Hospital level interventions to improve outcomes after injury in India - Video
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Overview
Trauma is one of the leading causes of disability and death, worldwide. Ninety per cent of trauma related mortality occurs in low- and middle-income countries (LMICs). Despite this, there is paucity of literature emanating from LMICs with studies that present and/or evaluate feasible interventions that can have a measurable impact on outcomes after injury, primarily mortality. The current article aims at developing such interventions key elements of implementation and measures of compliance and impact.
This original research is seen in the Indian Journal of Medical Research published by Scientific Scholar.
Medical Dialogues team interacted with one of the authors, Dr Ajai K. Malhotra, Department of Surgery, University of Vermont, Burlington, Vermont who gave us insights into the article by answering the following-
1. What was the rationale behind this study? Please elaborate your observations.
2. What according to you are the major challenges in addressing trauma cases in lower and middle income countries compared to the developed world?
3. To improve the trauma care in the country, via the Govt. hospitals, what are the step-wise regulations that the Government needs to bring in?
4. Cost of trauma care in Private settings is extreme and is out of reach for the general population, how this challenge can be met in lower and middle income countries with limited facilities?
Based on this review, interventions were identified/developed, that were feasible to implement within the constraints of available resources; could be implemented within a two year timespan; and would improve outcomes primarily, mortality. Utilizing the review as the basis and focusing on hospital level interventions, one policy intervention, five in-hospital interventions and one major research question were identified/developed that met the defined criteria.
It was finally interpreted that gaps in trauma care in LMICs at every level and in data systems were identified and that feasible interventions can be implemented within the resource constraints of LMICs in a reasonable timeframe and that can have a measurable impact on injury related mortality.
Ref: Anthony AA, Panchal K et al. Hospital level interventions to improve outcomes after injury in India, a LMIC 2024; IJMR 159(3&4);331-338. Doi: 10.25259/IJMR_2398_
Speakers
Dr. Nandita Mohan is a practicing pediatric dentist with more than 5 years of clinical work experience. Along with this, she is equally interested in keeping herself up to date about the latest developments in the field of medicine and dentistry which is the driving force for her to be in association with Medical Dialogues. She also has her name attached with many publications; both national and international. She has pursued her BDS from Rajiv Gandhi University of Health Sciences, Bangalore and later went to enter her dream specialty (MDS) in the Department of Pedodontics and Preventive Dentistry from Pt. B.D. Sharma University of Health Sciences. Through all the years of experience, her core interest in learning something new has never stopped. She can be contacted at editorial@medicaldialogues.in. Contact no. 011-43720751
Dr Ajai K Malhotra, MBBS, MS, DNB, FRCS, FACS. Dr Ajai K Malhotra is a distinguished surgeon with extensive trauma and acute care surgery expertise. He completed his MBBS from Motilal Nehru Medical College in Allahabad, followed by postgraduate training (MS and DNB) in General and Vascular Surgery at PGIMER, Chandigarh. After gaining a fellowship (FRCS) from Edinburgh, he moved to New York for a surgical residency at Montefiore Medical Center/Albert Einstein College of Medicine, followed by a Trauma/Surgical Critical Care fellowship at the University of Tennessee, Memphis. Dr. Malhotra served as Professor and Vice Chair of Acute Care Surgery at Virginia Commonwealth University (VCU) and currently holds the position of Professor and Chief of Acute Care Surgery at the University of Vermont. He is deeply involved in trauma care research and committed to improving trauma care in India.