Trauma Outcome Improves Following the Advanced Trauma Life Support Program in a Developing Country

Ali, Jameel; Adam, R.; Butler, A. K.; Chang, Hang; Howard, Mary; Gonsalves, D.; Pitt-Miller, P; Stedman, M.; Winn, Jennifer; Williams, John

doi:10.1097/00005373-199306000-00022

Cited by 250 publications

(126 citation statements)

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“…This suggests that the injuries were major in severity and influenced by the prehospital phases (Pre-event, event and post-event phase) (Intra-hospital and post-hospital periods) 27 . The present injury related mortality is similar to 31.8% rate reported in hospitals from developing countries including South Africa, but higher than 23.78% rate observed in hospitals from developed countries 7 .…”

Section: Discussionmentioning

confidence: 99%

Demographic profile and epidemiology of injury in Mthatha, South Africa

Dhaffala¹,

Longo-Mbenza²,

Kingu³

et al. 2014

Afr H. Sci.

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Objective: To determine the magnitude, socio-demographic and epidemiological characteristics of injury at a Provincial referral hospital. Methods: This review was conducted on all trauma patients admitted at the Mthatha Hospital Complex and Nelson Mandela Academic Hospital from the 1 st January 1997 to the 31 st December 2000. Results: The incident rate of injuries was 3.2% (n=2460/75,833 total admissions). Injured patients were mostly black (80%) and males (ratio: 5 men: 1 woman). Only 8.1% of injured patients were transported to hospital by ambulances. The leading causes of injuries were inter-personal violence accounting for 60% of cases, and motor vehicle accidents accounting for 19%; of them 38% were due to poor visibility, over speeding, and fatigue. The overall mortality was 33% (n=821) independently predicted by poverty (OR=8.2 95%CI 6-11.1; P<0.0001) and age>40 years(OR=7.8 95%CI 7.7-12.1;P<0.0001). Conclusion:The burden of injury is a mass issue that warrants regional attention with quality of care and training.

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Section: Discussionmentioning

confidence: 99%

Demographic profile and epidemiology of injury in Mthatha, South Africa

Dhaffala¹,

Longo-Mbenza²,

Kingu³

et al. 2014

Afr H. Sci.

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“…Establishment of the ATLS® program has improved trauma outcome in institutions with ATLS®-trained physicians in a developing country [6], but the overall trauma mortality in that country was not significantly affected by ATLS® alone [7]. This lack of positive impact in overall trauma outcome from improved physician training in trauma institutions is, in part, due to inadequate resuscitation of patients before arrival at the trauma center.…”

Section: Introductionmentioning

confidence: 99%

Improving Trauma Care in India: the Potential Role of the Rural Trauma Team Development Course (RTTDC)

Ali

Kumar

Gautam³

et al. 2012

Indian J Surg

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The Rural Trauma Team Development Course (RTTDC) was devised to optimize trauma resuscitation training in under-resourced rural institutions. This program appears ideal for India because of its dense traffic, large population, and high frequency of rural trauma. We report on the feasibility and desirability of introducing RTTDC in India. An instructor course for 20 faculties and a provider course for 23 were conducted in New Delhi, India. The courses were evaluated by multiple choice question (MCQ) performance, by rating the modules on a three-point scale (1 0 very relevant, 2 0 relevant, and 3 0 not relevant) for communication skills, principles of performance improvement and patient safety (PIPS), and clinical scenarios. Evaluation questionnaires including desirability of promulgation in India were completed using a five-point Likert Scale (1 0 strongly agree, 2 0 agree, 3 0 neutral, 4 0 disagree, and 5 0 strongly disagree). Overall written comments were also provided. Both faculty and providers improved post-course MCQ scores (p<0.05) with lower scores in the provider group. Seventy-eight percent faculty and 74 % providers rated the communication module very relevant. PIPS was rated very relevant by 72 % faculty and 65 % providers. There were over 150 comments, generally positive with over 90 % of both faculty and providers rating strongly agree to agree that the course be promulgated widely in India. The RTTDC including plans for promulgation was enthusiastically received in India, and its potential for improving trauma care including communication skills and PIPS appears excellent.

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“…Implementation of AlLS protocols and training of doctors worldwide has led to a significant decrease in mortality and morbidity [6]. The use of regionalized trauma centers too has been shown to decrease in trauma-related morhidity and mortality [7,8].…”

Section: Trauma Trainingmentioning

confidence: 99%