First Rwanda National Trauma Symposium 2019: Challenges and priorities

• Published in: Journal of global health Vol. 10; no. 1; p. 010201
• Main Authors: Rosenberg, Ashley, Ntirenganya, Faustin, Bagahirwa, Irene, Mbanjumucyo, Gabin, Rutayisire, Lambert, Muneza, Severien, Nzeyimana, Innocent, Benimana, Eric, Nahayo, Ernest, Bhengu, Busisiwe, Nuhu, Assuman, Muhumuza, Arsene, Uwitonze, Costica, Umwali, Ghislaine, Nkeshimana, Menelas, Nyinawankusi, Jeanne D’Arc, Krebs, Elizabeth, Uwitonze, Jean Marie, Kabagema, Igance, Dushime, Theophile, Byiringiro, Jean Claude, Ndayisaba, Gilles, Jayaraman, Sudha
• Format: Journal Article
• Language: English
• Published: Scotland Edinburgh University Global Health Society 01.06.2020; International Society of Global Health
• Subjects: Bone surgery; Clinical outcomes; Collaboration; Conferences; Education; Emergency medical care; Emergency medical services; Global health; Injuries; Medical referrals; Medical students; Mortality; Motor vehicles; Neurosurgery; NGOs; Nongovernmental organizations; Nurses; Orthopedics; Police; Prevention; Public health; Registration; Teaching hospitals; Trauma; Trauma care; Violence; United States > US; Virginia; Rwanda
• ISSN: 2047-2978; 2047-2986; 2047-2986
• DOI: 10.7189/jogh.10.010201

ORGANIZING TEAM Members included representatives from the Rwanda Ministry of Health, trauma related non-governmental organizations (NGOs), representatives from the largest university teaching hospital (emergency medicine, general surgery, orthopedic surgery, neurosurgery), Emergency Medical Services, the University of Rwanda, and foreign institution representatives from VCU. Table 1 Survey responses for the themes for greatest challenge in trauma management Resources: Lack of resources Lack of intensive care unit (ICU) beds Lack of health care providers/surgeons Infrastructure Research: Trauma registry Lack of research Education: Lack of standardized protocols Lack of formal prehospital courses Lack of Advanced Trauma Life Support (ATLS) training Trauma prevention In hospital: Inability to care for trauma patients at the district hospital level Delays in care Burns Triage Referral system Motor vehicle crashes Table 2 Survey responses for the teams for main research priority for trauma Outcomes: Late complications of trauma Mortality rate Outcomes of trauma patients Post-surgical infection Trauma-related infection Access to care: Seven presentations were given and focused on challenges related to trauma/injury care at the Rwanda prehospital emergency service (SAMU), the Rwanda National Police, emergency medicine, orthopedic surgery and neurosurgery from University Teaching Hospital of Kigali (CHUK), the Rwanda Biomedical Center.