Current patterns of prehospital trauma care in Kampala, Uganda and the feasibility of a lay-first-responder training program.
Current patterns of prehospital trauma care in Kampala, Uganda and the feasibility of a lay-first-responder training program.
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DOI：
10.1007/s00268-009-0180-6
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发表时间：
2009-12-01
影响因子：
2.6
通讯作者：
Ozgediz, Doruk
中科院分区：
文献类型：
--
作者：
Jayaraman, Sudha;Mabweijano, Jacqueline R;Ozgediz, Doruk
背景：乌干达目前没有有组织的院前急救系统。我们试图衡量目前的负担伤害看到外行人在坎帕拉，乌干达和确定的可行性，奠定第一反应者培训program.METHODS：我们进行了一项横断面调查，目前院前护理提供者在坎帕拉：警察、小巴出租车司机和地方理事会官员，并收集了关于目睹的紧急情况的类型和频率、提供援助的障碍、培训历史的数据，以及目前急救用品的供应情况。设计并实施了一个适合具体情况的创伤基本急救课程。我们测量了培训前后学员知识库的变化。结果：共有309名非专业人员参与了这项研究，在过去6个月内，每人经历了18次创伤性紧急情况; 39%的人经历了与伤害相关的死亡。最常见的伤害机制是车祸、袭击和烧伤。在这些情况下，90%的受训者提供了一些帮助，最常见的是搬运（82%）或运输（76%）。52%的受训者以前接受过急救培训，44%的人有一些设备，32%的人曾经购买过急救箱。在培训前，参与者正确回答了45%的测试问题（平均值%），这增加到86%的培训后（p < 0.0001）。结论：外行人见证了许多紧急情况和死亡在坎帕拉，乌干达和提供急需的照顾，但准备不足。一个上下文适当的院前创伤护理课程可以开发和提高外行人的基本创伤护理的知识。这种培训方案的有效性需要进行前瞻性评估。
BACKGROUND: Uganda currently has no organized prehospital emergency system. We sought to measure the current burden of injury seen by lay people in Kampala, Uganda and to determine the feasibility of a lay first-responder training program.METHODS: We conducted a cross-sectional survey of current prehospital care providers in Kampala: police officers, minibus taxi drivers, and Local Council officials, and collected data on types and frequencies of emergencies witnessed, barriers to aid provision, history of training, and current availability of first-aid supplies. A context-appropriate course on basic first-aid for trauma was designed and implemented. We measured changes in trainees' fund of knowledge before and after training.RESULTS: A total of 309 lay people participated in the study, and during the previous 6 months saw 18 traumatic emergencies each; 39% saw an injury-related death. The most common injury mechanisms were road crashes, assault, and burns. In these cases, 90% of trainees provided some aid, most commonly lifting (82%) or transport (76%). Fifty-two percent of trainees had previous first-aid training, 44% had some access to equipment, and 32% had ever purchased a first-aid kit. Before training, participants answered 45% of test questions correctly (mean %) and this increased to 86% after training (p < 0.0001).CONCLUSIONS: Lay people witness many emergencies and deaths in Kampala, Uganda and provide much needed care but are ill-prepared to do so. A context-appropriate prehospital trauma care course can be developed and improve lay people's knowledge of basic trauma care. The effectiveness of such a training program needs to be evaluated prospectively.