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Fri Apr 20 23:15:39 BST 2007

IMHO your thoughts are totally correct.

R. Smith

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Sanjay Gupta MD
Sent: Friday, April 20, 2007 5:36 PM
To: Trauma &amp, Critical Care mailing list
Subject: RE: Trauma training in low income countries.

Hi Sohail and other members of the trauma list who
work in India and other "soon to be rich countries"

I have worked in India as a surgeon for 12 years and
then I trained in US and I am working as a trauma
surgeon now.  I think that the trauma surgeons in
other parts of the world (outside the rich countries),
should keep on doing whatever they are doing.  I think
they (until very recently we), do an excellent job of
assessing and managing these patients without
overinvestigating and over diagnosing non-existent
conditions.  The money to take the ACS trauma course
and then to do CT scan for (almost) everyone would be
much better spent in buying some good trauma textbooks
and in organizing teams in hospitals where all
specialists needed are easily available, blood and
other resources are defined and made available and a
good ICU with all resources is available.  My
professors and other much junior faculty members in
All India Institute of Medical Sciences (just taking
an example) are as good surgeons and organizers as any
in the Western world.  Rather than getting an outside
organization get the money to run the course, organize
it with local talent which is abundant and excellent. 
Remember also that in many parts of the world, the
trauma patient is primarily taken care of by ED
physician who then calls the surgeons of various
specialities as needed.  Most surgeons in India (at
least if they train from a standard institute and make
the effort to do a senior residency) are very well
trained and competent to do all sorts of trauma
surgery.  Just my opinion and an advice to save some
money.

Sanjay Gupta

--- Thomas Anthony Horan <thoran at sarah.br> wrote:

> Sohail,
> I can certainly support that sentiment, the people
> who most need the course are in governemnt hospitals
> that are cash poor for this sort of thing. People I
> talk to here say it , (as well as the vast majority
> of other NA and european CME), is simply priced out
> of their budget range. Tom
> > ----------
> > From: 
>
trauma-list-bounces at trauma.org[SMTP:trauma-list-bounces at trauma.org]
> on behalf of Sohail
> Muzammil[SMTP:sohailmuzammil at hotmail.com]
> > Reply To: 	Trauma & Critical Care mailing list
> > Sent: 	quinta-feira, 19 de abril de 2007 15:10
> > To: 	Trauma & Critical Care mailing list
> > Subject: 	Re: Trauma training in low income
> countries.
> > 
> > 
> > The ACS has enough money so why can they not earn
> some goodwill and waive
> > the franchise and other fees for third world
> countries? Beats me.
> > 
> > S Muzammil, FRCS
> > 
> > ----- Original Message -----
> > From: "Matt Oliver" <moliver1 at iinet.net.au>
> > To: "'Trauma & Critical Care mailing list'"
> <trauma-list at trauma.org>
> > Sent: Thursday, 19 April, 2007 2:15 AM
> > Subject: RE: Trauma training in low income
> countries.
> > 
> > 
> > WHO was promoting PTC (Primary Trauma Care)some
> years ago, this may also be
> > worth looking into as India is on the list of
> countries participating. See
> > http://www.primarytraumacare.org/
> > 
> > Matt Oliver
> > Bendigo
> > Australia
> > 
> > -----Original Message-----
> > From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org]
> > On Behalf Of Miranda Voss
> > Sent: 18 April 2007 22:07
> > To: trauma-list at trauma.org
> > Subject: Trauma training in low income countries.
> > 
> > The International Comittee of the Red Cross also
> > offers the Emergency Room Trauma Course (ERTC) as
> a
> > cost effective alternative to ATLS in lower income
> > countries.
> > 
> > Miranda.
> > 
> > Dr M Voss
> > Eben Donges Hosital
> > Worcester
> > W Cape, RSA.
> > 
> > 
> > From: "Hardcastle, Tim, Dr <tch at sun.ac.za>"
> > <tch at sun.ac.za>
> > Subject: RE: world road safety.org (was - Disaster
> in
> > Roanoke - Proximity oftrauma centers)
> > Date: Tue, 17 Apr 2007 10:49:18 +0200
> > To: "Trauma & Critical Care mailing list"
> > <trauma-list at trauma.org>
> > Plain Text Attachment [ Scan and Save to Computer
> |
> > Save to Yahoo! Briefcase ]
> > Rajesh
> > 
> > You do, however have NTMC - the IATSIC lower
> income
> > country trauma
> > course. If yuor passion is strong get involved.
> > Contact through Indian
> > Trauma Society.
> > 
> > Tim
> > Dr T C Hardcastle
> > M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
> > Senior Surgeon / Senior Lecturer: Surgery (Trauma
> and
> > ICU)
> > ATLS  instructor and DSTC Cape Town Course
> Director
> > Intern program Coordinator: Surgery
> > M.Med (Emergency Medicine) Executive Committee
> member
> > Clinical Head (Director): Diana Princess of Wales
> > Trauma Unit
> > Division of Surgery (General) Room 4064
> > Department of Surgical Sciences
> > Tygerberg Hospital / University of Stellenbosch
> > PO Box 19063
> > Tygerberg 7505
> > Western Cape
> > South Africa
> > e-mail: tch at sun.ac.za
> > Cell: +27824681615
> > Office: +27219389281 or 4911 pager 0302
> > 
> > 
> > 
> > -----Original Message-----
> > From: trauma-list-bounces at trauma.org
> > [mailto:trauma-list-bounces at trauma.org]On Behalf
> Of
> > Rajesh
> > Sent: Tuesday, April 17, 2007 4:49 AM
> > To: Trauma & Critical Care mailing list
> > Subject: RE:world road safety.org (was - Disaster
> in
> > Roanoke -
> > Proximity
> > oftrauma centers)
> > 
> > 
> > We have started here. I have been doing talks on
> > injury prevention
> > (road
> > trauma)since January 2006 (New Year resolution,
> > nothing less !)and so
> > far
> > have done free 1 hour multimedia presentations at
> > various offices,
> > get-togethers, school annual days, residents
> > association meetings etc.
> > 
> > My laptop sits out there in the middle of the
> crowded
> > OPD showing the
> > same
> > presentation over and over  almost very day
> .(Luckily
> > so far no one has
> > tried to nick it !)As you are probably aware,India
> > tops the list at
> > death
> > rates,not only because of increased accidents(too
> many
> > vehicles,pedestrians,lack of road rules etc) but
> also> 
> > because we dont
> > have
> > ATLS type training or  prehospital care in over
> 95% of
> > places.I did the
> > ATLS
> > while in the UK, but that was in 1998.
> > 
> > I am also part of the World Road Safety
> partnership, a
> > non-governmental
> > organisation which has just recently come into
> > being.The official
> > inauguration is on 24th of this month. Have a look
> at
> > www.worldroadsafety.org .
> > 
> > Hope things will be better.
> > 
> > Rajesh
> > 
> > 
> > Dr.K.R.Rajesh, MS,DipNB,FRCS,FRCS(Orth)
> > Consultant Orthopaedic Surgeon
> > Division of Upper Limb , Arthroscopy & Joint
> > Replacement Surgery.
> > Cosmopolitan Hospital
> > Trivandrum,Kerala,India.
> > 
> > Advisory Board Member
> > World Road Safety Partnership
> > www.worldroadsafety.org
> > 
> > "If you drink and drive, you are a bloody idiot !"
> > 
> > "No seat belt? No Helmet? Maybe you are already
> > braindead !"
> > 
> > Mobile-9447191205
> > 
> > 
> >      
>
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> 

Sanjay Gupta MD
Tel: 412 335 6304

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Trauma training in low income countries.