gms | German Medical Science

Trauma is a major public health issue in developing countries. In Ghana /Westafrica this problem is compounded by lack of reliable data, lack of organized efforts to combat trauma, absence of organized prehospital transport and care, poor hospital based care with no designated centers of exellence, lack of trained human resources, inadequate and inappropriate logistics and inadequate essential rehabilitative services and centers.

A study was carried out at Komfo Anokye Teaching Hospital, Kumasi, in which 250 drivers were interviewed and hospital data reviewed.

The results showed that 81% of trauma deaths occurred at the accident site, 5% at the emrgency room within 4 hours on arrival and 14% on admission to the hospital. 88% of the drivers interviewed have come in contact with victims at accident site. 8,2% were able to give some first aid/transport. However only 13% of these drivers had had some training in first aid. 91% of accidents were conveyed to the hospital by private vehicle (Private cars, lorries, buses). Only 3% were conveyed by Ambulance and 5% by the Police. Most of these drivers had up to primary school education.

To improve trauma care in Ghana there is a need for intersectoral collaboration of all stakeholders. First Aid training needs to be strengthened and encouraged for all drivers. A national Ambulance System should be developed with proper communication system, and training of Emergency Medical Teams to man the Ambulances. It is essential to upgrade the Accident and Emergency Centers at two major-teaching hospitals in Ghana (KATH/KBTH) to cater for the northern and southern centers respectevly. There is need to establish essential rehabilitative services