Improving prehospital traumatic shock care: implementation and clinical effectiveness of a pragmatic, quasi-experimental trial in a resource-constrained South African setting.

ABSTRACT:

Objectives

This project seeks to improve providers' practices and patient outcomes from prehospital (ie, ambulance-based) trauma care in a middle-income country using a novel implementation strategy to introduce a bundled clinical intervention.

Design

We conduct a two-arm, controlled, mixed-methods, hybrid type II study.

Setting

This study was conducted in the Western Cape Government Emergency Medical Services (EMS) system of South Africa.

Interventions

We pragmatically implemented a simplified prehospital bundle of trauma care (with five core elements) using a novel workplace-based, peer-to-peer, rapid training format. We assigned the intervention and control sites.

Outcome measures

We assessed implementation effectiveness among EMS providers and stakeh

SUBMITTER: Mould-Millman NK 

PROVIDER: S-EPMC10151988 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature