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Can a volunteer-based service create an effective, locally appropriate and scalable model of prehospital care for traffic injury victims on the national highways of Bangladesh? Operational outcomes after 10 years of TraumaLink.

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TraumaLink: A Community-Based First-Responder System for Traffic Injury Victims in Bangladesh.

Jon Moussally1,2, Arup Chandra Saha2, Susan Madden3

  • 1Harvard T.H. Chan School of Public Health, Department of Global Health and Population, Boston, MA, USA. jon.moussally@traumalink.net.

Global Health, Science and Practice
|August 30, 2022
PubMed
Summary

A community-based first responder network, TraumaLink, significantly improved emergency care for road traffic injury victims in Bangladesh. This scalable model offers rapid, reliable volunteer response, reducing prehospital delays in low-resource settings.

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Area of Science:

  • Public Health
  • Emergency Medicine
  • Global Health

Background:

  • Road traffic injuries pose a growing epidemic in low- and middle-income countries (LMICs).
  • Many LMICs lack formal prehospital emergency medical services, hindering timely first aid for traffic injury victims.
  • This gap results in preventable deaths and disabilities.

Purpose of the Study:

  • To address the absence of prehospital emergency medical services in Bangladesh.
  • To develop and evaluate TraumaLink, a community-based network of volunteer first responders for traffic injury victims.
  • To assess the program's impact on response times and patient care.

Main Methods:

  • Developed TraumaLink, a network utilizing an emergency hotline, 24-hour call center, and trained local volunteer first responders.
  • Responders received basic trauma first aid training, medical supplies, and dispatch notifications via mobile phone.
  • Retrospectively analyzed quality monitoring data for a descriptive impact analysis.

Main Results:

  • Expanded from 14 km to 135 km over 6 years, serving 3,119 patients from 1,544 crashes.
  • Achieved an 88% response rate within 5 minutes for all calls.
  • 76% of patients reached hospitals within 30 minutes; injury severity assessments at scene proved accurate.

Conclusions:

  • TraumaLink demonstrates strong community support and provides rapid, reliable volunteer responses.
  • The flexible and scalable model is suitable for expansion throughout Bangladesh.
  • This approach can be adapted for other LMICs facing similar prehospital emergency care challenges.