Edition 16 CONTACT DETAILS Primary Trauma Care Foundation 313 Woodstock Road, OXFORD OX2 7NY Tel: +44 (0)1865 220621 Fax: +44 (0)1865 220846 Email: admin@primarytraumacare.org Web: www.primarytraumacare.org Registered Charity Number: 1116071 PTC THIS EDITION In this edition, we feature: PTC/CDC/WHO Consultation Meeting - Dubai PTC on the BBC (radio appeal) 1 1 /2 DAY PRIMARY TRAUMA CARE Half Day BOMB BLAST INJURIES Pattern and care One day PTC-CDC_WHO International Consultation Meeting On National Trauma Care Program of Pakistan (NITPP) Arabian Park Hotel Dubai 13-15 March 2009 Executive summary Unique one and half day Primary Trauma Care workshop All the participants took flight to come to Dubai All the Instructors took flight and came to Dubai from different countries All the participants and Instructors were staying in the same Hotel Venue of Workshop was Arabian Park Hotel Dubai All sessions were in OASIS lounge & bar overlooking the busy swimming pool Working Lunch tea, coffee and refreshment in the bar Senior most PTC faculty took part as Instructors All the participants were senior Trauma surgeons, ER Directors and Manager WHO Country representative of Pakistan and WHO EMRO representative on Trauma were participants Travel, visa, boarding and lodging were sponsored At the end of PTC Course Visit to state of art Emergency & Trauma Centre at Dubai Course dinner at LUXURY CRUISE Course Faculty: The Course faculty included Dr Douglas Wilkinson PTC Foundation UK Prof Rashid Jooma National Coordinator PTC Pakistan Dr. Saeed Minhas Course Director Dr. Shams Nadeem Alam DUHS Instructor
Course Participants: Dr Khalif Bile Mohamud WHO Pakistan Representative Dr Syed Jaffar Hussain WHO EMRO Dr Abu-Bakar Trauma Surgeon PGMI Lahore Dr Amber Mehmood ER AKUH Dr Mujeeb Khan Director Emergencies Rawalpindi Dr Tasmeen Azeem Rescue 1122 CDGK Karachi Dr Syed Sardar Director ER LNH Karachi Dr Sabir Ali Lahore ER Services Hospital Lahore Dr Mian Abdul Hafeez NWFP Dr Rehana Malik Mayo Hospital Lahore Dr Akbar Shah NWFP Dr Ejaz Ahmad Khan Islamabad Dr Sabir Gul Khan ER Peshawar Dr Raja Shafique Sarwar ER Holy Family Hospital Rawalpindi Dr Asif Farooque ER CHK Karachi Dr Shazad Shamim AKUH Karachi Dr Muhammad Nawaz Khan ER Charsada Mr Umar Jooma PTC Administration Background: Prof Rashid Jooma was the main organizer for this mega event, involving WHO, Afghanistan Government, Ministry of Health Islamabad, Centre for Disease Control and Prevention Atlanta GA. National Centre for Injury Prevention and control division of Injury Response CDC Atlanta GA planned workshop on Bomb Blast Injuries Pattern & Care and they found Dubai best place for that as they were having travel restrictions for Pakistan. We took this opportunity to hold one & half day PTC before CDC team take over, for 20 Doctors from Pakistan and 8 Doctors from Afghanistan. Who Pakistan and WHO EMRO was involved and this course was partially funded by WHO. page 2 Unfortunately Afghan Doctors could not get the visa and they were not able to attend the workshop Contents and venue of the Course Course content was similar to what is advised in the PTC manual. The instructors used different styles of lecturing and different audiovisual aids like PowerPoint/ flip chart, interactive and group discussions. The venue was the OASIS lounge & bar, which was the only big hall in Arabian Park Hotel, basically a popular place to stay for western tourist. The lounge was closed for all others from 6am to 6 pm. It was a comfortable, colourful with fancy lights and camouflaged bar shelves, with air-conditioning facility, multimedia projector and sound system. The area was large enough to accommodate 50 or more people. Besides, we could make use of several spaces in the same hall for scenarios and group discussions. Working Lunch, tea and coffee was also served in the same area. It was a good change and well adapted to the situation. Practically we spent three days morning to evening in bar (drinking coffee-tea). In breaks just saw people relaxing and swimming in adjacent pool During and after the course The participants showed great enthusiasm and were very eager in the scenario and at skills. As participants were experienced and were dealing with trauma directly, they made the sessions very much interactive. All the participants appreciated the systemic approach and adoptability of the course. At the end of the course, certificates were distributed to all by Dr Douglas Wilkinson to the participants. WHO Pakistan representative Dr Khalif Bile assured of all possible support to the PTC team if and when required to train health professional with this trauma course at District level. After Lunch a visit / briefing was arranged for all the participants of the course for state of the art Emergency & Trauma Center of Rashid Hospital Dubai. BOMB BLAST INJURIES A session on Bomb Blast injuries pattern and care was taken by Dr Henry Falk Director coordinating center for Environmental Health and injury
prevention CDC Atlanta GA. After this session all went to Dubai Creek and took cruise for a fabulous dinner in a beautiful environment and cruise ride. Reached back to hotel late night page 3 THIRD DAY 15/03/09 PTC CDC - WHO International Consultation on National Trauma Care Program of Pakistan (NITPP) Group Participants: Prof Rasheed Jooma DG MOH Pakistan Dr Junnaid Razzak AKUH - Moderator Dr Saeed Minhas PTC Sind Dr. Charles Mock Geneva WHO Dr. Ellen Mackenzie Researcher John Hopkins Dr. Brent Eastman San Diego California USA Dr. Vikas Kapil CDC USA Dr Khalif Bile WHO Pakistan Dr Richard C Hunt CDC USA Dr Henery Falk CDC USA Dr Syed Jaffar Hussain WHO Cairo Dr Adnan Haider John Hopkins Injury Prevention USA Dr. AltaF Hussain Lal US Embassy Delhi Dr Shams Alam PTC Dr Sardar LNH Dr Ambeer AKUH Dr Shahzad AKUH Opening Session by Prof Rashid Jooma DG Health MOH Pakistan Vision for the National Injury & Trauma care program of Pakistan Trauma surveillance/ Registry PMRC & HAS Gaps & needs for Trauma Care 9.20 to 9.40 am Dr Jaffar o Policy Level o Health system & Intuitional level o Human & financial resources o Data information o Evidence based interventions o Infrastructure o Training/ accreditation o Research/ Documentation o Institutional mechanisms Community groups-volunteers. Primary providers Response to the complexity of Injuries. Dr Junaid Facilities at Four Districts of Sind two rural and two Urban o Larkana Sukkar Mitairi Jamshoro Discussion Existing National Health Policy of Pakistan Develop organization, sense of urgency, emergency, media, community, civil society, momentum District level, support or make SOPs for emergency room and supply of equipment. And standard of Training to the staff of a particular hospital, compulsory or supported by Hospital executive. BASIC RESUSITATION BAY FOR DISTRICT HOSPITALS concept by Prof. Jooma endorsed by Charlie TRAUMA centre is not the answer, man power like Trauma technicians are the pillar of Trauma system Wireless network connection among us Comprehensive trauma system. Minimum quality control.
Brent Eastmen Disaster preparedness TRAUMA CHALLENGES AND SOLUTIONS ARE GLOBAL U.S. PAKISTAN Ellen Mackenzie Development of comprehensive trauma and EMS systems throughout the United States Level -I I-I III IV trauma centre according to facilities available. Private -Public care interface standards, issues, care. Major focus should be on District hospital level. Lesion between government & private hospitals. Financing mechanism Professional societies. Number of people are not able to go back to work after injury even operated & managed. Role of rehabilitation after Injury. Community based financing page 4 Summary It was a unique, disciplined and organized course, time management was perfect and participants were very relevant and experienced which generated very good discussions and new ideas of skills and disaster management in local setup. There were good dissuasions between all even at breakfast and shopping trips. Most of the participants from Pakistan flew back together in the same flight and most of the ER specialist from different cities of Pakistan who met first time and become good friends. It was also decided in Dubai after this meeting to form a society of Emergency medicine of Pakistan. Acknowledgements I am thankful to all the faculty members for their valuable time and support and special thanks to Dr Douglas Wilkinson for making this course success. I am also thankful to WHO Pakistan & WHO EMRO, Prof Rashid Jooma, Dr Ejaz khan and Dr Junnaid Razzak and his team for arrangements of logistics, visa and all other support and to all the participants of the course. Dr. Saeed Minhas Course Director & Chairman PTC SIND PTC on the BBC! PTC has been chosen by the BBC to present an appeal for funds on UK national radio. Our patron, Sir Terrence English, former president of the Royal College of Surgeons, will make the broadcast, which will go out on SEPTEMBER 27th at 8.55 on BBC radio 4 (repeated on Thursday October 1st at 15.27) From the time of the broadcast you will also be able to listen online (type bbc radio 4 appeal into Google). This is a unique opportunity for us to raise the funds we so desperately need for PTC activities worldwide. Please listen yourself, and pass the message on to all your friends and colleagues. You can give by post or via the website. A poster is attached for you to put up in your hospital, or give to your friends and possible donors - please add your own name and contact details for maximum impact. Dr. Mike Dobson
PRIMARY TRAUMA CARE PRIMARY TRAUMA CARE Listen to the BBC Radio 4 appeal which features Primary Trauma Care, to be broadcast on BBC Radio 4 on: Sunday September 27 th at 08.55 & 21.26 (repeated Thursday October 1 st at 15.27) You can also listen on the BBC website ( radio 4 appeal ) Every year 1,400,000 people die as a result of trauma; most of these deaths happen in the developing world. Our courses help health professionals make the best use of the resources they have, and do not depend on imported, expensive, and often-unreliable equipment. Our philosophy is to pass on our knowledge and skills to local people as quickly as possible. We train local people to become effective teachers so that our courses can rapidly become selfreplicating. As an example, four PTC instructors visited Iran in January and trained 30 people in PTC, and ten instructors. By August the same year our ten Iranian instructors had trained 300 more health workers in PTC, without further outside help. Our courses are of proven effectiveness and are endorsed by leading professional bodies such as the Royal Colleges of Surgeons and Anaesthetists, and by the World Health Organization which has endorsed PTC by publishing our manual as part of its surgical training materials (Surgical Care at the District Hospital). PTC is a registered charity (UK Charity No 1116071). In addition to working as unpaid volunteers overseas, all our trustees are themselves financial supporters of the work, and our medical and training teams undertake overseas assignments on a no-fee basis. For more information about PTC's work, contact......