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World Journal of Surgery

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01-09-2015 | Original Scientific Report

Prehospital and Emergency Care: Updates from the Disease Control Priorities, Version 3

Authors: Renee Y. Hsia, Amardeep Thind, Ahmed Zakariah, Eduardo Romero Hicks, Charles Mock

Published in: World Journal of Surgery | Issue 9/2015

Abstract

Background

It is increasingly understood that emergency care systems can be cost-effective in low- and middle-income countries (LMICs). The development of such systems, however, is still a work in progress. This article updates previous work in providing the most recent estimates of the burden of disease sensitive to emergency care, the current state of knowledge on the feasibility of emergency care, effect on outcomes, and cost-effectiveness in LMICs, and future directions for research, policy, and implementation.

Methods

We calculated the potential impact of prehospital and emergency care systems using updated and revised data based on the global burden of disease study. We then assessed the state of current knowledge and potential future directions for research and policy by conducting a review of the literature on current systems in LMICs.

Results

According to these newest updates, 24 million deaths related to emergency medical conditions occur in LMICs annually, accounting for an estimated 932 million years of life lost. Evidence shows that multiple emergency care models can function in different local settings, depending on resources and urbanicity. Emergency care can significantly improve mortality rates from emergent conditions and be highly cost-effective. Further research is needed on implementation of emergency care systems as they become a necessary reality in developing nations worldwide.

Conclusions

Emergency care implementation in LMICs presents both challenges and opportunities. Investment in evidence-based emergency care, research on implementation, and system coordination in LMICs could lead to a more cost- and outcome-effective emergency care system than exists in advanced economies.

Kobusingye OC, Hyder AA, Bishai D et al (2005) Emergency medical systems in low- and middle-income countries: recommendations for action. Bull World Health Organ 83:626–631PubMedCentralPubMed

Lozano R, Naghavi M, Foreman K et al (2012) Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the global burden of disease study 2010. Lancet 380:2095–2128PubMedCrossRef

Murray CJ, Vos T, Lozano R et al (2012) Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the global burden of disease study 2010. Lancet 380:2197–2223PubMedCrossRef

Institute for Health Metrics and Evaluation (2010) Global burden of disease study 2010 (GBD 2010) data downloads. http://ghdx.healthmetricsandevaluation.org/global-burden-disease-study-2010-gbd-2010-data-downloads. Accessed 28 Feb 2014

Husum H, Gilbert M, Wisborg T et al (2003) Rural prehospital trauma systems improve trauma outcome in low-income countries: a prospective study from North Iraq and Cambodia. J Trauma 54:1188–1196PubMedCrossRef

Mock CN, Tiska M, Adu-Ampofo M et al (2002) Improvements in prehospital trauma care in an African country with no formal emergency medical services. J Trauma 53:90–97PubMedCrossRef

Jayaraman S, Mabweijano JR, Lipnick MS et al (2009) First things first: effectiveness and scalability of a basic prehospital trauma care program for lay first-responders in Kampala. Uganda PLOS ONE 4:e6955PubMedCrossRef

Geduld H, Wallis L (2011) Taxi driver training in Madagascar: the first step in developing a functioning prehospital emergency care system. Emerg Med J 28:794–796PubMedCrossRef

Murad MK, Husum H (2010) Trained lay first responders reduce trauma mortality: a controlled study of rural trauma in Iraq. Prehosp Disaster Med 25:533–539PubMed

10.

Chandy H, Steinholt M, Husum H (2007) Delivery life support: a preliminary report on the chain of survival for complicated deliveries in rural Cambodia. Nurs Health Sci 9:263–269PubMedCrossRef

11.

Sasser S, Varghese M, Kellermann A et al (2005) Prehospital trauma care systems. World Health Organization, Geneva

12.

Joshipura MK, Shah HS, Patel PR et al (2003) Trauma care systems in India. Injury 34:686–692PubMedCrossRef

13.

Kobusingye OC, Guwatudde D, Owor G et al (2002) Citywide trauma experience in Kampala, Uganda: a call for intervention. Inj Prev 8:133–136PubMedCentralPubMedCrossRef

14.

Lungu K, Kamfose V, Hussein J et al (2001) Are bicycle ambulances and community transport plans effective in strengthening obstetric referral systems in southern Malawi? Malawi Med J 12:16–18

15.

Mould-Millman CNK, Rominski S, Oteng R (2014) Ambulance or taxi? High acuity prehospital transports in the Ashanti region of Ghana. AJEM 4:8–13

16.

Bossyns P, Abache R, Abdoulaye MS et al (2005) Unaffordable or cost-effective?: introducing an emergency referral system in rural Niger. Trop Med Int Health 10:879–887PubMedCrossRef

17.

McSwain NE (1991) Prehospital Emergency Medical Systems and Cardiopulmonary Resuscitation. In: Moore EE, Mattox KL, Feliciano DV (eds) Trauma, 2nd ed, Appleton and Lange, Norwalk, p. 99–107

18.

Mould-Millman CNK, Naidoo R, de Vries S et al (2014) AFEM Consensus Conference, 2013. AFEM Out-of-Hospital Emergency Care Workgroup Consensus Paper: Advancing Out-of-Hospital Emergency Care in Africa-Advocacy and Development. AJEM 4:90–95

19.

Arreola-Risa C, Vargas J, Contreras I et al (2007) Effect of emergency medical technician certification for all prehospital personnel in a Latin American city. J Trauma 63:914–919PubMedCrossRef

20.

Osei KM, Hamilton B, Freeman FB et al (2014) Essentials for emergency care: lessons from an inventory assessment of an emergency centre in Sub-Saharan Africa. AJEM 4:174–177

21.

Jamison DT, Breman JG, Measham AR et al (eds) (2006) Disease control priorities in developing countries, 2nd edn. Oxford University Press, New York

22.

Husum H, Gilbert M, Wisborg T (2003) Training pre-hospital trauma care in low-income countries: the’Village University’experience. Med Teach 25:142–148PubMedCrossRef

23.

Mullins RJ, Veum-Stone J, Helfand M et al (1994) Outcome of hospitalized injured patients after institution of a trauma system in an urban area. JAMA 271:1919–1924PubMedCrossRef

24.

Murad MK, Larsen S, Husum H (2012) Prehospital trauma care reduces mortality. Ten-year results from a time-cohort and trauma audit study in Iraq. Scand J Trauma Resusc Emerg Med 20:13PubMedCentralPubMedCrossRef

25.

Henry JA, Reingold AL (2012) Prehospital trauma systems reduce mortality in developing countries: a systematic review and meta-analysis. J Trauma 73:261–268CrossRef

26.

Ali J, Adam RU, Gana TJ et al (1997) Trauma patient outcome after the prehospital trauma life support program. J Trauma 42:1018–1021PubMedCrossRef

27.

Reines HD, Bartlett RL, Chudy NE et al (1988) Is advanced life support appropriate for victims of motor vehicle accidents: the South Carolina Highway Trauma Project. J Trauma 28:563–570PubMedCrossRef

28.

Bakalos G, Mamali M, Komninos C et al (2011) Advanced life support versus basic life support in the pre-hospital setting: a meta-analysis. Resuscitation 82:1130–1137PubMedCrossRef

29.

Jayaraman S, Sethi D (2010) Advanced trauma life support training for ambulance crews. Cochrane Database Syst Rev 1:CD003109PubMed

30.

Stiell IG, Nesbitt LP, Pickett W et al (2008) The OPALS major trauma study: impact of advanced life-support on survival and morbidity. Can Med Assoc J 178:1141–1152CrossRef

31.

Hardcastle TC, Finlayson M, van Heerden M et al (2013) The prehospital burden of disease due to trauma in KwaZulu-Natal: the need for Afrocentric trauma systems. WJS 37:1513–1525CrossRef

32.

Sun JH, Shing R, Twomey M et al (2012) A strategy to implement and support pre-hospital emergency medical systems in developing, resource-constrained areas of South Africa. Injury 45:31–38PubMedCrossRef

33.

Macintyre K, Hotchkiss DR (1999) Referral revisited: community financing schemes and emergency transport in rural Africa. Soc Sci Med 49:1473–1487PubMedCrossRef

34.

Essien E, Ifenne D, Sabitu K et al (1997) Community loan funds and transport services for obstetric emergencies in northern Nigeria. Int J Gynaecol Obstet 59:S237–S244PubMedCrossRef

Title: Prehospital and Emergency Care: Updates from the Disease Control Priorities, Version 3
Authors: Renee Y. Hsia
Amardeep Thind
Ahmed Zakariah
Eduardo Romero Hicks
Charles Mock
Publication date: 01-09-2015
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 9/2015
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-015-2997-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Prehospital and Emergency Care: Updates from the Disease Control Priorities, Version 3

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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