TRAUMA AND DISASTER TEAM RESPONSE (TDTR) IN RAMALLAH

The Center for Global Surgery at the McGill University Health Center in collaboration with the Juzoor for Health and Social Development, administered this course in Ramallah on June 2-4, 2022. Twenty-one Palestinian health workers took the course who found the content relevant and the skill sessions appropriate for their skill levels; participants also expressed having:

• Attained adequate knowledge base for the delivery of trauma care

• Attained competency in trauma care and disaster response

• Understood the roles and responsibilities of the team members in resuscitating a trauma patient

• Effective intraprofessional simulations as the course provided the opportunity to work as a team and put emphasis on assertive communication.

All participants found the course and skills taught very useful and showed interest. The CGS and Juzoor are convinced that such courses will greatly impact the quality of care delivered to trauma patients, and that team-based resuscitation skills will significantly improve particularly for Emergency Department Health Workers.

The Trauma and Disaster Team Response (TDTR) course was designed by the CGS-MUHC to convey appropriate management of trauma including in disaster response contexts. The course includes a combination of didactic lectures, skill sessions and team exercises while emphasizing on a multi-disciplinary approach in managing trauma patients. The course is addressed to a wide range of healthcare professionals including surgeons, nurses, emergency physicians, anesthetists and other allied health professionals working in emergency department settings.

THE CENTRE FOR GLOBAL SURGERY IS PROVIDING SUPPORT IN UKRAINE

The Centre for Global Surgery (CGS) and Trauma experts from the Montreal General Hospital are currently providing teaching materials for basic life support and lifesaving procedures that can be performed by non-surgeons in Ukraine.

The Trauma team, including the CGS, at the Montreal General Hospital is supporting Health care providers in Ukraine, helping to save lives of people they might never even meet.

The CGS is working actively to share its knowledge around the world, in an effort to reduce injuries and mortality rates. The CGS has developed education, research, and multidisciplinary exchange programs to help low- and middle-income countries (LMICs) set up trauma systems which, can drastically reduce mortality rates.

The CGS is collaborating with its colleagues in Ukraine, providing telehealth support and teaching modules for the training of family physicians and others dealing with injured victims; CGS co-directors have worked and taught in the hospitals touched by the bombings. They are experts at implementing education programs in resource-limited settings.

Doctors from the Centre for Global Surgery film training videos (c) Steinberg Centre for Simulation and Interactive Learning

Doctors from the Centre for Global Surgery film training videos (c) Steinberg Centre for Simulation and Interactive Learning

Memorandum of Cooperation, Centre for Global Surgery and the Trauma and Orthopedic Research Hospital of Mongolia

The National Trauma and Orthopedic Research Center of Mongolia and the Center for Global Surgery of the McGill University Health Center concluded Memorandum of Cooperation 

On January 18th 2019, General Director of the National Trauma and Orthopedic Research Center of Mongolia, Mr. Munkhsaikhan Togtmol, and Co-director of the Center for Global Surgery of the McGill University Health Center, Mr. Dan L. Deckelbaum signed Memorandum of Cooperation. 

The parties agreed to develop mutually beneficial cooperation in human resource exchanging of health professionals; introducing relevant information technology; participation of scientists, researchers and experts in trainings, seminars, conferences; sharing the knowledge, experiences and technical skills in the field of rehabilitative service and other relevant fields. 

Director of the Division of International Cooperation of the Ministry of Health of Mongolia, Mr. Uuganbayar Tsevegsuren, Counsellor of the Embassy of Mongolia to Canada, Mr. Battushig Zanabazar and Ms. Anudari Zorigtbaatar – the Mongolian student at McGill University who had initiated the cooperation of the parties, witnessed the ceremony signing of the memorandum at the Montreal General Hospital.

Source: http://ottawa.embassy.mn/eng/index.php?moduls=101&id=394

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Trauma Registry Implementation in Ukraine

Injury surveillance through trauma registries is an important component of the healthcare system. Trauma registries provide an objective perception of the state of trauma care in a given area. Decision makers may use data from these registries to determine targeted interventions in education and prevention as well as to measure effects of such interventions on outcomes—allowing for a systematic approach to quality improvement, resource allocation, and policy change.

Currently, Ukraine does not have a national trauma registry that tracks detailed injury demographics, mechanism, type, and outcomes. This is despite the fact that in 2005, injuries were responsible for 146 per 100,000, a large proportion of which was attributable to road traffic accidents (89/100,000), according to the World Health Organization. Furthermore, the current conflict in Ukraine has led to approximately 10,000 deaths and 21,500 injuries, highlighting an acute need for enhancing trauma capacity.

The CGS has been active in Ukraine since 2012, and major highlights have included the development of a disaster preparedness plan in response to UEFA Euro 2012; implementation of the Trauma Team Training (TTT) course and training of instructors; and piloting of a trauma surveillance system in Donetsk, prior to the war.  CGS members most recently administered the TTT and Basic Life Support (BLS) courses in Odessa in July 2015 and December 2015. 

This past July, the Centre for Global Surgery (CGS) under the supervision of its co-directors Drs. Deckelbaum and Razek in collaboration with Ukrainian partners, began implementing trauma registries at emergency hospitals throughout Kyiv, the capital city of Ukraine. The sites included the National Specialized Children’s Hospital “OKHMATDYT”, the pediatric referral institution for all of Ukraine; Kyiv Emergency Hospital, the main emergency adult hospital in Ukraine; and No17 Kyiv Hospital, the second largest emergency adult hospital in Ukraine. Participating university institutions included Bohomolets National Medical University and Shupyk National Medical Academy of Postgraduate Education. The local health leadership are currently collecting preliminary data; once analyzed, this data will help determine targeted intervention to tackle the burden of injury, as well as to pass on tools for trauma registry implementation to other interested sites across the country.

At Okhmatdyt Hospital : Dr Volodomyr Povoroznuk, Nadia Demko, Dr Artem Luhovy, Dr Kristina Dzhuma, Dr Vasyl Prytula ( from left to right)

At Okhmatdyt Hospital : Dr Volodomyr Povoroznuk, Nadia Demko, Dr Artem Luhovy, Dr Kristina Dzhuma, Dr Vasyl Prytula ( from left to right)

Over the month, we also met with our partners to discuss other ideas for future collaboration, including exchanges between trainees and staff; trauma training courses in the multidisciplinary approach and patient care guidelines in the Ukrainian language. The CGS’s experience has shown that such complimentary initiatives work synergistically to augment trauma capacity. Ukraine has been an exemplary country for partnership building with the goal of capacity building for injury care. We look forward to further expanding this and other similar programs.

Outing with Drs. Kristina Dzhuma and Anton Honcharenkoat and the residents 

Outing with Drs. Kristina Dzhuma and Anton Honcharenkoat and the residents 

Written by: Nadia Demko