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Impact of the prehospital trauma life support programme in Trinidad and Tobago
Ali, Jameel; Adam, Rasheed U; Gana, T. J; George, B; Taylor, Andrew; Patino, T; West, U; Ali, E; Bedaysie, Henry.
Afiliação
  • Ali, Jameel; University of Toronto
  • Adam, Rasheed U; University of the West Indies, St. Augustine
  • Gana, T. J; University of the West Indies, St. Augustine
  • George, B; University of the West Indies, St. Augustine
  • Taylor, Andrew; University of the West Indies, St. Augustine
  • Patino, T; University of the West Indies, St. Augustine
  • West, U; University of the West Indies, St. Augustine
  • Ali, E; University of the West Indies, St. Augustine
  • Bedaysie, Henry; University of the West Indies, St. Augustine
West Indian med. j ; 47(3): 102-4, Sept. 1998.
Artigo em Inglês | MedCarib | ID: med-1595
Biblioteca responsável: JM3.1
Localização: JM3.1; R18.W4
ABSTRACT
The impact of the Prehospital Trauma Life Support (PHTLS) programme, introduced in Trinidad and Tobago in 1992, was assessed by questionnaires completed by 26 medical personnel (MP); 71 ambulance personnel (AP); and 50 non ambulance paramedical personnel (NAP). Of the 23 MP, 45 AP and 38 NAP who were aware of the programme, 19 (82.6 percent) MP, 40(88.9 percent) AP and 25 (65.8 percent) NAP were able to differentiate personnel that had taken the PHTLS programme based on their performance. 32 (71.1 percent) of the AP were PHTLS trained. 24 (53.3 percent) and 4 (9 percent) of the AP identified poor equipment and poor supervision, respectively, as reasons for difficulty in applying PHTLS principles. Improvements observed among those completing the PHTLS programme were improved resuscitation techniques by 20 (86.9 percent) MP, 38 (84.4 percent) AP and 27 (71.1 percent) NAP; better vital signs recording by 8 (34.8 percent) MP, 27 (60 percent) AP and 8 (21.1 percent) NAP; improved immobilization by 23 (100 percent) MP, 40 (88.9 percent) AP and 33 (86.8 percent) NAP better haemorrhage control by 22 (95.6 percent) MP, 40 (88.9 percent) AP and 24 (63.2 percent) NAP; appropriate splinting of fractures by 23 (100 percent) MP, 40 (88.9 percent) AP and 32 (84.2 percent) NAP and increased utilization of oxygen by 15 (65.2 percent) MP, 31 (68.9 percent) AP and 21 (55.3 percent) NAP. 32 (71.1 percent) AP with PHTLS training indicated improvement in their ability to resuscitate and transport trauma victims, with 42 (93.3 percent) reporting improvement in overall prehospital care. Medical, paramedical and ambulance personnel all perceive a significant positive impact of PHTLS training on prehospital trauma care. Although improvements in supervision, documentation and equipment are still required, improved trauma resuscitative techniques after PHTLS training should improve trauma patient outcome in Trinidad and Tobago. (AU)
Assuntos
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Coleções: Bases de dados internacionais Base de dados: MedCarib Assunto principal: Sistemas de Manutenção da Vida País/Região como assunto: Caribe Inglês / Trinidad e Tobago Idioma: Inglês Revista: West Indian med. j Ano de publicação: 1998 Tipo de documento: Artigo
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Coleções: Bases de dados internacionais Base de dados: MedCarib Assunto principal: Sistemas de Manutenção da Vida País/Região como assunto: Caribe Inglês / Trinidad e Tobago Idioma: Inglês Revista: West Indian med. j Ano de publicação: 1998 Tipo de documento: Artigo
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