Impact of Pediatric Trauma Resuscitation Module (PTRM) on Clinical Outcomes in a Level-1 Trauma Centre in India

Area of Science:

• Pediatric emergency medicine
• Trauma care systems
• Medical education and training

Background:

• Injury is a major cause of child mortality in low- and middle-income countries, particularly India.
• Pediatric-specific resuscitation training programs are lacking, impacting care quality.
• A critical need exists for specialized training to address pediatric trauma resuscitation challenges.

Purpose of the Study:

• To evaluate the impact of the Pediatric Trauma Resuscitation Module (PTRM) training.
• To assess changes in patient outcomes following PTRM implementation in a Level 1 trauma center.
• To determine the effectiveness of a structured pediatric trauma resuscitation program in India.

Main Methods:

• A pre-post-intervention study design was employed over a 27-month period.
• Data collection included pediatric trauma patients admitted during pre-training and post-training phases.
• Key metrics analyzed were patient demographics, injury details, intervention times, and survival rates.

Main Results:

• Post-PTRM training, 72-hour survival improved significantly (86% to 94.5%).
• Mean hospital stay decreased, and early mortality within 60 minutes of admission was eliminated.
• Specialist consultation times improved markedly, with 34.2% seen within 1-2 hours post-training versus none pre-training.

Conclusions:

• The Pediatric Trauma Resuscitation Module (PTRM) training demonstrates significant positive impacts on pediatric trauma patient outcomes.
• Wider implementation of PTRM is recommended to enhance pediatric trauma care standards across India.
• The study underscores the value of specialized resuscitation training for improving pediatric trauma survival and care efficiency.