323:
334:
248:, Uganda. A lay first responder program of 154 motorcycle taxi responders was created to explore its capacity to provide prehospital emergency care for victims of road traffic injury in a municipality of 100,000 people. Encountering nearly 10% mortality, first responders assisted 250 victims in the first few months (83% of which were road traffic injury-related) and utilized bleeding control skills in over half of encounters.
442:. The LFR/HEI program aims to train and evaluate the performance of 350 first responders to improve outcomes in the prehospital setting prior to hospital admission in Lagos, "to reduce fatalities from road traffic accidents, which are currently the leading cause of youth casualties in Nigeria." Later in 2022, the Lagos State Command of the
422:, a control city 125 miles away without an LFR program. While controlling for secular trends, prehospital care in Makeni was demonstrated to have improved significantly over the 14-month study period, while also validating PETCAT as a robust tool for independent EMS quality assessment in resource-limited settings.
252:
there had previously been no investigations of the effects of trainings for laypeople. As the first to do so, LFR researchers found 75% of initial participants continued to voluntarily participate and described various apparent benefits to training, namely in an increase in social stature and income, in
417:
Over a 14-month period, impact was assessed using the
Prehospital Emergency Trauma Care Assessment Tool (PETCAT), a novel survey instrument LFR designed and administered to first-line hospital-based healthcare providers, to independently assess the frequency and quality of prehospital intervention by
251:
Three years later in 2019, LFR investigators explored the social and financial implications of first responder trainings for initial participants. Though the World Health
Organization had recommended training laypeople as the first step toward developing formal emergency medical services since 2004,
308:
In 2019, during follow-up interviews with initial participants after 12 months of providing emergency care, trainees reported sustained voluntary participation due the ability to care for the injured, new knowledge/skills, and the resultant gain in social stature and customer acquisition. Findings
305:. Under extreme resource limitations, an LFR program was launched by training 108 motorcycle taxi drivers to provide care for 36,000 people. Curriculum efficacy was evaluated using pre- and post-course tests, which demonstrated significant knowledge acquisition in participants.
774:
24:
446:(FRSC) partnered with HEI and LFR to train 1,000 commercial transporters as lay first responders in Lagos State in order to support FRSC's initiative to reduce road crash fatalities by 15%, with the goal to train additional thousands of first responders in Nigeria in 2023.
413:
as LFRs. Between July and
December 2019, 4,529 LFRs were trained by local LFR instructors. LFRs were later found to have treated 1,850 patients over the following six months, demonstrating significant emergency care knowledge improvement and retention in LFR participants.
184:. LFR launches sustainable prehospital emergency care programs in resource-limited settings of low-income countries without formal emergency medical services by collaborating with local governments and stakeholders to train lay first responders.
954:"LFR International Trains Responders and Creates the 'First Responder Coalition of Sierra Leone | AYV Newspaper News -Sierra Leone News, AYV Sierra Leone, Wake Up Sierra Leone, AYV News, Sierra Leone News, Leone News"
380:
departments in prehospital trauma management. A study conducted alongside the trainings found a single-day, five-hour training course effectively trained participants to provide effective prehospital emergency care.
975:""LFR International brings its innovative lay first responder training program to Makeni" | AYV Newspaper News -Sierra Leone News, AYV Sierra Leone, Wake Up Sierra Leone, AYV News, Sierra Leone News, Leone News"
703:; Bamuleke, Richard; Lee, Yang Jae (2018-08-01). "Lay First Responder Training in Eastern Uganda: Leveraging Transportation Infrastructure to Build an Effective Prehospital Emergency Care Training Program".
1022:
840:; Thullah, Alfred H.; Yu, Amanda J.; Timbo, Sallieu B.; Koroma, Sylvester; Sandy, Kpawuru; Sesay, Abdulai Daniel; Turay, Patrick; Scott, John W.; Raghavendran, Krishnan (2020-11-01).
496:
1454:
953:
1464:
418:
LFRs. Change in emergency care was controlled for by using a difference-in-differences approach and comparing change in Makeni, where the intervention had been launched, to
974:
1469:
1459:
455:
142:
599:
901:
390:
216:
1114:(2021-08-01). "Evaluating a Novel Prehospital Emergency Trauma Care Assessment Tool (PETCAT) for Low- and Middle-Income Countries in Sierra Leone".
1370:
470:
219:
in 2019 to expand prehospital emergency care and develop emergency medical services in Sierra Leone. LFR launched trainings with the
Coalition in
1059:
501:
361:
343:
1342:
357:
1395:
1243:
443:
1168:
779:
1193:
1267:
775:"Developing a Lay First Responder Program in Chad: A 12-Month Follow-Up Evaluation of a Rural Prehospital Emergency Care Program"
365:
409:, its national partners. With the launch of the coalition, the FRCSL committed to training more than 1,000 community members in
398:
173:
192:
More than 5,000 pre-existing transportation providers have been trained as lay first responders by LFR since 2016 to care for
1449:
394:
294:
70:
640:"Exploring the factors motivating continued Lay First Responder participation in Uganda: a mixed-methods, 3-year follow-up"
542:"Designing and implementing a practical prehospital emergency trauma care curriculum for lay first responders in Guatemala"
402:
270:
62:
302:
266:
309:
suggested LFR programs appear feasible and cost-effective in rural, resource-limited sub-Saharan
African settings.
1317:
644:
373:
254:
177:
118:
352:
In 2019, LFR deployed to
Guatemala to investigate the development of first responder programs in a middle-income,
333:
431:
237:
1371:"Road Safety Awards: Lay First Responder International receives Royal Award for Post-Crash Response Innitiative"
928:
199:
LFR's model of locally-informed rapid emergency care deployment has been launched and studied by researchers in
1343:"RoadSafe: Lay First Responder International receives Royal Award for Post-Crash Response Innitiative [
1217:
1116:
705:
377:
322:
241:
842:"Evaluation of a Lay First Responder Program in Sierra Leone as a Scalable Model for Prehospital Trauma Care"
48:
1293:
459:
58:
1111:
770:
635:
537:
600:"Student project aims to bolster first responder services in Africa | GlobalReach | Michigan Medicine"
841:
406:
369:
639:
463:
193:
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879:
812:
738:
677:
181:
108:
1110:; Thullah, Alfred H.; Muller, Benjamin D.; Sandy, Kpawuru; Boonstra, Philip S.; Scott, John W.;
1048:
Global
Monitoring Report 2007: Confronting the Challenges of Gender Equality and Fragile States
497:"Student-led NGO that trains lay first responders garners road safety award from British crown"
23:
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38:
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571:
553:
529:
290:
34:
1023:"Mukono Boda Boda Riders equipped with skills in managing first aid and accidents on roads"
996:
353:
342:
Prehospital trauma management training with DIFEP (Division of
Special Police Forces) and
262:
1420:
634:; Blackwell, T. Scott; Ssekalo, Ibrahim; Kazungu, Rauben; Lee, Yang Jae; Scott, John W.;
196:
and affordably scale up prehospital emergency care in resource-limited
African settings.
576:
541:
293:, which had previously claimed the title of “poorest region” globally as measured by a
273:, and conduct a pilot implementation of an advanced medical and obstetric curriculum.
172:(Lay First Responders) is an American international nonprofit organization focused on
1443:
1153:
883:
816:
681:
742:
902:"Sierra Leone's road accident First Responder Coalition to save thousands of lives"
212:
96:
859:
236:
In 2016, Delaney launched an early iteration of what would eventually become the
657:
1129:
1075:
792:
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558:
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in recognition of "exemplary achievement and innovation" in improving
419:
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92:
153:
536:; Andrade, Rudy Erik Hernandez; Karmakar, Monita; Scott, John W.;
435:
1244:"LFR, HEI Ink Health MoU, Mull Training for 350 First Responders"
1194:"LFR International Expands Into Nigeria Via Partnership with HEI"
204:
122:
1268:"FRSC partners groups on emergency response at accident scenes"
1169:"LFR International expands to Nigeria via partnership with HEI"
261:
In 2022, LFR returned to Uganda to establish an LFR program in
1396:"Student-led nonprofit wins international road safety prize"
1218:"LFR Int'l partners HEI to train 350 emergency responders"
491:
489:
487:
485:
1294:"FRSC, foundations partner for health training course"
769:; Kroner, Eric; Mahamet-Nuur, Issa; Scott, John W.;
148:
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128:
114:
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88:
80:
68:
54:
44:
30:
1272:The Guardian Nigeria News - Nigeria and World News
895:
893:
828:
826:
1318:"Student, alum win prestigious road safety award"
281:In 2018, LFR collaborated with trainers from the
1324:. Washington University in St. Louis. 2020-12-11
923:
921:
929:"Makeni: Coalition of First Responders formed"
456:Prince Michael International Road Safety Award
143:Prince Michael International Road Safety Award
389:In 2019, LFR was a co-founding member of the
8:
1455:Non-profit organizations based in California
1054:. Washington, DC USA: The World Bank. 2007.
430:In 2022, LFR announced its partnership with
285:to develop a lay first responder program in
16:
1465:Foreign charities operating in Sierra Leone
356:setting. LFR worked with affiliates of the
22:
15:
575:
557:
399:Agency for Rural Community Transformation
391:First Responder Coalition of Sierra Leone
217:First Responder Coalition of Sierra Leone
215:. LFR was a founding organization of the
1470:Foreign charities operating in Guatemala
1425:Global Alliance of NGOs for Road Safety
481:
471:Global Alliance of NGOs for Road Safety
502:University of Michigan Medical School
119:Emergency medical services development
1460:Foreign charities operating in Uganda
1098:
1096:
469:In 2022, LFR was invited to join the
7:
1402:. Washington University in St. Louis
1003:. Washington University in St. Louis
995:Keaggy, Diane Toroian (2018-04-20).
756:
754:
752:
695:
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691:
622:
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546:Trauma Surgery & Acute Care Open
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520:
360:to train hundreds of members of the
166:International nonprofit organization
900:Thomas, Abdul Rashid (2019-07-05).
358:Guatemalan Ministry of the Interior
1021:Buule, Kizito Moses (2022-07-07).
466:and post-crash response globally.
14:
780:Prehospital and Disaster Medicine
1242:Olonade, Damilola (2022-03-16).
1076:"LFR International in Guatemala"
434:(HEI) to deploy LFR programs in
332:
321:
267:Vision for Trauma Care in Africa
1400:McKelvey School of Engineering
1394:Lacey, Danielle (2020-12-11).
1292:Edeme, Victoria (2022-08-02).
395:Sierra Leone Red Cross Society
295:multidimensional poverty index
1:
1167:Obinna, Chioma (2022-03-16).
454:In 2020, LFR was awarded the
174:prehospital emergency medical
63:Non-governmental organization
860:10.1016/j.injury.2020.09.001
344:PNC (Policia Nacional Civil)
658:10.1136/emermed-2020-210076
432:Health Emergency Initiative
303:International Monetary Fund
1486:
1130:10.1007/s00268-021-06140-1
645:Emergency Medicine Journal
255:Emergency Medicine Journal
178:emergency medical services
793:10.1017/S1049023X20000977
719:10.1007/s00268-018-4467-3
559:10.1136/tsaco-2019-000409
444:Federal Road Safety Corps
21:
1375:www.roadsafetyawards.com
1117:World Journal of Surgery
706:World Journal of Surgery
242:Uganda Red Cross Society
997:"An innovation mindset"
289:, located in the rural
49:Los Angeles, California
1112:Raghavendran, Krishnan
933:The Patriotic Vanguard
906:Sierra Leone Telegraph
771:Raghavendran, Krishnan
636:Raghavendran, Krishnan
538:Raghavendran, Krishnan
460:Prince Michael of Kent
362:Policia Nacional Civil
1450:Development charities
532:; Figueroa, Jose A.;
194:road traffic injuries
1192:Adeyemi, Appolonia.
761:Hancock, Canaan J.;
407:University of Makeni
403:Holy Spirit Hospital
473:as a full member.
405:of Makeni, and the
18:
1421:"Members - Search"
1108:Eisner, Zachary J.
834:Eisner, Zachary J.
767:Eisner, Zachary J.
632:Eisner, Zachary J.
534:Eisner, Zachary J.
505:. 15 December 2020
346:in Guatemala, 2019
269:(VTCA), a Ugandan
182:sub-Saharan Africa
109:Sub-Saharan Africa
1104:Delaney, Peter G.
1061:978-0-8213-6975-3
854:(11): 2565–2573.
838:Delaney, Peter G.
763:Delaney, Peter G.
701:Delaney, Peter G.
628:Delaney, Peter G.
530:Delaney, Peter G.
393:(FRCSL) with the
283:Red Cross of Chad
170:LFR International
164:
163:
156:.lfrinternational
39:Zachary J. Eisner
17:LFR International
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1124:(8): 2370–2377.
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773:(October 2020).
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787:(5): 546–553.
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638:(2020-10-30).
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1428:. Retrieved
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1274:. 2022-09-29
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1224:. 2022-03-17
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1201:. Retrieved
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1085:– via
1080:. Retrieved
1078:. 2019-08-22
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1030:. Retrieved
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1005:. Retrieved
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979:. Retrieved
977:. 2010-01-10
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956:. 2010-01-10
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937:. Retrieved
935:. 2019-07-04
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909:. Retrieved
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652:(1): 40–46.
649:
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608:. Retrieved
606:. 2020-02-13
603:
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507:. Retrieved
500:
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429:
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388:
385:Sierra Leone
374:Sacatepéquez
351:
307:
280:
260:
253:
250:
235:
213:Sierra Leone
198:
191:
169:
168:
130:Volunteers
97:Sierra Leone
89:Headquarters
81:Legal status
604:GlobalReach
464:road safety
368:across the
1444:Categories
1430:2022-03-31
1406:2020-12-26
1380:2020-12-26
1356:2020-12-26
1328:2020-12-12
1322:The Source
1303:2022-10-30
1278:2022-10-30
1253:2022-03-31
1228:2022-03-31
1203:2022-03-31
1178:2022-03-31
1082:2021-05-22
1032:2022-07-12
1007:2021-05-22
1001:The Source
981:2020-12-12
960:2020-12-12
939:2020-12-12
911:2020-12-12
610:2020-12-12
477:References
299:World Bank
134:5,393 LFRs
76:83-3568251
71:Tax ID no.
45:Founded at
1154:233417002
1138:1432-2323
884:221637243
868:0020-1383
817:220848454
801:1049-023X
727:1432-2323
682:226217068
666:1472-0205
568:2397-5776
509:5 January
370:Escuintla
313:Guatemala
240:with the
238:LFR model
227:Locations
209:Guatemala
84:501(c)(3)
59:Nonprofit
1146:33907897
876:32917385
809:32723421
743:25105908
735:29349487
674:33127741
586:32518836
287:Am Timan
139:Award(s)
31:Founders
1087:YouTube
577:7254122
440:Nigeria
426:Nigeria
297:by the
188:History
149:Website
104:Region
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847:Injury
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680:
672:
664:
584:
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566:
450:Honors
420:Kenema
411:Makeni
401:, the
376:, and
246:Iganga
232:Uganda
221:Makeni
211:, and
201:Uganda
115:Fields
93:Makeni
1150:S2CID
1052:(PDF)
880:S2CID
813:S2CID
739:S2CID
678:S2CID
436:Lagos
265:with
123:LMICs
1142:PMID
1134:ISSN
1056:ISBN
872:PMID
864:ISSN
805:PMID
797:ISSN
731:PMID
723:ISSN
670:PMID
662:ISSN
582:PMID
564:ISSN
511:2023
364:and
301:and
277:Chad
205:Chad
158:.org
55:Type
1345:sic
1126:doi
856:doi
789:doi
715:doi
654:doi
572:PMC
554:doi
458:by
366:CVB
271:NGO
244:in
154:www
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