ArticleWorld journal of surgery2018
Lay First Responder Training in Eastern Uganda: Leveraging Transportation Infrastructure to Build an Effective Prehospital Emergency Care Training Program.
Article in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- The effect of external bleeding control training courses on lay first-person responders'knowledge, skills, and attitudes in low- and middle-income countries: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Pooled it
- The 'golden hour': a geospatial analysis of travel time to public emergency departments in Kenya.BMJ global health · 2026Observational
- First aid training in conflict zones: An interventional training study and a post-training knowledge assessment.SAGE open medicine · 2026Article
- Triage of road injury casualties - the role of bystanders: a scoping review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
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- Prehospital Emergency Care: A Cross-Sectional Survey of First-Aid Preparedness Among Layperson First Responders in Northern Uganda.Open access emergency medicine : OAEM · 2024Article
- Evaluating lay first responder (LFR) first aid kit supplies usage and appropriateness in Western Kenya.The Pan African medical journal · 2024Article
- Effectiveness of a Haemorrhage-Control Task Simulator for Training Nursing Students: A Quasi-Experimental before-after Study.Journal of nursing management · 2024Article
- A qualitative assessment of stakeholder perspectives on barriers and facilitators to emergency care delays in Northern Tanzania through the Three Delays.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- TraumaLink: A Community-Based First-Responder System for Traffic Injury Victims in Bangladesh.Global health, science and practice · 2022Article
- Evaluating a novel, low-cost technique for cervical-spine immobilization for application in resource-limited LMICs: a non-inferiority trial.Spinal cord · 2022Article
- Prehospital Airway Management for Trauma Patients by First Responders in Six Sub-Saharan African Countries and Five Other Low- and Middle-Income Countries: A Scoping Review.World journal of surgery · 2022Article
- Deep Learning-Based Medical Information System in First Aid of Surgical Trauma.Computational and mathematical methods in medicine · 2022Article
- A pilot trauma registry in Peshawar, Pakistan - A roadmap to decreasing the burden of injury - Quality improvement study.Annals of medicine and surgery (2012) · 2021Article
- Prehospital care for traumatic spinal cord injury by first responders in 8 sub-Saharan African countries and 6 other low- and middle-income countries: A scoping review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- Evaluating a Novel Prehospital Emergency Trauma Care Assessment Tool (PETCAT) for Low- and Middle-Income Countries in Sierra Leone.World journal of surgery · 2021Article
- Police Transportation Following Vehicular Trauma and Risk of Mortality in a Resource-Limited Setting.World journal of surgery · 2021Article
- Developing sustainable prehospital trauma education in Rwanda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020Article
- Diurnal variation in trauma mortality in sub-Saharan Africa: A proxy for health care system maturity.Injury · 2020Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThough road traffic injuries (RTIs) are a major cause of mortality in East Africa, few countries have emergency medical services. The aim was to create a sustainable and efficient prehospital lay first responder program, creating a system with lay first responders spread through the 53 motorcycle taxi stages of Iganga Municipality.
methodsOne hundred and fifty-four motorcycle taxi riders were taught a first aid curriculum in partnership with a local Red Cross first aid trainer and provided with a first aid kit following WHO guidelines for basic first aid. Pre- and post-survey tests measured first aid knowledge improvement over the course. Post-implementation incident report forms were collected from lay first responders after each patient encounter over 6 months. Follow-up interviews were conducted with 110 of 154 trainees, 9 months post-training.
resultsImprovement was measured across all five major first aid categories: bleeding control (56.9 vs. 79.7%), scene management (37.6 vs. 59.5%), airway and breathing (43.4 vs. 51.6%), recovery position (13.1 vs. 43.4%), and victim transport (88.2 vs. 94.3%). From the incident report findings, first responders treated 250 victims (82.8% RTI related) and encountered 24 deaths (9.6% of victims). Of the first aid skills, bleeding control and bandaging was used most often (55.2% of encounters). Lay first responders provided transport in 48.3% of encounters. Of 110 lay first responders surveyed, 70 of 76 who had used at least one skill felt "confident" in the care they provided.
conclusionA prehospital care system composed of lay first responders can be developed leveraging existing transport organizations, offering a scalable alternative for LMICs, demonstrating usefulness in practice and measurable educational improvements in trauma skills for non-clinical lay responders.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.