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Improving hospital-based trauma care for road traffic injuries in Malawi

World Journal of Emergency Medicine 2017年第2期8卷 85-90页

作者： Linda chokotho Wakisa Mulwafu Isaac Singini Yasin Sjalale Kathryn H. Jacobsen Belt cure Hospital Blantyre Malawi Department of Surgery College of Medicine University of Malawi Blantyre Malawi Johns Hopkins Project Blantyre Malawi Blantyre Adventist Hospital Blantyre Malawi Department of Global & community Health George Mason University Fairfax Virginia USA

BAcKGROUND: The mortality rate from road traffic injuries has increased in sub-Saharan Africa as the number of motor vehicles increase. This study examined the capacity of hospitals along Malawi's main north-south highway to provide emergency trauma ***: Structured interviews and checklists were used to evaluate the infrastructure, personnel, supplies, and equipment at all four of Malawi's central hospitals, ten district hospitals, and one mission hospital in 2014. Most of these facilities are along the main north-south highway that spans the ***: Between July 2013 and March 2014, more than 9 200 road traffic injuries(RTIs) and 100 RTI deaths were recorded by the participating hospitals. All of the hospitals reported staff shortages, especially during nights and weekends. Few clinicians had completed formal training in emergency trauma management, and healthcare workers reported gaps in knowledge and skills, especially at district hospitals. Most central hospitals had access to the critical supplies and medications necessary for trauma care, but district hospitals lacked some of the supplies and equipment needed for diagnosis, treatment, and personal ***: The mortality and disability burden from road traffi c injuries in Malawi(and other low-income countries in sub-Saharan Africa) can be reduced by ensuring that every central and district hospital has a dedicated trauma unit with qualified staff who have completed primary trauma care courses and have access to the equipment necessary to save lives.

关键词： traffic accidents Emergency medical services Developing countries road traffi c injuries Sub-Saharan Africa

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