Management of post‐partum haemorrhage in the Timor Leste National Ambulance Service

Abstract

This research has shown that paramedics are not consistently using available clinical interventions.

World Health Assembly Resolution 72.16: What are the implications for the Australasian College for Emergency Medicine and emergency care development in the Indo‐Pacific?

“…In Fiji, trauma management has been improved through enhanced surveillance and team‐based care; in Papua New Guinea, action research has helped optimise asthma treatment; and in the Solomon Islands, inconsistent triage (a challenge in many Pacific Island countries) has been addressed by a simple, locally developed triage system . Despite experiencing significant disasters, Indonesia and Myanmar have only recently developed specialty training in emergency medicine (EM) and have identified that the crucial pre‐hospital EC needs can be assisted by simple rural systems and basic protocols …”

“…24 Despite experiencing significant disasters, Indonesia and Myanmar have only recently developed specialty training in emergency medicine (EM) 25,26 and have identified that the crucial pre-hospital EC needs can be assisted by simple rural systems and basic protocols. 27,28 What has happened so far?…”

Assessing trauma care systems in low-income and middle-income countries: a systematic review and evidence synthesis mapping the Three Delays framework to injury health system assessments

“… 7 26 184 LMIC EMS priorities are known to differ: some function exclusively or primarily for obstetric patients, 175 185–188 some focus on trauma, 189 190 while some cover trauma, obstetric and medical conditions in similar proportions. 32 33 Knowing and reporting this context should be part of incorporating EMS data meaningfully in future studies.…”

“… 25 29 Although many mechanisms can cause injury, patient management protocols standardise initial treatment priorities, regardless of aetiology. 30 31 Both are acute-onset, time-critical conditions, 5 with overlapping health system response requirements including timely facility transfer, 32 33 anaesthesia 34 and haemorrhage control. However, they differ in funder priority, 35 36 community and cultural understanding, 37 38 and the demographic characteristics of affected individuals.…”

Emergency care status, priorities and standards for the Pacific region: A multiphase survey and consensus process across 17 different Pacific Island Countries and Territories

“…Examples of evidence-based, context appropriate clinical guidelines to improve EC exist for trauma care in Fiji [40] and acute asthma in PNG, [41] as well as a framework for developing and sharing locally adapted clinical EC guidelines. [42] The need for pre-hospital clinical practice guidelines is highlighted in Timor-Leste, [43] as one component of many essential Process priorities and standards required to build an effective prehospital system.…”