ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2020
Developing sustainable prehospital trauma education in Rwanda.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Utilization of intubation kits and checklist to improve first-pass success and reduce complications associated with endotracheal intubation in Rwanda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- A Novel Mobile Health Software Platform to Improve Emergency Medical Systems: 912Rwanda.Research square · 2026Article
- Mobile triage units for abdominal trauma in sub-Saharan Africa: current evidence, implementation barriers, and strategies for scale-up.Annals of medicine and surgery (2012) · 2026Review
- Integrating narrative medicine into post-genocide Rwandan healthcare: a call for trauma-responsive medical education.Frontiers in medicine · 2026Review
- Low-cost simulation models for soft-tissue procedures for medical student education in Rwanda.BMC medical education · 2025Article
- Needs Assessment and Tailored Training Pilot for Emergency Care Clinicians in the Prehospital Setting in Rwanda.The western journal of emergency medicine · 2025Article
- Building Trauma and EMS Systems Capacity in Rwanda: Lessons and Recommendations.Annals of global health · 2021Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionEvery year, >5 million people worldwide die from trauma. In Kigali, Rwanda, 50% of prehospital care provided by SAMU, the public prehospital system, is for trauma. Our collaboration developed and implemented a context-specific, prehospital Emergency Trauma Care Course (ETCC) and train-the-trainers program for SAMU, based on established international best practices.
methodsA context-appropriate two-day ETCC was developed using established best practices consisting of traditional 30-minute lectures followed by 20-minute practical scenario-based team-driven simulation sessions. Also, hands-on skill sessions covered intravenous access, needle thoracostomy and endotracheal intubation among others. Two cohorts participated - SAMU staff who would form an instructor core and emergency staff from ten district, provincial and referral hospitals who are likely to respond to local emergencies in the community. The instructor core completed ETCC 1 and a one-day educator course and then taught the second cohort (ETCC2). Pre and post course assessments were conducted and analyzed using Student's
resultsETCC 1 had 17 SAMU staff and ETCC 2 had 19 hospital staff. ETCC 1 mean scores increased from 40% to 63% and ETCC 2 increased from 41% to 78% after the course (p < 0.001 using matched pair analysis). A one-way ANOVA mean square analysis showed that regardless of the baseline level of training for each participant, all trainees reached similar post-course assessment scores, F (1) = 15.18, p = 0.0004. DISCUSSION: This study demonstrates effective implementation of a context-appropriate prehospital trauma training program for prehospital staff in Kigali, Rwanda. The course resulted in improved knowledge for an instructor core and for staff from district and provincial hospitals confirming the effectiveness of a train-the-trainers model. This program may be effective to support capacity development for prehospital trauma care in the country using a qualified local source of instructors.
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