Identification and Prioritization of Key Components Influencing Prehospital Emergency Related to Preventable Road Traffic Injuries Deaths in Iran; A Delphi Study

Eftekhari, Adel; DehghaniTafti, Abbasali; Nasiriani, Khadijeh; Hajimaghsoudi, Majid; Fallahzadeh, Hossein; Khorasani‐Zavareh, Davoud

doi:10.29252/beat-070407

Cited by 5 publications

(2 citation statements)

References 38 publications

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“…8,9 Investing in and developing pre-hospital emergency care is one of the primary strategies for reducing the burden of injuries, particularly those caused by RTIs. 10 However, many developing countries lack pre-hospital emergency medical service systems, and road traffic deaths occur due to a lack of timely post-crash responses and access to hospitals. 11 Despite efforts to train emergency personnel, Ethiopia lacks a well-established emergency medical system to provide pre-hospital trauma care.…”

Section: N O N -C O M M E R C I a L U S E O N L Ymentioning

confidence: 99%

The role of pre-hospital ambulance care in the management of road traffic injuries in Addis Ababa (Ethiopia)

Ragasa

Legesse²,

Wudineh³

et al. 2022

Emer. Care J.

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It is estimated that 1.35 million people die each year as a result of road traffic injuries worldwide, with Africa having the highest annual rate. Ethiopia has the highest fatality rate in road traffic accidents, at 79%. There is no well-established emergency medical system in Ethiopia to provide pre-hospital trauma care. A crosssectional study was conducted at selected public hospitals in Addis Ababa. Purposive sampling was used to select the victims who arrived at the emergency department by ambulance. Data was gathered through structured questionnaires administered by an interviewer and a review of victims’ medical records. SPSS Version 25 was used to analyze the data. In this study, 262 victims took part, with a 94% response rate. Patient positioning (50.8%) was the most commonly provided service, followed by bleeding control (43.5%). Within the first 24 hours, 8.4% of the victims died. The first 24-hours of injury-related death were significantly associated with head/neck/spine injury and total pre-hospital time. Action should be taken to increase the availability of necessary equipment in ambulances and the number of paramedic personnel.

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Section: N O N -C O M M E R C I a L U S E O N L Ymentioning

confidence: 99%

The role of pre-hospital ambulance care in the management of road traffic injuries in Addis Ababa (Ethiopia)

Ragasa

Legesse²,

Wudineh³

et al. 2022

Emer. Care J.

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show abstract

“…One of the main strategies to reduce the burden of injuries, especially caused by RTIs, is investing on and developing Prehospital Emergency Care (PEC) [7][8][9]. PEC ranged from a patient's bedside in the community to a hospital emergency [10].…”

Section: Introductionmentioning

confidence: 99%

Development of quality indicators to measure pre-hospital emergency medical services for road traffic injury

Azami-Aghdash

Moosavi

Gharaee

et al. 2021

BMC Health Serv Res

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Abstracts Background Pre-Hospital Emergency Care (PEC) is a fundamental property of prevention of Road Traffic Injuries (RTIs). Thus, this sector requires a system for evaluation and performance improvement. This study aimed to develop quality indicators to measure PEC for RTIs. Methods Following the related literature review, 14 experts were interviewed through semi-structured interviews to identify Quality Measurement Indicators (QMIs). The extracted indicators were then categorized into three domains: structure, performance, and management. Finally, the identified QMIs were confirmed through two rounds of the Delphi technique. Results Using literature review 11 structural, 13 performance, and four managerial indicators (A total of 28 indicators) were identified. Also, four structural, four performance, and three managerial indicators (A total of 11indicators) were extracted from interviews with experts. Two indicators were excluded after two rounds of Delphi’s technics. Finally, 14 structural, 16 performance and, seven managerial indicators (A total of 37indicators) were finalized. Conclusion Due to the importance and high proportion of RTIs compared to other types of injuries, this study set out to design and evaluate the QMIs of PEC delivered for RTIs. The findings of this research contribute to measuring and planning aimed at improving the performance of PEC.

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Prehospital care for traumatic spinal cord injury by first responders in 8 sub-Saharan African countries and 6 other low- and middle-income countries: A scoping review

Eisner

Delaney

Widder

et al. 2021

African Journal of Emergency Medicine

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Introduction Traumatic spinal cord injury (TSCI) constitutes a considerable portion of the global injury burden, disproportionately affecting low- and middle-income countries (LMICs). Prehospital care can address TSCI morbidity and mortality, but emergency medical services are lacking in LMICs. The current standard of prehospital care for TSCI in sub-Saharan Africa and other LMICs is unknown. Methods This review sought to describe the state of training and resources for prehospital TSCI management in sub-Saharan Africa and other LMICs. Articles published between 1 January 1995 and 1 March 2020 were identified using PMC, MEDLINE, and Scopus databases following PRISMA-ScR guidelines. Inclusion criteria spanned first responder training programs delivering prehospital care for TSCI. Two reviewers assessed full texts meeting inclusion criteria for quality using the Newcastle-Ottawa Scale and extracted relevant characteristics to assess trends in the state of prehospital TSCI care in sub-Saharan Africa and other LMICs. Results Of an initial 482 articles identified, 23 met inclusion criteria, of which ten were set in Africa, representing eight countries. C-spine immobilization precautions for suspected TSCI patients is the most prevalent prehospital TSCI intervention for and is in every LMIC first responder program reviewed, except one. Numerous first responder programs providing TSCI care operate without C-collar access (n = 13) and few teach full spinal immobilization (n = 5). Rapid transport is most frequently reported as the key mortality-reducing factor (n = 11). Despite more studies conducted in the Southeast Asia/Middle East (n = 13), prehospital TSCI studies in Africa are more geographically diverse, but responder courses are shorter, produce fewer professional responders, and have limited C-collar availability. Discussion Deficits in training and resources to manage TSCI highlights the need for large prospective trials evaluating alternative C-spine immobilization methods for TCSI that are more readily available across diverse LMIC environments and the importance of understanding resource variability to sustainably improve prehospital TSCI care.

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Identification and Prioritization of Key Components Influencing Prehospital Emergency Related to Preventable Road Traffic Injuries Deaths in Iran; A Delphi Study

Cited by 5 publications

References 38 publications

The role of pre-hospital ambulance care in the management of road traffic injuries in Addis Ababa (Ethiopia)

The role of pre-hospital ambulance care in the management of road traffic injuries in Addis Ababa (Ethiopia)

Development of quality indicators to measure pre-hospital emergency medical services for road traffic injury

Prehospital care for traumatic spinal cord injury by first responders in 8 sub-Saharan African countries and 6 other low- and middle-income countries: A scoping review

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