Sudha Jayaraman|Jacqueline Mabweijano|Michael S. Lipnick|Nolan Caldwell|Justin Miyamoto|Robert Wangoda|Cephas Mijumbi|Renee Y. Hsia|Rochelle Dicker|Doruk Ozgediz
Current Patterns of Prehospital Trauma Care in Kampala, Uganda and the Feasibility of a Lay-First-Responder Training Program
University of California, San Francisco|Mulago Hospital|Makerere University|Brigham and Women's Hospital|Office of Education|University of California, San Francisco|Office of Education|University of California, San Francisco|Mulago Hospital|Makerere University|Mulago Hospital|Makerere University|University of California, San Francisco|San Francisco General Hospital|University of Toronto|Hospital for Sick Children|SickKids Foundation
abstract background uganda currently organized prehospital emergency system sought measure current burden injury seen lay people kampala uganda determine feasibility lay firstresponder training program methods conducted crosssectional survey current prehospital care providers kampala police officers minibus taxi drivers local council officials collected data types frequencies emergencies witnessed barriers aid provision history training current availability firstaid supplies contextappropriate course basic firstaid trauma designed implemented measured changes trainees fund knowledge training results total 309 lay people participated study previous 6 months saw 18 traumatic emergencies 39 saw injuryrelated death common injury mechanisms road crashes assault burns cases 90 trainees provided aid commonly lifting 82 transport 76 fiftytwo percent trainees previous firstaid training 44 access equipment 32 ever purchased firstaid kit training participants answered 45 test questions correctly mean increased 86 training p lt 00001 conclusions lay people witness many emergencies deaths kampala uganda provide much needed care illprepared contextappropriate prehospital trauma care course developed improve lay peoples knowledge basic trauma care effectiveness training program needs evaluated prospectively