The Primary Trauma Care Course Impact on Healthcare worker expertise and Patient Outcome in Vietnam

Our intervention is a trauma training course. The course is a combination of a serial lecture and skill station (scenario). Three trauma experts from Hanoi Medical University will run the course. They are also Primary Trauma Care-PTC instructors with more than 10 years of experience. There are 2 parts in PTC course Part 1 (theory part):There are 11 trauma lectures which last from 30 to 1 hour. These lectures including: airway management, breathing, circulation, chest injuries, abdominal and limb injuries, head and spinal injuries, trauma in children and pregnancy, burn, secondary survey, disaster management will cover wide range of life-threatening cases. Part 2 (practice part) with seven trauma skill stations which are basic/advance airway, cervical spine and log-roll, chest drains, analgesia, transportation, paediatric trauma, neurological assessment. Each station will last no more than 20 minutes. All materials such as: lectures, power point slides or scenarios can be downloaded freely at: https://www.primarytraumacare.org/get-involved/download-resources/ In order to avoid to impair hospital activities and keep the number of class in small size. We will divide participant in each hospital into 3 classes, each class will be run in 2 days (follow PTC standard program). One last day will be spent for post-course evaluation. Consequently, it will take one week in each hospital. All healthcare worker in emergency department in 2 provincial hospitals will be invited and the course will be run in the lecture hall of each hospital. To evaluate the course, we use a Multiple Choice Question (MCQ) test and clinical checklist. The former is used for knowledge assessment and the latter for skill evaluation. The pre-test will be introduced before the first lesson while the post-test will be done immediately after the course finished. All assessment tool will be also available at https://www.primarytraumacare.org/get-involved/download-resources/ We also use the interview questionnaire to interview some key people in each hospital for qualitative assessment of how the trauma system change by our course. Finally, We also measure the mortality and morbidity of the patient before and after the intervention (within 6 months each) for secondary outcome.