Trauma Care in Oman: Where do we stand and where should we be heading?

Al-Kashmiri, Ammar

doi:10.18295/squmj.2017.17.04.002

Cited by 4 publications

(7 citation statements)

References 23 publications

(17 reference statements)

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“…In our study, a higher number of trauma visits was observed among male adults (85.6%), a fi nding that is consistent with different studies [7,9,10] [11]. Patients with stab injuries signifi cantly required more resuscitation, 31.5 minutes (P= 0.038).…”

Section: Discussionsupporting

confidence: 91%

Trauma Resuscitation Time at A Tertiary Care Hospital in Oman: A Retrospective Observational Study

Al-Maawali¹,

Rawahi²,

Al-Qadhi³

2020

Open J Trauma

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for the severely injured patient arriving in the Emergency Department [3]." Time is considered an essential determinant in the initial care of trauma patients, as rapid effective trauma resuscitation decreases patient morbidity and mortality. Trauma resuscitation time (TRT) is defi ned as "the time between the actual arrival of the patient into the emergency department trauma bay and the fi nal disposition" [4]. This initial period is directly related to the patients' outcomes and delays might result in preventable deaths [5]. Different retrospective studies have reported different trauma resuscitation time with a median

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Section: Discussionsupporting

confidence: 91%

Trauma Resuscitation Time at A Tertiary Care Hospital in Oman: A Retrospective Observational Study

Al-Maawali¹,

Rawahi²,

Al-Qadhi³

2020

Open J Trauma

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“…In most healthcare systems worldwide, trauma centres are designated at different levels according to their capacity to treat critically injured patients, with level I centres typically being considered most capable and level III centres being least capable. 9 Generally, higher-level trauma centres provide the greatest level of care and have access to specialised trauma surgeons (i.e. neurosurgeons and orthopaedic surgeons) and nurses as well as trauma-specific diagnostic equipment.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, emergency medical services are often the first point-of-care for critically injured patients and would transfer such patients immediately by ambulance to a trauma centre. 9 These factors might thus partly explain the lack of availability of certain types of equipment in primary health care centres. Nevertheless, in many trauma cases, immediate management can mean the difference between life or death.…”

Section: Discussionmentioning

confidence: 99%

“… 11 Within this type of system, a trauma registry with severity scoring is a key component of quality improvement, outcome evaluation and monitoring the process of care; moreover, trauma registries are invaluable during healthcare policymaking, auditing and resource allocation. 9 , 14 , 15 At most of the studied health centres, there was no specific register or database for trauma cases, although there was one for referred cases which indirectly showed the number of cases referred to trauma centres. With appropriate organisation, planning and the allocation of resources, the authors believe that most primary health centres in Oman will be capable of delivering ETC services, thus reducing the burden on trauma centres and tertiary hospitals.…”

Section: Discussionmentioning

confidence: 99%

“…8 In terms of trauma management, primary health centres provide initial care and stabilisation before referring cases to secondary or tertiary hospitals. 9 As with other Gulf Cooperation Council countries, Oman has a high RTC-related death rate with 16.1 deaths per 100,000 individuals. 3 A recent pilot study also showed that the distribution and quality of trauma centres in Oman was inadequate in terms of their proximity to high-incidence RTC sites.…”

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confidence: 99%

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Evaluating Trauma Care Capabilities using the Essential Trauma Care Guidelines of the World Health Organization

Balushi

Salmani

2022

Sultan Qaboos Univ Med J

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Objectives: This study aimed to evaluate trauma care capabilities at the primary care level in Muscat, Oman, using World Health Organization guidelines. Methods: This descriptive cross-sectional study was conducted between January and March 2015 at eight primary health centres in Seeb. An English-language questionnaire was distributed to the medical officer or nurse in charge at each centre to determine the number of staff, total population being served, number of emergency trauma cases and availability of ambulances. Subsequently, 10 doctors from each health centre were randomly selected to assess the availability of physical resources as well as their trauma skills and knowledge. Results: There were limited physical and human resources for the management of trauma and a complete absence of trauma administrative functions, such as local trauma registries or quality improvement activities. Conclusion: This study highlighted the need to introduce national guidelines and improve the delivery of trauma services in Oman. Keywords: Primary Healthcare; Trauma; Emergency Medicine; Capacity Building; Health Resources; Delivery of Health Care; Oman.

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Epidemiology of traumatically injured Yemeni civilians treated at the Omani National Trauma Centre over a 2-year period: a retrospective cohort study

Ramaraj,

Al-Buluchi,

Al-Shaqsi

et al. 2023

BMJ Mil Health

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IntroductionArmed conflict is a growing global cause of death, posing a significant threat to the resilience of global health systems. However, the burden of disease resulting from the Yemeni Civil War remains poorly understood. Approximately half of healthcare facilities in Yemen are non-operational, and around 15% of the population has been displaced. Consequently, neighbouring countries’ trauma systems have been providing care to the injured. The objective of this study was to investigate the epidemiology and management of Yemeni civilian victims injured during the war who were subsequently extracted and treated at the study centre in Oman.MethodsWe conducted a retrospective cohort study, including all Yemeni civilians treated for traumatic injuries at the study centre from January 2015 to June 2017. We extracted data on age, sex, date of attendance, mechanism of injury, injuries sustained and treatment.ResultsA total of 254 injured patients were identified. Their median age was 25 (range 3–65) years and 244 (96.1%) were male. Explosions (160 patients, 63.0%) were the most common mechanism of injury, and fractures (n=232 fractures, 42.3% of all injuries; in 149 patients, 58.7% of all patients) the most common injury. Eighty-four of the 150 patients (56%) who received operative management at the study centre were receiving a second procedure after an index procedure outside of Oman.One hundred and twenty-eight (50.4%) patients experienced permanent loss of function in at least one body part and/or limb loss.ConclusionsThis study demonstrates the downstream needs of Yemeni civilians who were evacuated to the study centre, revealing a considerable burden of morbidity associated with this population. The findings emphasise key areas that receiving hospitals should prioritise in resource allocation when managing conflict-wounded evacuees. Additionally, the study underscores the need for holistic rehabilitation for civilian casualties displaced by conflict.

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Trauma Care in Oman: Where do we stand and where should we be heading?

Abstract: NA

Cited by 4 publications

References 23 publications

Trauma Resuscitation Time at A Tertiary Care Hospital in Oman: A Retrospective Observational Study

Trauma Resuscitation Time at A Tertiary Care Hospital in Oman: A Retrospective Observational Study

Evaluating Trauma Care Capabilities using the Essential Trauma Care Guidelines of the World Health Organization

Epidemiology of traumatically injured Yemeni civilians treated at the Omani National Trauma Centre over a 2-year period: a retrospective cohort study

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