussionsupporting

confidence: 70%

“…While similar studies have focused on regions of countries [9,10,11,21] or nationally representative samples from all over the country [12], our study provides for the first time a picture of hospital based trauma care capabilities in an entire country.…”

Section: Discussionmentioning

confidence: 98%

Trauma Care in Africa: A Status Report From Botswana, Guided by the World Health Organization’s “Guidelines for Essential Trauma Care”

et al. 2012

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“…Las diferencias observadas entre distintas regiones con relación a un desenlace más infortunado en aquellos pacientes que sufren traumas, pueden explicarse en parte por la falta de cirujanos capacitados, falta de personal de cuidados intensivos, por la presencia instalaciones médicas mal equipadas y por los servicios de emergencia y trauma desorganizados o inexistentes (17)(18)(19)(20) . La mejora en la atención de emergencia prehospitalaria no es una tarea fácil, sin embargo, varios estudios revelan que la atención de trauma prehospitalaria en países de ingresos medios, puede ser mejorada con intervenciones de bajo costo, tal como ocurrió en México, por ejemplo (21) .…”

Section: Es Necesaria La Atención Prehospitalaria Y De Emergenciaunclassified

Traumatismos causados por el tránsito en países en desarrollo: agenda de investigación y de acción

Huang¹,

Lunnen²,

Miranda³

et al. 2010

Rev Peru Med Exp Salud Publica

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RESUMENLos traumatismos causados por el tránsito son la principal causa de muerte en personas de 10-24 años a nivel mundial y representan alrededor del 15% de todas las muertes en varones. La carga de enfermedad de los traumatismos causados por el tránsito está distribuida de manera desigual entre los países pues la tasa de mortalidad más alta es ochenta veces superior a las más baja. Existe una clara desigualdad en el riesgo de ocurrencia de traumatismos causados por el tránsito, siendo notoriamente mayor en los países en desarrollo. Esta desigualdad se constituye como un reto mundial importante y se debe, aunque no sean los únicos factores, a muchas razones, incluyendo la rápida motorización y la pobre infraestructura. Este artículo hace énfasis en varios aspectos fundamentales cuya finalidad es informar a los programas diseñados para prevenir los traumatismos causados por el tránsito en los países en desarrollo, donde esta situación está más extendida. En primer lugar, la seguridad vial es un tema de desarrollo; en segundo lugar, los traumatismos causados por el tránsito constituyen un problema importante para la salud; en tercer lugar, los traumatismos causados por el tránsito pueden ser prevenidos mediante la implementación de medidas científicas adecuadas; en cuarto lugar, es necesaria la atención de emergencias hospitalarias y prehospitalarias; y, finalmente, la investigación en los traumatismos causados por el tránsito está relegada en los países de ingresos bajos y medios. Se discute además la repercusión de estos avances para el Perú. Palabras clave. Accidentes de tránsito; Países en desarrollo; Salud pública (fuente: DeCS BIREME). ROAD TRAFFIC INJURIES IN DEVELOPING COUNTRIES: RESEARCH AND ACTION AGENDA ABSTRACTRoad traffic injury (RTI) is the leading cause of death in persons aged 10-24 worldwide and accounts for about 15% of all male deaths. The burden of RTI is unevenly distributed amongst countries with over eighty-fold differences between the highest and lowest death rates. Thus the unequal risk of RTI occurring in the developing world, due to many reasons, including but not limited to rapid motorization and poor infrastructure, is a major global challenge. This editorial highlights a number of key issues that must inform programs designed to prevent RTI in the developing world, where the epidemic is all the more insidious. firstly, road safety is a development issue; secondly, road traffic injury is a major health issue; thirdly, road traffic injuries can be prevented by the implementation of scientific measures; fourthly, pre-hospital and hospital emergency care is needed; and fifthly, research on RTI is neglected in low-income and middle-income countries.The repercussion of such progress to Peru is also discussed.

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“…35 In this regard, The EsTC Project has served as the basis for needs assessments made in Vietnam, India, Mexico, and Ghana. 36 Good clinical trauma care and effective injury prevention programmes are necessary to reduce death and disability from injury. This has been the foundation for a trauma system based on the concept that injury as a disease can be prevented or have its negative impacts decreased by primary, secondary, and tertiary prevention, 5,6 through interactions with agencies, institutions, and systems.…”

Section: Timing Of Deathmentioning

confidence: 99%

Timing of death at National Trauma Center, Abuja, Nigeria

Gwaram¹,

Ameh²

2018

East. Cent. Afr. J. Surg.

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Background: We aimed to analyse the burden and timing of trauma deaths over a 1-year period at a trauma centre in Nigeria.Methods: This was a retrospective review of in-hospital trauma deaths during the period of January to December 2015. Sociodemographic data, cause of injury, mode of presentation, time interval between presentation and death, injury diagnoses, treatment, and place of death were analysed.Results: There were 2230 trauma consultations during the study period; 85 were brought in dead from the scene. We analysed data from 103 of 121 in-hospital deaths. Patient ages ranged from 0 to 90 years, with a mean age of 31.1. The male-to-female ratio was 5:1. Following injury, 46.6% of the victims presented directly to our tertiary centre, while 53.4% were referred from other hospitals. Most of the injuries were from RTA. Isolated head injury was the predominant diagnosis (44.7%), followed by polytrauma (29%). Immediate deaths (exclusive of those brought in already dead) comprised 5.8% of cases; 37.9% were early deaths and 56.3% were late deaths.Conclusions: The timing of trauma deaths closely approximated the original trimodal description in North America about half a century ago even though advances in trauma care have resulted in changes from this pattern in developed countries. Regionalised integrated care including prehospital trauma services are recommended.

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Evaluation of Trauma Care Capabilities in Four Countries Using the WHO‐IATSIC Guidelines for Essential Trauma Care

Abstract: This study identified several low-cost ways in which to strengthen trauma care globally. It also has demonstrated the usefulness of the Guidelines for Essential Trauma Care in providing an internationally applicable, standardized template by which to assess trauma care capabilities.

Cited by 163 publications

References 36 publications

Trauma Care in Africa: A Status Report From Botswana, Guided by the World Health Organization’s “Guidelines for Essential Trauma Care”

Trauma Care in Africa: A Status Report From Botswana, Guided by the World Health Organization’s “Guidelines for Essential Trauma Care”

Traumatismos causados por el tránsito en países en desarrollo: agenda de investigación y de acción

Timing of death at National Trauma Center, Abuja, Nigeria

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