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Home > List Archives

Trauma training in low income countries

Sanjay Gupta MD sanjaygupta99_91 at yahoo.com
Wed Apr 25 14:25:39 BST 2007


I will let you know soon.  I just completed an
instructor course. 

Sanjay



--- Ronald Gross <Rgross at harthosp.org> wrote:

> $1,400 for an ATLS course???????????  Who the heck
> is running those courses and getting away with that
> fee?
> Having said that, can I get in on that one?  My
> guess is that with that high a tuition, your
> instructors are making a pretty penny.......
> Ron
> 
> >>> Sanjay Gupta MD <sanjaygupta99_91 at yahoo.com>
> 4/23/2007 11:45 PM >>>
> I left India about 6 years ago.  I keep a close tab
> on
> medical systems in India and to the best of my
> knowledge, there is no community based trauma
> training
> which is appropriate for most doctors.  And that is
> exactly my point - getting a course by ACS or any
> other organization is not going to help.  The
> training
> program has to be developed in the country and
> training imparted to everyone by easily available
> resources and by major organization efforts by
> thought
> leaders in India, rather than by paying for the
> $1400
> ATLS course for every doctor in the country.  It is
> not the lack of knowledge or training, but rather of
> organizing and implementation. 
> 
> 
> Sanjay 
> 
> 
> 
> --- "Joel U. Macalino, M.D." <jamac at pacific.net.ph>
> wrote:
> 
> > In the Philippines, we have adapted a national
> > trauma course we now call the
> > B.E.S.T. (Basic Emergency Skills in Trauma). The
> > course was developed
> > through the efforts of the Philippine College of
> > Surgeons and is now offered
> > almost monthly to accommodate all the trainees in
> > surgery. It features
> > didactics and skill stations on knowledge we have
> > identified to be necessary
> > from national injury census and studies. The
> course
> > likewise includes
> > disaster management and mass casualty incidents as
> > our country is one of the
> > most disaster prone area in the planet.
> >  Joel U. Macalino, MD
> > 
> > ----- Original Message -----
> > From: Miranda Voss <mvossak at yahoo.co.uk>
> > To: <trauma-list at trauma.org>
> > Sent: Monday, April 23, 2007 8:12 PM
> > Subject: Re: Trauma training in low income
> countries
> > 
> > 
> > Dear Sanjay and others,
> > 
> > I have only spent 4 months in India but did have
> the
> > impression that you are in the same situation as
> we
> > are in SA: while the urban teaching institutions
> > (such
> > as AIIMS and Tygerberg) are world class, there are
> > many peripheral government hospitals which
> struggle
> > to
> > provide a good service and some are frankly awful.
> > It
> > is in these environments that a systematic
> approach
> > to
> > trauma training should be useful.
> > 
> > I am not suggesting that Indian trauma surgeons
> need
> > US style training, but that GPs working in
> > peripheral
> > hospitals and occasionally (but increasingly)
> seeing
> > severe trauma would find a taught system of
> managing
> > severe trauma useful. I certainly did in my GP
> days.
> > 
> > Have any of your teaching hospitals developed
> trauma
> > training outreach programmes yet?
> > 
> > Miranda
> > 
> > Dr M Voss FCS(SA)
> > Eben Donges Hospital,
> > Worcester
> > W. Cape, RSA.
> > 
> > From: "Robert F. Smith" <rfsmithmd at comcast.net>
> > Subject: RE: Trauma training in low income
> > countries.
> > Date: Fri, 20 Apr 2007 18:15:39 -0400
> > To: "'Trauma &amp; Critical Care mailing list'"
> > <trauma-list at trauma.org>
> > 
> > Plain Text Attachment [ Scan and Save to Computer
> |
> > Save to Yahoo! Briefcase ]
> > 
> > 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
> > > >
> > > >
> > > >
> > 
> > 
> > 
> > 
> >      
> >
>
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> 
> 
> Sanjay Gupta MD
> Tel: 412 335 6304
> 
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Sanjay Gupta MD
Tel: 412 335 6304

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