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- Primary Trauma Care (PTC) Project
- Dr Nguyen Duc Chinh (2007 AusAID/Học Mãi Fellow
- Medical Student scholarship - University of Tasmania/Học Mãi Foundation
Primary Trauma Care (PTC) in Vietnam has been conducted for five years with approximately 700 doctors now attended the course. Integration of PTC into Provincial Vietnam has occurred over the last two years including courses in Ha Long, Thanh Hao and in Binh Dinh.
A large amount of work has been undertaken in Vietnam to evolve preventative strategies on road safety health in Vietnam with evolution of Road Safety awareness and the need for Helmet protection. This work is supported by the senior specialist clinicians at Viet Duc University Hospital in Hanoi.
Discussions with Specialists including Dr Tu (Anaesthetist) and Dr Chinh (Surgeon) at Viet Duc and the Deputy Director General, International Cooperation Department, Ministry of Health of Vietnam have provided endorsement for the PTC program through Viet Duc Hospital and to utilize PTC in its integration of the pre-hospital prevention and hospital care trauma programs.
Dr Tu was the Hoc Mai Fellow recipient in 2006 and visited Tasmania.
Concepts of pre-hospital care are evolving through the excellent work of Dr Chinh (Surgeon Viet Duc) with the establishment of the 114 ONE NUMBER call for ambulance services in the pre-hospital area. Dr Chinh was selected as one of the Hoc Mai Foundation recipients to attend as a Fellow for 3 months in Australia in June 2007.
Trauma Data 2006, Viet Duc, Hanoi
Vietnam is a country of nearly 80 million with approximately 4 million in Hanoi and 3.6 million in the province of Thanh Hoa. It remains one of the least affluent of the Asian countries with an estimated per capita income of $300US per year.
Health professionals are unable to afford the cost of external courses. PTC was designed to provide such training with external funding.
In a report by Dr Nguyen Duc Chinh from Viet Duc and presented to us with notes from a corresponding author Prof Judith Ladinsky it was stated quote : "Traffic accidents are the leading cause of death in the developing countries. Vietnam is no exception".
From the report "Preliminary results of injury surveillance at Viet Duc Hospital" some 38% of injured patients were carried to hospital by ambulance but in only 3 % was the first contact with 115 (ambulance call centre) and some 30% receiving NO treatment before hospital.
At Viet Duc, the major trauma referral centre for Northern Vietnam, traffic accidents account for nearly over 64% of all injuries treated and of these 74% are as a result of motor cycle use with 50% injury directly caused by the motorcycle. Only 5 % were wearing helmets. With just over 8% alcohol related (lower than Australia).
Falls were second to vehicle related injury and account for 21% of trauma. Students accounted for nearly 22% of all those injured and farmers another 25%.( a rising figure when 19% in 2005)
The percentage of severe neuro-trauma at just on 40% is considerably higher than in Australia. Orthopaedic injury accounts for 35% with chest trauma reported at just over 5%. In hospital, mortality is reported at 5%.
From 2004, with the implementation of Road Safety preventative principles there has been a fatality reduction in 2004 by 3.7%.
The Future of PTC in Vietnam
The evolution of PTC has taken a new step with the completion of the second Provincial course at Thanh Hao Provincal Hospital. In addition, the meetings with the Vietnam Ministry of Health have strengthened the role of PTC through the support of Viet Duc and Health Ministry endorsement.
Viet Duc Hospital is one of the major teaching hospitals in Vietnam and therefore is the major referral centre for trauma in the north of Vietnam. It has within its staff a cadre of highly trained and experienced staff who are keen to evolve PTC. Many provincial centers do not have this level of specialist support and such Vietnamese instructors will need to travel with the course.
Future success depends on a number of factors, both logistical and financial. Further sourcing of funding is clearly necessary.
Read the full Primary Trauma Care Course report.
The Học Mãi Foundation is partly funding the 2008 PTC project in Danang Hospital.
Dr Nguyen Duc Chinh (Chief, Department of Septic Surgery, Deputy Chief of Planning Department, Viet Duc University Hospital, HaNoi) undertook his AusAID/Học Mãi fellowship with Professor Marcus Skinner.
Thank You – Cam On.
Thoughts of Dr Nguyen Duc Chinh:
It is the place in the world where you can see the sun early. When you are here, every season serves up fresh perspectives : the sizzling yellows of summer; the smoky greens of winter; the dewy promise of spring, the earthy treasures of autumn, the country of many amazing animals, the people are incredibly friendly.... There is no place like it in this world. If you are wandering where this magic place is, you don’t have to look too far. Yet, you will find it between your deepest dreams and warmest wishes in Australia land of the Kangaroo. I consider myself privileged and honored to participate in the program in Australia as a visiting fellow sponsored by The Học Mãi Foundation for a period of two months which was started on 10 June – 11 August 2007. Continued...
Josephine Stringer was the successful 2007 Medical Student scholarship recipient from the University of Tasmania. All scholarship recipients are required to write a short report for the Học Mãi Foundation Board.
Thoughts of Josephine Stringer:
When I landed at the airport in Hanoi on Sunday November 18, 2007, my imagination was running wild with what I would experience over the course of my four week elective there. Everyone I’d spoken to since being offered the Hoc Mai Bursary who’d ever been to Vietnam, or ever known someone who’d been had given me their personal advice on what to expect; “the traffic is crazy,” or “the food is amazing,” and “the hospital will be an eye-opener.” All of this turned out to be true, but nothing could have really prepared me for what lay ahead.. Continued...
Dr Do Tan was awarded the University of Tasmania - Rural Clinical School scholarship to study Opthalmology under the supervision of Dr Mike Haybittel