Prehospital trauma care education for first responders in India

Abstract Background A major factor contributing to global trauma mortality and morbidity is the lack of effective prehospital trauma services in developing settings. We developed a 2-d training course for nondoctor first responders featuring high-fidelity simulation and video-assisted debriefing, se...

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Bibliographic Details
Published in:The Journal of surgical research 2015-08, Vol.197 (2), p.331-338
Main Authors: Aekka, Apoorva, BA, Abraham, Rohit, BS, Hollis, Michael, BS, Boudiab, Elizabeth, BS, Laput, Gieric, BS, Purohit, Harshadha, PhD, Kumar, Richa, MD, Vyas, Arpita, MD, Basson, Marc, MD, Vyas, Dinesh, MD, MS
Format: Article
Language:English
Subjects:
Clinical Competence
Computer Simulation
Developing Countries
Education, Continuing - methods
Emergency Medical Services - methods
Emergency Medical Services - standards
Emergency Responders - education
First responders
Humans
India
Manikins
Models, Educational
Program Evaluation
Simulation
Surgery
Trauma education
Wounds and Injuries - therapy
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Summary:Abstract Background A major factor contributing to global trauma mortality and morbidity is the lack of effective prehospital trauma services in developing settings. We developed a 2-d training course for nondoctor first responders featuring high-fidelity simulation and video-assisted debriefing, self-directed learning videos, and native language instruction. Materials and methods A pilot session was conducted in Jodhpur, Rajasthan. Eighteen local instructors were recruited to train 48 layperson first responders in 10 essential subjects. Didactic sessions of 15–20 min consisting of self-directed learning videos were followed by 30–40 min skill sessions featuring high-fidelity simulation, and concluded with 15–20 min video-debriefing periods. Changes in competence were evaluated using pretraining and posttraining surveys. Results Results demonstrated that statistically significant competence increases in all areas of trauma management assessed: airway ( t [46] = 7.30, P  
ISSN:0022-4804
1095-8673
DOI:10.1016/j.jss.2015.03.047