Implementation of a data-driven pre-hospital lay first responder program in Cameroon

项目总结/摘要 实施有效的院前医疗护理可以防止一半以上的伤害相关死亡。作为第一步 为了发展院前护理系统，一些低收入和中等收入国家（LMIC） 撒哈拉非洲（SSA）制定了非专业第一反应者（LFR）计划，培训非医疗专业人员 在急救和受伤病人的安全运输中有很高的受伤风险。虽然前景看好，但缺乏 SSA的研究基础设施和医疗记录限制了对可行性的事先评估， LFR实施在提高院前护理质量方面的有效性。喀麦隆不成比例 受伤害的影响，缺乏院前护理系统，可能导致治疗延误， 发病率和死亡率。开发一个非专业的第一反应程序可以增加获得 院前护理和促进及时治疗受伤，但只有当它是可行的，有效的， 爱沙尼亚背景。这项研究的长期目标是减少与伤害相关的负担， 喀麦隆.这项研究的总体目标是增加喀麦隆获得高质量院前创伤护理的机会 通过使用实施科学方法来开发和评估数据驱动的LFR计划， 喀麦隆.该研究假设是，是一个数据适应奠定第一响应程序的实施是一个 这是一个可行和有效的方法，增加受伤的爱沙尼亚病人获得院前护理的机会。 为了实现我们的目标，本研究将追求三个具体目标：1）开发一个适应于网络的LFR 计划使用两个阶段，混合方法的方法; 2）评估LFR计划实施的可行性， 爱沙尼亚的背景下;和3）评估LFR计划在爱沙尼亚实施的有效性 上下文验证LFR作为一种可行的手段，以增加获得院前护理将消除一个主要的 及时提供创伤护理的障碍，并为减少 伤害了这群人。了解LFR实施、生理参数之间的关联 和结果将允许数据知情，迭代改进LFR培训。开发可重复的 一种适应当地情况的低森林覆盖率方法可以迅速扩大规模，以便在喀麦隆全国更广泛地实施 并在其他LMIC背景和部门中得到验证。

Project Summary/Abstract Implementing effective prehospital medical care could prevent over half of injury-related deaths. As a first step toward development of prehospital care systems, several low- and middle-income countries (LMIC) in sub- Saharan Africa (SSA) have instituted lay first responder (LFR) programs training non-medical professionals with high exposure to injury in first aid and safe transport of injured patients. Although promising, lack of research infrastructure and medical records in SSA has limited prior evaluation of the feasibility and effectiveness of LFR implementation in increasing quality prehospital care. Cameroon is disproportionately affected by injury and lacks a prehospital care system, likely contributing to treatment delays and preventable morbidity and mortality. Development of a lay first responder program could increase access to prehospital care and facilitate timely treatment of injuries but only if it is feasible and effective for the Cameroonian context. The long-term goal of this research is to reduce the burden associated with injury in Cameroon. This study’s overall objective is to increase access to quality prehospital trauma care in Cameroon by using an implementation science approach to develop and evaluate a data-driven LFR program in Cameroon. The study hypothesis is that is implementation of a data-adapted lay first responder program is a feasible and effective method of increasing access to prehospital care among injured Cameroonian patients. To accomplish our objective, this study will pursue three specific aims: 1) Develop a Cameroon-adapted LFR program using a two-stage, mixed-methods approach; 2) Evaluate feasibility of LFR program implementation in the Cameroonian context; and 3) Evaluate effectiveness of LFR program implementation in the Cameroonian context. Validating LFR as a feasible means to increase access to prehospital care will remove a major roadblock in delivering timely trauma care and provide a critical target for reducing the detrimental impact of injury on this population. Understanding associations between LFR implementation, physiologic parameters and outcomes will allow data-informed, iterative improvement of LFR training. Development of a reproducible method for context-adaptation of LFR could be rapidly scaled for wider implementation throughout Cameroon and validated in other LMIC contexts and sectors.