Rural Prehospital Trauma Systems Improve Trauma Outcome in Low-Income Countries

Husum, Hans; Gilbert, Mads; Wisborg, Torben; Heng, Yang Van; Murad, Mudhafar Karim

doi:10.1097/01.ta.0000073609.12530.19

Cited by 204 publications

(181 citation statements)

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“…Studies from other low-and middle-income countries have shown that prehospital trauma training programs can reduce mortality [6,23,24]. The same was shown for hospital-based care from Trinidad where regular implementation of an ATLS-course led to reduced mortality in severely injured patients [25].…”

Section: Staffing and Trainingmentioning

confidence: 80%

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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: Staffing and Trainingmentioning

confidence: 80%

“…In a low-income setting from northern Iraq and Cambodia, Husum et al. found a significant impact on trauma outcome after implementation of a prehospital trauma system [6].…”

Section: Introductionmentioning

confidence: 99%

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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“…These recommendations, also endorsed by the World Bank, are primarily based on evidence from first-aid provided by villagers in conflict-ridden Northern Iraq, Cambodia, and urban Ghana [17][18][19][20]. Lay first-responder training, implemented in Ghana, showed encouraging results for feasibility in the African setting [19].…”

mentioning

confidence: 99%

Current Patterns of Prehospital Trauma Care in Kampala, Uganda and the Feasibility of a Lay‐First‐Responder Training Program

et al. 2009

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Background Uganda currently has no organized prehospital emergency system. We sought to measure the current burden of injury seen by lay people in Kampala, Uganda and to determine the feasibility of a lay first-responder training program. Methods We conducted a cross-sectional survey of current prehospital care providers in Kampala: police officers, minibus taxi drivers, and Local Council officials, and collected data on types and frequencies of emergencies witnessed, barriers to aid provision, history of training, and current availability of first-aid supplies. A context-appropriate course on basic first-aid for trauma was designed and implemented. We measured changes in trainees' fund of knowledge before and after training. Results A total of 309 lay people participated in the study, and during the previous 6 months saw 18 traumatic emergencies each; 39% saw an injury-related death. The most common injury mechanisms were road crashes, assault, and burns. In these cases, 90% of trainees provided some aid, most commonly lifting (82%) or transport (76%). Fifty-two percent of trainees had previous first-aid training, 44% had some access to equipment, and 32% had ever purchased a first-aid kit. Before training, participants answered 45% of test questions correctly (mean %) and this increased to 86% after training (p \ 0.0001). Conclusions Lay people witness many emergencies and deaths in Kampala, Uganda and provide much needed care but are ill-prepared to do so. A context-appropriate prehospital trauma care course can be developed and improve lay people's knowledge of basic trauma care. The effectiveness of such a training program needs to be evaluated prospectively.

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“…One approach is to train ordinary citizens in first aid. This concept has been used in other low income countries using various approaches [1,9,12,20].…”

Section: Discussionmentioning

confidence: 99%

Managing the Injury Burden in Nepal

Karmacharya

Singh

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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Nepal loses about 530,000 disability adjusted life years (DALYs) per year to injury, predominantly due to falls. It takes 30,000 Nepali rupees (NR), or approximately US$430 at 70 rupees per $US saved per DALY to achieve primary prevention and 6000 NR per DALY if we invest in hospitals, versus 1000 NR invested in prehospital care, because simpler less expensive actions performed early have a greater impact on outcome than more complex measures later. A system for prehospital services was planned for medical emergencies at a national level meeting at the Medical University of Nepal to promote healthcare to victims in inaccessible regions by empowered or enlightened citizens. Feasible actions for common emergencies were defined and a tutorial required to help the majority of such victims was created and packaged. The knowledge and attitude component of the tutorial will be delivered through a web site to citizens motivated to learn and help with emergencies. The knowledge will be tested through a net-based Multiple Choice Questions (MCQ) test. Practical training in medical triage skills will be provided to those who qualify for the test at the University or its designated affiliates. A mobile phone-based Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.

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Rural Prehospital Trauma Systems Improve Trauma Outcome in Low-Income Countries

Abstract: Low-cost rural trauma systems have a significant impact on trauma mortality in low-income countries.

Cited by 204 publications

References 21 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”

Current Patterns of Prehospital Trauma Care in Kampala, Uganda and the Feasibility of a Lay‐First‐Responder Training Program

Managing the Injury Burden in Nepal

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