Injury control in Honduras: A survey of injury mortality

Richman, Mark; Shayne, Philip; Heron, Sheryl; Lowery, Douglas W.; Todd, Knox H.

doi:10.1067/mem.2000.109444

Cited by 7 publications

(4 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is of significance in the Latin region, especially in rural areas that shoulder much of the burden of injury and where rapid urbanization and development is ongoing without the corresponding improvement in infrastructure and health care systems [9, 10]. Trauma care in rural areas of Latin America remains rudimentary without appropriate injury prevention and control efforts [11, 12]. Without appropriate planning and organization no effective primary and secondary prevention efforts can be carried out.…”

Section: Introductionmentioning

confidence: 99%

Ratification of IATSIC/WHO’s Guidelines for Essential Trauma Care Assessment in the South American Region

et al. 2010

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Ratification of IATSIC/WHO’s Guidelines for Essential Trauma Care Assessment in the South American Region

et al. 2010

View full text Add to dashboard Cite

show abstract

“…7,8 Trauma care in rural areas of Latin America remains rudimentary without appropriate injury prevention and control efforts. 9,10 Such statistics are refl ected in Ecuador where aggressions (homicides, assaults) and motor vehicle crashes are the leading cause of mortality with an attributable fatality rate of 37.5 per 10,000 inhabitants. 11 Almost 40% of Ecuador's population is rural and yet rural trauma remains underestimated and few trauma interventions are targeted to these areas.…”

Section: Introductionmentioning

confidence: 99%

Trauma Course for an Aerial Medical Transport System in the Amazon Rainforest of Ecuador

Mora¹,

Nicholson²,

Lovelady³

et al. 2012

Panamerican Journal of Trauma, Critical Care &Amp; Emergency Surgery

View full text Add to dashboard Cite

Objectives Aerial transport of injured patients in rural Southeastern Ecuador is provided by humanitarian organizations with no medical personnel or assistance. We sought to evaluate the feasibility and usefulness of a tailored aeromedical transport (AMT) course for nonmedical personnel (pilot and technicians) in the jungles of Ecuador, where there are no formal medical crew members. Methods Fixed-wing aeromedical flights in the Amazon province of Morona Santiago were analyzed to delineate the injury patterns (IP) and reason for transport (RFT). An 8-hour didactic and hands-on AMTC course based on IP and RFT was developed and administered by the Virginia Commonwealth University (VCU) International trauma system development program (ITSDP) and VCU Life Evac with extensive experience in aeromedical education and training. Pre- and post-test course evaluation was used to assess the medical background and knowledge retention of the participants. Results A total of 5,716 fixed-wing aeromedical transports between Jan 2003 and Dec 2005 were analyzed. The course was developed based on 1176 (20%) RFT resulting from traumatic injuries. Course structure based on identified IP included 4 didactic lectures and hands-on skill training in aerial physiology, airway management, bleeding control, shock, musculoskeletal injuries, immobilization and patient transport. Fifteen students (4 pilots, 4 engineers, 2 physicians, 4 aerial staff and 1 flight operator) participated in the course. Pre- and post-test evaluations demonstrated significant improvement in knowledge from 53% (average 10.53, STD 1.6) to 73% (average 14.53, STD 2.13) p-value < 0.0001). Critical deficiencies in information uptake were identified in airway management and flight physiology Conclusion A tailored AMTC may serve as the first step toward the development of a regionally specific aeromedical transport service. Long-term follow-up is needed to evaluate the real impact of this intervention in terms of morbidity and mortality. How to cite this article Aboutanos MB, Mora FE, Nicholson B, Lovelady J, Dhindsa H, Mata LV, Kleiman D, Chin T, King A, Ivatury RR. Trauma Course for an Aerial Medical Transport System in the Amazon Rainforest of Ecuador. Panam J Trauma Critical Care Emerg Surg 2012;1(1):1-5.

show abstract

“…Although some research has been published on injury surveillance systems in developing countries, significant gaps exist concerning the establishment and maintenance of such programs 7 (8)(9)(10)(11)(12)(13)(14)(15). Some injury surveillance systems in developing countries have relied on mortuary statistics as their data source.…”

Section: The Need For Injury Surveillancementioning

confidence: 99%

“…Colombia, El Salvador, and Nicaragua all agreed on an MDS common to all three countries prior to implementing their respective injury surveillance systems. The utility of using a simple, standardized set of internationally recognized definitions for injury surveillance has been demonstrated in several countries, including Honduras, Jamaica, and South Africa (8,13,17).…”

Section: Data Elements and Collection Instrumentsmentioning

confidence: 99%

The establishment of injury surveillance systems in Colombia, El Salvador, and Nicaragua (2000-2006)

Sklaver¹,

Clavel-Arcas²,

Fandiño-Losada³

et al. 2008

Rev Panam Salud Publica

View full text Add to dashboard Cite

Injury control in Honduras: A survey of injury mortality

Cited by 7 publications

References 3 publications

Ratification of IATSIC/WHO’s Guidelines for Essential Trauma Care Assessment in the South American Region

Ratification of IATSIC/WHO’s Guidelines for Essential Trauma Care Assessment in the South American Region

Trauma Course for an Aerial Medical Transport System in the Amazon Rainforest of Ecuador

The establishment of injury surveillance systems in Colombia, El Salvador, and Nicaragua (2000-2006)

Contact Info

Product

Resources

About