A study on knowledge and practices of First Aid and CPR among Police Officers in

Colombo and Gampaha

Perera M.P.H.1 (Presenter)

James K.A.R.1

Nazeer A.A.A.1

Tissera S.R.1

Silva S.N.2

1Diploma student in Nursing at International Institute of Health Sciences- Sri Lanka2 (Supervisor) Medical Officer- Ministry of Health (National Hospital of Sri Lanka)

Contents• Introduction• Justification• Objectives• Methodology• Results• Discussion• Recommendation• Acknowledgement• References

RTA Kills 1.3 Million people in the world

85% are from

DEVELOPING countries

(World Health Organization 2015)

Global Burden of Disease (GBD)

DALYs the years of healthy lives lost.(WHO 2008)

In 2013…5th leading cause of DALYs

in the World40% increase from 1990

Prediction for 2030…3rd leading cause of DALYs

in the World(Institute for Health Metrics and Evaluation 2013)

90% of DALYs are from DEVELOPING countries(Dimitriou & Gakenheimer 2011)

MIDDLE income countries… 4th leading cause with

21.4 Million DALYs(Institute for Health Metrics and Evaluation 2013

5 Billion people are there in Middle income countries

(WHO 2008)

Introduction• Is the no.1 tragedy in Sri Lanka (Epidemiology Unit Ministry of Health 2013)

• 600,000 hospitalizations per year (Trauma Secretariat 2014)

• On average 6 deaths per day

• Causes more average deaths per day than the North-East civil war

• Western province

• 61% total RTA

• 41% fatal RTA injuries

“ACCIDENT PREVENTION

PROGRAMME ”• An awareness program

• Initiated by Sri Lanka Police in

2013 (Sri Lanka Police 2015)

Justification

Justification• “Golden Hour” in Trauma

• 80% of deaths in the first hour

• Blood loss

• SCIPre-Hospital Care

Public and Police Intervene

ObjectivesGeneral objective: To determine the first aid and CPR knowledge and

practices of police officer in Colombo and Gampaha

Specific objectives

• To assess the first aid and CPR knowledge of police officers

• To evaluate the practice of first aid and CPR in RTAs

Methodology• A descriptive quantitative research

• Population- Police officers of Colombo and Gampaha areas

• Sample- 493 police officers

• Sampling method- Convenience sampling

• Data collection

• Self-administered questionnaire

• 31 item questionnaire

Results

Results

Results

Results

Results

Results

Results

Results

Discussion• In general, 30-50 age group had the least knowledge regarding first aid

and CPR

• Overall knowledge of management of fractures was unsatisfactory in

all age groups

• First aid practices for bleeding was not appropriately applied

Recommendations• Workshops should be done to train the police officers

• To individual stations

• Focused on 30-50 age group

• Programmes

• CPR

• Bleeding

• Fractures

• Monitoring and validation of first aid and CPR training

• Continuous development programmes

• First aid kit for the police officers

Recommendations

• 2013- “Impediments to Bystander Care in India” by SaveLIFE

Foundation and TNS India

• Save Life Foundation petition to Supreme Court of India • Medico Legal Case (MLC) Form

• Civil or criminal liability

• Detainment in hospitals

• Multiple court hearings

Recommendations

Recommendations• India (Our Neighbor)…

• New guidelines notified from 13th May 2015

• “Good Samaritans” are to be protected

Source: The Gazette of India, No. 25035/101/2014-RS

Acknowledgement• SSP Chula de Silva (Colombo)

• SSP Munasinghe (Gampaha)

• Police officers of Colombo and Gampaha areas

• Dr. S. Nishan Silva

• Dr. Kithsiri Edirisinghe

References• Trauma Secretariat 2014, ‘Background’, Retrieved 11 November 2015 from http://

www.traumaseclanka.gov.lk/background.html

• Sri Lanka Police 2015, Retrieved 11 November 2015 from http://www.police.lk/

• Institute for Health Metrics and Evaluation 2013, “The global burden of disease: Generating

evidence, Guiding policy”, retrieved 11th November 2015 from http://

www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2013/09/03/000456

288_20130903103914/Rendered/PDF/808500PUB0L2590Box0379820B00PUBLIC0.pdf

• Murray C.J.L. et al. 2015, “Global, regional, and national disability-adjusted life years (DALYs)

for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990–2013:

quantifying the epidemiological transition”, The Lancet , doi: 10.1016/S0140-6736(15)61340-X.

References• World Health Organization 2015, “Road Traffic Injuries”, retrieved 11th November 2015 from

http://www.who.int/mediacentre/factsheets/fs358/en/

• Epidemiology Unit Ministry of Health 2013, “Prevention of Road Traffic Accidents (RTA)”, Weekly

Epidemiological Report, 40(3), retrieved 11th November 2015 from http://

www.epid.gov.lk/web/images/pdf/wer/2013/vol_40_no_03_english.pdf

• Dimitriou H.T. & Gakenheimer R 2011, “Urban transport in the Developing World: A handbook of

policy and practice”, Edward Elgar Publishing Limited, Cheltenham; UK

• WHO 2008, “Global burden of disease: 2004 update”, Department of Health Statistics and Informatics

in the Information,

• Evidence and Research Cluster, retrieved 11th November 2015 from

http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_full.pdf

Thank You