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BMC Emergency Medicine
Published in: BMC Emergency Medicine 1/2009

Open Access 01-12-2009 | Research article

Post-crash management of road traffic injury victims in Iran. Stakeholders' views on current barriers and potential facilitators

Authors: Davoud Khorasani-Zavareh, Hamid Reza Khankeh, Reza Mohammadi, Lucie Laflamme, Ali Bikmoradi, Bo JA Haglund

Published in: BMC Emergency Medicine | Issue 1/2009

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Abstract

Background

Road traffic injuries are a major public health problem, especially in low- and middle-income countries. Post-crash management can play a significant role in minimizing crash consequences and saving lives. Iran has one of the highest mortality rates from road traffic injuries in the world. The present study attempts to fill the knowledge gap and explores stakeholders' perceptions of barriers to – and facilitators of – effective post-crash management in Iranian regions.

Methods

Thirty-six semi-structured interviews were conducted with medical services personnel, police officers, members of Red Crescent, firefighters, public-health professionals, road administrators; some road users and traffic injury victims. A qualitative approach using grounded theory method was employed to analyze the material gathered.

Results

The core variable was identified as "poor quality of post crash management". Barriers to effective post-crash management were identified as: involvement of laypeople; lack of coordination; inadequate pre-hospital services; shortcomings in infrastructure. Suggestions for laypeople included: 1) a public education campaign in first aid, the role of the emergency services, cooperation of the public at the crash site, and 2) target-group training for professional drivers, police officers and volunteers involved at the crash scene. An integrated trauma system and infrastructure improvement also is crucial to be considered for effective post-crash management.

Conclusion

To sum up, it seems that the involvement of laypeople could be a key factor in making post-crash management more effective. But system improvements are also crucial, including the integration of the trauma system and its development in terms of human resources (staffing and training) and physical resources as well as the infrastructure development.
Appendix
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Metadata
Title
Post-crash management of road traffic injury victims in Iran. Stakeholders' views on current barriers and potential facilitators
Authors
Davoud Khorasani-Zavareh
Hamid Reza Khankeh
Reza Mohammadi
Lucie Laflamme
Ali Bikmoradi
Bo JA Haglund
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Emergency Medicine / Issue 1/2009
Electronic ISSN: 1471-227X
DOI
https://doi.org/10.1186/1471-227X-9-8

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