The Potential for Partnerships

Transcription

1 The Potential for Partnerships International First Aid Education Conference Dr. Salim Sohani Director, Global Health International Operations Niagara Falls April 23, 2018 MONTH DAY, YEAR TITLE OF THE PRESENTATION 1

2 Academic Partnerships

3 Global Quality and Access to Humanitarian Surgery Strategy 2020: Global Gap: Access and quality Our Approach: Experienced partners Global recommendations Outcome 1: Improved health and survival of women, children and adolescents. Outcome 2: Improved RCRC Movement actions in disaster and emergency preparedness, response and recovery. 5 billion people do not have access to safe, affordable surgical and anaesthesia care when needed. Access is worst in low-income and lowermiddle-income countries. 1 Experience of Academic Partners ICRC Humanitarian Surgery Initiatives Lancet Commission on Global Surgery 1. The Lancet (2015). Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development

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5 Global Recommendations: Lancet Commission Actionable items that high-income countries can take to enhance the world s capacity to deliver surgical care: Academic medical centers to develop global partnerships for training and ongoing professional development and to support research efforts in quality, safety, and outcomes measurement High-income country surgery trainees to develop long-term clinical and research relationships with colleagues in LMICs Academic surgeons and journals to support research by surgeons in LMICs and eliminate barriers to publishing 5

6 McGill University & University of British Columbia MOU Guiding Objectives: Piloting practical patient and field operational data collection/analysis/and reporting; Providing high quality mobile hospital education and field training; Developing minimum skills sets for humanitarian health practitioners; Conducting research and development; Strengthening the abilities of the parties to provide timely and effective surgical services to crisis affected populations in developing countries and in Canada; Engaging Canadian medical teams to better prepare for international responses. Dr. Emilie Joos, UBC Trauma Dr. Tarek Razek, McGill Trauma Dr. Robert Taylor, UBC Dr. Dan Deckelbaum, McGill Trauma

7 Canadian Collaborative Centre of Excellence for Global Humanitarian Surgical Care (CCCEGHSC) 1000 Enhancing global access to quality humanitarian surgical care ACCESS TO SURGICAL SERVICES QUALITY OF SURGICAL SERVICES USE AND DISSEMINATION OF SURGICAL DATA BY DECISION MAKERS 1100 Improved access and availability of surgical services by health professionals in low-resourced and humanitarian settings 1200 Strengthened ability of the parties to provide timely quality surgical services delivered to people in Canada and in low-resource and humanitarian settings 1300 Improved patient and management outcomes through more rigorous monitoring and evaluation BLS Nepal, Trauma and Life Support Trainings, 2017 Nepal, Trauma and Life Support Trainings, 2017 Mexico, Updating the Trauma Registry in itrauma, 2017

8 CCCEGHSC: IN NEPAL RURAL EMERGENCY AND TRAUMA SYSTEMS STRENGTHENING (RETSS) Aims: Increasing the capacity of health care providers to provide effective and timely emergency health interventions Reducing the gap of pre-hospital care Improving access to health care by strengthening referral Increasing evidenced-based advocacy for enhanced emergency and trauma interventions. MONTH DAY, YEAR TITLE OF THE PRESENTATION 8

9 LOCAL PARTNERS Bir Hospital and the National Trauma Centre and Dhulikhel Hospital Co-facilitate training in the District Strengthen linkages between the District and tertiary care centres NRCS Lead on overall implementation with support from CRCS, CGS-MUHC and partner hospitals MONTH DAY, YEAR TITLE OF THE PRESENTATION 9

10 CCCEGHSC: In Nepal Rural Emergency and Trauma Systems Strengthening (RETSS) Facilitate and co-facilitate Rural Trauma Team Development Course (RTTDC) trainings Facilitate and co-facilitate Basic Life Support (BLS) trainings Enhanced system of data collection and analysis on emergency and trauma cases (Trauma Registry) Academic exchange

11 RURAL EMERGENCY AND TRAUMA SYSTEMS STRENGTHENING (RETSS) PROGRESS: 20 master trainers at the central level who can train in BLS, Primary Trauma Care, and team-based trauma management 12 AHA BLS trainers at the central level Primary Trauma Care at the central level 24 trained RTTDC central level 23 trained RTTDC district level 23 trained AHA BLS in Sindhupalchowk 63 trained Primary Trauma care in Sindhupalchowk district- 24 trained MONTH DAY, YEAR TITLE OF THE PRESENTATION 11

12 CCCEGHSC: In Mexico City Hospital Polanco, Mexico City: 67% of ED patients are trauma related; 34% of these are intentional trauma In 2016, Hospital Polanco had 296 firearm patients in the ED. In 2016, MUHC and VGH, combined, had 28 Potential expansion to other sites There is no war, but I work in war-zone. Dr. G. Vallejo Hospital Polanco Table 3. Emergency Department patients by mechanism of trauma injury Hospital Polanco, Jan-Nov Mechanism of Injury 2016 Fall 2990 Unintentional MVA 882 Hit by car 432 Tools/machinery 402 Assault (blunt) 2005 Intentional Stab (penetrating) 874 Firearm 296 Other Other 1344 Total 9225

13 CCCEGHSC: Mexico City, Project Activities, 2017 Access ERU roster MXRC hospital accreditation Quality Academic observership, clinical resident and attending exchanges Observership of Canadian trauma systems Trauma and Disaster Response Training Course MXRC ICRC Fellowship Assessment (tbc) Quarterly surgical skype rounds (all partners) Dr. Mata (McGill) teaching residents how to collect data Data Data registry tool (itrauma) piloted (Feb-June, 2017) Research observerships, joint publications, policy and guideline exchange Pan-American Trauma Conference (Nov, 2017) Elizabeth, Data Clerk, entering itrauma data

14 Partnerships Together we can achieve more Thanks You

15 Question/Discussion Your input welcome!