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

• Pacific Islands 1997 • Indonesia 2001 • Papua New Guinea 2002 • Vietnam 2002 • Timor Leste 2003 • Mongolia 2005 • Myanmar 2009 • Cambodia 2011

PTC China

• 300 two day courses in first two years • 4000 doctors trained • 400 instructors

PTC MM Timeline

2009 2010 2011 2012

Mar Nov Jan Mar Jun Aug Oct Nov Jan Mar Aug Oct Nov Jan Mar Aug Nov TOTAL

F 7 3 3 6 2 2 1 4 2 1 2

P 2 2 2 2 2 2 2 2 2 2 2 2 1 2 27

I 1 1 1 1 1 5

R 1 1 1 3

Fm 1 1 1 3

today

PTC Programs in Myanmar... 2009~2012

Programs 27 Courses 47 Candidates 805 Instructors 75 Supervisors 10

*Trauma Symposium Jan 2010 Myanmar Medical Association Annual Meeting

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

the Ministry of Health

Consensus Conference

Development of Emergency Medicine 19, January 2012

PTC Challenges

• Governance • Curriculum Review • Standards • Measurement and Evaluation • Funding

PTCF Governance

• Moved to a professional model in 2011 • Board of Trustees • Council • Local PTC Committee • Part time staff

– CEO – Administrator (Oxford) – Administrator (China)

Curriculum Review

• Standard manual • Regional adaptations of other materials

– Course format – Slides – MCQ

• Review of materials underway – Led by Council – Wide consultation

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

Measurement and Evaluation

• Outputs – Courses run, participants

• Outcomes – Improvements in knowledge (Pre and Post MCQ) – Improvments in confidence – Qualitative

• Impact – $$$$$

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

Funding

• PTCF has low administrative costs • PTCF needs a secure income stream

– Quality assurance – Ongoing maintenance of educational materials

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

Funding

• Local funding wherever possible • Donors/Sponsors

– RACS, ASA, AusAID, Kadoorie Foundation • Course Fee • Booking fee and donation model

PTCF

www.primarytraumacare.org

Right now, over 70 000 operating rooms don’t have access

to a pulse oximeter

Make It 0