Bontha V Babu1, Karthik Vishwanathan2, Aruna C Ramesh3, Amit Gupta4, Sandeep Tiwari5, Babu U Palatty6, Somashekhar M Nimbalkar7, Yogita Sharma8. 1. Division of Socio-Behavioural & Health Systems Research, Indian Council of Medical Research, New Delhi, India. 2. Department of Orthopaedics, Parul Institute of Medical Sciences and Research, Vadodara, Gujarat, India. 3. Department of Emergency Medicine, Ramaiah Medical College & Hospitals, Bengaluru, Karnataka, India. 4. Division of Trauma Surgery & Critical Care, J.P.N. Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India. 5. Department of Trauma Surgery Trauma Incharge, King George's Medical University, Lucknow, Uttar Pradesh, India. 6. Department of Emergency Medicine, Jubilee Mission Medical College & Research Institute, Thrissur, Kerala, India. 7. Department of Paediatrics, Charutar Arogya Mandal, Pramukh Swami Medical College, Karamsad, Gujarat, India. 8. Socio-Behavioural and Health Systems Research, Indian Council of Medical Research, New Delhi, India.
Abstract
BACKGROUND: In India, the mortality due to polytrauma after road traffic injuries is high and there is a need to train medical and paramedical personnel. The AIIMS Trauma Assessment and Management (ATAM) course was developed at the Apex Trauma Centre of All India Institute of Medical Sciences, New Delhi to sensitize medical personnel with initial assessment and management of polytrauma victims. The aim of this study was to evaluate the impact on knowledge and skills and also evaluate the feedback and the perception of the participants of the ATAM course. METHODS: The course was conducted for doctors, nurses and other paramedical/allied professionals in five tertiary level centres associated to medical colleges from geographically diverse locations (Anand, Bengaluru, Delhi, Lucknow and Thrissur). Cognitive knowledge was assessed using pre-training and post-training multiple choice question (MCQ) tests. The participants also self-rated their level of knowledge, skill, confidence and capability (Numerical rating scale of 1-10). Post-training feedback was obtained from the participants using a five-point Likert scale response. RESULTS: 26 ATAM courses were conducted by 68 course instructors and attended by 780 participants. These participants include 40.4% doctors, 44.2% nurses, 4.7% paramedical technicians, 4.2% medical students and 6.4% paramedical and allied health professionals. There was significant improvement (p < 0.0001) in the cognitive knowledge, skill, confidence and capability of the participants. 85%-86% of the participants strongly agreed or agreed that the course content was effective and 85% of participants perceived that the course was excellent or very good. CONCLUSION: The ATAM course had a positive impact on the knowledge, skills, confidence and capability of health caregivers attending the course. The ATAM course is an effective, practical and favourable option that is tailored to the polytrauma training needs of India. We recommend widespread dissemination of this course.
BACKGROUND: In India, the mortality due to polytrauma after road traffic injuries is high and there is a need to train medical and paramedical personnel. The AIIMS Trauma Assessment and Management (ATAM) course was developed at the Apex Trauma Centre of All India Institute of Medical Sciences, New Delhi to sensitize medical personnel with initial assessment and management of polytrauma victims. The aim of this study was to evaluate the impact on knowledge and skills and also evaluate the feedback and the perception of the participants of the ATAM course. METHODS: The course was conducted for doctors, nurses and other paramedical/allied professionals in five tertiary level centres associated to medical colleges from geographically diverse locations (Anand, Bengaluru, Delhi, Lucknow and Thrissur). Cognitive knowledge was assessed using pre-training and post-training multiple choice question (MCQ) tests. The participants also self-rated their level of knowledge, skill, confidence and capability (Numerical rating scale of 1-10). Post-training feedback was obtained from the participants using a five-point Likert scale response. RESULTS: 26 ATAM courses were conducted by 68 course instructors and attended by 780 participants. These participants include 40.4% doctors, 44.2% nurses, 4.7% paramedical technicians, 4.2% medical students and 6.4% paramedical and allied health professionals. There was significant improvement (p < 0.0001) in the cognitive knowledge, skill, confidence and capability of the participants. 85%-86% of the participants strongly agreed or agreed that the course content was effective and 85% of participants perceived that the course was excellent or very good. CONCLUSION: The ATAM course had a positive impact on the knowledge, skills, confidence and capability of health caregivers attending the course. The ATAM course is an effective, practical and favourable option that is tailored to the polytrauma training needs of India. We recommend widespread dissemination of this course.
Authors: Katherine A Hill; Erica D Johnson; Mark Lutomia; Juan C Puyana; Kenneth K Lee; Peter R Oduor; Jana B MacLeod Journal: J Surg Res Date: 2018-07-04 Impact factor: 2.192
Authors: Spencer L James; Lydia R Lucchesi; Catherine Bisignano; Chris D Castle; Zachary V Dingels; Jack T Fox; Erin B Hamilton; Zichen Liu; Darrah McCracken; Molly R Nixon; Dillon O Sylte; Nicholas L S Roberts; Oladimeji M Adebayo; Teamur Aghamolaei; Suliman A Alghnam; Syed Mohamed Aljunid; Amir Almasi-Hashiani; Alaa Badawi; Masoud Behzadifar; Meysam Behzadifar; Eyasu Tamru Bekru; Derrick A Bennett; Jens Robert Chapman; Kebede Deribe; Bereket Duko Adema; Yousef Fatahi; Belayneh K Gelaw; Eskezyiaw Agedew Getahun; Delia Hendrie; Andualem Henok; Hagos de Hidru; Mehdi Hosseinzadeh; Guoqing Hu; Mohammad Ali Jahani; Mihajlo Jakovljevic; Farzad Jalilian; Nitin Joseph; Manoochehr Karami; Abraham Getachew Kelbore; Md Nuruzzaman Khan; Yun Jin Kim; Parvaiz A Koul; Carlo La Vecchia; Shai Linn; Reza Majdzadeh; Man Mohan Mehndiratta; Peter T N Memiah; Melkamu Merid Mengesha; Hayimro Edemealem Merie; Ted R Miller; Mehdi Mirzaei-Alavijeh; Aso Mohammad Darwesh; Naser Mohammad Gholi Mezerji; Roghayeh Mohammadibakhsh; Yoshan Moodley; Maziar Moradi-Lakeh; Kamarul Imran Musa; Bruno Ramos Nascimento; Rajan Nikbakhsh; Peter S Nyasulu; Ahmed Omar Bali; Obinna E Onwujekwe; Sanghamitra Pati; Reza Pourmirza Kalhori; Farkhonde Salehi; Saeed Shahabi; Seifadin Ahmed Shallo; Morteza Shamsizadeh; Zeinab Sharafi; Sharvari Rahul Shukla; Mohammad Reza Sobhiyeh; Joan B Soriano; Bryan L Sykes; Rafael Tabarés-Seisdedos; Degena Bahray Bahrey Tadesse; Yonatal Mesfin Tefera; Arash Tehrani-Banihashemi; Boikhutso Tlou; Roman Topor-Madry; Taweewat Wiangkham; Mehdi Yaseri; Sanni Yaya; Muluken Azage Yenesew; Mustafa Z Younis; Arash Ziapour; Sanjay Zodpey; David M Pigott; Robert C Reiner; Simon I Hay; Alan D Lopez; Ali H Mokdad Journal: Inj Prev Date: 2020-01-08 Impact factor: 2.399