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Technical report
peer-reviewed

Implementing an Innovative Prehospital Care Provider Training Course in Nine Cambodian Provinces



Abstract

Despite significant improvements in health outcomes nationally, many Cambodians continue to experience morbidity and mortality due to inadequate access to quality emergency medical services. Over recent decades, the Cambodian healthcare system and civil infrastructure have advanced markedly and now possess many of the components required to establish a well functioning emergency medical system. These components include enhanced access to emergency transportation through large scale road development efforts, widspread availability of emergency communication channels via the spread of cellphone and internet technology, and increased access to health services for poor patients through the implementation of health financing schemes. However, the system still lacks a number of key elements, one of which is trained prehospital care providers. Working in partnership with local providers, our team created an innovative, Cambodia-specific prehospital care provider training course to help fill this gap. Participants received training on prehospital care skills and knowledge most applicable to the Cambodian healthcare system, which was divided into four modules: Basic Prehospital Care Skills and Adult Medical Emergencies, Traumatic Emergencies, Obstetric Emergencies, and Neonatal/Pediatric Emergencies. The course was implemented in nine of Cambodia’s most populous provinces, concurrent with a number of overarching emergency medical service system improvement efforts. Overall, the course was administered to 1,083 Cambodian providers during a 27-month period, with 947 attending the entire course and passing the course completion exam. 



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Technical report
peer-reviewed

Implementing an Innovative Prehospital Care Provider Training Course in Nine Cambodian Provinces


Author Information

Peter Acker Corresponding Author

Department of Emergency Medicine, Stanford University School of Medicine

Jennifer A. Newberry

Department of Emergency Medicine, Stanford University School of Medicine

Leonard (Bud) F. Hattaway

EMS- Asia, Medical Teams International

Phan Socheat

EMS- Asia, Medical Teams International

Prak P. Raingsey

Preventive Medicine Department, Cambodian Ministry of Health

Matthew C. Strehlow

Department of Emergency Medicine, Stanford University School of Medicine


Ethics Statement and Conflict of Interest Disclosures

Human subjects: This study did not involve human participants or tissue. Animal subjects: This study did not involve animal subjects or tissue. Conflicts of interest: The authors have declared the following conflicts of interest: Financial relationships: Peter Acker, Bud Hattaway, Phan Socheat and Matthew Strehlow declare(s) a grant from USAID: Quality Health Services Project.

Acknowledgements

We thank Dr. Kajal Khanna for her help in creating the training materials related to pediatric emergencies, Dr. S.V. Mahadevan for his key input in the design of the training program and revisions of the training materials, Dr. Tuon Sovanna for her assistance in coordinating the field trainings, and Ms. Sarim Chhel for her hard work in facilitating the Training of Trainers sessions and field training sessions.


Technical report
peer-reviewed

Implementing an Innovative Prehospital Care Provider Training Course in Nine Cambodian Provinces


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Technical report
peer-reviewed

Implementing an Innovative Prehospital Care Provider Training Course in Nine Cambodian Provinces

  • Author Information
    Peter Acker Corresponding Author

    Department of Emergency Medicine, Stanford University School of Medicine

    Jennifer A. Newberry

    Department of Emergency Medicine, Stanford University School of Medicine

    Leonard (Bud) F. Hattaway

    EMS- Asia, Medical Teams International

    Phan Socheat

    EMS- Asia, Medical Teams International

    Prak P. Raingsey

    Preventive Medicine Department, Cambodian Ministry of Health

    Matthew C. Strehlow

    Department of Emergency Medicine, Stanford University School of Medicine


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: This study did not involve human participants or tissue. Animal subjects: This study did not involve animal subjects or tissue. Conflicts of interest: The authors have declared the following conflicts of interest: Financial relationships: Peter Acker, Bud Hattaway, Phan Socheat and Matthew Strehlow declare(s) a grant from USAID: Quality Health Services Project.

    Acknowledgements

    We thank Dr. Kajal Khanna for her help in creating the training materials related to pediatric emergencies, Dr. S.V. Mahadevan for his key input in the design of the training program and revisions of the training materials, Dr. Tuon Sovanna for her assistance in coordinating the field trainings, and Ms. Sarim Chhel for her hard work in facilitating the Training of Trainers sessions and field training sessions.


    Article Information

    Published: June 27, 2016

    DOI

    10.7759/cureus.656

    Cite this article as:

    Acker P, Newberry J A, Hattaway L F, et al. (June 27, 2016) Implementing an Innovative Prehospital Care Provider Training Course in Nine Cambodian Provinces. Cureus 8(6): e656. doi:10.7759/cureus.656

    Publication history

    Received by Cureus: June 02, 2016
    Peer review began: June 07, 2016
    Peer review concluded: June 15, 2016
    Published: June 27, 2016

    Copyright

    © Copyright 2016
    Acker et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Despite significant improvements in health outcomes nationally, many Cambodians continue to experience morbidity and mortality due to inadequate access to quality emergency medical services. Over recent decades, the Cambodian healthcare system and civil infrastructure have advanced markedly and now possess many of the components required to establish a well functioning emergency medical system. These components include enhanced access to emergency transportation through large scale road development efforts, widspread availability of emergency communication channels via the spread of cellphone and internet technology, and increased access to health services for poor patients through the implementation of health financing schemes. However, the system still lacks a number of key elements, one of which is trained prehospital care providers. Working in partnership with local providers, our team created an innovative, Cambodia-specific prehospital care provider training course to help fill this gap. Participants received training on prehospital care skills and knowledge most applicable to the Cambodian healthcare system, which was divided into four modules: Basic Prehospital Care Skills and Adult Medical Emergencies, Traumatic Emergencies, Obstetric Emergencies, and Neonatal/Pediatric Emergencies. The course was implemented in nine of Cambodia’s most populous provinces, concurrent with a number of overarching emergency medical service system improvement efforts. Overall, the course was administered to 1,083 Cambodian providers during a 27-month period, with 947 attending the entire course and passing the course completion exam. 



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Peter Acker

Department of Emergency Medicine, Stanford University School of Medicine

For correspondence:
peteacker@gmail.com

Jennifer A. Newberry, M.D.

Department of Emergency Medicine, Stanford University School of Medicine

Leonard (Bud) F. Hattaway

EMS- Asia, Medical Teams International

Phan Socheat

EMS- Asia, Medical Teams International

Prak P. Raingsey

Preventive Medicine Department, Cambodian Ministry of Health

Matthew C. Strehlow, M.D.

Department of Emergency Medicine, Stanford University School of Medicine

Peter Acker

Department of Emergency Medicine, Stanford University School of Medicine

For correspondence:
peteacker@gmail.com

Jennifer A. Newberry, M.D.

Department of Emergency Medicine, Stanford University School of Medicine

Leonard (Bud) F. Hattaway

EMS- Asia, Medical Teams International

Phan Socheat

EMS- Asia, Medical Teams International

Prak P. Raingsey

Preventive Medicine Department, Cambodian Ministry of Health

Matthew C. Strehlow, M.D.

Department of Emergency Medicine, Stanford University School of Medicine