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

• Pacific Islands 1997

• Indonesia 2001

• Papua New Guinea 2002

• Vietnam 2002

• Timor Leste 2003

• Mongolia 2005

• Myanmar 2009

• Cambodia 2011

PTC China

• 300 two day courses in first two years

• 4000 doctors trained

• 400 instructors

PTC MM Timeline

2009 2010 2011 2012

Mar Nov Jan Mar Jun Aug Oct Nov Jan Mar Aug Oct Nov Jan Mar Aug Nov TOTAL

F 7 3 3 6 2 2 1 4 2 1 2

P 2 2 2 2 2 2 2 2 2 2 2 2 1 2 27

I 1 1 1 1 1 5

R 1 1 1 3

Fm 1 1 1 3

today

PTC Programs in Myanmar...

2009~2012

Programs 27

Courses 47

Candidates 805

Instructors 75

Supervisors 10

*Trauma Symposium Jan 2010Myanmar Medical Association Annual Meeting

*Trauma Symposium Jan 2010Myanmar 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

• 2 centres for training... Yangon & Mandalay

• a core of local instructors: -10~15• fledgling infrastructure that can

operated effectively with international supervision

the Ministry of Health

Consensus Conference

Development of Emergency Medicine19, January 2012

PTC Challenges

• Governance

• Curriculum Review

• Standards

• Measurement and Evaluation

• Funding

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

• Standard manual

• Regional adaptations of other materials– Course format– Slides– MCQ

• Review of materials underway– Led by Council– Wide consultation

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

• Outputs– Courses run, participants

• Outcomes– Improvements in knowledge (Pre and Post MCQ)– Improvments in confidence– Qualitative

• Impact– $$$$$

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

• PTCF has low administrative costs

• PTCF needs a secure income stream– Quality assurance– Ongoing maintenance of educational materials

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

Funding

• Local funding wherever possible

• Donors/Sponsors– RACS, ASA, AusAID, Kadoorie Foundation

• Course Fee

• Booking fee and donation model

PTCF

www.primarytraumacare.org

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

to a pulse oximeter

Make It 0