Jurnal Internasional Afrika vol.10 issue.4 2020
African Journal of Emergency Medicine
Developing sustainable prehospital trauma education in Rwanda
Dublin Core
Title
Jurnal Internasional Afrika vol.10 issue.4 2020
African Journal of Emergency Medicine
Developing sustainable prehospital trauma education in Rwanda
African Journal of Emergency Medicine
Developing sustainable prehospital trauma education in Rwanda
Subject
Trauma
Prehospital
Education
Africa
Rwanda
Prehospital
Education
Africa
Rwanda
Description
Introduction: Every year, > 5 million people worldwide die from trauma. In Kigali, Rwanda, 50% of prehospital
care provided by SAMU, the public prehospital system, is for trauma. Our collaboration developed and im-
plemented a context-specific, prehospital Emergency Trauma Care Course (ETCC) and train-the-trainers program
for SAMU, based on established international best practices.
Methods: A context-appropriate two-day ETCC was developed using established best practices consisting of
traditional 30-minute lectures followed by 20-minute practical scenario-based team-driven simulation sessions.
Also, hands-on skill sessions covered intravenous access, needle thoracostomy and endotracheal intubation
among others. Two cohorts participated — SAMU staff who would form an instructor core and emergency staff
from ten district, provincial and referral hospitals who are likely to respond to local emergencies in the com-
munity. The instructor core completed ETCC 1 and a one-day educator course and then taught the second cohort
(ETCC2). Pre and post course assessments were conducted and analyzed using Student's t-test and matched
paired t-tests.
Results: ETCC 1 had 17 SAMU staff and ETCC 2 had 19 hospital staff. ETCC 1 mean scores increased from 40% to
63% and ETCC 2 increased from 41% to 78% after the course (p < 0.001 using matched pair analysis). A one-
way ANOVA mean square analysis showed that regardless of the baseline level of training for each participant,
all trainees reached similar post-course assessment scores, F (1) = 15.18, p = 0.0004.
Discussion: This study demonstrates effective implementation of a context-appropriate prehospital trauma
training program for prehospital staff in Kigali, Rwanda. The course resulted in improved knowledge for an
instructor core and for staff from district and provincial hospitals confirming the effectiveness of a train-the-
trainers model. This program may be effective to support capacity development for prehospital trauma care in
the country using a qualified local source of instructors.
care provided by SAMU, the public prehospital system, is for trauma. Our collaboration developed and im-
plemented a context-specific, prehospital Emergency Trauma Care Course (ETCC) and train-the-trainers program
for SAMU, based on established international best practices.
Methods: A context-appropriate two-day ETCC was developed using established best practices consisting of
traditional 30-minute lectures followed by 20-minute practical scenario-based team-driven simulation sessions.
Also, hands-on skill sessions covered intravenous access, needle thoracostomy and endotracheal intubation
among others. Two cohorts participated — SAMU staff who would form an instructor core and emergency staff
from ten district, provincial and referral hospitals who are likely to respond to local emergencies in the com-
munity. The instructor core completed ETCC 1 and a one-day educator course and then taught the second cohort
(ETCC2). Pre and post course assessments were conducted and analyzed using Student's t-test and matched
paired t-tests.
Results: ETCC 1 had 17 SAMU staff and ETCC 2 had 19 hospital staff. ETCC 1 mean scores increased from 40% to
63% and ETCC 2 increased from 41% to 78% after the course (p < 0.001 using matched pair analysis). A one-
way ANOVA mean square analysis showed that regardless of the baseline level of training for each participant,
all trainees reached similar post-course assessment scores, F (1) = 15.18, p = 0.0004.
Discussion: This study demonstrates effective implementation of a context-appropriate prehospital trauma
training program for prehospital staff in Kigali, Rwanda. The course resulted in improved knowledge for an
instructor core and for staff from district and provincial hospitals confirming the effectiveness of a train-the-
trainers model. This program may be effective to support capacity development for prehospital trauma care in
the country using a qualified local source of instructors.
Creator
Ashley Rosenberg, Ignace Kabagem, Basil Asay, Jean Marie Uwitonze, Stephanie Louka, Menelas Nkeshimana, Gabin Mbanjumucyo, Luke Wolfe, Catherine Valukas
,
Theophile Dushimeb
, Sudha Jayaramana
,
Theophile Dushimeb
, Sudha Jayaramana
Source
https://doi.org/10.1016/j.afjem.2020.07.015
Date
29 July 2020
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Ashley Rosenberg, Ignace Kabagem, Basil Asay, Jean Marie Uwitonze, Stephanie Louka, Menelas Nkeshimana, Gabin Mbanjumucyo, Luke Wolfe, Catherine Valukas
,
Theophile Dushimeb
, Sudha Jayaramana, “Jurnal Internasional Afrika vol.10 issue.4 2020
African Journal of Emergency Medicine
Developing sustainable prehospital trauma education in Rwanda,” Repository Horizon University Indonesia, accessed February 5, 2025, https://repository.horizon.ac.id/items/show/1829.
African Journal of Emergency Medicine
Developing sustainable prehospital trauma education in Rwanda,” Repository Horizon University Indonesia, accessed February 5, 2025, https://repository.horizon.ac.id/items/show/1829.