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Johns Hopkins International Injury Research Unit

A World Health Organization Collaborating Center for Injuries, Violence and Accident Prevention

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Keyword: trauma care

Recently, JH-IIRU director, Adnan Hyder and associate director, Kent Stevens, were invited to participate in surgical Grand Rounds at Virginia Commonwealth University (VCU) Medical Center.

While there, Dr. Stevens presented on care of the injured patient in the developing world, focusing on the Unit’s trauma care efforts in Kenya as part of the Bloomberg Philanthropies Global Road Safety Program.

There are four specific aims of the trauma care efforts in Kenya, 1) to understand and evaluate the transport systems in the country (both formal and informal); 2) to evaluate the existing emergency response system; 3) to explore the triage capabilities of participating hospitals/healthcare facilities;  and 4) to evaluate hospitals’ resources and infrastructure available for the injured patient.

In order to accomplish these goals, it is important to have multi-sector engagement including hospital administrators, practitioners and clinicians as well as the local and national governments and Ministries of Health. It’s equally important, Dr. Stevens said, to focus efforts on areas that will have the most impact.  

In order to be most effective, the Unit’s trauma care efforts are focusing training of both pre-hospital and in-hospital trauma care providers while also developing and implementing trauma registries,  and working to develop a dependable EMS communications system. The Unit is also advocating for increased stakeholder engagement in order to strengthen trauma care legislation in the country. Dr. Stevens is also developing a Trauma Care Quality Improvement Program and is o recommending continuing the trauma care evaluation using the Trauma Care System Profile (TSP) tool.

Improving the care of the injured patient in Kenya must be a multi-step approach that involves numerous organizations working in the country in an ongoing effort to ensure longevity of the program.

On October 10-11, JH-IIRU hosted two experts to discuss care of the injured patient in low- and middle-income countries. Hosted by associate director, Kent Stevens, the experts met with members of the JH-IIRU team.

Dr. Razzak is a long-time JH-IIRU collaborator and affiliated faculty member who is currently serving as the chairman of the Department of Emergency Medicine at Aga Khan University and Director of the WHO Collaborating Center in Emergency Medicine and Trauma at the Aga Khan University in Pakistan. Dr. Razzak is also part of the Aman Foundation, a non-profit trust located and operating in Pakistan. The foundation aims to make strategic interventions in the country to support development in the areas of healthcare, education and nutrition. Dr. Razzak is CEO of AmanHealth, which oversees the foundation’s emergency medical service, AmanAmbulance. This service consists of a strategically positioned network of 100 state-of-the-art ambulances, with doctors and emergency medical technicians (EMTs) on board to provide comprehensive, round-the-clock coverage to the city of Karachi.

Dr. Rizwan Naseer is the Director General of The Punjab Emergency Service (Rescue 1122), the largest emergency humanitarian service of Pakistan. Rescue 1122 was developed in response to the failure of repeated attempts to revitalize and modernize the old organizations mandated for emergency management. Because of the services performance during emergencies and disasters in recent years, Rescue 1122 has been designated a Disaster Response Force by the Provincial Disaster Management Authority (PDMA), Government of the Punjab.

The experts discussed the Bloomberg Philanthropies Global Road Safety Program, as well as trauma care efforts in Kenya and how to apply the work of JH-IIRU, the Aman Foundation and Rescue 1122 in the developing world.  

By all accounts, the meeting was very successful, and JH-IIRU looks forward to further collaborations with Dr. Razzak and Dr. Naseer.

JHH_ER
Dr. Kent Stevens, right, gives Drs Junaid Razzak (left) and Rizwan Naseer (center) a tour of the Hopkins ER

 

This month, the Johns Hopkins International Injury Research Unit (JH-IIRU) is featured in the latest issue of The Globe, the newsletter of the Department of International Health at the Johns Hopkins Bloomberg School of Public Health.

The article highlights not only the unit’s overall capacity-building activities in low- and middle-income countries and the training of trauma care professionals as it relates to the Road Safety in 10 Countries project (RS-10) but also features new grants the unit is working on in the global field of injury prevention.  One such grant is the Chronic Consequences of Trauma, Injuries and Disability (Chronic TRIAD), an NIH award that will strengthen work on the long-term health and economic consequences of injury and disability in Uganda.

The piece also outlines new courses in injury prevention and a seven-module on-line certificate program in road traffic injury prevention and control that will be available this spring, all at the Johns Hopkins Bloomberg School of Public Health.   

To read the entire article, titled, “International Injury Research Unit: Successful Capacity-Building Programs Lead to New Grants and New Initiatives,” click here: http://www.jhsph.edu/departments/international-health/the-globe/winter-2013/index.html

Members of JH-IIRU team, including emergency medicine resident, Sarah Stewart de Ramirez, director Adnan A. Hyder, trauma research coordinator Hadley K. Herbert, and associate director Kent Stevens, recently published a paper on unintentional injuries in the Annual Review of Public Health. The article, entitled, “Unintentional Injuries: Magnitude, Prevention and Control,” examines the health and social impact of injury, injury data availability and injury prevention interventions in low- and middle-income countries (LMICs).
The World Health Organization (WHO) estimates that nearly 80% of all injury deaths that occur annually are unintentional in nature, and the number of people who experience life-long disability and socioeconomic loss as a result of unintentional injuries (and their affected family members) results in nearly 140 million disability-adjusted life years (DALYs) lost annually. 
In the article, the research team examines the challenges not only associated with capturing accurate burden of injury data in LMICs, but also with implementing effective prevention efforts. The team concludes that a health systems-based approach—which includes prevention, prehospital, hospital and rehabilitation care and analysis of the cost-effectiveness of each component-- is essential to successful future efforts to decrease the burden of unintentional injuries.
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here for the full article.
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Last week, experts from around the world met in Karachi, Pakistan to discuss the country’s system for pre-hospital emergency medical services, as well as the state of trauma care overall.

Organized by Aga Khan University, Johns Hopkins University and the Society of Emergency Physicians of Pakistan, the conference emphasized the need for improving emergency care in the country.

Dr. Adnan Hyder, director of the Johns Hopkins International Injury Research Unit, presented at the conference. He was quoted in the Dawn as saying, “When we think about healthcare, we should think about the emergency medical system as well.” To read the full article, please click here.

For more information about the Johns Hopkins International Research Unit’s work in trauma care and emergency medicine, please contact us.

Dawn_PK

Article in the Pakistani newspaper, the Dawn, from June 23, 2011, reporting on the conference. Quote from Dr. Adnan Hyder is included.

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