Training in ‘Trauma’ in

Sri Lanka

Ranjith Ellawala

Why ‘Trauma’ needs special Training ?

• Injuries are common in SL

• Affected are healthy people in productive age groups

• Handling multi-injured needs special approach

Who needs special training ?

• Those who are involved in treating injured

- Surgeons

- Doctors- Accident Service / ETU /PCU/ OPD

- Nurses

What have we achieved ?

Primary Trauma Care(PTC)

• Started in 2003

• Introduced by WFSA

• 20 trainers were trained

• Held in 25 cities across the country

• More than 2000 doctors have participated

• Regular programmes at NHSL and other teaching hospitals

Advanced Trauma Resuscitation and Initial Management course for

Surgeons(ATRIMS)

• Started in 2004

• Conducted by The College of Surgeons of Sri Lanka

• Held twice a year in Colombo

• Compulsory for Surgical Trainees

Trauma and Disaster Management Course for nurses

• Three day course held once a month at NHSL

• Curriculum has been improved since 2005

• More than 50 nurses can participate

• In depth knowledge of trauma and disaster management.

Nursing Trauma Course

• A committee will be appointed

• Formulate a simple course for nurses being trained by nurses

• “Training the Trainer” as well

Are we going to stop there?

How are we going to improve?

What is available now will be continued

The National Trauma Management Course (NTMC)

• Developed by IASIC- International College of Surgeons

• Five surgeons have already participated in India

• Ten surgeons will be leaving for the first ‘train the trainer’ course next week

• Expected to conduct NTMC throughout the country by CSSL

Consequences of introducing trauma courses…

Global changes.....

More and more critically injured are saved in the initial period...and they need further care....

How are we going to solve this problem ?

• Trauma as a subspecialty

• More advanced definitive surgical courses

Acknowledge with gratitude…………Training subcommittee

• Prof. A.H.Sherrifdeen• Dr. Narendra Pinto• Dr. Lalantha Ranasinghe• Dr. Aloka Pathirana• Dr. Ranmalee Kulasiri• Ms. Pushpa De Soysa• Ms. Balasooriyamanike

Acknowledge with gratitude….

• AmeriCares- for their unstinted support towards training