Delivery as Trauma: A Prospective Time-Cohort Study of Maternal and Perinatal Mortality in Rural Cambodia

2017 ◽  
Vol 32 (2) ◽  
pp. 180-186 ◽  
Author(s):  
Chandy Houy ◽  
Sam Ol Ha ◽  
Margit Steinholt ◽  
Eystein Skjerve ◽  
Hans Husum
Keyword(s):  
Cohort Study ◽  
Mortality Rate ◽  
Perinatal Mortality ◽  
Baseline Level ◽  
Basic Life Support ◽  
Life Support ◽  
Trauma System ◽  
Trauma Systems ◽  
Birth Attendants ◽  
Village Level

AbstractObjectiveThe majority of maternal and perinatal deaths are preventable, but still women and newborns die due to insufficient Basic Life Support in low-resource communities. Drawing on experiences from successful wartime trauma systems, a three-tier chain-of-survival model was introduced as a means to reduce rural maternal and perinatal mortality.MethodsA study area of 266 villages in landmine-infested Northwestern Cambodia were selected based on remoteness and poverty. The five-year intervention from 2005 through 2009 was carried out as a prospective study. The years of formation in 2005 and 2006 were used as a baseline cohort for comparisons with later annual cohorts. Non-professional and professional birth attendants at village level, rural health centers (HCs), and three hospitals were merged with an operational prehospital trauma system. Staff at all levels were trained in life support and emergency obstetrics.FindingsThe maternal mortality rate was reduced from a baseline level of 0.73% to 0.12% in the year 2009 (95% CI Diff, 0.27-0.98; P<.01). The main reduction was observed in deliveries at village level assisted by traditional birth attendants (TBAs). There was a significant reduction in perinatal mortality rate by year from a baseline level at 3.5% to 1.0% in the year 2009 (95% CI Diff, 0.02-0.03; P<.01). Adjusting maternal and perinatal mortality rates for risk factors, the changes by time cohort remained a significant explanatory variable in the regression model.ConclusionThe results correspond to experiences from modern prehospital trauma systems: Basic Life Support reduces maternal and perinatal death if provided early. Trained TBAs are effective if well-integrated in maternal health programs.HouyC,HaSO,SteinholtM,SkjerveE,HusumH.Delivery as trauma: a prospective time-cohort study of maternal and perinatal mortality in rural Cambodia.Prehosp Disaster Med.2017;32(2):180–186.

scholarly journals Influence of learning styles on the practical performance after the four-step basic life support training approach – An observational cohort study

PLoS ONE ◽  
2017 ◽  
Vol 12 (5) ◽  
pp. e0178210 ◽  
Author(s):  
Hanna Schröder ◽  
Alexandra Henke ◽  
Lina Stieger ◽  
Stefan Beckers ◽  
Henning Biermann ◽  
...  
Keyword(s):  
Cohort Study ◽  
Learning Styles ◽  
Basic Life Support ◽  
Life Support ◽  
Observational Cohort Study ◽  
Training Approach ◽  
Observational Cohort ◽  
Practical Performance

scholarly journals Management of severe trauma worldwide: implementation of trauma systems in emerging countries: China, Russia and South Africa

Critical Care ◽  
2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Jing Zhou ◽  
Tianbing Wang ◽  
Igor Belenkiy ◽  
Timothy Craig Hardcastle ◽  
Jean-Jacques Rouby ◽  
...  
Keyword(s):  
South Africa ◽  
Trauma Care ◽  
Hospital Care ◽  
Life Support ◽  
Trauma Registry ◽  
Trauma System ◽  
Emerging Countries ◽  
Trauma Centers ◽  
Trauma Systems ◽  
National Trauma

AbstractAs emerging countries, China, Russia, and South Africa are establishing and/or improving their trauma systems. China has recently established a trauma system named “the Chinese Regional Trauma Care System” and covered over 200 million populations. It includes paramedic-staffed pre-hospital care, in-hospital care in certified trauma centers, trauma registry, quality assurance, continuous improvement and ongoing coverage of the entire Chinese territory. The Russian trauma system was formed in the first decade of the twenty-first century. Pre-hospital care is region-based, with a regional coordination center that determines which team will go to the scene and the nearest hospital where the victim should be transported. Physician-staffed ambulances are organized according to three levels of trauma severity corresponding to three levels of trauma centers where in-hospital care is managed by a trauma team. No national trauma registry exists in Russia. Improvements to the Russian trauma system have been scheduled. There is no unified trauma system in South Africa, and trauma care is organized by public and private emergency medical service in each province. During the pre-hospital care, paramedics provide basic or advanced life support services and transport the patients to the nearest hospital because of the limited number of trauma centers. In-hospital care is inclusive with a limited number of accredited trauma centers. In-hospital care is managed by emergency medicine with multidisciplinary care by the various specialties. There is no national trauma registry in South Africa. The South African trauma system is facing multiple challenges. An increase in financial support, training for primary emergency trauma care, and coordination of private sector, need to be planned.

scholarly journals Penyuluhan Bantuan Hidup Dasar Pada Siswa/i di SMA Yayasan Anastasia Pancur Batu Kabupaten Deliserdang Sumatera Utara

2021 ◽  
Vol 4 (5) ◽  
pp. 1062-1066
Author(s):  
Rotua Elvina Pakpahan ◽  
Lindawati Simorangkir ◽  
Agustaria Ginting ◽  
Mardiati Barus ◽  
Lindawati Tampubolon ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Health Education ◽  
Basic Life Support ◽  
Life Support ◽  
Basic Needs ◽  
Counseling Students ◽  
The Body ◽  
Excellent Health

ABSTRAK Kesehatan yang prima akan di dapatkan ketika tubuh mendapatkan  oksigen yang baik. Henti nafas diakibatkan melemahnya kerja jantung sampai dengan terhentinya kerja jantung dan dapat mengakibatkan tidak terpenuhinya oksigen dalam tubuh yang artinya kebutuhan dasar hidup tidak dapat terpenuhi. Tujuan dari penyuluhan bantuan hidup dasar adalah meningkatkan pengetahuan dan dapat melakukan tindakan secara mandiri untuk pertolongan bantuan hidup dasar di lingkungannya. Sasaran kegiatan ini adalah siswa/i SMA Yayasan Anastasia Pancur Batu. Metode yang digunakan dalam penyuluhan bantuan hidup dasar ini adalah dengan melakukan presentasi materi dan melakukan simulasi bantuan hidup dasar. Hasil dari kegiatan ini adalah siswa/i mempu mengetahui tentang dasar-dasar pemberian bantuan hidup dasar dan mampu melaksanakan pemberian bantuan hidup dasar di lingkungannya. Diharapkan dengan dilaksanakannya penyuluhan ini, pada siswa/i dapat sigap dan mampu memberikan bantuan hidup dasar guna memperkecil angka kematian. Kata Kunci : Bantuan Hidup Dasar, Penyuluhan Kesehatan ABSTRACT Excellent health will be obtained when the body gets good oxygen. Stopping breathing is caused by the weakening of the work of the heart to the cessation of the work of the heart and can result in not meeting oxygen in the body, which means that the basic needs of life cannot be fulfilled. The purpose of basic life support extension is to increase knowledge and be able to take action independently for basic life support assistance in their environment. The target of this activity is SMA Anastasia Pancur Batu Foundation. The method used in this basic life support extension is to present the material and perform basic life support simulations. The result of this activity is that students are able to know the basics of providing basic life support and are able to provide basic life support in their environment. It is hoped that with the implementation of this counseling, students can be alert and able to provide basic life support in order to reduce the mortality rate. Keywords: Basic Life Support, Health Education  

“Pediatric Life Savers” – a Novel Approach to Teaching Basic Life Support to Parents in the Hospital

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 85A-85A
Author(s):  
Jared V. Goodman ◽  
Amar Shah ◽  
Bryan A. Sisk ◽  
Amanda R. Emke
Keyword(s):  
Basic Life Support ◽  
Life Support ◽  
Novel Approach ◽  
Approach To Teaching

Knowledge about basic life support in European students

2014 ◽  
Vol 155 (21) ◽  
pp. 833-837 ◽  
Author(s):  
József Marton ◽  
Attila Pandúr ◽  
Emese Pék ◽  
Krisztina Deutsch ◽  
Bálint Bánfai ◽  
...  
Keyword(s):  
Basic Life Support ◽  
Life Support ◽  
European Countries ◽  
Eastern European ◽  
Knowledge And Skills ◽  
European Students ◽  
Western European ◽  
Eastern European Countries ◽  
European Youth

Introduction: Better knowledge and skills of basic life support can save millions of lives each year in Europe. Aim: The aim of this study was to measure the knowledge about basic life support in European students. Method: From 13 European countries 1527 volunteer participated in the survey. The questionnaire consisted of socio-demographic questions and knowledge regarding basic life support. The maximum possible score was 18. Results: Those participants who had basic life support training earned 11.91 points, while those who had not participated in lifesaving education had 9.6 points (p<0.001). Participants from former socialist Eastern European countries reached 10.13 points, while Western Europeans had average 10.85 points (p<0.001). The best results were detected among the Swedish students, and the worst among the Belgians. Conclusions: Based on the results, there are significant differences in the knowledge about basic life support between students from different European countries. Western European youth, and those who were trained had better performance. Orv. Hetil., 2014, 155(21), 833–837.

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