THIS EDITION

In this edition, we feature:

• PTC/CDC/WHO Consultation Meeting - Dubai• PTC on the BBC (radio appeal)

APRIL 2009PTC

CONTACT DETAILSPrimary Trauma Care Foundation

313 Woodstock Road, OXFORD OX2 7NYTel: +44 (0)1865 220621Fax: +44 (0)1865 220846Email: admin@primarytraumacare.orgWeb: www.primarytraumacare.orgRegistered Charity Number: 1116071Edition 16

11/2 DAY PRIMARY TRAUMA CAREHalf Day BOMB BLAST INJURIES

Pattern and careOne day PTC-CDC_WHO

International Consultation MeetingOn National Trauma Care Program

of Pakistan (NITPP)Arabian Park Hotel Dubai

13 - 15 March 2009

Executive summaryUnique 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

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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

Course Participants:Dr Khalif Bile Mohamud WHO Pakistan Representative Dr Syed Jaffar Hussain WHO EMRODr Abu-Bakar Trauma Surgeon PGMI LahoreDr Amber Mehmood ER AKUHDr Mujeeb Khan Director Emergencies RawalpindiDr Tasmeen Azeem Rescue 1122 CDGK KarachiDr Syed Sardar Director ER LNH KarachiDr Sabir Ali Lahore ER Services Hospital Lahore Dr Mian Abdul Hafeez NWFPDr Rehana Malik Mayo Hospital LahoreDr Akbar Shah NWFPDr Ejaz Ahmad Khan IslamabadDr Sabir Gul Khan ER Peshawar Dr Raja Shafique Sarwar ER Holy Family Hospital RawalpindiDr Asif Farooque ER CHK KarachiDr Shazad Shamim AKUH KarachiDr Muhammad Nawaz Khan ER CharsadaMr Umar Jooma PTC Administration

Background:Prof Rashid Jooma was the main organizer for this mega event, involving WHO, Afghanistan Govern-ment, Ministry of Health Islamabad, Centre for Dis-ease Control and Prevention Atlanta GA.National Centre for Injury Prevention and con-trol 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.

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

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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 - ModeratorDr Saeed Minhas PTC Sind Dr. Charles Mock Geneva WHODr. Ellen Mackenzie Researcher John HopkinsDr. Brent Eastman San Diego California USA Dr. Vikas Kapil CDC USADr Khalif Bile WHO PakistanDr Richard C Hunt CDC USADr Henery Falk CDC USADr Syed Jaffar Hussain WHO CairoDr 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 Jaffaro Policy Level o Health system & Intuitional levelo Human & financial resourceso Data information o Evidence based interventions o Infrastructureo Training/ accreditationo 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 Urbano Larkana Sukkar Mitairi JamshoroDiscussion Existing National Health Policy of PakistanDevelop 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 systemWireless network connection among usComprehensive trauma system.Minimum quality control.

Brent Eastmen Disaster preparednessTRAUMA CHALLENGES AND SOLUTIONS ARE GLOBAL U.S. PAKISTAN

Ellen MackenzieDevelopment of comprehensive trauma and EMS systems throughout the United StatesLevel -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

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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.

AcknowledgementsI 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 MinhasCourse 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

Listen to the BBC Radio 4 appeal which features Primary Trauma Care, to be broadcast on BBC Radio 4 on:

Sunday September 27th at 08.55 & 21.26(repeated Thursday October 1st 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 self-

replicating. 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

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PRIMARY TRAUMA CARE