Primary Trauma Care

Dr Rob McDougall FANZCA

PTCF, Trustee
 Primary Trauma Care Course
• Training doctors and first responders in the
management of severe injury, in order to save
lives and prevent complications

• 60 countries worldwide

• 14 languages
 PTC SE Asia & Pacific

• Pacific Islands 1997

• Indonesia 2001
• Papua New Guinea 2002
• Vietnam 2002
• Timor Leste 2003
• Mongolia 2005
• Myanmar 2009
• Cambodia 2011
 PTC China
• 300 two day courses in first two years
• 4000 doctors trained
• 400 instructors
 PTC MM Timeline
today
2009 2010 2011 2012

Mar Nov Jan Mar Jun Aug Oct Nov Jan Mar Aug Oct Nov Jan Mar Aug Nov TOTAL

F 7 3 3 6 2 2 1 4 2 1 2

P 2 2 2 2 2 2 2 2 2 2 2 2 1 2 27

I 1 1 1 1 1 5

R 1 1 1 3

Fm 1 1 1 3
 PTC Programs in Myanmar... 2009~2012
Programs 27
Courses 47
Candidates 805
Instructors 75
Supervisors 10

*Trauma Symposium Jan 2010

Myanmar Medical Association Annual Meeting
where are we now?

• 2 centres for training... Yangon &

Mandalay
• a core of local instructors: -10~15
• fledgling infrastructure that can
operated effectively with
the Ministry of Health
Consensus Conference

Development of Emergency Medicine

19, January 2012
 PTC Challenges
• Governance
• Curriculum Review
• Standards
• Measurement and Evaluation
• Funding
 PTCF Governance
• Moved to a professional model in 2011
• Board of Trustees
• Council
• Local PTC Committee
• Part time staff
– CEO
– Administrator (Oxford)
– Administrator (China)
 Curriculum Review
• Standard manual
• Regional adaptations of other materials
– Course format
– Slides
– MCQ
• Review of materials underway
– Led by Council
– Wide consultation
 Standards
• Doctors, nurses, ambulance officers, first
responders
• Multi-disciplinary courses in many countries
• Rural clinics, district hospitals, tertiary centres

• Certificate of attendance
• Valid exam difficult in two day course
 Measurement and Evaluation
• Outputs
– Courses run, participants
• Outcomes
– Improvements in knowledge (Pre and Post MCQ)
– Improvments in confidence
– Qualitative
• Impact
– $$$$$
 Measurement and Evaluation
• PTCF/DFID Africa Project
• M&E checklist
• Volunteer UK doctor based in Malawi
• 12 month study
– Large number of impact/output indicators
– Clinical service delivery
– Access to trauma care
– Staff performance
 Funding
• PTCF has low administrative costs
• PTCF needs a secure income stream
– Quality assurance
– Ongoing maintenance of educational materials
 Funding
• PTCF has low administrative costs
• PTCF needs a secure income stream
– Quality assurance
– Ongoing maintenance of educational materials

• Should courses be “free”?

– Attendance, commitment, ownership, dignity
 Funding
• Local funding wherever possible
• Donors/Sponsors
– RACS, ASA, AusAID, Kadoorie Foundation
• Course Fee
• Booking fee and donation model
 PTCF

www.primarytraumacare.org
Right now, over 70 000 operating
rooms don’t have access
to a pulse oximeter

Make It 0