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Primary Trauma Foundation Report: 2010-12
Douglas Wilkinson
Training Course Activity - 2010
Africa
All Saints Hospital (ASH), Engcobo, South Africa – October 2010
Instructors: Dr. David Oloruntoba (Consultant, Orthopaedic Surgery, Bedford Orthopaedic Centre), Dr. Howard Kingu (Consultant, General Surgery, Nelson Mandela Academic Hospital), Dr. Dhaffala (Consultant, Neurosurgery, Nelson Mandela Academic Hospital.
All Saints Hospital is located in Engcobo town 80kms from Mthatha. It’s a 330 bed hospital functioning as a level 1 & 2 hospital and is the first port of call for trauma for the population of that part of the Eastern Cape Province.
Dr Rajeev Eashwari the Medical Superintendent of All Saints Hospital Engcobo approached the PTC committee in August 2010 about holding a PTC course for staff of ASH & the surrounding clinics – 16 participants attended the course.
Uganda – Kampala and Hoima – November 2010
The PTC foundation was approached early in 2010 with the possibility of running a foundation course in Uganda as the first step in putting up a system for trauma care.
The initiator was Prof E. Moro a surgeon & deputy dean of the Medical faculty at Gulu University. They had looked at the PTC model & had decided that the primary care nature & its inbuilt training of trainers to take it to the rest of the country was what they needed. Prof. Moro had produced a policy document outlining a plan going forward to take the program nationwide.
The first Two day course (15th & 16th Nov 2010) – conducted by team of 4 trainers from Nelson Mandela Academic Hospital Complex / Walter Sisulu University, Mthatha, Eastern Cape, South Africa – Dr David Oloruntoba, Dr Kingu, Dr Dhaffala and Dr Shrivastava - plus a team of 4 ATLS trained facilitators from the UK were involved. The UK team were scheduled to give a standard 2 day course in Hoima (in the mid East of Uganda) after having being part of the 1st 2 day course & the 1 day instructors course in Kampala.
A One day Instructors course (17th Nov 2010) - The course was run for doctors, all senior surgeons & anaesthetists. 20 participants attended the course (10 of which were nurses).
ASIA
25th PTC Course – Apollo Hospital, Delhi – April 2010
A 15 member team of PTC instructors from Delhi - 24 participants, consisting of senior and junior doctors and senior nursing staff from Delhi, Mumbai, Chennai, Kolkatta and Nepal were selected for the course.
Additional PTC courses in India (February, March and July 2010) were presented in video format, which may be located via our website. All courses were organised by Dr Arun Prasad (PTCF India).
Ulanbaatar, Mongolia – June 2010
A 2-day PTC course and one-day PTC Instructor Course were held in Ulanbaatar. These courses were immediately followed by a second 2-day course organised and taught by the newly trained local instructors. 8 people attended the first 2-day course, 8 new instructors and two experienced instructors joined the instructor course, and 13 attended the second 2-day course. The aim of these courses was to teach trauma management knowledge and skills to course participants and also to train and develop the skills of local PTC instructors. The course instructors involved in the training were:
Dr Tungaa - (Local organiser) Anaesthetist Maternal and Child Health Research Centre
Dr. D Kenneth Brownhill - ( Overseas Organiser) Anaesthetist, Melbourne Australia
Dr Wayne Morriss - Anaesthetist, Christchurch, New Zealand
Dr Stephen Swallow - Anaesthetist, Hobart, Australia
Dr. Ganbold - Anaesthetist and President of the Mongolian Society of Anaesthetists
Rhaim Yar Khan (Punjab) – April 2010
Two day course was organised to introduce and teach the concepts and principles of PTC to the specialists and teaching faculty of Sheikh Zayed Medical College Rahim Yar Khan, which is a remote and backward district of Punjab bordering Sindh and Baluchistan Provinces. The course was the result of an ongoing communication between PTC’s National Coordinator for Pakistan Prof Rashid Jooma, Chairman PTC Sind and the Principle of Sheikh Zayed Medical College. The course instructors were:
Dr Saeed Minhas - Chairman PTC Sind & Orthopaedic Surgeon Karachi.
Dr Shams Nadeem Alam - Course Director PTC, General Surgeon Karachi.
Dr Irfan Ashraf - General Surgeon & Medical Educationist, Karachi.
Dr Faisal Hussain - Orthopaedic Surgeon Lahore.
Jinnah, Karachi – April 2010
One day Primary Trauma Care course was organised to introduce and teach the concepts and principles of PTC to the House surgeons and medical officers and Senior Registrars of the Dental department of the Jinnah Post Graduate Medical centre, in Karachi. The course was the result of an ongoing communication between PTC Sind Chairman Dr Saeed Minhas, and Dr Abid Head of Department of Dental surgery. 35 doctors attended the course and the Instructors were:
Dr Saeed Minhas - Course Director Associate Professor (Current Charge) JPMC, Karachi.
Dr Abid Mahmood - Coordinator and Head of Dentistry JPMC
Dr Nadeem - Assistant Professor Anaesthesia JPMC Karachi
Dr Irfan Ashraf - Director Professional development centre SMC DUHS Karachi.
Dr Kanwal Zia - General Surgeon Dow University of Health Sciences Karachi.
Karachi – November 2010
A two day PTC provider course was conducted at the Memon Medical Institute (MMI), Karachi on 27th and 28th November 2010. MMI is a 332 bedded tertiary care hospital in the suburbs of Karachi city, approximately 5 km from Quid-e-Azam International Airport. It is strategically a potential site for trauma patients as two major highways travel on its two sides within a distance of 15 to 20 kms.
A pre-course meeting was held with PTC Sindh faculty and it was decided that the “China experience” would be used to improve the PTC provider course, as three of the local faculty members were also part of the PTC China Faculty. It was also concluded that at least half of the instructors should be those who are not experienced as PTC instructors and they should run the course sessions under direct supervision by experienced PTC faculty. 26 people attended the course and the Instructors were:
Dr. Saeed Minhas (Chairman PTC), Dr. Shams Nadeem Alam (Director PTC
Dr. Bushra Shirazi, Dr. Noor ul Haq and Dr. Shahid Shamim (Course Director)
Iraq - March 2010
First PTC course in Iraq jointly organised by PTCF, Ministry of Health and Red Crescent Society of Iraq.
Five instructors from Pakistan and UK conducted the course; Prof John Beavis, Dr Jeanne Frossard and Dr Shariq Ali were joined by Dr Saeed Minhas and Dr Arshad Taqi from Pakistan. Local facilitator of the course was Dr Omar Khatab from Baghdad and the course attracted 20 participants.
Participants of the founding course consisted of surgeons, anaesthetists and emergency physicians from Baghdad and Basra to give it a wide geographical representation. A two-day PTC founding course, followed by a one-day instructors’ course were presented.
China
Over 2000 master Chinese PTC instructors trained from 110 courses in 4 provinces in China with the input of over 30 PTC overseas instructors from over 10 countries worldwide. This is year 1 of a 3-year Ministry of Health/PTCF project.
MEDITERRANEAN
Gaza – February 2010
Further to the PTC team visit in November 2009 and formulation of a Gaza PTC Committee, the local staff who attended two PTC training courses held at the HRDD Gaza, were nominated as the local PTC staff. The first activity of the Committee was to organize the PTC courses prepared by the local trainers. The aim of the course was to train and develop skills of Gaza local PTC instructors.
The program was designed for two days with the assistance of Dr. John Beavis and the HRDD organized the training hall for the courses and equipped it.
16 people attended the first course and 19 attended the second course (10 doctors and 9 nurses). To date, four courses have been presented in Gaza and supported by MAP (Medical Aid for Palestinians).
PACIFIC
Raratonga, Cook Islands – June 2010
A one-day Instructor Course and 2-day PTC course were held in Rarotonga. 16 people attended the Instructor Course and an additional 19 people attended the 2-day course. The aims of the courses were to reinforce knowledge and skills for local instructors and participants. The course instructors were:
Dr Wayne Morriss - Anaesthetist, Christchurch, New Zealand
Dr Mary Tuke - Anaesthetist, Rarotonga Hospital, Cook Islands
Dr Deacon Teapa - Surgical Trainee, Fiji School of Medicine, Suva, Fiji
Dr Ron Pereira - Anaesthetist, Christchurch, New Zealand
Dr Sue Pereira - Anaesthetist, Christchurch, New Zealand
Malietoa Tanumafili II Hospital, Tuasivi, Savaii, Samoa - June 2010
5 Day PTC Programme:
One-Day Tour of Healthcare Facilities Savaii by PTC Instructors 14 June
Two-Day Training Course 15-16 June – attended by 29 participants
Two-Day Training Course 17-18 June – attended by 38 participants
Course Instructors:
Dr. Loudeen Lam - Surgery, Apia
Dr. Tapa Fidow - O&G Apia
Dr. L’amour Hansell - Medical Director, Anaesthesia Savaii
Dr. Teariki Puni - O&G Apia
Dr. Pai Enosa - Emergency Medicine, Apia
Dr. Mika Ah Kuoi - Emergency Medicine, Apia
Dr. Bryce Curran - Anaesthesia, Christchurch Public Hospital
Baucau, Timor Leste - April 2010
The visit had two main aims:
1. Deliver training in trauma care to the staff of the Referral Hospital Baucau. This was identified as an area that needed addressing by Dr Cesaltino, the Director General of referral hospital Baucau.
2. For the team from Dili (RACS and NHGV staff) to become better acquainted with the staff and needs of Referral Hospital Baucau with a view to providing ongoing support.
A two day PTC course was run at the Baucau Referral Hospital in Timor Leste on April 9th and 10th. There were 14 participants. 3 participants were doctors from Baucau Hospital. The remaining participants were nursing staff from the Baucau hospital ED. The course was well supported by the hospital. The Course Instructors were:
Dr Antony Chenhall - (Emergency Physician) Long Term Advisor, Emergency Department, Dili, Timor Leste
Dr Nilton Tilman - (Surgical Registrar) NHGV, Dili, Timor Leste
Dr James Fordyce - (Emergency Physician) Royal Darwin Hospital, Darwin, Australia
Dra Celia - Clinical Director, Referral Hospital Baucau (translation for AC and JF)
Suai, Timor Leste - March 2010
A two day PTC course was run at the Suai Referral Hospital in Timor Leste on March 12th and 13th. There were 11 participants, all of whom worked at Suai Hospital. 1 participant was a Timorese ‘GP’ doctor; 3 participants were ED nursing staff; 5 participants were anaesthetic techs; an ambulance officer; and 3 health staff not directly related to emergency care.
The standard 2 day PTC course plan was followed with the following variations. Burns was done as a small group activity rather than a lecture. The final MCQs were not done and instead a discussion with the faculty, the course participants and hospital administrators was held on the barriers to implementing PTC in Suai, and what the next steps should be. Course Instructors were:
Dr Antony Chenhall - (Emergency Physician) Long Term Advisor, Emergency Department, Dili, Timor Leste
Dr Eric Vreede - (Anaesthetist) Long Term Advisor, Anaesthetics, Dili, Timor Leste
Dr Stephen Watson - (Emergency Medicine Registrar) Darwin, Australia
Francisco Borges - (Staff Nurse) Emergency Department, Dili, Timor Leste
SOUTH AMERICA
Santa Cruz, Bolivia - November 2010
Starting PTC in Santa Cruz de la Sierra Bolivia with a PTC basic course and an Instructors course for the local doctors who work in the main hospitals and health systems within the city.
The PTC basic and instructor course were planned to be executed from the 19th to the 21st of November. Good group of instructors from different specialities (anaesthesiologists and surgeons) from Paraguay, Argentina, Chile, Bolivia and Ecuador.
There were only 10 participants from Santa Cruz Bolivia and had only 3 good candidates for the Instructors course.
Key staff involved in planning and co-ordinating:
Main Coordinator: Dra. Teresa Ambolumbet.
Local coordinator: Dr. Hernan Pacheco.
Basic Course coordinator: Dr. Santiago Alban
Instructors Course coordinator: Dr. Oscar Gonzalez.
Quito, Ecuador - MAY 2010
A Basic PTC course was held in Quito in May and the Course Instructors were -
Dra Susanna Cueva and Dr Santiago Alban. During the course the principal organiser was Dr. Juan Carlos Duarte.
23 participants attended the programme – 4 from Chile, 1 Guatemala and 18 from Ecuador.
Following the basic PTC course, the team presented an Instructor Course. Only those course participants who were medically qualified and had attended the whole of the basic course were accepted - 12 Participants: 4 from Chile, 1 from Guatemala and 7 from Ecuador.
Suriname - January 2010
Introduction: PTC started in Suriname in 2002, since then 20 student courses have been held, in the first years mainly for doctors. In more recent years at least half of the courses have been organized for nurses.
A well attended PTC course was held on the 23rd and 24th of January 2010.
12 doctors from the Emergency Department of the Academic Hospital
15 doctors from Regional Health Centers
The courses were held in the spacious Surgery Department, with ample room for different workshops and skill stations. Both courses followed the usual PTC pattern, including a very much appreciated workshop on X-rays, where the students were trained to interpret X rays of the cervical spine, thorax and pelvis.
Nearly all slides as well as the student manual have been translated into Dutch, the official language in Suriname.
Dr Douglas Wilkinson
Chair, Primary Trauma Care Working Party
