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Descriptive analysis of road traffic crashes encountered by Tanzanian motorcycle taxi drivers trained in first aid.
Drake, J H; Kiwango, G; Kitapondya, D; Mashili, F; Kivlehan, S M.
Afiliación
  • Drake JH; Harvard Humanitarian Initiative, Cambridge, MA, USA.
  • Kiwango G; Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
  • Kitapondya D; Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
  • Mashili F; Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
  • Kivlehan SM; Harvard Humanitarian Initiative, Cambridge, MA, USA.
Afr J Emerg Med ; 14(4): 246-251, 2024 Dec.
Article en En | MEDLINE | ID: mdl-39296794
ABSTRACT

Introduction:

In Dar es Salaam, Tanzania, death from road traffic crashes (RTC) occurs at roughly double the global rate. In this study, we sought to understand the locations and types of vehicles involved in RTC in Dar es Salaam encountered by a cohort of motorcycle taxi drivers previously trained in first aid.

Methods:

This was a quasi-non-randomized interventional study, cohort subtype, with three-month follow-up. Some 186 motorcycle taxi drivers were selected by convenience sampling from 16 heavily populated, central wards and trained in a basic hemorrhage control course. Participants reported the location and types of vehicles involved in RTCs they encountered and intervened upon through performing bleeding control interventions. Surveys were designed on KoboToolbox and administered via phone call at monthly intervals over a three-month period. The main outcome measures were the location of crash encounters and types of vehicles involved.

Results:

In all 62 unique participants (33.3 %) encountered and provided bleeding control interventions to 83 injured individuals following 69 RTC in at least 31 distinct city wards, despite training only having occurred in 16 wards. Eight crash locations were not recorded. Crashes in distant wards typically contained major roads. Most commonly, crashes involved a motorcycle without the involvement of another vehicle (n=20), followed by motorcycle vs. car/three-wheeled vehicle (n=15), motorcycle vs. bus/van (n=10), motorcycle vs. motorcycle (n=9), motorcycle vs. pedestrian (n=7), pedestrian vs. bus/van (n=2), pedestrian vs. car/three-wheeled vehicle (n=1), motorcycle vs. bicycle (n=1), multi vehicle (n=1), and other (n=3).

Conclusions:

Motorcycle taxi drivers trained in hemorrhage control frequently encounter and intervene upon RTC in wards where they are based as well as in distant locations, commonly in wards containing major roads. Expanding first aid training for motorcycle taxi drivers could improve timely access to emergency care for RTC victims. Since most crashes involved motorcycles, road safety training should be integrated into future courses.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Afr J Emerg Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Afr J Emerg Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos