21 st UN Road Safety Collaboration Post-crash project group Friday 27 March 2015, Geneva, Switzerland Attendees Dr Margie Peden, Chair, WHO Dr Teri Reynolds, WHO Ms Cathy Silberman, ASIRT Professor Adnan Hyder, RTIRN and JHU Ms Jeanne Picard Mahaut, Stop Accidentes* Dr Gary Smith, Ohio State University College of Medicine* Mr Manuel Ramos, FEVR Ms Lotte Brondum, GARS Mr Fernando Camarero, MAPFRE Mr Alejandro Pablo Taddia, IADB * (observers) Apologies Ms Rochelle Sobel, Co-Chair, ASIRT The following were the objectives of the meeting: 1. To review and incorporate changes and suggestions into the Pillar 5 Decade of Action work plan (2015-17). 2. To be updated on examples of global activities that impact post crash response. 3. To discuss next stage of the post crash booklet for the 2nd High Level meeting in Brazil. 1. Welcome Dr. Margie Peden welcomed participants to the project group and did a tour de table for members to introduce themselves and their organisations. The agenda was agreed. 2. Review of PG 5 work plan The work plan for the Project Group was rediscussed and agreed. There will be 4 activities instead of 7 in the previous plan. The World Day of Remembrance was added as well as an activity related to support of victims following a crash including legal/judicial issues. Action: The chair will present the modifications in plenary and hopefully these will be approved. Thereafter a clean version of the ToR and work plan for 2015-17 will be circulated (see Annex 1). Suggested changes will be incorporated into the next version of the Plan of Action for the Decade of Action (Annex 2). 3. Update on activities by PG members 3.1 Report back on meeting of GACI Dr Teri Reynolds gave a brief update on the work of GACI (Global Alliance of the Care of the Injured) whose work is focused primarily on the following three working group outputs: Trauma System Assessment, Minimum Data Systems and Trauma Quality Assurance (short course is being updated). Synergies between GACI and the Global NGO Alliance were discussed. These will also be taken up between the two alliances in the coming months. Dr. Hyder also indicated that the WHO Collaborating 1
Center at Johns Hopkins is pleased to assist with this coordination between GACI and PG5. 3.2 Response after traffic crashes in Latin America Mr Fernando Camarero from MAPFRE together with Ms Jeanne Picard Mahaut from Stop Accidentes gave an overview of a study conducted through the Ibero-America group on challenges encountered by victims in the post-crash phase (Annex 3). Discussion ensued around how these challenges could be addressed as well as how the tool used could be taken up by other NGOs. 4. Post-crash booklet Dr Teri Reynolds presented the first draft of the post-crash booklet following submission from various PG5 participants. A number of suggestions were made including: Changing the subtitle of the document; Including a double spread that graphically shows the chain of events medical and non-medical which occur following a crash; Better balancing of medical vs non-medical issues; Deletion of the section on the golden hour. A new time line was discussed. Action: Dr Reynolds will make changes based on comments and circulate to all PG members for another round of comments. Dr Peden reported back to plenary on behalf of the group. 2
Annex 1 Introduction PG 5: Post-Crash Response The 14 th meeting of the United Nations Road Safety Collaboration (UNRSC) agreed to establish Project Groups for each pillar of the Global Plan of the UN Decade of Action. Pillar 5 Post Crash Response contained 7 recommended activities and four indicators (. The UNRSC s terms of reference (TOR) require that project groups operate for three years and establish their own TOR, objectives and work plan. The following reflect the modifications made to the work plan for the 2015-2017 period which include the reduction of activities to four and deletion of three indicators from previous 2013-2015 workplan. Terms of Reference, Objectives and Work Plan The ToR of Project Group 5 (PG5): To encourage implementation of the recommended activities and indicators of Pillar 5 of the Global Plan; To monitor progress of the implementation of Pillar 5 of the Global Plan, review its content and report periodically to the plenary of UNRSC; To organise occasional seminars or workshops on various aspects of Pillar 5 of the Global Plan provided such events are approved by the plenary of the UNRSC and are selffinanced; The PG will have a Chair and Co-Chair and a PG member will be asked to serve as rapporteur. Membership of PG5 will be open to all UNRSC members (or their designated representatives) and permit participation by observers or experts by invitation of the PG Chair/Co-Chair. The objectives of PG5: To support implementation of the Global Plan and the work of the UNRSC. To operate as a Project Group as set out in the ToR of the UNRSC as a mechanism for participants with similar interests to exchange information and collaborate on specific tasks/projects line with the UNRSC's objectives. To identify available best/good practices in trauma care systems, and propose how the information can be best shared to support country efforts in this area. To identify countries involved in research and development in post crash response, particularly LMICs, and propose how to encourage collaboration or lessons learned among the countries through the UNRSC. The following work plan was adopted during the 21 st UNRSC on 27 March 2015. 3
Work Plan : 2015-2017 UNRSC Post-crash Response Project Group 5 Introduction This work plan describes the tasks to be conducted by the Project Group 5 on Post crash response for the period 2015-2017. Tasks and Activities Each task is followed by key activities, deliverables, suggested facilitator/s for the work, and space for quarterly status updates. POST-CRASH CARE ACTIVITIES DELIVERABLE LEAD ORGANIZATIONS STATUS Activity 1: Develop prehospital care (PHC) systems 1.1. Support country efforts to develop prehospital systems models including the adoption and implementation of good practice guidelines of PHC. countries in developing prehospital systems. GACI 1.2. Provide training and technical assistance on prehospital care. Short courses on prehospital care and webinars. ASIRT 1.3. Promote implementation of a single nationwide emergency services telephone number in countries. countries and advocacy material. GACI Activity 2: Develop hospital trauma care systems and evaluate quality of care 2.1 Promote adoption and implementation of good practice guidelines on essential trauma care and trauma quality improvement specific countries to implement guidelines. VIP short courses on QI and webinars. Provide first aid training in countries. WHO, GACI, ASIRT, JHU, GRSP implement checklist. 2.2 Promote implementation of Trauma Care Checklist i (ER clinical protocols). countries. WHO, GACI Pilot in progress 2.3 Alliance on trauma care. Implement ToRs through work groups. WHO Activity 3: Provide early rehabilitation to injured patients and post-crash support to those affected by road traffic crashes, to minimize both physical and psychological trauma. 3.1 Support development and implementation of programs and activities recommended in the World report on disabilities (2011) ii including reintegration of Launch report in multiple countries to create awareness. countries to implement recommendations in the WHO 4
POST-CRASH CARE ACTIVITIES DELIVERABLE LEAD ORGANIZATIONS disabled back into community. report. STATUS 3.2 Advocate for signing and implementing the Convention on the Rights of Persons with Disabilities - CRPD (2006) iii. Signatories to the convention. WHO 3.3 Encourage countries to hire and retain people disabled as a result of road traffic crashes. NGO advocacy activities. WHO, ASIRT, FEVR, GARS 3.4 Encourage countries to celebrate World Day of Remembrance every year NGO advocacy GARS Activity 4: Encourage research and development into improving post-crash response 4.1 Disseminate research and best practices to improve post-crash response. Publication of appropriate articles. Advocacy documents promoting best practice. ASIRT, GARS Preparation of an advocacy document on post-crash response. 5
Annex2 Proposed changes to the Global Plan for the Decade of Action 2011-2020 - Pillar 5: Post Crash Response Pillar 5: Post crash response Increase responsiveness to post-crash emergencies and improve the ability of health and other systems to provide appropriate emergency treatment and longer term rehabilitation for crash victims. Activity 1: Develop prehospital care systems, including extraction of a victim from a vehicle after a crash, and implementation of a single nationwide telephone number for emergencies, through the implementation of existing good practices. Activity 2: Develop hospital trauma care systems and evaluate quality of care through implementation of good practices on trauma care systems and quality assurance. Activity 3: Provide early rehabilitation to injured patients and post-crash support to those bereaved by road traffic crashes, to minimize both physical and psychological trauma. Activity 4: Encourage research and development into improving post crash response. Indicators Number of countries with one national emergency access number; Number of countries where specific trauma care training is required for emergency care personnel Number of countries using any injury grading system in health facilities Number of countries with vital registration systems Number of countries with emergency-room based injury surveillance systems Proportion of seriously injured patients transported to hospital by ambulance i http://www.who.int/patientsafety/implementation/checklists/trauma/en/index.html. ii http://www.who.int/disabilities/world_report/2011/report/en/. iii http://www2.ohchr.org/english/law/disabilities-convention.htm.