Experience in the management of the mass casualty from the January 2010 Jos Crisis

Ozoilo, KN; Amupitan, Idumagbodi; Peter, SD; Ojo, EO; Ismaila, BO; Ode, M; Adoga, Adeyi A; Adoga, AS

doi:10.4103/1119-3077.179276

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…The Trauma Management Course originated in direct response to recurring cycles of violence in Plateau State, which resulted in numerous mass casualty situations [ 10 , 12 , 15 , 18 ]. As the crises evolved, more and more medical personnel without previous training in trauma care were participating in the care of these trauma patients.…”

Section: Resultsmentioning

confidence: 99%

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The History and Evolution of the West African College of Surgeons/Jos University Teaching Hospital Trauma Management Course

et al. 2023

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Background Inadequate trauma care training opportunities exist in Low- and Middle-Income Countries. Jos University Teaching Hospital and the West African College of Surgeons (WACS) have synergized, over the past 15 years, to introduce a yearly, certified, multidisciplinary Trauma Management Course. We explore the history and evolution of this course. Methods A desk review of course secretariat documents, registration records, schedules, pre- and post-course test records, post-course surveys, and account books complemented by organizer interviews was carried out to elaborate the evolution of the Trauma Management Course. Results The course was started as a local Continuing Medical Education program in 2005 in response to recurring cycles of violence and numerous mass casualty situations. Collaborations with WACS followed, with inclusion of the course in the College’s yearly calendar from 2010. Multidisciplinary faculty teach participants the concepts of trauma care through didactic lectures, group sessions, and hands-on simulation within a one-week period. From inception, there has been a 100% growth in lecture content (from 15 to 30 lectures) and in multidisciplinary attendance (from 23 to 133 attendees). Trainees showed statistically significant knowledge gain yearly, with a mean difference ranging from 10.1 to 16.1% over the past 5 years. Future collaborations seek to expand the course and position it as a catalyst for regional emergency medical services and trauma registries. Conclusions Multidisciplinary trauma management training is important for expanding holistic trauma capacity within the West African sub-region. The course serves as an example for Low- and Middle-Income contexts. Similar contextualized programs should be considered to strengthen trauma workforce development.

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Section: Resultsmentioning

confidence: 99%

“…The State houses a population of about 3.5 million from over 40 indigenous ethno-linguistic groups [8]. Sociocultural differences, terrorist activities and farmerherdsmen clashes over land ownership have historically led to repeated civilian conflicts [9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

The History and Evolution of the West African College of Surgeons/Jos University Teaching Hospital Trauma Management Course

et al. 2023

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“…4 This tendency highlights the notion that care providers continue to underestimate the amount of blood that can be lost from the scalp. 4 During mass casualty, where a diminution in the quality of trauma care is experienced, 11 discounting CMF hemorrhage could be especially prominent. The current standard of applying direct pressure may not be manageable during mass casualty or even when a single patient has multiple injuries that require attention.…”

Section: Discussionmentioning

confidence: 99%

The iTClamp in the treatment of prehospital craniomaxillofacial injury: a case series study

McKee

McKee²,

Ball

et al. 2019

J Inj Violence Res

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:Background:Craniomaxillofacial (CMF) injuries are very common in both civilian and military settings. Nearly half of all civilian trauma incidents include a scalp laceration and historical rates of CMF battle injuries increased from 16%-21% to 42.2%. The scalp is highly vascular tissue and uncontrolled bleeding can lead to hypotension, shock and death. Therefore, enabling on-scene providers, both military and civilian, to immediately manage scalp and face lacerations, in a manner that allows them to still function in a tactical way, offers operational advantages. This case series examines how effectively a wound-clamp (iTClamp) controlled bleeding from CMF injuries pre-hospital environment. Methods:The use of the iTClamp for CMF (scalp and face laceration) was extracted from iTrauma Care’s post market surveillance database. Data was reviewed and a descriptive analysis was applied.Results:216 civilian cases of iTClamp use were reported to iTrauma Care. Of the 216 cases, 37% (n=80) were for control of CMF hemorrhage (94% scalp and 6% face). Falls (n=24) and MVC (n=25) accounted for 61% of the mechanism of injury. Blunt accounted for 66% (n=53), penetrating 16% (n=13) and unknown 18% (n=14). Adequate hemorrhage control was reported in 87.5% (n=70) of cases, three respondents reported inadequate hemorrhage control and in seven cases hemorrhage control was not reported. Direct pressure and packing was abandoned in favor of the iTClamp in 27.5% (n=22) of cases. Conclusions:CMF injuries are common in both civilian and military settings. Current options like direct manual pressure (DMP) often do not work well, are formidable to maintain on long transports and Raney clips are a historical suggestion. The iTClamp offers a new option for control of external hemorrhage from open wounds within compressible zones.

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“…In cases, where the patients present as part of a mass casualty incidence, they are managed using the mass casualty protocol as discussed in the previous studies. [13,14]…”

Section: Study Locationmentioning

confidence: 99%

Gunshot injury in children: A 3-year review of cases that presented to the Jos University Teaching Hospital, North Central Nigeria

Amupitan

Ode

Peter

et al. 2021

ANMRP

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Objectives: Gunshot injuries among children are a major clinical and public health concern and one of the leading causes of pediatric morbidity and mortality. This usually takes a great financial and emotional toll on the affected children, their families, and society as a whole. The objective of the study was to determine the pattern of injury, severity, outcome, and challenges in managing the gunshot injuries in children. Material and Methods: This is a descriptive study of patients below 18 years of age who presented with gunshot injuries to the Jos University Teaching Hospital between January 2011 and December 2014. Patient demographics and clinical details were collected on a trauma data sheet, and entered into an Excel spreadsheet. It was analyzed descriptively. Results: Two hundred and forty-two patients presented with gunshot injuries in the period under review, of which 30 of them were children. The median age of the patients was 12 years with an interquartile range of 7.75 and 16.25. Twenty-two (73.3%) of them were male while 8 (26.7%) were female. High-velocity firearms accounted for 13 (43.3%) of the injuries and were the most predominant cause of injury. The most common part of the body involved was the extremities in 63.3% of patients. Debridement and secondary suturing was carried out in 83.3% of the patients while wound infection was the most noted complication in 33.3% of the patients. Conclusion: There is an increasing incidence of gunshot injuries in this region. A lot of the children survive and reach the hospital though, and most of them are treated and discharged, however, attendant emotional and psychological trauma cannot be excluded in these patients. There is, thus, a need for proper policy to protect and treat these children when this happens.

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Experience in the management of the mass casualty from the January 2010 Jos Crisis

Cited by 5 publications

References 8 publications

The History and Evolution of the West African College of Surgeons/Jos University Teaching Hospital Trauma Management Course

The History and Evolution of the West African College of Surgeons/Jos University Teaching Hospital Trauma Management Course

The iTClamp in the treatment of prehospital craniomaxillofacial injury: a case series study

Gunshot injury in children: A 3-year review of cases that presented to the Jos University Teaching Hospital, North Central Nigeria

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