TY - JOUR ID - 44324 TI - Assessment and Availability of Trauma Care Services in a District Hospital of South India; A Field Observational Study JO - Bulletin of Emergency And Trauma JA - BEAT LA - en SN - 2322-2522 AU - Uthkarsh, Pallavi Sarji AU - Gururaj, Gopalkrishna AU - Sabharish Reddy, Sai AU - Rajanna, Mandya Siddalingaiah AD - Shree Siddhartha university of Medical sciences and research center AD - NIMHANS,Bangalore AD - Shree Siddhartha university of medical sciences and research Y1 - 2016 PY - 2016 VL - 4 IS - Issue 2 SP - 93 EP - 100 KW - Health care facilities KW - Manpower KW - Services KW - Emergency care KW - Injuries KW - India DO - N2 - Objective: To assess the availability of trauma care services in a district referral hospital of Southern India.Methods: This was a cross-sectional study being performed during 2013 in a tertiary healthcare centre in Southern Indian. A detailed assessment of trauma care services was done in a 400 bed speciality hospital which is an apex referral hospital in the public health system using a check list based on WHO guidelines for evaluation of essential trauma care services, along with in-depth interviews of hospital stake holders and key informants.Results: The hospital had physical infrastructure in terms of emergency room, inpatient wards, operation theatres, intensive care unit and blood bank facilities. The recently constructed designated building for trauma care services was not operational and existing facilities were used beyond capacity. A designated trauma team was lacking and speciality services for managing polytrauma were deficient and thus, existing personnel were performing multiple tasks. Neurosurgeons and rehabilitative nursing staff were unavailable, and a radiographer was not available on a 24/7 basis. Existing nursing personnel had not received any formal training in trauma care and standard operating protocols were not available for trauma care. Resources for acute resuscitation were partially adequate. The hospital lacked adequate resources to manage head, abdomen, chest and spine injuries, and most of the polytrauma cases were referred to nearby city hospitals.Conclusion: District hospital, the only referral hospital in public health system for trauma victims of that region, had inadequate resources to manage trauma victims, which was probably responsible for delay in trauma care, improper referrals, high cost of care and poor outcomes. UR - https://beat.sums.ac.ir/article_44324.html L1 - https://beat.sums.ac.ir/article_44324_38640170eff897d4fb30b9dd8757c1b5.pdf ER -