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TRAUMA Multi-method evaluation of the trauma care health system serving Karonga, Malawi

Malawi, 2019 - 2020
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Reference ID
MWI-MEIRU-TRAUMA-2019-v1
Producer(s)
John Whitaker
Collections
Karonga HDSS
Metadata
DDI/XML JSON
Created on
Nov 14, 2025
Last modified
Nov 15, 2025
Page views
134340
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119

Data file: trauma_clinical

Cases: 85
Variables: 98

Variables

stid
Participant unique ID / Study ID
inj12m
Have you been involved in the care of an injured person in the past 12 months?
injfreq
How often do you care for an injured person?
wkplace
What is your place of work?
wkplaceoth
If other specify
wktype
How would you describe your place of work?
hspicu
Does the facility have an intensive care unit able to look after intubated patients
operate
Does your facility perform operative procedures (with anaesthesia in an operating room)
surgeon
Does your facility have any fully trained surgeons?
urbrur
Would you describe where you work as Urban or Rural?
jobrle
What is your job role?
oth1
Other healthcare worker specify
injtrg
Which statement best describes your training in the care of injured patients?
giveo2
Give O2
o2ideal
If ideal only, what is the reason?
chkpr
Check pulse rate
prideal
If ideal only, what is the reason?
ckconsc
Check level of consciousness (hypoxia)
conscideal
If ideal only, what is the reason?
cksats
Check for cyanosis OR Check 02 saturations
satsideal
If ideal only, what is the reason?
respdis
Signs of respiratory distress - short sentences, ala flaring, sweaty
respdisideal
If ideal only, what is the reason?
rsprate
Count respiratory rate
resprateideal
If ideal only, what is the reason?
chestdef
Look for evidence of chest deformity or penetrating injury
chestdefideal
If ideal only, what is the reason?
chestexp
Feel (observe) chest wall expansion
chestexpideal
If ideal only, what is the reason?
trachdev
Feel for tracheal deviation
trachdevideal
If ideal only, what is the reason?
chestper
Percussion of the chest
chestperideal
If ideal only, what is the reason?
steth
Listen to the chest for breath sounds with stethoscope
stethideal
If ideal only, what is the reason?
needle
Needle decompression or Thoracostomy
needleideal
If ideal only, what is the reason?
drain
Placement of a chest drain OR arrange immediate transfer to facility that can perform this procedure
drainideal
If ideal only, what is the reason?
painrel
Pain relief
painrelideal
If ideal only, what is the reason?
cxr
Follow up chest x-ray OR arrange for transfer to facility that can arrange an x-ray / chest drain care
cxrideal
If ideal only, what is the reason?
prisur1
Primary survey
prisur1ideal
If ideal only, what is the reason?
stabs
Look for other stab wounds
stabsideal
If ideal only, what is the reason?
ivi
IV access
iviideal
If ideal only, what is the reason?
adpain
Administer pain relief
adpainideal
If ideal only, what is the reason?
checkhb
Check blood tests including Haemoglobin
checkhbideal
If ideal only, what is the reason?
bloodtf
Consider a blood transfusion if needed
bloodtfideal
If ideal only, what is the reason?
fast
Consider an investigation if available - FAST, CT, DPL
fastideal
If ideal only, what is the reason?
txa
Consider Tranexamic acid
txaideal
If ideal only, what is the reason?
lap
Prepare for laparotomy OR Arrange urgent transfer for facility that can perform
lapideal
If ideal only, what is the reason?
prisur2
Primary survey assessment
prisur2ideal
If ideal only, what is the reason?
cspine
Protection of the cervical spine
cspineideal
If ideal only, what is the reason?
gcs
Assessment of conscious state either AVPU or GCS
gcsideal
If ideal only, what is the reason?
pupils
Assessment of pupil size and reactivity to light
pupilsideal
If ideal only, what is the reason?
nohypo
Avoid hypoxia
nohypoideal
If ideal only, what is the reason?
normbp
Maintain normal blood pressure
normbpideal
If ideal only, what is the reason?
bedhead
Elevate the head of the bed
bedheadideal
If ideal only, what is the reason?
ct
CT scan OR Assessment by clinician able to operate on the skull OR transfer to hospital with neurosurgeon.
ctideal
If ideal only, what is the reason?
intubate
Consider need for intubation (GCS < = 8)
intubateideal
If ideal only, what is the reason?
mannitol
Consider mannitol OR hypertonic saline
mannitolideal
If ideal only, what is the reason?
llpulse
Assess the pulses in the limb
llpulseideal
If ideal only, what is the reason?
neuro
Assess the neurological status in the foot
neuroideal
If ideal only, what is the reason?
immobile
Immobilize the limb
immobileideal
If ideal only, what is the reason?
painrelief
Pain relief
painreliefideal
If ideal only, what is the reason?
xray
X-ray
xrayideal
If ideal only, what is the reason?
ortho
Surgical / Orthopaedic Consultation
orthoideal
If ideal only, what is the reason?
abx
Antibiotics
abxideal
If ideal only, what is the reason?
tetanus
Consider tetanus immunization
tetanusideal
If ideal only, what is the reason?
clinical_vignettes_d_v_1
Complete?
Total: 98
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