Injury Prevention and the Trauma Care Provider: "Pretrauma Life Support"

1995 ◽  
Author(s):  
James D. Upchurch
2020 ◽  
Vol 3 (1) ◽  
pp. 267-271
Author(s):  
HY Embu ◽  
SI Nuhu ◽  
SP Bishmang

Advanced Trauma Life Support (ATLS) protocols aim to provide good trauma care by enhancing the skills of medical personnel all over the world and while this is well established in developed countries it does not appear to be so in developing countries. This study aims to assess the knowledge and proficiency in initial trauma management skills among health caregivers in some general/cottage hospitals in north central Nigeria. Questionnaires were developed to assess the knowledge and skills of care givers in airway management, respiratory distress and shock. The questionnaires were administered on caregivers involved in trauma care in some general/cottage hospitals that offer secondary care in a state in north-central Nigeria. There were 34 health workers who responded, 10 (29.41%) were doctors and 24(70.54%) were nurses. Their years of experience were from 2 to 35 years (median 14years). Ten (29.41%) had at least one training in ATLS in the past while 24(70.59%) had none. In assessing their management skills, 97.06% reported they were able to assess the airway, 88.24% could do chin lift, 73.53% jaw thrust while 91.18% were able to insert oral airway. Thirty-one (91.18%) were able to recognize respiratory distress, 88.24 were able to administer oxygen using facemask and 64.71% using nasal prong. Thirty (88.24%) could assess a patient for shock, 82.35% could splint fractures for haemorrhage control. Twenty-seven (79.41%) reported knowing parameters to monitor during resuscitation. We concluded that knowledge of airway management was high but proficiency and confidence in performing these skills were low.


2021 ◽  
Vol 43 (2) ◽  
pp. 39-51
Author(s):  
Luthfi Hidayat ◽  
Meirizal ◽  
Yudha Mathan Sakti ◽  
Yuni Artha Prabowo Putro ◽  
Aditya Fuad Robby Triangga ◽  
...  

During a Physical Education (PE) class, students may encounter risks of injury. PE teachers, therefore, should possess competent knowledge and skill levels in sports injury prevention as well as good self-awareness of their abilities to manage any injury. This study aimed to evaluate the perceived knowledge, practices, and competence in the area of sports injury prevention, recognition, and management of PE teachers in Yogyakarta Special Province. The associations between PE teachers’ sociodemographic characteristics and their self-perceptions were also investigated. Subjects were Senior High School PE teachers who were willing to complete the questionnaire developed by the research team. 191 PE teachers voluntarily participated in the study. The results showed the lowest scores were found for: 1) the teachers’ practice in recording students’ medical history and assessing injury risk when starting a new academic year; 2) the teachers’ practice in evaluating the condition of first aid kits and Basic Life Support (BLS) devices; and 3) the teachers’ perceived competence in splinting. Only greater knowledge of the PRICE principle was associated with the teachers’ level of education and training experience and splinting competence with years of teaching. BLS training experience had the stronger association with perceptions of knowledge and skills in the recognition and treating of injuries.


PLoS ONE ◽  
2014 ◽  
Vol 9 (3) ◽  
pp. e91862 ◽  
Author(s):  
Meera Kotagal ◽  
Kiran J. Agarwal-Harding ◽  
Charles Mock ◽  
Robert Quansah ◽  
Carlos Arreola-Risa ◽  
...  

Injury ◽  
2015 ◽  
Vol 46 (5) ◽  
pp. 791-797 ◽  
Author(s):  
Amechi N. Anazodo ◽  
Sarah B. Murthi ◽  
M. Kirsten Frank ◽  
Peter F. Hu ◽  
Lauren Hartsky ◽  
...  

Resuscitation ◽  
2008 ◽  
Vol 77 ◽  
pp. S37 ◽  
Author(s):  
F. Semeraro ◽  
A. Carloni ◽  
L. Marchetti ◽  
C. Sandroni ◽  
G. Lanfranco ◽  
...  

Author(s):  
SM Sharma

ABSTRACT The global human population is spread all over the world, but cities, towns, and large villages have dense concentrations of human inhabitation. The inhabitants of cities and towns do have easy and satisfactory access for the management of traumatized patients. However, trauma victims in remote and distant regions, generally, do not have ambulance services or treatment centers nearby to deal effectively with injuries. Even on highways, at accident sites, the injured may succumb to the injuries due to delay in rescue and nonavailability of vital basic life support compounded by delay in transportation of the patient to appropriate hospital or dedicated trauma center. Other factors which add to mortality are nonavailability of trained and experienced personnel at the accident site, inadequate and improper resuscitation during transportation, and referral to a hospital ill-equipped to treat traumatized patients. Trauma is the leading cause of death for patients in their first four decades of life. Prehospital trauma care to save life has not received the necessary attention in developing world due to diverse reasons, including lack of trained staff, inadequate funding, lack of awareness, ignorance, lack of will, and unpredictability of occurrence of accidents. Trauma management remains neglected in third world countries; however, the developed countries have made continuous efforts to save lives of traumatized patients by systematized prehospital care at the site of accident, rescue, and extrication of victims, rendering lifesaving resuscitation on the spot and quick and safe evacuation of the patients to trauma centers by surface and air ambulances depending upon the terrain and distance of the site of occurrence from hospital with continuous monitoring of the patient onboard. Prehospital trauma care needs focused attention to evolve a system and institutions which would impart care to the wounded inclusive of rescue, resuscitation, stabilization of vital parameters, and safe transportation to a dedicated hospital to save life and prevent morbidity. How to cite this article Sharma SM. Prehospital Trauma Care. Int J Adv Integ Med Sci 2016;1(4):158-163.


1990 ◽  
Vol 5 (1) ◽  
pp. 49-57 ◽  
Author(s):  
R. Jack Ayres

Prehospital health-care providers regularly are called upon to assist terminally ill patients in residential or institutional, non-hospital settings such as nursing homes or hospices. Among the most crucial issues regarding such patients is whether they should be resuscitated. With alarming frequency, EMS providers are encountering vigorous and sometimes violent refusals of examination, treatment, and/or transportation from the terminally ill patient, members of the patient's family, or third persons ostensibly acting on the patient's behalf. Today, the prehospital emergency health-care provider repeatedly is faced with the legal and ethical questions that surround the issue of resuscitation and advanced life support.


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