A model of prehospital trauma training for lay persons devised in Africa

Tiska, Michael

doi:10.1136/emj.2002.002097

Cited by 117 publications

(116 citation statements)

References 7 publications

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“…The course content has not been previously validated in this setting. Topics were modified from previously reported curricula, which had been adapted from validated Red Cross first-aid courses [19]. Our modifications may affect the validity and generalizability of this course to other settings.…”

Section: Discussionmentioning

confidence: 99%

“…We developed a modified basic first-aid curriculum for the Ugandan context based on the Ghanaian course [19] and planned to enroll 300 Ugandan police officers, taxi drivers, and Local Council officials in the training program. Institutional Review Board approvals were obtained at the University of California, San Francisco, Mulago Hospital, and the Uganda National Council of Science and Technology for this study.…”

Section: Methodsmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

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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“…This study aims to directly quantify the current orthopaedic burden of disease at KCMC and provide a foundation to estimate the magnitude and potential benefit of improving access to surgical care in the northern region of Tanzania. The information contained in this study could also guide the implementation of a pre-hospital emergency response system to reduce the burden of trauma in this region [9,10].…”

Section: Introductionmentioning

confidence: 99%

The burden of orthopaedic disease presenting to a referral hospital in northern Tanzania

Premkumar¹,

Massawe²,

Mshabaha³

et al. 2016

Glob Surg

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Background: In low and middle-income countries, country specific data is scarce regarding the burden of surgical disease, with most estimates extrapolated from indirect methods. Kilimanjaro Christian Medical Center (KCMC) is the only tertiary referral hospital for a population of over 11 million in Northern Tanzania. This study aims to directly quantify the current orthopaedic burden of disease at KCMC and provide a foundation to estimate the magnitude and potential benefit of improving access to orthopaedic surgical care in the northern regions of Tanzania.

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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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A model of prehospital trauma training for lay persons devised in Africa

Cited by 117 publications

References 7 publications

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

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

The burden of orthopaedic disease presenting to a referral hospital in northern Tanzania

Managing the Injury Burden in Nepal

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