Evidence map›Paper›PMID 30899794›Full record

ArticleTrauma surgery & acute care open2019

World trauma education: hemorrhage control training for healthcare providers in India.

Lindsay Andrea Smith, Sarah Caughey, Susan Liu, Cassandra Villegas, Mohan Kilaru, Aakanksha Gupta, Robert J Winchell, Mayur Narayan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Trauma surgery & acute care open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lindsay Andrea SmithDivision of Trauma, Burns, Critical and Acute Care, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York City, New York, USA.
Sarah CaugheyDivision of Trauma, Burns, Critical and Acute Care, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York City, New York, USA.
Susan LiuDivision of Trauma, Burns, Critical and Acute Care, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York City, New York, USA.
Cassandra VillegasDivision of Trauma, Burns, Critical and Acute Care, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York City, New York, USA.
Mohan KilaruDivision of Trauma, Burns, Critical and Acute Care, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York City, New York, USA.
Aakanksha GuptaDivision of Trauma, Burns, Critical and Acute Care, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York City, New York, USA.
Robert J WinchellDivision of Trauma, Burns, Critical and Acute Care, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York City, New York, USA.
Mayur NarayanDivision of Trauma, Burns, Critical and Acute Care, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York City, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHemorrhage remains a major cause of death around the world. Eighty percent of trauma patients in India do not receive medical care within the first hour. The etiology of these poor outcomes is multifactorial. We describe findings from the first Stop the Bleed (StB) course recently offered to a group of medical providers in southern India.

methodsA cross-sectional survey of 101 participants who attended StB trainings in India was performed. Pre-training and post-training questionnaires were collected from each participant. In total, 88 healthcare providers' responses were analyzed. Three bleeding control skills were presented: wound compression, wound packing, and tourniquet application.

resultsAmong participants, only 23.9% had received prior bleeding control training. Participants who reported feeling 'extremely confident' responding to an emergency medical situation rose from 68.2% prior to StB training to 94.3% post-training. Regarding hemorrhage control abilities, 37.5% felt extremely confident before the training, compared with 95.5% after the training. For wound packing and tourniquet application, 44.3% and 53.4%, respectively, felt extremely confident pre-training, followed by 97.7% for both skills post-training. Importantly, 90.9% of StB trainees felt comfortable teaching newly acquired hemorrhage control skills. A significant majority of participants said that confidence in their wound packing and tourniquet skills would improve with more realistic mannequins.

conclusionTo our knowledge, this is the first StB training in India. Disparities in access to care, long transport times, and insufficient numbers of prehospital personnel contribute to its significant trauma burden. Dissemination of these critical life-saving skills into this region and the resulting civilian interventions will increase the number of trauma patients who survive long enough to reach a trauma center. Additionally, considerations should be given to translating the course into local languages to increase program reach. LEVEL OF EVIDENCE: Level IV.

Indexed as

EMSfirst-aidprehospital caretraumatic hemorrhage

Identifiers

PMID30899794
PMCPMC6407539

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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.