OVE VERVI VIEW EW Emer ergen gency cy and T d Trauma Care S - PowerPoint PPT Presentation

OVE VERVI VIEW EW Emer ergen gency cy and T d Trauma Care S e System ems • • The e DCP em emer erge gency ncy compon ponen ents ts of es essen entia ial package pa ges WH WHO Emer ergency gency Care e System em Framewor ork • • Emer ergenc gency Car are e System em Asses essm smen ent t Tool

PREVENTION PREHOSPITAL FACILITY-BASED TRAUMA & TRANSPORT CRITICAL CARE EMERGENCY CARE SYSTEMS SYSTEMS REHABILITATION

Of 45 m million llion ann nnua ual l deaths ths in n LMICs, Cs, 54% 54% are due to condit itions ions addres essable sable by prehospi hospital tal and emerge ergency y care. . 1,0 1,023 23 mi million lion DALYs Ys, , 932 mi 932 million lion yea ears s of life e lost st to premature emature mortality tality.

Emergenci gencies es occur ur everywher where, e, and each h day they y consume sume resour urces ces regardl dless ess of whet ether her there re are re system ems s capable ble of achievin ing g good d outcomes comes. Kobusi usingy ngye, Bulletin tin of WHO

EMERGENCY COMPONENTS OF ESSENTIAL PACKAGES

EMERGENCY COMPONENTS OF ESSENTIAL PACKAGES Essential packages at each level of the health system include emergency components.

EMERGENCY COMPONENTS OF ESSENTIAL PACKAGES Obst stetric, tric, Gynecolo cologic, gic, Reproducti ductive e Health h and Family Plannin ing Comm mmunity ity Facili ility and d Prima mary Healt alth h Centr tre Managem agement t of labour bour and deliv liver ery including ding initia ial l treatme eatment t of complic lications tions Post-GB GBV car are e (preven entio ion of STI/ TI/HI HIV, , emer ergen ency con ontr tracep eptio ion, , suppor ort/c t/counseli ounseling) Managem agement t of uninten ende ded d pregnancy ancy Managem agement t of miscarriage iage/i /incom omple lete e abor bortion tion and post abor bortio tion car are* e* Antib ibio iotics tics for pPRoM oM Tetan etanus toxoi oid* Scree eening ing for com omplica licatio ions s of pregnancy ancy * Denotes that Initiat iate e anten enatal atal ster eroi oids (as long as clin inical ical crit iter eria ia and d standa dards s are e met et)* )* the intervention Initiat iate e magnesi esium m sulphat hate effect was Det etec ection tion of sepsis sis included in the Lives Saved First st Level el Hospital ital Tool (LiST). Managem agement t of labour bour and deliv liver ery in high risk sk wo women men Caesa esarean an Vac acuum m extractio ion/f /for orceps s deliv livery Ectopic opic preg egnancy ancy Vac acuum aspir iratio ion and dilatation latation and cure rette Hyster erectom omy for uterine ine rupture e or intrac actable table post-par artum m haemor emorrhag hage Anten enatal atal steroids* ids* Magnesium ium sulphat ate Treatmen eatment of sepsis sis Induction tion of labo bour post-ter erm Ectopic opic preg egnancy ancy case se managem agemen ent* Det etec ection ion and d mana nage gemen ment of feta fetal l gro rowt wth h restr tric iction tion*

EMERGENCY COMPONENTS OF ESSENTIAL PACKAGES Obst stetric, tric, Gynecolo cologic, gic, Reproducti ductive e Health h and Family Plannin ing Child and Newbor orn n Health th Comm mmunity ity Facili ility and d Prima mary Healt alth h Centr tre Managem agement t of labour bour and deliv liver ery including ding initia ial l treatme eatment t of complic lications tions Post-GB GBV car are e (preven entio ion of STI/ TI/HI HIV, , emer ergen ency con ontr tracep eptio ion, , suppor ort/c t/counseli ounseling) Community Facility Managem agement t of uninten ende ded d pregnancy ancy Detect and refer severe acute malnutrition Managem agement t of miscarriage iage/i /incom omple lete e abor bortion tion and post abor bortio tion car are* e* Detect and treat serious infections without danger signs Antib ibio iotics tics for pPRoM oM Thermal care for preterm newborn Tetan etanus toxoi oid* Neonatal resuscitation Scree eening ing for com omplica licatio ions s of pregnancy ancy Oral antibiotics for pneumonia * Denotes that Initiat iate e anten enatal atal ster eroi oids (as long as clin inical ical crit iter eria ia and d standa dards s are e met et)* )* the intervention Initiat iate e magnesi esium m sulphat hate Primary Health Centre effect was Det etec ection tion of sepsis sis Treat severe acute malnutrition included in the Detect and treat serious infections with danger signs* Lives Saved First st Level el Hospital ital Kangaroo mother care Tool (LiST). Managem agement t of labour bour and deliv liver ery in high risk sk wo women men Injectable and oral antibiotics for sepsis, pneumonia and meningitis Caesa esarean an Jaundice management Vac acuum m extractio ion/f /for orceps s deliv livery Ectopic opic preg egnancy ancy First Level Hospital Vac acuum aspir iratio ion and dilatation latation and cure rette Treat severe acute malnutrition associated with serious infection* Hyster erectom omy for uterine ine rupture e or intrac actable table post-par artum m haemor emorrhag hage Detect and treat serious infections with danger signs with full supportive care* Full supportive care for preterm newborn* Treatment of newborn complications, meningitis and other very serious infections*

EMERGENCY COMPONENTS OF ESSENTIAL PACKAGES Obst stetric, tric, Gynecolo cologic, gic, Reproducti ductive e Health h and Family Plannin ing Child and Newbor orn n Health th Comm mmunity ity Facili ility and d Prima mary Healt alth h Centr tre Managem agement t of labour bour and deliv liver ery including ding initia ial l treatme eatment t of complic lications tions Injur ury Post-GB GBV car are e (preven entio ion of STI/ TI/HI HIV, , emer ergen ency con ontr tracep eptio ion, , suppor ort/c t/counseli ounseling) Community Facility Managem agement t of uninten ende ded d pregnancy ancy Detect and refer severe acute malnutrition Comm mmunity ity Facili ility and d Prima mary Healt alth h Centr tre Managem agement t of miscarriage iage/i /incom omple lete e abor bortion tion and post abor bortio tion car are* e* Detect and treat serious infections without danger signs Resuscitation with BLS measures Antib ibio iotics tics for pPRoM oM Thermal care for preterm newborn Suturing laceration Tetan etanus toxoi oid* Neonatal resuscitation Management of non- displaced fractures Scree eening ing for com omplica licatio ions s of pregnancy ancy Oral antibiotics for pneumonia Initiat iate e anten enatal atal ster eroi oids (as long as clin inical ical crit iter eria ia and d standa dards s are e met et)* )* First st Level el Hospital ital Initiat iate e magnesi esium m sulphat hate Primary Health Centre Resuscitation with advanced life support measures, including surgical airway Det etec ection tion of sepsis sis Treat severe acute malnutrition Tube thoracostomy (chest drain) Detect and treat serious infections with danger signs* Trauma laparotomy First st Level el Hospital ital Kangaroo mother care Fracture reduction Managem agement t of labour bour and deliv liver ery in high risk sk wo women men Injectable and oral antibiotics for sepsis, pneumonia and meningitis Irrigation and debridement of open fractures Caesa esarean an Jaundice management Placement of external fixator; use of traction Vac acuum m extractio ion/f /for orceps s deliv livery Escharotomy/fasciotomy (cutting of constricting tissue to relieve pressure from swelling) Ectopic opic preg egnancy ancy First Trauma-related amputations Burr hole