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Primary Trauma Care. Dr Rob McDougall FANZCA PTCF, Trustee. Primary Trauma Care Course. Training doctors and first responders in the management of severe injury, in order to save lives and prevent complications 60 countries worldwide 14 languages. PTC SE Asia & Pacific.

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Primary trauma care

Primary Trauma Care

Dr Rob McDougall FANZCA

PTCF, Trustee


Primary trauma care course
Primary Trauma Care Course

  • Training doctors and first responders in the management of severe injury, in order to save lives and prevent complications

  • 60 countries worldwide

  • 14 languages


Ptc se asia pacific
PTC SE Asia & Pacific

  • Pacific Islands 1997

  • Indonesia 2001

  • Papua New Guinea 2002

  • Vietnam 2002

  • Timor Leste 2003

  • Mongolia 2005

  • Myanmar 2009

  • Cambodia 2011


Ptc china
PTC China

  • 300 two day courses in first two years

  • 4000 doctors trained

  • 400 instructors



Primary trauma care

*Trauma Symposium Jan 2010

Myanmar Medical Association Annual Meeting


Where are we now
where are we now?

  • 2 centres for training... Yangon & Mandalay

  • a core of local instructors: -10~15

  • fledgling infrastructure that can operated effectively with international supervision



Consensus conference
Consensus Conference

Development of Emergency Medicine19, January 2012


Ptc challenges
PTC Challenges

  • Governance

  • Curriculum Review

  • Standards

  • Measurement and Evaluation

  • Funding


Ptcf governance
PTCF Governance

  • Moved to a professional model in 2011

  • Board of Trustees

  • Council

  • Local PTC Committee

  • Part time staff

    • CEO

    • Administrator (Oxford)

    • Administrator (China)


Curriculum review
Curriculum Review

  • Standard manual

  • Regional adaptations of other materials

    • Course format

    • Slides

    • MCQ

  • Review of materials underway

    • Led by Council

    • Wide consultation


Standards
Standards

  • Doctors, nurses, ambulance officers, first responders

  • Multi-disciplinary courses in many countries

  • Rural clinics, district hospitals, tertiary centres

  • Certificate of attendance

  • Valid exam difficult in two day course


Measurement and evaluation
Measurement and Evaluation

  • Outputs

    • Courses run, participants

  • Outcomes

    • Improvements in knowledge (Pre and Post MCQ)

    • Improvments in confidence

    • Qualitative

  • Impact

    • $$$$$


Measurement and evaluation1
Measurement and Evaluation

  • PTCF/DFID Africa Project

  • M&E checklist

  • Volunteer UK doctor based in Malawi

  • 12 month study

    • Large number of impact/output indicators

    • Clinical service delivery

    • Access to trauma care

    • Staff performance


Funding
Funding

  • PTCF has low administrative costs

  • PTCF needs a secure income stream

    • Quality assurance

    • Ongoing maintenance of educational materials


Funding1
Funding

  • PTCF has low administrative costs

  • PTCF needs a secure income stream

    • Quality assurance

    • Ongoing maintenance of educational materials

  • Should courses be “free”?

    • Attendance, commitment, ownership, dignity


Funding2
Funding

  • Local funding wherever possible

  • Donors/Sponsors

    • RACS, ASA, AusAID, Kadoorie Foundation

  • Course Fee

  • Booking fee and donation model


Primary trauma care
PTCF

www.primarytraumacare.org


Primary trauma care

Right now, over 70 000 operating rooms don’t have access

to a pulse oximeter

Make It 0