Improving Knowledge and Skill for the Management of Trauma Patients in the Emergency Rooms of Three Southern Border Provinces of Thailand

Authors

  • Preecha Siritongtaworn Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • Rattaplee Pak-Art Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
  • Raywat Chunhasuwankul Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • Narain Chotirosniramit Faculty of Medicine, Chiangmai University, Chiangmai, Thailand
  • Burapat Sangthong Faculty of Medicine, Prince of Songkla University, Songkla, Thailand
  • Nopadol Wora-Urai The Royal College of Surgeons of Thailand, Bangkok, Thailand

Abstract

Objective: The three southern border provinces of Thailand are prone to frequent terrorist attacks. A large number of ensuing deaths and disabilities are reported each year. There is a standard training program (Advanced Trauma Life Support, or ATLS) to prepare emergency room (ER) doctors to take care of patients with acute injuries. The objective of this study was to improve the standard of care provided by ER physicians using the ATLS training course.

Methods: An ATLS training course was set in the southern part of Thailand to train ER physicians from the three southern border provinces.

Results: Of the 32 participants (2 courses), 17 failed their pre-training examination but only 11 failed in the posttraining examination. All participants passed the practical skills examination.

Conclusion: This result suggested that ER doctors who are working in the three southern border provinces needed extra training to improve their management of trauma patients. The ATLS course can improve their abilities and confidence in the management of severe injuries.

References

1. Noor FA. Thailand’s smile fades. BBC News on the web.Retrieved September 18th, 2012, available from: http: //www.news. bbc.co.uk/1/hi/world/asia-pacific/4017551.htm.

2. Smith AL. Trouble in Thailand’s muslim south: separatism, not global terrorism. Asia-Pacific Centre for Security Studies 2004;3:340-8.

3. Engvall A. No resolution to conflict in southern Thailand.East Asia Forum News. Retrieved September 19th, 2012, available from: http://www.eastasiaforum.org/2012/01/19/noresolution-to-conflict-in-southern-thailand.

4. Kortbeek JB, Al Turki SA, Ali J, et al. Advanced trauma life support, 8th edition. The evidence for change. J Trauma 2008;64:1638-50.

5. Carmont MR. The Advanced Trauma Life Support course: a history of its development and review of related literature. Postgrad Med J2005;81:87-91.

6. Ali J, Naraynsingh V. Potential impact of the Advanced Trauma Life Support (ATLS) program in a third world country. Int Surg 1987;72:179-84.

7. Gwinnutt CL, Driscoll PA. Advanced trauma life support. Eur J Anaesth 1995;13:95-101.
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Published

2018-12-31

How to Cite

1.
Siritongtaworn P, Pak-Art R, Chunhasuwankul R, Chotirosniramit N, Sangthong B, Wora-Urai N. Improving Knowledge and Skill for the Management of Trauma Patients in the Emergency Rooms of Three Southern Border Provinces of Thailand. Thai J Surg [Internet]. 2018 Dec. 31 [cited 2024 Nov. 6];34(4):129-13. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/227722

Issue

Vol. 34 No. 4 (2013): October - December

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.