Pre-referral stabilization and compliance with WHO guidelines for trauma care among adult patients referred to an urban emergency department of a tertiary referral hospital in Tanzania

BMC Emergency Medicine
Nanyori J LucumayEllen J Weber

Abstract

The outcomes of trauma are considered to be time dependent. Efficient and timely pre-referral stabilization of trauma patients has been shown to impact survival. Tanzania has no formal pre-hospital or trauma system. World Health Organisation has provided a set of standards for initial stabilization of trauma patients according to the level of the hospitals. We aimed to describe pre-referral stabilization provided to adult trauma patient referred to the national referral hospital and compliance with World Health Organisation guidelines. This prospective observational cross-sectional study was conducted at the Emergency Medicine Department of Muhimbili National Hospital (EMD-MNH), between July 2017 and December 2017. Eligible patients were adults with head injury and extremity injury ≥18 years who were referred from a peripheral hospital and had a referral note. Research assistant enrolled patients using structured case report form clinical information, and initial stabilization received at the referring hospital. Primary outcome was the proportion of patients who had initial stabilization performed according to World Health Organisation recommendation. We enrolled 368 (29% of eligible patients), the median age was 34 years (Inte...Continue Reading

References

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Dec 31, 2003·Lancet·Adnan A Hyder, Margie Peden
Jun 16, 2011·Bulletin of the World Health Organization·Ana M NovoaCarme Borrell
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May 25, 2016·The Pan African Medical Journal·Respicious BonifaceVictoria Munthali
Feb 22, 2017·Journal of Family Medicine and Primary Care·Kundavaram Paul Prabhakar AbhilashKrishna Priya
Oct 17, 2017·BMC Emergency Medicine·Hendry R SaweTeri A Reynolds

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