Developing sustainable prehospital trauma education in Rwanda

Autor: Ashley Rosenberg, Ignace Kabagema, Basil Asay, Jean Marie Uwitonze, Stephanie Louka, Menelas Nkeshimana, Gabin Mbanjumucyo, Luke Wolfe, Catherine Valukas, Theophile Dushime, Sudha Jayaraman
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: African Journal of Emergency Medicine, Vol 10, Iss 4, Pp 234-238 (2020)
Druh dokumentu: article
ISSN: 2211-419X
DOI: 10.1016/j.afjem.2020.07.015
Popis: Introduction: Every year, >5 million people worldwide die from trauma. In Kigali, Rwanda, 50% of prehospital care provided by SAMU, the public prehospital system, is for trauma. Our collaboration developed and implemented a context-specific, prehospital Emergency Trauma Care Course (ETCC) and train-the-trainers program for SAMU, based on established international best practices. Methods: A context-appropriate two-day ETCC was developed using established best practices consisting of traditional 30-minute lectures followed by 20-minute practical scenario-based team-driven simulation sessions. Also, hands-on skill sessions covered intravenous access, needle thoracostomy and endotracheal intubation among others. Two cohorts participated — SAMU staff who would form an instructor core and emergency staff from ten district, provincial and referral hospitals who are likely to respond to local emergencies in the community. The instructor core completed ETCC 1 and a one-day educator course and then taught the second cohort (ETCC2). Pre and post course assessments were conducted and analyzed using Student's t-test and matched paired t-tests. Results: ETCC 1 had 17 SAMU staff and ETCC 2 had 19 hospital staff. ETCC 1 mean scores increased from 40% to 63% and ETCC 2 increased from 41% to 78% after the course (p
Databáze: Directory of Open Access Journals