ACADEMIC PARTNER

APPLICATION FORM
Pre-Conference Competition Asian Medical Students’ Conference 2020
Trauma Care: Same Problems with Different Solutions

1.
Authors (maximum of 3) 2.
3.
AMSA-university
District
Suggested title (if any)
Preferred Category
(*Scientific Paper/Scientific Poster)
*choose one
Recent experiences (if any)

THEME OVERVIEW
Injury is a major cause of premature death and disability worldwide. Proliferation of roads
and use of vehicles has led to a rapid increase in injuries and deaths and many peripheral
medical facilities find themselves faced with multiple casualties from bus crashes or other
disasters. Severe burns are also common in both urban and rural areas.
The most interesting aspect of this theme is that it extends far beyond the boundaries of
hospital-based medicine. Trauma care begins before the patient arrives at the hospital to the
patient's rehabilitation, from first responder care to occupational and physiotherapy care
following discharge, every part of the patient’s journey is crucial in ensuring the patient makes
the best possible recovery.
Subtheme 1: Pre-Hospital Care
Pre-hospital care is the provision of services provided during the victim's first discovery,
during the transportation process until arriving at the hospital. Victim's Handling during the
pre-hospital phase can be the next determining condition of the victim. Many fatal injuries
may be prevented, or their severity reduced by adequate pre-hospital trauma care. The major
benefits of prehospital care are realized during the phase of trauma when the timely provision
of care can limit or halt the cascade of events that otherwise quickly leads to death or lifelong
disability. Without pre-hospital care, many people who might otherwise survive their injuries
may die at the scene or en route to the hospital. Most deaths in the first hours after an injury
are the result of airway compromise, respiratory failure, or uncontrolled hemorrhage. All
three of these conditions can be readily treated using basic first aid measures.
Prompt pre-hospital care may also prevent a number of delayed deaths from trauma.
Measures that are useful for preventing deaths in this phase include proper wound and burn
care, adequate immobilization of fractures, support of oxygenation and blood pressure during
the first hours after a traumatic brain injury, as well as other measures that reduce the
likelihood of complications developing later.
Unfortunately, most of the world’s population does not have access to pre-hospital
trauma care by medical services. In many countries, few victims receive treatment at the
scene, and fewer still can hope to be transported to the hospital in an ambulance. Transport,
when it is available, is usually provided by relatives, untrained bystanders, taxi drivers or truck
drivers, or a police officer. As a result, many victims may needlessly die at the scene or during
the first few hours following injury.
Therefore, the key components in pre-hospital care are basic first aid by the general
public and lifesaving interventions provided by trained first responders. These first responders
can recognize an emergency, call for help and provide treatment until formally trained health-
care personnel arrives to give additional care. It is also fundamental that pre-hospital care
covers rural areas, underprivileged regions, as well as various environments and scenarios
including mass casualty in conflict or disaster areas, high altitude regions, and areas with
extreme temperatures such as mountains or space.
Subtheme 2: In-Hospital Care
This stage is a way for the hospital to make the service process in the hospital more
enjoyable and easier for customers. This stage starts when the patient comes to the hospital,
the patient registers until the patient gets the services needed at the hospital
Trauma care in hospitals is very different among patients. Main Trauma Networks are
strongly influenced based on patient flow (related to geographic factors), care systems
(availability of health workers and medical equipment), patient factors (age and
socioeconomic background) and clinical care policies.
Hospital trauma care provision ranges from life-saving interventions, pre-operative
procedures, definitive care with specialist interventions to postoperative recovery and acute
initial rehabilitation. In the field of surgery, Damage Control Surgery (DCS) and Damage
Control Resuscitation (DCR) have been developed to prioritize short-term physiological
recovery from traumatic injuries rather than long-term anatomic reconstruction. Within the
trauma care network itself, there is a wider distribution of service provision that extends to
non-sexual care for holistic patient recovery. This requires multidisciplinary, effective and
efficient communication between all those responsible for the care of patients, health care
professionals, family members and other caregivers involved.
Despite changes made to improve the trauma care network, there is ongoing debate and
controversy regarding the optimal way for appropriate treatment for trauma patients.

Subtheme 3: Post-Hospital Care

In the realm of trauma, one can argue that the real battle was fought after surgery -
during post-hospital treatment. From physical rehabilitation to recovery from post-traumatic
mental effects, the process of returning to normal life is completely effortless. As a result,
some patients do not recover as expected, leading to a lack of recovery as well as acute patient
congestion pathways.
While the majority of trauma patients require rehabilitation services that are assigned at
the general level, those who have more complex needs require receiving specialist
rehabilitation from a multidisciplinary team. Both forms of rehabilitation are not only limited
to in-patient care but with existing outpatient and home-based rehabilitation to facilitate
community reintegration and trauma-free life for patients. If the patients are post-operative,
they need control to see post-operative repair such as wound control for wound recovery and
see postoperative safety. Consequently, it is important to consider how health care and social
care services can work in an integrated manner to support the rehabilitation of trauma
patients.
Ultimately, providing effective trauma care is a steppingstone towards improving health
services throughout the world. In this conference, we aim to provide a platform for delegates
to gather, discuss and explore trauma care throughout the world.

CHALLENGES
1. To present a significant new contribution to the biomedical, clinical and/or community
fields regarding Traumatology to help the improvement of pre-hospital care, in-hospital
care, or post-hospital care systems.
2. To discover and suggest a new scientifically based and innovative way to the
management of injured patients.
3. To raise awareness of the society and health service system in dealing with equality in
trauma care to improve community health in achieving Sustainable Development Goals.
4. To brainstorm for the solution to the problems and achieve the amelioration of trauma
care in Indonesia.
5. To demonstrate the current practices in trauma care health services in Indonesia to raise
awareness in the medical field and the community.

For further information regarding the theme and objectives of PCC AMSC 2020, please
refer to the Academic Guideline of PCC AMSC 2020: London. A-Partner will be open
from the 26th of January 2020 to the 31st of January 2020. A-Partner will be assigned
on the 1st of February 2020 and will proceed until March 18th, 2020. The A-Team will
be counted as the last author of the work submitted. Keep in mind that each A-Team
will become A-Partner of only 1 (one) team.

Should there be any questions, do not hesitate to contact the person below

Best Regards,

Christina Wunardi
Secretary of Academic AMSA-Indonesia 2019/2020
Enhancing Collaboration, Influencing Community

Faculty of Medicine,
Public Health, and Nursing
Universitas Gadjah Mada
Batch 2017

Phone Number : +6281513895541

Official E-mail : academic@amsaindonesia.org
Personal E-mail : christinawunardi@gmail.com
LINE ID : christinawunardi
Skype : christinawunardi@gmail.com