Trauma/EM/Surgical

Welcome to the next stage of the Project HEAL Delphi Study. This stage is a build-up on the initial stage. You would therefore see a repetition in some of the questions. You are to determine if the resources listed should be present in a Level 1, 2, 3, or 4 Health facility. If a particular item must be present in all the levels, you can select all the levels for that item.

The total scores will be used to develop a checklist, which hospitals can independently administer, to determine their level of health care provision based on specific specializations and overscore. These can then inform the emergency care services, referral facilities, health workers and the general public on which facility provides which level of care.

Be assured that your response is confidential. Only aggregated results would be seen by the Delphi group.

You can save your progress and continue later. When you click the “Save” button, select “skip create account” and enter your email address. A link would be sent to you  to continue from where you left off.

Level 1 Truama/Surgical/EM Hospital Facility

Can be an academic/public/private facility located in an urban, suburban, or rural area. The facility should be able to provide 24-hour sub-specialty services for emergency medicine, general surgery, trauma, and orthopaedics. Surgical capabilities should be available at all times. Total care from prevention through rehabilitation including research and education is available. The centre should serve as a referral point in the region or section of the country. 

Level 2 Truama/Surgical/EM Hospital Facility

Can be an academic/public/private facility located in an urban, suburban, or rural area. The facility should be able to provide 24-hour specialized medical care, including a general surgeon. Not all subspecialties may be present. Theatre capabilities are available at all times. Cannot give comprehensive care to complex injuries or surgical cases. Educational outreach, research, and prevention programmes may be present.

Level 3 Truama/Surgical/EM Hospital Facility

Can be an academic/public/private facility located in an urban, suburban, or rural area. The facility is staffed by medical officers with limited surgical capabilities. There is the prompt availability of general surgeons or general practitioners with surgical expertise. While there is an operating theatre, there is an unavailability of trauma surgeons. The facility provides prompt assessment, resuscitation, basic emergency operations, and stabilization and where necessary, arranges for possible transfer to a higher-ranked facility that provides definitive trauma care.

 

Level 4 Truama/Surgical/EM Hospital Facility

Can be an academic/public/private facility located in an urban, suburban, or rural area. The facility is a minimally equipped facility staffed by Physician Assistants and Nurses only. It runs mostly outpatient clinics with no overnight admissions or surgeries. 

HOSPITAL ORGANIZATION

CLINICAL DISCIPLINE AVAILABILITY

 

 

1. In-house 24 hours a day (available within 10 minutes) 

On call available within 20 minutes

PERSONNEL

 

Please select which of the listed items you deem necessary/important for each level of hospital/facility care.

P.S.

Level 1 describes the highest level hospital/facility and level 4 describes the lowest Hospital/facility

The following is a list of Medical resuscitative equipment. Please select which of them you deem necessary/important for each level of hospital/facility care.

P.S.

Level 1 describes the highest level hospital/facility while level 4 describes the lowest Hospital/facility

ASSESSMENT AND EXTERNAL CONTROL OF HAEMORRHAGE

 

Please select which of the listed items you deem necessary/important for each level of hospital/facility care.

P.S.

Level 1 describes the highest level hospital/facility while level 4 describes the lowest Hospital/facility

RESOURCE FOR HEAD INJURY

 

Please select which of the listed items you deem necessary/important for each level of hospital/facility care.

P.S.

Level 1 describes the highest level hospital/facility while level 4 describes the lowest Hospital/facility

Resources for neck injuries

Rescources for Chest Injuries

Kindly review the description of the Health facility level and give your edits/comments