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Primary Trauma Care

Primary Trauma Care. Dr Rob McDougall FANZCA PTCF, Trustee. Primary Trauma Care Course. Training doctors and first responders in the management of severe injury, in order to save lives and prevent complications 60 countries worldwide 14 languages. PTC SE Asia & Pacific.

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Primary Trauma Care

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  1. Primary Trauma Care Dr Rob McDougall FANZCA PTCF, Trustee

  2. Primary Trauma Care Course • Training doctors and first responders in the management of severe injury, in order to save lives and prevent complications • 60 countries worldwide • 14 languages

  3. PTC SE Asia & Pacific • Pacific Islands 1997 • Indonesia 2001 • Papua New Guinea 2002 • Vietnam 2002 • Timor Leste 2003 • Mongolia 2005 • Myanmar 2009 • Cambodia 2011

  4. PTC China • 300 two day courses in first two years • 4000 doctors trained • 400 instructors

  5. PTC MM Timeline today

  6. *Trauma Symposium Jan 2010 Myanmar Medical Association Annual Meeting

  7. where are we now? • 2 centres for training... Yangon & Mandalay • a core of local instructors: -10~15 • fledgling infrastructure that can operated effectively with international supervision

  8. the Ministry of Health

  9. Consensus Conference Development of Emergency Medicine19, January 2012

  10. PTC Challenges • Governance • Curriculum Review • Standards • Measurement and Evaluation • Funding

  11. PTCF Governance • Moved to a professional model in 2011 • Board of Trustees • Council • Local PTC Committee • Part time staff • CEO • Administrator (Oxford) • Administrator (China)

  12. Curriculum Review • Standard manual • Regional adaptations of other materials • Course format • Slides • MCQ • Review of materials underway • Led by Council • Wide consultation

  13. Standards • Doctors, nurses, ambulance officers, first responders • Multi-disciplinary courses in many countries • Rural clinics, district hospitals, tertiary centres • Certificate of attendance • Valid exam difficult in two day course

  14. Measurement and Evaluation • Outputs • Courses run, participants • Outcomes • Improvements in knowledge (Pre and Post MCQ) • Improvments in confidence • Qualitative • Impact • $$$$$

  15. Measurement and Evaluation • PTCF/DFID Africa Project • M&E checklist • Volunteer UK doctor based in Malawi • 12 month study • Large number of impact/output indicators • Clinical service delivery • Access to trauma care • Staff performance

  16. Funding • PTCF has low administrative costs • PTCF needs a secure income stream • Quality assurance • Ongoing maintenance of educational materials

  17. Funding • PTCF has low administrative costs • PTCF needs a secure income stream • Quality assurance • Ongoing maintenance of educational materials • Should courses be “free”? • Attendance, commitment, ownership, dignity

  18. Funding • Local funding wherever possible • Donors/Sponsors • RACS, ASA, AusAID, Kadoorie Foundation • Course Fee • Booking fee and donation model

  19. PTCF www.primarytraumacare.org

  20. Right now, over 70 000 operating rooms don’t have access to a pulse oximeter Make It 0

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