THIS EDITION

In this edition, we feature:

• Nepal & Pakistan visit (MOU signing)• Presentations - Colombo Conference (Dec 2008)

FEBRUARY 2009PTC

CONTACT DETAILSPrimary Trauma Care Foundation

313 Woodstock Road, OXFORD OX2 7NYTel: +44 (0)1865 220621Fax: +44 (0)1865 220846Email: admin@primarytraumacare.orgWeb: www.primarytraumacare.orgRegistered Charity Number: 1116071Edition 15

REPORT OF THE NEPAL/PAKISTAN VISIT NOVEMBER/DECEMBER 2008(Signing of MOU with the Ministry of Health for Pakistan and Sri Lanka)

Kathmandu - NepalIn June of 2008 I was tremendously privileged to be asked to receive an Oration from the Nepal Society of Surgeons for the work of PTC in Nepal. This was to be given out at the Eighth International Conference of Societies of Surgeons in Nepal at the end of November 2008.I arrived on Thursday 27th November and was hosted by the Society of Surgeons, Nepal. The Dr Orano Oration was awarded on Friday 28th November and my inaugural lecture covered the work of Primary Trauma Care in Nepal, in South Asia generally and across the world. The Surgical Conference involved workshops and lectures on different surgical topics from countries including Nepal, Bangladesh, India and Pakistan.Dr Rajesh Gongal and Prof. Pradeep Vaidya (standing R and L of me in picture) have been key players in the expansion of PTC in Nepal, and I am indebted to them and others for their work in PTC Nepal. I had visited Nepal in 1999 to talk about PTC, but the PTC courses were started by Charlie Collins and Bruce Lister in 2003, and since then over 800 doctors have been trained in PTC across Nepal in 20 centres.During this conference a very succinct presentation of PTC in Nepal was given by Dr S Rupakheti (bottom R of picture) showing how PTC had expanded over the years since it started in 2003.

PakistanOn Saturday 29th November I flew to Karachi where I met Professor Saeed Minhas and had dinner with him and several members of the PTC Karachi family. On Sunday I flew to Islamabad in preparation for the signing of a Memorandum of Understanding between the Minister of Health and Pakistan and myself as representative PTC Head Office in Oxford.On Monday 1st December at the Ministry of Health Buildings in Islamabad we signed the MOU with the Minister of Health witnessed by Primary Trauma Care representatives from all provinces in Pakistan including the Military as well as representatives from the World Health Organisation and several NGO charities involved in Trauma. Professor Rashid Jooma, the Head of PTC in Pakistan is now the Director General of Health in Pakistan, introduced different aspects of trauma in Pakistan after I had given a brief overview of PTC worldwide and then Prof Saeed Minhas gave a review of PTC in Pakistan.

PTC NEWSFEBRUARY 2009

page 2

Dr Douglas Wilkinson - PTC OxfordProf S. M. Awais, Lahore - PTC Punjab Province Prof Rashid Jooma - National Coordinator PTC & DG MOH PakistanMajor General Khushnud - PTC Pakistan ArmyBrigadier Ahmed Hassan Mishwani - Pakistan ArmyDr Saeed Minhas - PTC Karachi Sind Province

The picture below is from the signing of the PTC /MOH Pakistan MOUThe fair-headed gentleman (Left of the picture) is the Acting Secretary of Health, MOH, Pakistan - KM Siddiq AkbarFederal Health Minister - Aijaz Hussain Jakhrani is second leftDouglas Wilkinson – Founder Chairman, PTC FoundationProf Rashid Jooma - Director General Health , Pakistan

The picture below is one angle of the Ministry of Health Conference room during the 1 hour signing, with a view of Provincial PTC representatives and senior health professionals

After the successful signing and exchanging of the documents I was fortunate enough to then meet Professor Jooma’s Office with the different representatives of PTC in Pakistan including (Left to Right in picture below)Dr Shabir Lahri - PTC Quetta Balochistan Province Dr Mehmood Aurangzeb - PTC Peshawar NWFP

The significance of this MOU between the Minister of Health in Pakistan and PTC has not been lost to PTC or the country or Pakistan. This joint collaboration with PTC and the Ministry involves increased support for Primary Trauma Care in Pakistan, as well as raising the profile or trauma in that country. As we are well aware, Pakistan has a huge population and in the present crisis is in desperate need of pro-active trauma management and care nationally. By meeting with the World Health Organisation, the military and representatives of Primary Trauma Care in each of the province in Pakistan, I am hopeful that this collaboration would extend and improve trauma care nationally.PTC in Pakistan would not have succeeded without Dr John Beavis and Sir Terence English drive and vision, which enrolled visionaries such as Prof Rashid Jooma and Prof Saeed Minhas.

Sri LankaFollowing the signing I flew via Dubai to Colombo for the signing of the Memorandum of Understanding between the Minister of Health in Sri Lanka in Colombo and PTC.

The 2 nd Regional Primary Trauma Care conference was held in Colombo, Sri Lanka, the report of which will follow by Dr James DeCourcyI enclose a picture of the Inaugural Opening Conference with the Minister Of Health in white singing the Sri Lankan anthem

PTC NEWSFEBRUARY 2009

page 3

SPEAKERS PRESENTATIONS COLOMBO CONFERENCE

DECEMBER 2008The conference began with an inauguration ceremony held at the hotel, with presentations from a number of those involved in PTC and Trauma management in Sri Lanka as well as from the Sri Lankan Minister for Health, and the keynote speech was delivered byProfessor A H Sheriffdeen, entitled “Should we consider a paradigm shift in resource allocation for healthcare?”

Sri LankaThe first session began with a series of reports of the progress of PTC in Sri Lanka.PTC in Sri Lanka - Ranjith EllawallaPTC in Eastern Province Sri Lanka – Mahanama GunasekaraPTC in a Teaching Hospital – Dushy Perera

IndiaPTC in Delhi – The road so far - Raj PrasadBouquets and Brickbats – Arun Prasad

PakistanOverview of PTC in Sindh Province – Saeed Minhas PTC and FATA This was presented by Dr Minhas on behalf of Professor John Beavis, who was unable to be present at the conference

NepalPTC in Nepal – Drs Raj Gongal and Pradeep VaidyaRole of a General Surgeon in providing Primary Trauma Care in a rural setupDr Sankalp Dwivedi - Associate Professor, Department of Surgery, JNMC, DMIMS Sawangi (Meghe) Wardha, India

AfricaDevelopment of PTC in Africa – David Olorontoba

The MOU was signed by me and given to the Sri Lankan Ministry of Health for their final review and Ministers signature. During his Opening speech, the Minister of Health donated 1 Million Rupees for the further expansion of PTC in Sri LankaDr Shirani Hapuarachchi who is the primary driver of PTC in Sri Lanka and her team did a fantastic job in organising and promoting the Regional conference, and we are indebted to her. I do not want to write about the Conference itself, which is of great interest, and will be covered in detail by Dr James DeCourcy, who has led in starting PTC in Pakistan, Sri Lanka and several other countries, and is the Executive Member for PTC UKI would like to thank Jannicke Mellin–Olsen WFSA Educational Committee Chair for her support, and for that of the WFSA, without which PTC could not flourish.

Douglas WilkinsonPTC Chairman, Oxford UKJanuary 2009

Discussion on PTC in Asia and Africa – chaired by Dr Dushy PereraPTC and Médecins Sans Frontières – James de Courcy

EthiopiaJames de Courcy presented this on behalf of Dr Paul Borgdorff, who had made a pilot visit to Ethiopia to introduce the concept of PTC with the aim of introducing the course there.

Pakistan review of the PTC Slideset – Saeed MinhasFurther presentations by Indian GroupTime Management – Dr K Lalitha Financial Model – Vikram Mahajan, Treasurer of PTC Delhi.Motivating faculty and delegates – Dr Kuldeep SinghPaper Work and Organisation – Arun PrasadApproaches in Vellore and the South – Prof Rebecca JacobPTC the way forward – Development of national policy for trauma and health sector disaster management in Sri Lanka. Dr Eeshara Kottegoda Vithana – Chairperson, Subcommittee on Injury Surveillance, Trauma Secretariat Coordinator, Disaster Preparedness and Response Unit, Ministry of Healthcare and NutritionUpdates in resuscitation – Douglas WilkinsonPTC in Prehospital Care. Discussion chaired by Dr Ranjith EllawellaDisaster management panel discussion – chaired by Dr Lawrence GernonTrauma System Development: Trauma Secretariat – the Sri Lankan Model – Anil JasingheRole of NGO’s in System Development – Lisa Hilmi, Country Director, Americares Sri Lanka, and Donnie Woodyard, Country Director, Medical Teams International.

PTC NEWSFEBRUARY 2009

page 4

Summary of the ConferenceJames de Courcy Where have we come? Looking back at the conference in Lahore 2 years ago, which was attended by many of those who were at this conference, and reviewing the developments since then. In Sri Lanka it has been a joy to see how things have developed from the first course in Colombo, moving to the present situation with 2000 doctors trained and exposure and expertise in trauma management having now become widespread throughout the medical community of the nation.

BBC RADIO 4 APPEALWe are pleased to confirm that PTC has been given the opportunity to broadcast an appeal on BBC radio in September this yearThrough the appeal we hope to encourage donations for our continued work and also to raise the profile of PTCFurther details will be advised