A survey of prehospital and acute hospital care in three low and middle income countries

Peter L Reilly; Tariq Khan; Wahid Iqbal

doi:10.1016/j.jocn.2018.10.030

A survey of prehospital and acute hospital care in three low and middle income countries

J Clin Neurosci. 2019 Mar:61:201-204. doi: 10.1016/j.jocn.2018.10.030. Epub 2018 Oct 29.

Authors

Peter L Reilly¹, Tariq Khan², Wahid Iqbal³

Affiliations

¹ Adjunct Professor of Neurosurgery, Faculty of Health and Medical Sciences, University of Adelaide, Australia. Electronic address: p.reilly@adelaide.edu.au.
² Department of Neurosurgery, Northwest General Hospital Peshawar, Pakistan.
³ Northwest School of Medicine, Peshawar, Pakistan.

PMID: 30381159
DOI: 10.1016/j.jocn.2018.10.030

Abstract

A prospective survey of neurotrauma admitted to neurosurgical units in three low and middle income countries (LMIC) indicated a frequent lack of organised prehospital care. On site care was usually provided by a member of the public. The accident victim was rarely accompanied within an equipped ambulance by trained personnel. Intensive care management and intracranial pressure monitoring was rare. There appeared to be limited rehabilitation in all regions.

Keywords: First responder management; LMIC countries; Neurotrauma; Prehospital care.

MeSH terms

Brain Injuries, Traumatic / epidemiology*
Brain Injuries, Traumatic / therapy*
Critical Care
Developing Countries*
Emergency Medical Services* / statistics & numerical data
Humans
Prospective Studies
Surveys and Questionnaires