The Injury Prevention and Safety Initiative (TIPSI©) is an initiative of the Emergency Medicine Kenya Foundation (EMKF) that brings together local health care professionals to improve injury outcomes in Kenya.
Injury kills more people every year than HIV, TB and malaria combined, and the overwhelming majority of these deaths occurring low- and middle-income countries (WHO).
Currently, 86.3 deaths per 100,000 in Kenya are attributable to injuries and 3,363 DALYs per 100,000 population are lost each year to injuries. Approximately 27.8 deaths per 100,000 are as a result of Road Traffic Injuries (RTIs). WHO estimates these to be approximately 13,463 deaths annually. Several studies show a dramatic increase in RTIs over the last four decades: Between 1962 and 1998, RTIs increased 300% and RTI-related fatalities increased more than 400%.
Emergency care for injury is at the core of the post-crash response. Effective care of the injured requires a series of time-sensitive actions, beginning with activation of the emergency care system, and continuing with care at the scene, transport, and facility-based emergency care.
The proportion of patients who die before reaching the hospital in low- and middle-income countries is over twice that in high-income countries, suggesting that strengthening prehospital systems could have an enormous global impact. Beyond recognising injury and calling for help, bystanders may also play a key role by delivering first aid prior to the arrival of formal providers.
TIPSI© aims to provide guidance to stakeholders and the public on the medical aspects of injury to reduce prehospital associated morbidity and mortality.