Loading…
Transport time to trauma facilities in Karachi: an exploratory study
Background Rapid urban growth in developing countries has outpaced the development of health infrastructure, including trauma centers, leading to potential delays in trauma care. This study was conducted in Karachi, a city of 16 million people in Pakistan. Aims Our aim was to determine the time take...
Saved in:
| Published in: | International journal of emergency medicine 2008-09, Vol.1 (3), p.201-204 |
|---|---|
| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Request full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c426t-6dc6be9557de5fad84ff9ea137045366f288b862a7b0000831c6d3a571a8f6243 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c426t-6dc6be9557de5fad84ff9ea137045366f288b862a7b0000831c6d3a571a8f6243 |
| container_end_page | 204 |
| container_issue | 3 |
| container_start_page | 201 |
| container_title | International journal of emergency medicine |
| container_volume | 1 |
| creator | Channa, Roomasa Jaffrani, Hira Altaf Khan, Aamir Javed Hasan, Talal Razzak, Junaid Abdul |
| description | Background
Rapid urban growth in developing countries has outpaced the development of health infrastructure, including trauma centers, leading to potential delays in trauma care. This study was conducted in Karachi, a city of 16 million people in Pakistan.
Aims
Our aim was to determine the time taken to reach the nearest 24-h emergency care facility (ECF) and the government-designated trauma center (TC). We also sought to determine the availability of supplies and equipment required for “basic” trauma care at these centers.
Methods
We selected five towns in Karachi that had the highest number of road traffic injuries (RTIs) (as identified through medicolegal records). We then measured the time taken to reach the nearest ECF and the government-designated TC from four compass points within each town. We also asked about the equipment and supplies used in basic trauma care.
Results
All three TCs in Karachi were located in the selected towns and were within 5.0–10.5 km of each other. The transport times to the 3 TCs were an average of 13.3 min (± 7.1) and to the 16 ECFs an average of 4.7 min (± 2.4) (
p
value |
| doi_str_mv | 10.1007/s12245-008-0051-1 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_PIMPY</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2657275</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2666837801</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-6dc6be9557de5fad84ff9ea137045366f288b862a7b0000831c6d3a571a8f6243</originalsourceid><addsrcrecordid>eNp1kctKAzEYhYMoVtQHcBd0PZo_97oQpF5RcFPXITOT0Ug7qUlG7NubUim6aCAkkO-cnOQgdALkHAhRFwko5aIiRJcpoIIddABaigqYJrubvaIjdJySrwnnihOl-T4awZhpLkAdoJtptH1ahJhx9nOHc8A52mFucWcbP_PZu4R9j59stM27v8S2x-57MQvR5hCXOOWhXR6hvc7Okjv-XQ_R693tdPJQPb_cP06un6uGU5kr2TaydmMhVOtEZ1vNu27sbMlIuGBSdlTrWktqVU3K0Awa2TIrFFjdScrZIbpa-y6Geu7axvUl68wsop_buDTBevP_pPfv5i18GSqFokoUg9Nfgxg-B5ey-QhD7EtmU-5lkpb_KdDZNggICCgUY4WCNdXEkFJ03SYGELMqyKwLMuUhZlWQgaKha00qbP_m4l_nbaIfGjCQ0g</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1015162033</pqid></control><display><type>article</type><title>Transport time to trauma facilities in Karachi: an exploratory study</title><source>Publicly Available Content Database</source><creator>Channa, Roomasa ; Jaffrani, Hira Altaf ; Khan, Aamir Javed ; Hasan, Talal ; Razzak, Junaid Abdul</creator><creatorcontrib>Channa, Roomasa ; Jaffrani, Hira Altaf ; Khan, Aamir Javed ; Hasan, Talal ; Razzak, Junaid Abdul</creatorcontrib><description>Background
Rapid urban growth in developing countries has outpaced the development of health infrastructure, including trauma centers, leading to potential delays in trauma care. This study was conducted in Karachi, a city of 16 million people in Pakistan.
Aims
Our aim was to determine the time taken to reach the nearest 24-h emergency care facility (ECF) and the government-designated trauma center (TC). We also sought to determine the availability of supplies and equipment required for “basic” trauma care at these centers.
Methods
We selected five towns in Karachi that had the highest number of road traffic injuries (RTIs) (as identified through medicolegal records). We then measured the time taken to reach the nearest ECF and the government-designated TC from four compass points within each town. We also asked about the equipment and supplies used in basic trauma care.
Results
All three TCs in Karachi were located in the selected towns and were within 5.0–10.5 km of each other. The transport times to the 3 TCs were an average of 13.3 min (± 7.1) and to the 16 ECFs an average of 4.7 min (± 2.4) (
p
value < 0.00). Most ECFs did not have all equipment and supplies necessary for basic trauma care; 90% had the basic equipment for management of airway, oxygen, and IV fluids, 70% had morphine, and 45% had C-spine collars.
Conclusions
Vital time is lost in reaching a government-designated TC. ECFs might be an alternative option, but are not fully equipped and funded to provide adequate trauma care to all.</description><identifier>ISSN: 1865-1372</identifier><identifier>ISSN: 1865-1380</identifier><identifier>EISSN: 1865-1380</identifier><identifier>DOI: 10.1007/s12245-008-0051-1</identifier><identifier>PMID: 19384517</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Angiology ; Brief Research Report ; Cardiology ; Emergency medical care ; Emergency Medicine ; Hospitals ; Internal Medicine ; Medicine ; Medicine & Public Health ; Pediatrics ; Trauma ; Trauma care ; Trauma centers</subject><ispartof>International journal of emergency medicine, 2008-09, Vol.1 (3), p.201-204</ispartof><rights>Springer-Verlag London Ltd 2008</rights><rights>Springer-Verlag London Ltd 2008. This work is published under http://creativecommons.org/licenses/by-nc/2/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c426t-6dc6be9557de5fad84ff9ea137045366f288b862a7b0000831c6d3a571a8f6243</citedby><cites>FETCH-LOGICAL-c426t-6dc6be9557de5fad84ff9ea137045366f288b862a7b0000831c6d3a571a8f6243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1015162033/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1015162033?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,25732,27903,27904,36991,44569,53769,53771,74872</link.rule.ids><linktorsrc>$$Uhttps://www.proquest.com/publiccontent/docview/862362078?pq-origsite=primo$$EView_record_in_ProQuest$$FView_record_in_$$GProQuest</linktorsrc></links><search><creatorcontrib>Channa, Roomasa</creatorcontrib><creatorcontrib>Jaffrani, Hira Altaf</creatorcontrib><creatorcontrib>Khan, Aamir Javed</creatorcontrib><creatorcontrib>Hasan, Talal</creatorcontrib><creatorcontrib>Razzak, Junaid Abdul</creatorcontrib><title>Transport time to trauma facilities in Karachi: an exploratory study</title><title>International journal of emergency medicine</title><addtitle>Int J Emerg Med</addtitle><description>Background
Rapid urban growth in developing countries has outpaced the development of health infrastructure, including trauma centers, leading to potential delays in trauma care. This study was conducted in Karachi, a city of 16 million people in Pakistan.
Aims
Our aim was to determine the time taken to reach the nearest 24-h emergency care facility (ECF) and the government-designated trauma center (TC). We also sought to determine the availability of supplies and equipment required for “basic” trauma care at these centers.
Methods
We selected five towns in Karachi that had the highest number of road traffic injuries (RTIs) (as identified through medicolegal records). We then measured the time taken to reach the nearest ECF and the government-designated TC from four compass points within each town. We also asked about the equipment and supplies used in basic trauma care.
Results
All three TCs in Karachi were located in the selected towns and were within 5.0–10.5 km of each other. The transport times to the 3 TCs were an average of 13.3 min (± 7.1) and to the 16 ECFs an average of 4.7 min (± 2.4) (
p
value < 0.00). Most ECFs did not have all equipment and supplies necessary for basic trauma care; 90% had the basic equipment for management of airway, oxygen, and IV fluids, 70% had morphine, and 45% had C-spine collars.
Conclusions
Vital time is lost in reaching a government-designated TC. ECFs might be an alternative option, but are not fully equipped and funded to provide adequate trauma care to all.</description><subject>Angiology</subject><subject>Brief Research Report</subject><subject>Cardiology</subject><subject>Emergency medical care</subject><subject>Emergency Medicine</subject><subject>Hospitals</subject><subject>Internal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pediatrics</subject><subject>Trauma</subject><subject>Trauma care</subject><subject>Trauma centers</subject><issn>1865-1372</issn><issn>1865-1380</issn><issn>1865-1380</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNp1kctKAzEYhYMoVtQHcBd0PZo_97oQpF5RcFPXITOT0Ug7qUlG7NubUim6aCAkkO-cnOQgdALkHAhRFwko5aIiRJcpoIIddABaigqYJrubvaIjdJySrwnnihOl-T4awZhpLkAdoJtptH1ahJhx9nOHc8A52mFucWcbP_PZu4R9j59stM27v8S2x-57MQvR5hCXOOWhXR6hvc7Okjv-XQ_R693tdPJQPb_cP06un6uGU5kr2TaydmMhVOtEZ1vNu27sbMlIuGBSdlTrWktqVU3K0Awa2TIrFFjdScrZIbpa-y6Geu7axvUl68wsop_buDTBevP_pPfv5i18GSqFokoUg9Nfgxg-B5ey-QhD7EtmU-5lkpb_KdDZNggICCgUY4WCNdXEkFJ03SYGELMqyKwLMuUhZlWQgaKha00qbP_m4l_nbaIfGjCQ0g</recordid><startdate>200809</startdate><enddate>200809</enddate><creator>Channa, Roomasa</creator><creator>Jaffrani, Hira Altaf</creator><creator>Khan, Aamir Javed</creator><creator>Hasan, Talal</creator><creator>Razzak, Junaid Abdul</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><general>Springer-Verlag</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>200809</creationdate><title>Transport time to trauma facilities in Karachi: an exploratory study</title><author>Channa, Roomasa ; Jaffrani, Hira Altaf ; Khan, Aamir Javed ; Hasan, Talal ; Razzak, Junaid Abdul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-6dc6be9557de5fad84ff9ea137045366f288b862a7b0000831c6d3a571a8f6243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Angiology</topic><topic>Brief Research Report</topic><topic>Cardiology</topic><topic>Emergency medical care</topic><topic>Emergency Medicine</topic><topic>Hospitals</topic><topic>Internal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Pediatrics</topic><topic>Trauma</topic><topic>Trauma care</topic><topic>Trauma centers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Channa, Roomasa</creatorcontrib><creatorcontrib>Jaffrani, Hira Altaf</creatorcontrib><creatorcontrib>Khan, Aamir Javed</creatorcontrib><creatorcontrib>Hasan, Talal</creatorcontrib><creatorcontrib>Razzak, Junaid Abdul</creatorcontrib><collection>SpringerOpen (Open Access)</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Channa, Roomasa</au><au>Jaffrani, Hira Altaf</au><au>Khan, Aamir Javed</au><au>Hasan, Talal</au><au>Razzak, Junaid Abdul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transport time to trauma facilities in Karachi: an exploratory study</atitle><jtitle>International journal of emergency medicine</jtitle><stitle>Int J Emerg Med</stitle><date>2008-09</date><risdate>2008</risdate><volume>1</volume><issue>3</issue><spage>201</spage><epage>204</epage><pages>201-204</pages><issn>1865-1372</issn><issn>1865-1380</issn><eissn>1865-1380</eissn><abstract>Background
Rapid urban growth in developing countries has outpaced the development of health infrastructure, including trauma centers, leading to potential delays in trauma care. This study was conducted in Karachi, a city of 16 million people in Pakistan.
Aims
Our aim was to determine the time taken to reach the nearest 24-h emergency care facility (ECF) and the government-designated trauma center (TC). We also sought to determine the availability of supplies and equipment required for “basic” trauma care at these centers.
Methods
We selected five towns in Karachi that had the highest number of road traffic injuries (RTIs) (as identified through medicolegal records). We then measured the time taken to reach the nearest ECF and the government-designated TC from four compass points within each town. We also asked about the equipment and supplies used in basic trauma care.
Results
All three TCs in Karachi were located in the selected towns and were within 5.0–10.5 km of each other. The transport times to the 3 TCs were an average of 13.3 min (± 7.1) and to the 16 ECFs an average of 4.7 min (± 2.4) (
p
value < 0.00). Most ECFs did not have all equipment and supplies necessary for basic trauma care; 90% had the basic equipment for management of airway, oxygen, and IV fluids, 70% had morphine, and 45% had C-spine collars.
Conclusions
Vital time is lost in reaching a government-designated TC. ECFs might be an alternative option, but are not fully equipped and funded to provide adequate trauma care to all.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>19384517</pmid><doi>10.1007/s12245-008-0051-1</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext_linktorsrc |
| identifier | ISSN: 1865-1372 |
| ispartof | International journal of emergency medicine, 2008-09, Vol.1 (3), p.201-204 |
| issn | 1865-1372 1865-1380 1865-1380 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2657275 |
| source | Publicly Available Content Database |
| subjects | Angiology Brief Research Report Cardiology Emergency medical care Emergency Medicine Hospitals Internal Medicine Medicine Medicine & Public Health Pediatrics Trauma Trauma care Trauma centers |
| title | Transport time to trauma facilities in Karachi: an exploratory study |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-23T21%3A39%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_PIMPY&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Transport%20time%20to%20trauma%20facilities%20in%20Karachi:%20an%20exploratory%20study&rft.jtitle=International%20journal%20of%20emergency%20medicine&rft.au=Channa,%20Roomasa&rft.date=2008-09&rft.volume=1&rft.issue=3&rft.spage=201&rft.epage=204&rft.pages=201-204&rft.issn=1865-1372&rft.eissn=1865-1380&rft_id=info:doi/10.1007/s12245-008-0051-1&rft_dat=%3Cproquest_PIMPY%3E2666837801%3C/proquest_PIMPY%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c426t-6dc6be9557de5fad84ff9ea137045366f288b862a7b0000831c6d3a571a8f6243%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1015162033&rft_id=info:pmid/19384517&rfr_iscdi=true |