Knowledge on first aid and practices in Emergencies among three wheeler drivers
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Transcript of Knowledge on first aid and practices in Emergencies among three wheeler drivers
Knowledge on first aid and practices in Emergencies among
three wheeler drivers
Kasthuriarachchi H.I. (Presenting) Silva S.N. *
1. Diploma student of Nursing; International Institute of Health Sciences.
2. (* Supervisor) : Medical officer; National Hospital of Sri Lanka
Contents
• Introduction• Objectives• Methodology• Results• Discussion• Recommendations• Acknowledgement• References
Introduction
• Traumatic injuries are the most leading cause for hospitalizations in Sri Lanka (Annual Health Bulletin 2012).
RTA Data for 2014
Introduction • Approximately 1500 people acquire spinal cord injuries annually (SLSCoN 2010).
Introduction
• 929,495 three wheelers registered in 2014
Introduction
• Why it is so important first aid • Strengthen first responders and pre-hospital
trauma care providers (WHO 2007)• Transport the injured person to a hospital,
especially if emergency medical service is not available.
• Most common method to transport injured people (Pallavisarji 2013).
Introduction
Objectives
Specific objectives • To assess the knowledge based on the first aid at emergencies • To assess the first aid practice among three wheeler drivers
Methodology • Study design – Cross sectional quantitative research
using descriptive study design • Population – People in Uswetakeiyawa, Sri Lanka in
August 2014• Sample – 150 of three wheeler drivers among age
group of 20-65 years Gampaha, Sri Lanka in October 2015.
• Sampling method- Convenient sampling method• Data collection instrument - Interviewer
administered questionnaire • Analysis method – Descriptive and analytical statistics
Results
• Background Age distribution
Results • First aid practice
Results • Frequency of transporting traumatic patients
Results • Patient transferring methods
Transferring mode
Number of responses
Cradle 52%
Human crutch 38%
Lift 26%
Stretcher 38%
Results
• Reasons for not applying first aid practices
Reasons for not applying first aid practices
Responses
No knowledge 30%
Fear 35%
No equipment 19%
Legal problem 54%
Results • Recovery position
Results • Spinal injury suspicion
Aware Not aware
Height 83% 17%Age > 65 79% 21%Tingling sensations
44% 56%
Neck pain 52% 48%Neck trauma 58% 42%Facial trauma 37% 63%
Trauma to back 80% 20%
Limb weakness 45% 55%
Results
• Further prevention for a Spinal injury
First aid practice Responses
Cradle 3%
Stretcher 87%
Stabilizing head 32%
Log rolling 7%
Results • Bleeding
Results
• Assessing Pulse confidence
Results
• Fracture further prevention
Discussion• 74% of the respondents transported the victims to
the hospitals in contrast to study in India where most common aid provided was calling an ambulance (Pallavisarji 2013).
• 87% had knowledge on correct position of victim transportation but many didn’t know the transferring method of a victim (7%) and features of spinal injury.
• 71% tried to control the bleeding but many didn’t know the correct method of bleeding control (28%).
Recommendations
• Community-based first aid training programs will help to provide care and improve outcomes for injured persons.
• Awareness programs may enhance the pre hospital care and minimize complications by using proper first aid practices.
• Promoting Three Wheelers as Ambulances – “Tuk Tuk Ambulance”
Tuk Tuk ambulances
Acknowledge
• Special thanks goes to Dr. Kithsiri, Dr. Nishan, Dr. Madushani for help in every hands.
• This project was made possible and successful with the help of the interviewers.
• Thankfulness to my parents, colleagues and all of the people who helped me.
References Ali J et al.Trauma outcome improves following the advanced trauma life support program in a developing country. Journal of Trauma, 1993, 34:898–9. Ali J et al. Effect of the prehospital trauma life support program (PHTLS) on prehospital trauma care. Journal of Trauma, 1997, 42:786–90.American College of Emergency Physicians, American College of Surgeons. Equipment for ambulances, 2000 (http://www.acep.org/library/pdf/ambulance_equip.pdf, accessed11 March 2005).Angus DC et al. Recommendations for life supporting first aid training of the lay public for disaster preparedness. Prehospital Disaster Medicine, 1993, 8:157–60.Bazzoli GJ.Community-based trauma system development: key barriers and facilitating factors. Journal of Trauma, 1999, 47(Suppl. 3):S22–S24.Bossaert LL.The complexity of comparing different EMS systems: a survey of EMS systems in Europe. Annals of Emergency Medicine, 1993, 22:99–102.Campbell JE. Basic trauma life support for paramedics and other advanced providers, 4 th ed. Upper Saddle River, NJ, Brady/Prentice Hall Health, 2000.Carney CJ. Prehospital care – a UK perspective. British Medical Bulletin, 1999, 55:757–66.Chawla R. Need for trauma care programmes in developing countries. Bulletin of the World Health Organization, 1999, 77: 948–49.
Questions?
Thank you [email protected]