ASSESSMENT OF BYSTANDERS PREPAREDNESS AND KNOWLEDGE IN TRAUMA PATIENT MANAGEMENT: A STUDY IN KAKAMEGA COUNTY, WESTERN KENYA

Objective:The objective of the study was to assess Bystanderscapability to handle trauma patients at the prehospital environment in Kakamega County, Western Kenya. Design:The study utilized a descriptive cross-sectional design. Setting:The study was carried out in four Sub-counties in Kakamega County. Sample:Multistage sampling was used to select a sample of two hundred and fifty-six participants(n = 256) Analysis:Data was analyzed using measures of central tendency and dispersion. Main outcome measures:Demographic characteristics, Level of knowledge, attitude and practice among bystanders towards trauma patients. Results:Most of the participants (44.5%) were between the ages 18-27 years old, majority 74.6% being of male gender. 90% respondents had witnessed injuries with a number of accidents witnessed averaging 1-5 (65%) in a period of 3 months. While 22% responded by taking the victims to the hospital, nearly half of the participants either called the police (29%) or stared at the incident (20%). Majority,(51.2%) lacked confidence in handling persons with obstructed airway, while (46.7%) were abit confident in handling patients with bleeding. 64.8% of the respondents lacked knowledge of contacts for emergency response. Availability of Emergency care equipment and supplies was 20% at Lurambi, with the remaining three sub-counties having lowest at (6.7%). Conclusion:There is inadequate knowledge of trauma care among Bystanders and lack of essential emergency care equipment and supplies in management of trauma patients in the prehospital environment of Kakamega County. Recommendations:The County government through the Ministry of Health to train first responders on Basic First Aid and Cardiopulmonary resuscitation and establish booths where bystanders can access equipment and supplies for trauma care.