Teaching Trauma Care in India: An Educational Pilot Study From Bangalore

Tchorz, Kathryn M.; Thomas, Naveen; Jesudassan, Sujatha; ., R. Gowtham Kumar; Chinnadurai, Rajkumar; Thomas, Asha; Tchorz, Rosemarie I.; Chaturvedula, Prabhkara Murthy; Parks, Jennifer; Naylor, Rebekah A.

doi:10.1016/j.jss.2006.07.010

Cited by 32 publications

(24 citation statements)

References 9 publications

(14 reference statements)

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“…Other short courses that teach trauma care, such as ATLS, have been shown in America and developing countries, such as Trinidad and Tobago, to increase practitioners' skills and reduce trauma-related mortality [21][22][23]. Newer low-cost trauma courses developed for resource-constraint environments in India and Tanzania have also shown to increase knowledge and skills and improve attitude with a short course curriculum [24,25]. Retention of knowledge after a short course has also been demonstrated.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Fundamental Critical Care Course in Kenya: Knowledge, Attitude, and Practice

Macleod

Jones

Aphivantrakul

et al. 2011

Journal of Surgical Research

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Section: Discussionmentioning

confidence: 99%

Evaluation of Fundamental Critical Care Course in Kenya: Knowledge, Attitude, and Practice

Macleod

Jones

Aphivantrakul

et al. 2011

Journal of Surgical Research

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“…A little initiative, however small, but could make a tremendous improvement in the approach to trauma care was demonstrated in the study by Tchorz et al . [29] in which a 2-day course on initial management of trauma with a test at the end, where the general practitioners who had lower pretest scores performed as well as surgeons in the post test. Thus, even if we cannot conduct regular ATLS courses due to financial constraints, customized courses like National Trauma Management Course (NTMC) should be encouraged in our country.…”

Section: Discussionmentioning

confidence: 99%

Injury-related mortality audit in a regional trauma center at Puducherry, India

Radjou

Balliga

Pal

et al. 2012

J Emerg Trauma Shock

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Background:There is an alarming trend of injuries leading to poor outcome of victims in India.Objective:To study the profile of patients who died due to trauma and to identify factors involved in both pre-hospital and hospital care.Materials and Methods:A hospital-based study was performed at a trauma center in Puducherry from June 2009 to May 2010. Patients who had at least one sign of life on admission and later died were included. The demographic characteristics, injury mechanism, nature and site of injury, influence of alcohol, pre-hospital time and care, distance traveled, number of referrals, time spent in study hospital, cause of death, and missed injuries revealed at post mortem were noted.Results:Of the 204 fatal cases, most were between 25-65 years of age (77%); sustained injuries over weekends (36%) and between 4 pm and midnight (41%); had at least one halt in a medical facility before reaching definitive care (56%); and died within a week (63%). Adults (25-65 y) sustained most injuries (77%) on two wheelers. In those aged over 65 years, 79 percent were pedestrians. Road traffic injuries were responsible for 82 % of deaths; 16 percent were reportedly under the influence of alcohol at the time of injury. Mean delay from the time of accident to admission was 14.9 hours and median distance traveled was 30 kilometers. Head injury was the most common (66%) cause of death. Post mortem revealed skull fractures (37%), while missed injuries were noted in 8 percent, mostly involving the cervical spine and chest wall.Conclusion:The problem of trauma care needs to be addressed urgently in this part of southern India to reduce mortality and morbidity.

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“…A recent study of a rural CME/CPD outreach program on HIV/STI prevention and treatment in rural China found that rural physicians reported increased knowledge and improved patient outcomes including higher rates of HIV testing and improved condom usage (Wang et al 2009). Rural CME/CPD outreach programs in trauma care in both India and Africa have also been effective in increasing participants' knowledge and skills in trauma care, and enhancing the quality of care provided to patients in rural areas (Mock et al 2005;Tchorz et al 2007). …”

Section: Discussionmentioning

confidence: 99%

A framework for enhancing continuing medical education for rural physicians: A summary of the literature

2010

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Background: Recruitment and retention of rural physicians is vital for rural health care. A key deterrent to rural practice has been identified as professional isolation and access to continuing medical education/continuing professional development (CME/CPD). Aims: The purpose of this article is to review and synthesize key themes from the literature related to CME/CPD and rural physicians to facilitate CME/CPD planning. Methods: A search of the peer-reviewed English language literature and a review of relevant grey literature (e.g., reports, conference proceedings) was conducted. Results: There is robust evidence demonstrating that the CME/CPD needs of rural physicians are unique. Promising practices in regional CME/CPD outreach and advanced procedural skills training and other up-skilling areas have been reported. Distance learning initiatives have been particularly helpful in increasing access to CME/CPD. The quality of evidence supporting the overall effect of these different strategies on recruitment and retention is variable. Conclusion: Supporting the professional careers of rural physicians requires the provision of integrated educational programs that focus on specific information and skills. Future research should examine the linkage between enhanced CME/CPD access and its effect on factors related to retention of physicians in rural communities. A proposed framework is described to aid in developing CME/CPD for rural practitioners.

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Teaching Trauma Care in India: An Educational Pilot Study From Bangalore

Cited by 32 publications

References 9 publications

Evaluation of Fundamental Critical Care Course in Kenya: Knowledge, Attitude, and Practice

Evaluation of Fundamental Critical Care Course in Kenya: Knowledge, Attitude, and Practice

Injury-related mortality audit in a regional trauma center at Puducherry, India

A framework for enhancing continuing medical education for rural physicians: A summary of the literature

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