Development and Implementation of a Novel Web‐based Gaming Application to Enhance Emergency Medical Technician Knowledge in Low‐ and Middle‐Income Countries

International standards recommend provision of one ambulance for every 50,000 people to fulfill demand for transporting patients to definitive care facilities in low and middle income countries (LMICs). Governments’ consistent attempt to build capacity of emergency medical services (EMS) in LMICs has been financially demanding. This study is an attempt to assess the feasibility of capacity building of existing EMS in Delhi, India by using taxis as an alternative mode of transport for emergency transportation of road traffic crash victims to enable improvement in response time for road traffic crashes where time criticality is deemed important. Performance of the proposed system is evaluated based on response time, coverage and distance. The system models the performance and quantifies the taxi–ambulance configuration for achieving EMS performance within international standards.

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Training Australian General Surgeons for Humanitarian Emergencies: A Comparison Between Trainee Logbooks and Emergency Medical Team Caseloads

Prehospital and Disaster Medicine ◽

10.1017/s1049023x19000268 ◽

2019 ◽

Vol 34 (s1) ◽

pp. s3-s3

Author(s):

Charles Coventry ◽

Lynette Dominquez ◽

David Read ◽

Miguel Trelles ◽

Rebecca Ivers ◽

...

Keyword(s):

Surgical Procedures ◽

The Philippines ◽

Fracture Repair ◽

Orthopedic Procedures ◽

Middle Income ◽

Middle Income Countries ◽

Emergency Medical ◽

Surgical Trainees ◽

General Surgeons ◽

Low And Middle Income

Introduction:Emergency medical teams (EMTs) have helped to provide surgical care in many recent sudden onset disasters (SODs), especially in low- and middle-income countries (LMICs). General surgical training in Australia has undergone considerable change in recent years, and it is not known whether the new generation of general surgeons is equipped with the broad surgical skills needed to operate as part of EMTs.Aim:To analyze the differences between the procedures performed by contemporary Australian general surgeons during training and the procedures performed by EMTs responding to SODs in low- and middle-income countries (LMICs).Methods:General surgical trainee logbooks between February 2008 and January 2017 were obtained from General Surgeons Australia. Operating theatre logs from EMTs working during the 2010 earthquake in Haiti, 2014 typhoon in the Philippines, and 2015 earthquake in Nepal were also obtained. These caseloads were collated and compared.Results:A total of 1,396,383 procedures were performed by Australian general surgical trainees in the study period. The most common procedure categories were abdominal wall hernia procedures (12.7%), cholecystectomy (11.7%), and specialist colorectal procedures (11.5%). Of note, Caesarean sections, hysterectomy, fracture repair, specialist neurosurgical, and specialist pediatric surgical procedures all made up <1% of procedures each. There were a total of 3,542 procedures recorded in the EMT case logs. The most common procedures were wound debridement (31.5%), other trauma (13.3%), and Caesarean section (12.5%). Specialist colorectal, hepato-pancreaticobiliary, upper gastrointestinal, urological, vascular, neurosurgical, and pediatric surgical procedures all made up <1% each.Discussion:Australian general surgical trainees get limited exposure to the obstetric, gynecological, and orthopedic procedures that are common during EMT responses to SODs. However, there is considerable exposure to the soft tissue wound management and abdominal procedures.

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Web-Based Quality Assurance Process Drives Improvements in Obstetric Ultrasound in 5 Low- and Middle-Income Countries

Global Health Science and Practice ◽

10.9745/ghsp-d-16-00156 ◽

2016 ◽

Vol 4 (4) ◽

pp. 675-683 ◽

Cited By ~ 10

Author(s):

Jonathan O Swanson ◽

David Plotner ◽

Holly L Franklin ◽

David L Swanson ◽

Victor Lokomba Bolamba ◽

...

Keyword(s):

Quality Assurance ◽

Obstetric Ultrasound ◽

Middle Income ◽

Web Based ◽

Middle Income Countries ◽

Quality Assurance Process ◽

Assurance Process ◽

Low And Middle Income

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Trauma Education Initiatives for Emergency Medical Service Providers in Low- and Middle-Income Countries: A Systematic Review

Journal of Surgical Research ◽

10.1016/j.jss.2013.11.141 ◽

2014 ◽

Vol 186 (2) ◽

pp. 500

Author(s):

T.E. Callese ◽

C.T. Richards ◽

P.L. Shaw ◽

S.J. Schuetz ◽

N. Issa ◽

...

Keyword(s):

Systematic Review ◽

Emergency Medical Service ◽

Medical Service ◽

Service Providers ◽

Middle Income ◽

Middle Income Countries ◽

Emergency Medical ◽

Trauma Education ◽

Low And Middle Income ◽

Education Initiatives

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PW 1644 Emergency medical systems in low- and middle-income countries: the need, the experience, and the way forward

10.1136/injuryprevention-2018-safety.692 ◽

2018 ◽

Author(s):

Adnan Hyder ◽

Amber Mehmood ◽

Isaac Botchey ◽

Razzak Junaid ◽

Olive Kobusingye

Keyword(s):

Medical Systems ◽

Middle Income ◽

Middle Income Countries ◽

Emergency Medical ◽

Emergency Medical Systems ◽

Low And Middle Income ◽

The Way

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Satisfaction and Acceptability Ratings of a Web-Based Self-Help Intervention for Depression: A Retrospective and Cross-Sectional Study from a Developing Country (Preprint)

10.2196/preprints.29566 ◽

2021 ◽

Author(s):

María Asunción Lara ◽

Pamela Patiño ◽

Marcela Tiburcio ◽

Laura Navarrete

Keyword(s):

Online Survey ◽

Attempted Suicide ◽

High Income ◽

Paid Work ◽

Cross Sectional ◽

Middle Income ◽

Web Based ◽

Middle Income Countries ◽

English Speaking ◽

Low And Middle Income

BACKGROUND Web-based interventions can offer effective and accessible help for depression to large numbers of people at low cost. While these interventions have a long history in high-income countries, they are at an early stage in non-English-speaking low- and middle- income countries, where they remain relatively new and scarce. Help for Depression (HDep) is one of the few unguided web-based interventions available in Latin America. It is multimodal and based on the cognitive behavioral therapy (CBT) approach. The results of a usage/usability analysis of the original version of HDep served as the basis for generating a more user-friendly second version, freely available since 2014. OBJECTIVE The aim of this study was to explore participants’ satisfaction and acceptability ratings for the HDep, second version. METHODS A retrospective, cross-sectional design was used. An email invitation to complete an online survey was sent to all the people who accessed HDep in 2018. The questionnaire included satisfaction and acceptability scales and open-ended questions. Complete questionnaires were retrieved from 191 participants: 67 from those who visited only the home page (HPUs) and 124 from those who registered to use the program (PUs). RESULTS In all groups, users experienced high levels of depressive symptoms (98.9% CES-D > 16). Moderate levels of satisfaction (HPUs M = 21.90, SD = 6.7; PUs M = 21.10, SD = 5.8; range: 8-32) and acceptability (HPUs M = 13.84, SD = 3.97; PUs M = 13.97, SD = 3.29; range: 5-20) were found in both groups. Logistic regression analyses showed that among HPUs, women were more satisfied with HDep (OR = 3.44; 95% CI: 1.16-10.0), while among PUs, older respondents (OR = 1.04; 95% CI: 1.01-1.08), those with paid work (OR = 3.12; 95% CI: 2.40-7.69) those who had not been in therapy (OR = 2.42; 95% CI: 1.09-5.98), and those who had not attempted suicide (OR = 3.44; 95% CI: 1.08-11.11) showed higher satisfaction. None of the sociodemographic/mental health variables distinguished acceptability ratings among HPUs. Among PUs, those with paid work (OR = 2.50; 95% CI: 1.16-5.55), those who had not been in therapy (OR = 3.17; 95% CI: 1.38-7.30), those without disability (OR = 2.94; 95% CI: 1.35-6.66), and those who had not attempted suicide (OR = 2.63; 95% CI: 1.03-6.66) showed higher acceptability. CONCLUSIONS HDep has good levels of satisfaction and acceptability for just over half of its users, and the information provided by respondents suggested feasible ways to remedy some of the deficiencies. This qualitative-quantitative study from a low/middle-income non-English speaking country adds to existing knowledge regarding acceptance and satisfaction with CBT-based programs for depression in high-income countries. This information is important for the creation and adaptation of web-based interventions in low- and middle-income countries, where access to treatment is a major concern, and online prevention and treatment programs can help to deliver evidence-based alternatives. It is necessary to document the pitfalls, strengths, and challenges of such interventions in this context. Understanding how users perceive the intervention might suggest modifications to increase adherence.

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