Trauma course Vietnam (Ninh Thuan)
Why was it initiated?
In a nationwide survey sponsored by the World Bank, road trauma was second only to earning a living as a priority by Vietnamese people. Preventative strategies, including compulsory wearing of helmets and drink driving legislation have been effective - though the legislation is not enforced.
Stabilisation and urgent treatment of victims reduces fatalities from serious traffic accidents and disasters, particularly in circumstances with limited medical equipment.
Acknowledging there was inadequate clinical trauma training for frontline staff, Dr Phien (director Ninh Thuan general hospital - NTGH) invited us to work with them to develop a trauma course appropriate for their resource poor environment. This was September 2017.
Our principal roles have been in mentoring, arbitration of clinical decisions and, initially, to give “western” credibility to the course. We all agreed to maintain local ownership from the outset.
What are its aims?
1) Train community, medical and nursing staff in skills and uniform procedures and embed those into practice
2) Build confidence that
- an acceptable standard of care can be achieved with a minimum of technology
- these courses could be run in the South and in a regional rather than a major city hospital.
3) Find local solutions for early deaths and morbidity following major and minor trauma in Ninh Thuan province.
4) Strengthen ongoing knowledge sharing and exchange to spread these skills to other hospitals and medical centres in the province
When did it start?
The first course was September 2018
Who has been involved?
NTGH: Dr Phien, Dr Hong (director emergency department NTGH and lecturer), Dr The (lecturer), Dr Thai (department of quality), Ms Tuoi (course co-ordinator from NTGH)
MESCH: Cuong Vu (lecturer and interpreter), John Cassey (paediatric surgeon, lecturer)
Other: Au Vu (lecturer and interpreter), Võ Xuân Khang (interpreter), Truong Bao Khuê (lecturer and interpreter)
It is critically important to thank, encourage and support the new lecturers and interpreters. These courses require considerable time, mental input and loss of income for everyone involved.
The slide sets with associated videos that were used in Lam Dong hospital were modified as a result of SKYPE and face-to-face discussion with the local lecturers. This provided the added benefit of education in content and style.
A locally produced training video on airway management was added as a result of the video teaching session in the instructors' course 2018. More locally produced videos of “how to” were added by Dr Hong and The in 2019.
Practical sessions have been extended with a focus on airway management throughout the course.
The 2018 addition of a "discussion group" session early in the course resulted in more effective and earlier interraction amongst the group.
The course has been run 3 times since it's initiation - all by Dr Hong and The with assisitance from "graduates" of the previous courses.
It lasts 2.5 days and there has been no Australian input since the first course.There were 15 attendees (doctors and nurses) at the PTC course in 2018 - coming from various hospitals and medical centres in Ninh Thuan province.
An instructor ("train-the-trainer") course of 1.5days duration follows the PTC. Unfortunately, not all the attendees (10) for the 2018 course had attended the PTC..
In 2018, a 1 day community first aid course (along with its own 1 day "train-the-trainer" course) was delivered by Cuong, Au and Bao Khue - largely to Red Cross members (20). As no government organisation sees itself as having repsonsibility ofr community health education, there is no immediate future in this course. Although the executive management staff at NTGH suggetsed that smaller medical centres might dleiver it to their communities, there is no requirement for them to do so.
Having regard to the track record of previous PTC courses in Vietnam, particularly Lam Dong and the national hospital in HaNoi, what was achieved in this first year was very encouraging. It is a great initiative by Ninh Thuan Hospital with a very positive future. With the appointment of more staff to the emergency department in 2019, Dr Hong has less clincial workload and remains committed to course development and delivery.
The broad aims described above were subdivided into more specific and, at this point, achievable ones described in the table below.
|Initiate Community first aid & instructors courses at NTGH||Achieved but will not be continued||Smaller hospitals, at their discretion|
|Initiate PTC and instructors courses at NTGH||Achieved|
|Acquisition of knowledge and skills in PTC||Achieved (direct observation and MCQ)||NTGH|
|Build confidence that care can be achieved with a minimum of technology||Achieved (Resources and course evaluation forms by participants)||NTGH|
|Increased awareness of the need for training and for this to be driven from the senior staff||Achieved. MOU to continue||NTGH|
|Introduce a new style of course delivery & determine participants’ perceptions of this||Well received (course evaluation forms & direct feedback)||NTGH and MESCH|
|Understand what impediments might need to be resolved to improve trauma care in NinhThuan Province||In progress||NTGH and MESCH|
|Understand the structure and processes behind trauma care in Ninh Thuan province||In progress||NTGH and MESCH|
|Modifications to the PTC course||NTGH and MESCH*|
|Establish NTGH ownership of the course||Achieved||NTGH**|
* Attempt at getting Vn language version of a free interactive (team building) game called “Spaceteam”. Positive replies from developer. Need volunteers with bi-lingual fluency.
** Video of simple jaw thrust airway management completed during the course by participants with assistance by Cuong, Au and John
Attendees come from institutions with markedly different capabilities and backgrounds. Exchange of ideas and understanding the capacities and needs of the participants’ individual hospitals will take time.
An interesting finding (noted also in Lam Dong) is that, after the course, 25% of participants felt they needed less equipment and more training. This new style of course delivery is rewarding with strong uptake by all participants.
Some of the difficulties we all (Vietnamese and Australian) experience with participant interaction, engagement and learning are a consequence of participants’ unmet and unknown expectations. Some may improve with insights by participants over time (perception) and some will always be insoluble.
Transition from Australian input to completely Vietnamese has been achieved.
Debriefs in 2018 were mostly at lunch and a little at the end of each day. They were very honest and constructive with tangible differences being made to content and delivery
The inability to positively expand into community first aid at this time is unfortunate and we will continue to explore options.
Building community confidence in trauma care and hospital staff. Quite apart from improvements in patient outcomes, this course has the potential to improve the reputation of NTGH, other hospitals and medical centres and Ninh Thuan province as a whole. The flow on will positively impact on:
We would like to continue to assist in making these communities safer and lessen the financial and social burdens of trauma.
What do we need to advance this?
1) Funding for
- Support and mentoring of local doctors to deliver First aid courses to manufacturing and construction industry (in line with government directives), tourism, transport and then general public. 5000AUD pa for 5 years
- Research and evaluation to ensure we are using effective teaching methods and are enhancing clinical outcomes (5,000AUD annually for 3 years)
- Equipment (Laerdal mannequins, resuscitation kits and spinal boards) 2000AUD once
- CCTV equipment to monitor effectiveness of training in the emergency department
2) Bi-lingual volunteers interested in developing a Vn language version of the free interactive game, “Spaceteam”. We want to use this in team building. We have had encouraging and positive replies from the developer.
WHO have set a target for reducing death and injury following trauma by 50% by 2020. The courses in LDGH and NTGH are part of improving outcomes after trauma. An ideal opportunity exists to make a huge change in outcomes of trauma across the provinces. Some funding for this could be sought at national level. We have no influence in this.
27 November 2019