Workshop On Building the Arab Mashreq Road Safety Partnership

AMRSP

October 21-22, 2008

Doha - Qatar

Regional Needs Of

Road Safety Medical Aspect

Wahid AlKharusi

FRCS

Member UNRSC

Member BJD-ISC

OMAN

Requirements and Best Practices

• Capacity Building

• Knowledge Sharing and Transfer

• Data collection

• Research• Political Will

• Safety Belts• Helmets.• Children

Constraints.• Drink Driving• Speed Control

Multi-Sectorial Approach

Medical Aspects of RTC & Injuries

Holistic Approach

Prevention - Acute Care- Definitive care -

Rehabilitation to Social Re-Integration

Prevention

• Advocacy and Awareness

• Community Based Preventive Programs

Concentrate and Advocate

• Driving Etiquettes

• Best Practices

• Enforcement of Legislation

• Work for Surveillance and road infrastructure

• Medical Community Service for Repeated Offenders

On Site Medical Care and Transportation

• Emergency Medical System Service (EMS)

• Well trained EMT and appropriately

equipped Ambulances

• Full coverage and response time.

• Appropriate Handing Over.

• Trained Medical Dispatchers

• Civil defense extraction experts.

Emergency Room

• Proper Triage by trained experts.• Trained Personnel with definitive tasks.• Properly equipped• Easy access for Radiology, ICU and

operating rooms.• Repeated Drills• Psychological support for victims and their

families

Intensive Care Units - ICU

• Ratio to Injuries.

• Trained Trauma Health Care Providers.

• Proper Bed : Nurse ratio.

• Properly equipped.

• Endorsed Standard Operating Procedures.

• Preventive regular equipment maintenance.

Operating Rooms

• Well Equipped and Manned

• Round the clock Access.

Definitive Care• Specialized care

with supportive services.

• Round the Clock diagnostic facilities.

• Concept of Trauma Vs Orthopedics Surgeons.

• Specialized nursing care - ( Wound Care)

Rehabilitation

• General physiotherapy

• Orthotics and prosthetics

• Occupational and speech therapy

• Specialized Head and Spinal Units.

• Bladder and bowel specialists.

• Psychological and social support to victims and family.

Social Re-Integration

• Evaluation, re-education and training of rehabilitated victims of RTC.

• Re-introduction into the society

• Building up of self-esteem and positive expectations.

• Facilities for assisted living.

• Legislation for employment

Level Of Care

Acceptable Basic Standards Of Trauma Care especially in our region and in Low and Middle Income countries

Carl Brighton-BJD Initiative

Regional definition of Death.

The Community

• Information Transfer• Impact on civil society Direct/Indirect• Impact on GDP and Sustainable

Development.• Degradation of financial and social status

post crash of the family in fatality and disability.

• Community involvement.

Recommendations Of The World Report On Road Traffic Injury

Prevention

5. Implement specific actions to prevent road traffic crashes, minimize injuries and their consequences and evaluate the impact of these problems.

Importance of Data

Data collection. Analysis. extrapolation and shared.

1. For Community based preventive programs.

2. Budget allocation. 3. Political Will 4. Build a government- private- corporate

partnership.

Recommendations

1. Consolidate the prevention tools and also work and encourage EMS, acceptable Trauma care, proper Rehabilitation, and aggressive social integration.

2. Develop handbook on how to advocate for Political Will.

3. Encouraging a pragmatic and a realistic national action Plan on Road Safety.

4. Encourage Regional dialogue and cooperation.

Thank You