Limits...
Post-crash management of road traffic injury victims in Iran. Stakeholders' views on current barriers and potential facilitators.

Khorasani-Zavareh D, Khankeh HR, Mohammadi R, Laflamme L, Bikmoradi A, Haglund BJ - BMC Emerg Med (2009)

Bottom Line: Barriers to effective post-crash management were identified as: involvement of laypeople; lack of coordination; inadequate pre-hospital services; shortcomings in infrastructure.An integrated trauma system and infrastructure improvement also is crucial to be considered for effective post-crash management.To sum up, it seems that the involvement of laypeople could be a key factor in making post-crash management more effective.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Social Medicine, Department of Public Health Sciences, Karolinska Institutet, Norrbacka,SE-171 76 Stockholm, Sweden. Davoud.khorasani@ki.se

ABSTRACT

Background: Road traffic injuries are a major public health problem, especially in low- and middle-income countries. Post-crash management can play a significant role in minimizing crash consequences and saving lives. Iran has one of the highest mortality rates from road traffic injuries in the world. The present study attempts to fill the knowledge gap and explores stakeholders' perceptions of barriers to - and facilitators of - effective post-crash management in Iranian regions.

Methods: Thirty-six semi-structured interviews were conducted with medical services personnel, police officers, members of Red Crescent, firefighters, public-health professionals, road administrators; some road users and traffic injury victims. A qualitative approach using grounded theory method was employed to analyze the material gathered.

Results: The core variable was identified as "poor quality of post crash management". Barriers to effective post-crash management were identified as: involvement of laypeople; lack of coordination; inadequate pre-hospital services; shortcomings in infrastructure. Suggestions for laypeople included: 1) a public education campaign in first aid, the role of the emergency services, cooperation of the public at the crash site, and 2) target-group training for professional drivers, police officers and volunteers involved at the crash scene. An integrated trauma system and infrastructure improvement also is crucial to be considered for effective post-crash management.

Conclusion: To sum up, it seems that the involvement of laypeople could be a key factor in making post-crash management more effective. But system improvements are also crucial, including the integration of the trauma system and its development in terms of human resources (staffing and training) and physical resources as well as the infrastructure development.

Show MeSH

Related in: MedlinePlus

Conceptual model in barriers related to effective laypeople interaction in post-crash management in Iran.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2692975&req=5

Figure 1: Conceptual model in barriers related to effective laypeople interaction in post-crash management in Iran.

Mentions: The involvement of untrained laypeople as a potential barrier during post-crash events was mentioned by all participants. The main factors identified concerned cultural background, limitations in knowledge and late arrival of the emergency services. Altogether, these factors explain why laypeople gather at a crash scene, the negative effect of their role in rescue activities and how they have the potential to indirectly increase injury morbidity and mortality. Figure 1 show barriers related to the role of laypeople when crashes occur.


Post-crash management of road traffic injury victims in Iran. Stakeholders' views on current barriers and potential facilitators.

Khorasani-Zavareh D, Khankeh HR, Mohammadi R, Laflamme L, Bikmoradi A, Haglund BJ - BMC Emerg Med (2009)

Conceptual model in barriers related to effective laypeople interaction in post-crash management in Iran.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2692975&req=5

Figure 1: Conceptual model in barriers related to effective laypeople interaction in post-crash management in Iran.
Mentions: The involvement of untrained laypeople as a potential barrier during post-crash events was mentioned by all participants. The main factors identified concerned cultural background, limitations in knowledge and late arrival of the emergency services. Altogether, these factors explain why laypeople gather at a crash scene, the negative effect of their role in rescue activities and how they have the potential to indirectly increase injury morbidity and mortality. Figure 1 show barriers related to the role of laypeople when crashes occur.

Bottom Line: Barriers to effective post-crash management were identified as: involvement of laypeople; lack of coordination; inadequate pre-hospital services; shortcomings in infrastructure.An integrated trauma system and infrastructure improvement also is crucial to be considered for effective post-crash management.To sum up, it seems that the involvement of laypeople could be a key factor in making post-crash management more effective.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Social Medicine, Department of Public Health Sciences, Karolinska Institutet, Norrbacka,SE-171 76 Stockholm, Sweden. Davoud.khorasani@ki.se

ABSTRACT

Background: Road traffic injuries are a major public health problem, especially in low- and middle-income countries. Post-crash management can play a significant role in minimizing crash consequences and saving lives. Iran has one of the highest mortality rates from road traffic injuries in the world. The present study attempts to fill the knowledge gap and explores stakeholders' perceptions of barriers to - and facilitators of - effective post-crash management in Iranian regions.

Methods: Thirty-six semi-structured interviews were conducted with medical services personnel, police officers, members of Red Crescent, firefighters, public-health professionals, road administrators; some road users and traffic injury victims. A qualitative approach using grounded theory method was employed to analyze the material gathered.

Results: The core variable was identified as "poor quality of post crash management". Barriers to effective post-crash management were identified as: involvement of laypeople; lack of coordination; inadequate pre-hospital services; shortcomings in infrastructure. Suggestions for laypeople included: 1) a public education campaign in first aid, the role of the emergency services, cooperation of the public at the crash site, and 2) target-group training for professional drivers, police officers and volunteers involved at the crash scene. An integrated trauma system and infrastructure improvement also is crucial to be considered for effective post-crash management.

Conclusion: To sum up, it seems that the involvement of laypeople could be a key factor in making post-crash management more effective. But system improvements are also crucial, including the integration of the trauma system and its development in terms of human resources (staffing and training) and physical resources as well as the infrastructure development.

Show MeSH
Related in: MedlinePlus