first things first effectiveness and scalability of a basic prehospital trauma care program for lay first-responders in kampala, uganda首先基本院前创伤护理程序的有效性和可伸缩性在坎帕拉躺在第一时间作出回应,乌干达.pdfVIP

First Things First: Effectiveness and Scalability of a Basic Prehospital Trauma Care Program for Lay First- Responders in Kampala, Uganda 1 2 3 4 4 Sudha Jayaraman , Jacqueline R. Mabweijano , Michael S. Lipnick , Nolan Caldwell , Justin Miyamoto , 2 5 6 7 8 Robert Wangoda , Cephas Mijumbi , Renee Hsia , Rochelle Dicker , Doruk Ozgediz * 1 Department of Surgery, University of California San Francisco, San Francisco, California, United States of America, 2 Department of Accident and Emergency, Mulago Hospital and Makerere University, Kampala, Uganda, 3 Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, United States of America, 4 School of Medicine, University of California San Francisco, Office of Medical Education, San Francisco, California, United States of America, 5 Department of Anaesthesia, Mulago Hospital and Makerere University, Kampala, Uganda, 6 Department of Emergency Medicine, University of California San Francisco, San Francisco, California, United States of America, 7 Department of Surgery, San Francisco General Hospital, San Francisco, California, United States of America, 8 Division of Pediatric Surgery, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada Abstract Background: We previously showed that in the absence of a formal emergency system, lay people face a heavy burden of injuries in Kampala, Uganda, and we demonstrated the feasibility of a basic prehospital trauma course for lay people. This study tests the effectiveness of this course and estimates the costs and cost-effectiveness of scaling up this training. Methods and Findings: For six months, we pr