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Optimizing Emergency Response and Trauma Care: Strategies and Challenges

This document outlines the key objectives and strategies for improving emergency response and trauma care in pre-hospital settings. It emphasizes the importance of minimal response times, systematic assessment, appropriate interventions, and thorough documentation. The "Golden Hour" serves as a target for ambulance response, which is influenced by public education, communication, infrastructure, and road user behavior. The intervention protocols highlight immediate response measures and equipment needed for effective trauma care, alongside challenges such as public awareness and inadequate training of personnel.

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Optimizing Emergency Response and Trauma Care: Strategies and Challenges

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Presentation Transcript

  1. Fully owned by

  2. Overview • Objectives • Response time • Assessment • Intervention • Communication • Challenges

  3. PHTC Objectives • Minimal response time • Systematic assessment • Interventions as per protocol • Proper documentation • Appropriate referral • Timely handing over

  4. Response Time • The GOLDEN HOUR is our target • Ambulance’s response is affected by;- • Public education • Communication • Infrastructure • Capacity and • Road users/Police

  5. Immediate Intervention • Danger, scene size up, triage, BSI • Primary survey • Airway & cervical immobilization • Breathing • Circulation • Disability- AVPU • Exposure- expose and observe

  6. Secondary survey • Full set of vital signs • Give comfort measures (pain control) • Morphine • Diclofenac • History taking (on transit) • Inspection- head to toe exam

  7. Trauma Equipment Cervical collars Head blocks + straps KED Sager splint Scoop stretcher Spinal board

  8. ACLS Equipment AED Mechanical ventilator Portable O2 cylinder Cardiac Monitor Laryngoscope set

  9. Communication • 24/7 Emergency Medical Dispatch (EMD) • VHF • HF • Mobile phones • Receiving Health Facilities • Diagnosis, no. of casualties and ETA

  10. Trauma Data

  11. Referral • Documentation • - Patient care report • Handing over • - Patient received by Dr./Nurse • Debriefing • -within 24hrs

  12. Challenges • Public awareness on EMS- Emergency numbers • Poor infrastructure leading to delays in response • The ‘’Kenyan Good Samaritan’’ • Lack of extrication devices • Inadequately trained Pre-Hospital Care personnel • Lack of trauma center in Kenya

  13. Q&A

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