Jurnal Internasional vol.12 issue 1 2022
African Journal of Emergency Medicine
Trauma training in low- and middle-income countries: A scoping review of ATLS alternatives
Dublin Core
Title
Jurnal Internasional vol.12 issue 1 2022
African Journal of Emergency Medicine
Trauma training in low- and middle-income countries: A scoping review of ATLS alternatives
African Journal of Emergency Medicine
Trauma training in low- and middle-income countries: A scoping review of ATLS alternatives
Subject
Trauma training
Low- and middle- income countries
Injury
Emergency medicine
Trauma care
Low- and middle- income countries
Injury
Emergency medicine
Trauma care
Description
Introduction: Trauma training for front-line providers is a critical component of injury mitigation and trauma
systems strengthening. Although the Advanced Trauma Life Support (ATLS) course is standard in much of the
world, cost and administrative barriers are prohibitive to deploying the course in many low and middle income
countries (LMICs). The purpose of this study was to identify alternative trauma training courses used in LMICs by
scoping review and compare their effectiveness.
Methods: Several peer-reviewed and grey literature databases were searched for relevant articles describing
trauma training courses for front-line medical providers in LMICs. Studies were included if: performed in a LMIC;
utilized a general trauma training course other than ATLS; trainees were hospital-based medical providers; study
included some type of outcome measure.
Results: A total of 34 manuscripts met inclusion criteria. The majority of courses were novel, hospital-initiated
courses and ranged in length from 1 day to 1 week. Physicians were the most common target audience, fol-
lowed by medical students and nurses. Courses were taught in 24 different countries throughout the Middle East,
Asia, Latin America and Africa. Comparison of pre- and post-test knowledge was the most common metric used
and nearly all courses demonstrated a statistically significant knowledge gain. One study demonstrated a
reduction in mortality for injured patients after course implementation. The majority of courses were a collab-
oration between universities in a high income country and local faculty/practitioners in the LMIC where the
course was taught. Reported cost per participant ranged from $10 to $232 USD.
Conclusions: Several trauma courses are currently being utilized in LMICs effectively with increases in knowledge
gained and at a lower reported cost than ATLS. More research is needed to link trauma training courses to patient
outcomes.
systems strengthening. Although the Advanced Trauma Life Support (ATLS) course is standard in much of the
world, cost and administrative barriers are prohibitive to deploying the course in many low and middle income
countries (LMICs). The purpose of this study was to identify alternative trauma training courses used in LMICs by
scoping review and compare their effectiveness.
Methods: Several peer-reviewed and grey literature databases were searched for relevant articles describing
trauma training courses for front-line medical providers in LMICs. Studies were included if: performed in a LMIC;
utilized a general trauma training course other than ATLS; trainees were hospital-based medical providers; study
included some type of outcome measure.
Results: A total of 34 manuscripts met inclusion criteria. The majority of courses were novel, hospital-initiated
courses and ranged in length from 1 day to 1 week. Physicians were the most common target audience, fol-
lowed by medical students and nurses. Courses were taught in 24 different countries throughout the Middle East,
Asia, Latin America and Africa. Comparison of pre- and post-test knowledge was the most common metric used
and nearly all courses demonstrated a statistically significant knowledge gain. One study demonstrated a
reduction in mortality for injured patients after course implementation. The majority of courses were a collab-
oration between universities in a high income country and local faculty/practitioners in the LMIC where the
course was taught. Reported cost per participant ranged from $10 to $232 USD.
Conclusions: Several trauma courses are currently being utilized in LMICs effectively with increases in knowledge
gained and at a lower reported cost than ATLS. More research is needed to link trauma training courses to patient
outcomes.
Creator
Heather A. Brown , Caitlin Tidwell , Phillip Prest
Source
https://doi.org/10.1016/j.afjem.2021.11.004
Date
28 November 2021
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Heather A. Brown , Caitlin Tidwell , Phillip Prest, “Jurnal Internasional vol.12 issue 1 2022
African Journal of Emergency Medicine
Trauma training in low- and middle-income countries: A scoping review of ATLS alternatives,” Repository Horizon University Indonesia, accessed February 5, 2025, https://repository.horizon.ac.id/items/show/1863.
African Journal of Emergency Medicine
Trauma training in low- and middle-income countries: A scoping review of ATLS alternatives,” Repository Horizon University Indonesia, accessed February 5, 2025, https://repository.horizon.ac.id/items/show/1863.