Assessment of Surgical and Trauma Capacity in Potosí, Bolivia

Blair, Kevin J.; Boeck, Marissa A.; Barrientos, José Luis Gallardo; López, José Luis Hidalgo; Helenowski, Irene; Nwomeh, Benedict C.; Shapiro, Michael B.; Swaroop, Mamta

doi:10.1016/j.aogh.2017.04.002

Cited by 13 publications

(8 citation statements)

References 17 publications

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“…Despite these reports and the unfortunate but demonstrative experiences of many countries, global preparedness toward MCI is still not institutionalized by proper management plans, promoted by governments, and nor are health care personnel sufficiently trained for the challenges likely to come [8][9][10].…”

Section: However An Analysis Of the Actual Characteristics Features mentioning

confidence: 99%

COVID-19 the showdown for mass casualty preparedness and management: the Cassandra Syndrome

et al. 2020

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Since December 2019, the world is potentially facing one of the most difficult infectious situations of the last decades. COVID-19 epidemic warrants consideration as a mass casualty incident (MCI) of the highest nature. An optimal MCI/disaster management should consider all four phases of the so-called disaster cycle: mitigation, planning, response, and recovery. COVID-19 outbreak has demonstrated the worldwide unpreparedness to face a global MCI. This present paper thus represents a call for action to solicitate governments and the Global Community to actively start effective plans to promote and improve MCI management preparedness in general, and with an obvious current focus on COVID-19.

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Section: However An Analysis Of the Actual Characteristics Features mentioning

confidence: 99%

COVID-19 the showdown for mass casualty preparedness and management: the Cassandra Syndrome

et al. 2020

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“…The PIPES and INTACT surveys conducted in Bolivia reported that the surgical capacity indexes (departments of Potosí and Santa Cruz) and trauma care (Potosí) of urban institutions were higher than in the rural institutions. (20,21) Likewise, over fifty percent of the surgeons and anesthesiologists in Potosí work in urban institutions; and, in the case of Santa Cruz, several rural institutions did not have an anesthesiologist available. In the Piura region, all the surgical care centers were in urban areas.…”

Section: Discussionmentioning

confidence: 99%

Surgical care and trauma patients capacity in Perú - Cross-sectional study

García¹,

Zapata²,

Vallejos³

et al. 2022

Colomb. J. Anesthesiol.

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Introduction: Low and medium income countries face challenges in access to, and delivery of, surgical care, resulting in a high number of deaths and disabled individuals. Objective: To estimate the capacity to provide surgical and trauma patients care in public hospitals in the Piura region, Perú, a middle income country. Methods: A survey was administered in public hospitals in the Peruvian region of Piura, which combined the Spanish versions of the PIPES and INTACT surveys, and the WHO situational analysis tool. The extent of the event was assessed based in the absolute differences between the medians of the scores estimated, and the Mann-Whitney bilateral tests, according to the geographical location and the level of hospital complexity. Results: Seven public hospitals that perform surgeries in the Piura region were assessed. Three provinces (3/8) did not have any complexity healthcare institutions. The average hospital in the peripheral provinces tended to be smaller than in the capital province in INTACT (8.25 vs. 9.5, p = 0.04). Additionally, water supply issues were identified (2/7), lack of incinerator (3/7), lack of uninterrupted availability of a CT-scanner (5/7) and blood bank working hours (2/7); in other words, the blood banks in two hospitals were not open 24 hours. Conclusions: There is a significant inequality among the provinces in the region in terms of their trauma care capacities and several shortfalls in the public sector healthcare infrastructure. This information is required to conduct future research on capacity measurements in every public and private institution in Perú.

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“…A total of 28% (16/57) of articles reference transport and logistical concerns as a barrier to trauma care [25,26,29,30,41,46,47,49,50,52,55,56,65,74,78,79] . Eight articles highlight issues with ambulances including locations of ambulance bases, time taken to deploy ambulances, time taken to reach patient, distance from hospital and traffic, all of which increase pre-hospital time.…”

Section: Transport and Logisticsmentioning

confidence: 99%

“…Fourteen articles [25,29,33,47,55,56,59,62,64,66,68,69,75,79] were assessed against the RTI item bank for risk of bias. Five articles were reviews or reports [39,44,54,76,77], and therefore could not be evaluated.…”

Section: Risk Of Biasmentioning

confidence: 99%

Barriers to Trauma Care in South and Central America: a systematic review

Kinder

Mehmood

Hodgson

et al. 2021

Eur J Orthop Surg Traumatol

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Introduction Trauma is widespread in Central and South America and is a significant cause of morbidity and mortality. Providing high quality emergency trauma care is of great importance. Understanding the barriers to care is challenging; this systematic review aims to establish current the current challenges and barriers in providing high-quality trauma care within the 21 countries in the region. Methods OVID Medline, Embase, EBM reviews and Global Health databases were systematically searched in October 2020. Records were screened by two independent researchers. Data were extracted according to a predetermined proforma. Studies of any type, published in the preceding decade were included, excluding grey literature and non-English records. Trauma was defined as blunt or penetrating injury from an external force. Studies were individually critically appraised and assessed for bias using the RTI item bank. Results 57 records met the inclusion criteria. 20 countries were covered at least once. Nine key barriers were identified: training (37/57), resources and equipment (33/57), protocols (29/57), staffing (17/57), transport and logistics (16/57), finance (15/57), socio-cultural (13/57), capacity (9/57), public education (4/57). Conclusion Nine key barriers negatively impact on the provision of high-quality trauma care and highlight potential areas for improving care in Central & South America. Many countries in the region, along with rural areas, are under-represented by the current literature and future research is urgently required to assess barriers to trauma management in these countries. No funding was received. Clinical Trial Registration: PROSPERO CRD42020220380.

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Assessment of Surgical and Trauma Capacity in Potosí, Bolivia

Cited by 13 publications

References 17 publications

COVID-19 the showdown for mass casualty preparedness and management: the Cassandra Syndrome

COVID-19 the showdown for mass casualty preparedness and management: the Cassandra Syndrome

Surgical care and trauma patients capacity in Perú - Cross-sectional study

Barriers to Trauma Care in South and Central America: a systematic review

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