Peter G. Delaney

Last updated
Peter G. Delaney
Education University School
Washington University in St. Louis (BA)
University of Michigan Medical School (MD)
Known for LFR Model
LFR International
Awards Prince Michael International Road Safety Award (2020)
Scientific career
Fields Global road safety
Academic advisors Krishnan Raghavendran
Bradley Stoner

Peter G. Delaney is the Executive Director of LFR International and a road safety researcher responsible for the Lay First Responder Model of emergency medical services development in resource-limited countries, awarded the Prince Michael International Road Safety Award in 2020. [1] [2]

Contents

Education

Delaney attended Washington University in St. Louis after being awarded the Florence Moog Fellowship in Biological and Chemical Sciences. [3] [4] He wrote his senior honors thesis under Bradley Stoner on unconventional emergency medical services development in austere, resource-limited settings after conducting ethnographic research in Uganda and Chad on local notions of traumatic injury and first responder training, [5] [6] which was awarded the W.H.R. Rivers Award for exceptional research in medical social science and public health. [7]

Delaney attended the University of Michigan Medical School, where he became a researcher at the Michigan Center for Global Surgery under Krishnan Raghavendran. [8] While at Michigan, he received the annual University of Michigan Department of Surgery's Student Research Award and was one of 43 medical students nationally to be awarded an Alpha Omega Alpha Carolyn L. Kuckein Student Research Fellowship. [9] [10] He graduated AΩA with Distinction in Research, the Sujal Parikh Award, and the Dean's Award for Research Excellence. [11] [12]

Career

Delaney advises the United Nations Road Safety Fund: Platform on Health and Road Safety to identify high-impact global road safety projects and to advise funding allocation supporting Sustainable Development Goal 3.6 to halve the number of road traffic deaths and injuries by 2030. [13]

He was a signatory of the First Responder Coalition of Sierra Leone in Makeni, Sierra Leone in 2019. [14] [15]

Research

His research has been funded by the United States Agency for International Development (USAID) and focuses on emergency medical services development in resource-limited settings, especially in regard to cost-effectiveness, impact measurement, and mobile dispatch integration, which has appeared in Injury, World Journal of Surgery , Journal of Surgical Research , Prehospital and Disaster Medicine and Emergency Medicine Journal , among others. [16] [6] [17] [18] [19] He is an invited peer reviewer to academic journals for injury-related research. [20]

LFR Model

Delaney first described the Lay First Responder Model in the World Journal of Surgery in 2018, as an approach to out-of-hospital emergency care development that leverages pre-existing transportation infrastructure by training transportation providers as first responders to rapidly deploy and scale emergency medical services in austere prehospital settings of resource-limited low- and middle-income countries. [5] [16] Since initial implementation in Uganda, the LFR model has been deployed in Chad, Sierra Leone, Kenya, and Nigeria. [6] [21] [22] [23] [24] [25] [26]

PETCAT

He developed PETCAT (Prehospital Emergency Trauma Care Assessment Tool), a survey tool now used to independently assess the provision of out-of-hospital emergency care in resource-limited low- and middle-income settings. [27]

Honours

His work in post-crash response with LFR International on the "LFR Post-Crash Response Program Model for Road Traffic Injuries in Resource-Limited African Settings" received the Prince Michael International Road Safety Award for outstanding achievement and innovation to improve global road safety in December 2020. [1] [2] To further evaluate the scalability of digital training for lay first responders, he was awarded $200,000 in funding by the United States Agency for International Development (USAID) through the Development Innovation Ventures (DIV) program to conduct a three-year randomized controlled trial in Sierra Leone in 2024. [28]

He received the 2020 Excellence in Research Award from the American College of Surgeons and was subsequently profiled in a supplemental issue of the Journal of the American College of Surgeons . [29] In 2022, he was interviewed by the vice-chair of the American College of Surgeons Board of Regents, Steven Wexner, on the ACS podcast Surgeons Voices regarding his work in prehospital trauma care. [30]

Related Research Articles

<span class="mw-page-title-main">Triage</span> Emergency medical process

In medicine, triage is a process by which care providers such as medical professionals and those with first aid knowledge determine the order of priority for providing treatment to injured individuals and/or inform the rationing of limited supplies so that they go to those who can most benefit from it. Triage is usually relied upon when there are more injured individuals than available care providers, or when there are more injured individuals than supplies to treat them.

A trauma center, or trauma centre, is a hospital equipped and staffed to provide care for patients suffering from major traumatic injuries such as falls, motor vehicle collisions, or gunshot wounds. A trauma center may also refer to an emergency department without the presence of specialized services to care for victims of major trauma.

<span class="mw-page-title-main">Am Timan</span> Place in Salamat Region, Chad

Am Timan is a city in Chad and is the capital of the region of Salamat. Most of economy comes from Salamat region such as fish, vegetables and anomalies meat, etc. In Arabic, Am Timan means "mother of twins". As the capital of the prefecture, it has the area of many towns and villages around it, including the Zakouma National Park. The city has no university but there are schools and colleges, and a clinic, and hosts a large market day and holiday celebrations.

<span class="mw-page-title-main">Makeni</span> Place in Northern Province, Sierra Leone

Makeni is the largest city in the Northern Province of Sierra Leone. The city is the capital of Bombali District, and is the economic center of the Northern Province. Makeni is the fifth largest city in Sierra Leone by population. The city of Makeni had a population of 85,116 in the 2021 census. Makeni lies approximately 110 miles east of Freetown. Makeni is home to the University of Makeni, the largest private university in Sierra Leone.

<span class="mw-page-title-main">Emergency (organization)</span> International medical NGO

Emergency is a humanitarian NGO that provides free medical treatment to the victims of war, poverty, and landmines. It was founded in 1994. Gino Strada, one of the organization's co-founders, served as EMERGENCY's Executive Director. It operates on the premise that access to high-quality healthcare is a fundamental human right.

<span class="mw-page-title-main">Advanced trauma life support</span> American medical training program

Advanced trauma life support (ATLS) is a training program for medical providers in the management of acute trauma cases, developed by the American College of Surgeons. Similar programs exist for immediate care providers such as paramedics. The program has been adopted worldwide in over 60 countries, sometimes under the name of Early Management of Severe Trauma, especially outside North America. Its goal is to teach a simplified and standardized approach to trauma patients. Originally designed for emergency situations where only one doctor and one nurse are present, ATLS is now widely accepted as the standard of care for initial assessment and treatment in trauma centers. The premise of the ATLS program is to treat the greatest threat to life first. It also advocates that the lack of a definitive diagnosis and a detailed history should not slow the application of indicated treatment for life-threatening injury, with the most time-critical interventions performed early.

<span class="mw-page-title-main">Iganga</span> Ugandan town

Iganga is a town in the Eastern Region of Uganda. It is the main municipal, administrative, and commercial center of Iganga District.

<span class="mw-page-title-main">Paramedics in the United States</span> Overview of paramedics in the United States of America

In the United States, the paramedic is an allied health professional whose primary focus is to provide advanced emergency medical care for patients who access Emergency Medical Services (EMS). This individual possesses the complex knowledge and skills necessary to provide patient care and transportation. Paramedics function as part of a comprehensive EMS response under physician medical direction. Paramedics often serve in a prehospital role, responding to Public safety answering point (9-1-1) calls in an ambulance. The paramedic serves as the initial entry point into the health care system. A standard requirement for state licensure involves successful completion of a nationally accredited Paramedic program at the certificate or associate degree level.

Sierra Leone Red Cross Society (SLRCS) was established in 1962 by an act of the Parliament of Sierra Leone and is a national society. It has its headquarters in Freetown.

The Red Cross of Chad was founded in 1983. It has its headquarters in N’Djamena, Chad.

<span class="mw-page-title-main">Pre-hospital emergency medicine</span> Medical specialty

Pre-hospital emergency medicine, also referred to as pre-hospital care, immediate care, or emergency medical services medicine, is a medical subspecialty which focuses on caring for seriously ill or injured patients before they reach hospital, and during emergency transfer to hospital or between hospitals. It may be practised by physicians from various backgrounds such as anaesthesiology, emergency medicine, intensive care medicine and acute medicine, after they have completed initial training in their base specialty.

<span class="mw-page-title-main">Tactical Combat Casualty Care</span> United States military guidelines for prehospital trauma care

Tactical Combat Casualty Care, formerly known as Self Aid Buddy Care, is a set of guidelines for trauma life support in prehospital combat medicine published by the United States Defense Health Agency. They are designed to reduce preventable deaths while maintaining operational success. The TCCC guidelines are routinely updated and published by the Committee on Tactical Combat Casualty Care (CoTCCC), which is part of the Defense Committees on Trauma (DCoT) division of the Defense Health Agency (DHA). TCCC was designed in the 1990s for the Special Operations Command medical community. Originally a joint Naval Special Warfare Command and Special Operations Medical Research & Development initiative, CoTCCC developed combat-appropriate and evidence-based trauma care based on injury patterns of previous conflicts. The original TCCC corpus was published in a Military Medicine supplement in 1996. TCCC has since become a Department of Defense (DoD) course, conducted by National Association of Emergency Medical Technicians.

<span class="mw-page-title-main">Bomberos Voluntarios (Guatemala)</span>

The Bomberos Voluntarios (Guatemala) (Spanish: Cuerpo de Bomberos Voluntarios de Guatemala or CVB) is an independent agency partially funded by the Guatemalan Ministry of the Interior (Guatemala) that is headquartered in Guatemala City Guatemala Department and has fire companies in each of the 22 departamentos (States) constituting Guatemala. It is one of three major firefighting organizations in the country, the others being the Bomberos Municipales (serving Guatemala City) and the Asociación Nacional De Bomberos Municipales Departamentales (ASONBOMD), which serves city Fire Departments outside Guatemala City.

<span class="mw-page-title-main">National Civil Police (Guatemala)</span> Law enforcement agency

The National Civil Police is the police force of Guatemala and is an agency of the Guatemalan Ministry of the Interior. The PNC is in charge of protecting public order.

Krishnan Raghavendran is Professor of Surgery at the University of Michigan Medical School, Division Chief of Acute Care Surgery, Director of the Michigan Center for Global Surgery, and a trauma, critical care, and general surgeon.

<span class="mw-page-title-main">First Responder Coalition of Sierra Leone</span>

The First Responder Coalition of Sierra Leone (FRCSL) is a coalition of Sierra Leonean and international organizations dedicated to expanding prehospital emergency care and developing emergency medical services in Sierra Leone. It aims to address the high rates of injury and low rates of prehospital emergency care available in the country.

<span class="mw-page-title-main">BASICS Scotland</span>

The British Association for Immediate Care Scotland is an organisation involved with prehospital care. It has the aims of providing encouragement and aid with the formation of immediate care schemes and to provide training to support those working in prehospital care. It shares its origins with the British Association for Immediate Care (BASICS), which has UK wide coverage. In 1993, the British Association for Immediate Care began running prehospital care courses in Scotland, which were met with a warm welcome and it became clear there was a large audience for such education, especially in remote and rural areas of Scotland. This need for training and organisational leadership became clearer after the 1994 Scotland RAF Chinook crash on the Mull of Kintyre. This led to the training provided by BASICS to be modified for a more rural setting, and to the development of BASICS Scotland as a separate organisation in 2002.

<span class="mw-page-title-main">LFR International</span> International nonprofit organization

LFR International is an American international nonprofit organization focused on prehospital emergency medical research and emergency medical services development in sub-Saharan Africa. 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.

The Lay First Responder Model, or LFR Model, uses motorcycle taxi drivers trained as first responders to provide basic prehospital emergency care in resource-limited settings of low- and middle-income countries. First published in the World Journal of Surgery in 2018, it was initially demonstrated in Uganda in 2016. Since its creation, the lay first responder model has also been deployed across Chad and Sierra Leone.

Zachary J. Eisner is the Operations Director of LFR International known for his work on the Lay First Responder Model, which received the Prince Michael International Road Safety Award in 2020.

References

  1. 1 2 "Road Safety Awards: Lay First Responder International receives Royal Award for Post-Crash Response Innitiative". www.roadsafetyawards.com. Retrieved 2023-04-11.
  2. 1 2 "RoadSafe: Lay First Responder International receives Royal Award for Post-Crash Response Innitiative". www.roadsafe.com. Retrieved 2023-04-11.
  3. ↑ Keaggy, Diane Toroian (2018-08-31). "Campaign raises $591 million for scholarships". The Source. Washington University in St. Louis . Retrieved 2024-03-17.
  4. ↑ McCarthy, Leslie Gibson (2018-04-20). "An innovation mindset". The Source. Washington University in St. Louis . Retrieved 2024-03-17.
  5. 1 2 Delaney, Peter G.; 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". World Journal of Surgery . 42 (8): 2293–2302. doi:10.1007/s00268-018-4467-3. ISSN   1432-2323.
  6. 1 2 3 Hancock, Canaan J.; Delaney, Peter G.; Eisner, Zachary J.; Kroner, Eric; Mahamet-Nuur, Issa; Scott, John W.; Raghavendran, Krishnan (2020-07-29). "Developing a Lay First Responder Program in Chad: A 12-Month Follow-Up Evaluation of a Rural Prehospital Emergency Care Program". Prehospital and Disaster Medicine. 35 (5): 546–553. doi:10.1017/S1049023X20000977. ISSN   1945-1938. PMID   32723421. S2CID   220848454.
  7. ↑ Delaney, Peter (2018-04-01). "Understanding Local Medical Emergencies and Treatment Options to ImprovePre-hospital Emergency Medical Carein Iganga District, Uganda". Washington University Senior Honors Thesis Abstracts: WUSHTA, Spring 2018.
  8. ↑ "Student project aims to bolster first responder services in Africa". University of Michigan Global REACH. February 13, 2020.
  9. ↑ "Moses Gunn Research Conference: Department of Surgery Research". University of Michigan Department of Surgery.
  10. ↑ "Carolyn L. Kuckein Student Research Fellowship". Alpha Omega Alpha. Retrieved 2023-06-01.
  11. ↑ "Student Awards | Med Students Gateway". medstudents.medicine.umich.edu. Retrieved 2023-06-01.
  12. ↑ "Scholastic Awards | Med Students Gateway". medstudents.medicine.umich.edu. Retrieved 2023-06-01.
  13. ↑ "SDG 3: Health and Road Safety | UNRSF". roadsafetyfund.un.org. Retrieved 2023-04-11.
  14. ↑ Thomas, Abdul Rashid (2019-07-05). "Sierra Leone's road accident First Responder Coalition to save thousands of lives". The Sierra Leone Telegraph. Retrieved 2023-04-11.
  15. ↑ Thomas, Abdul Rashid (2019-07-16). "Sierra Leone's First Aid Responders to Reach 3,500 People to Save Road Accident Victims". The Organiser: Sierra Leone Newspaper Online. Archived from the original on 2019-07-20. Retrieved 2024-03-17.
  16. 1 2 Delaney, Peter G.; Eisner, Zachary J.; Blackwell, T. Scott; Ssekalo, Ibrahim; Kazungu, Rauben; Lee, Yang Jae; Scott, John W.; Raghavendran, Krishnan (2021-01-01). "Exploring the factors motivating continued Lay First Responder participation in Uganda: a mixed-methods, 3-year follow-up". Emergency Medicine Journal. 38 (1): 40–46. doi:10.1136/emermed-2020-210076. ISSN   1472-0205. PMID   33127741.
  17. ↑ Eisner, Zachary J.; Delaney, Peter G.; Klapow, Maxwell C.; Raghavendran, Krishnan; Klapow, Joshua C. (2021-10-06). "Identifying a 'super-responder' phenomenon in three African countries: Implications for prehospital emergency care training". Injury. 53 (1): 176–182. doi:10.1016/j.injury.2021.09.064. ISSN   1879-0267. PMID   34645565.
  18. ↑ Delaney, Peter G.; Eisner, Zachary J.; Bustos, Aiza; Hancock, Canaan J.; Thullah, Alfred H.; Jayaraman, Sudha; Raghavendran, Krishnan (2021-10-11). "Cost-Effectiveness of Lay First Responders Addressing Road Traffic Injury in Sub-Saharan Africa". The Journal of Surgical Research. 270: 104–112. doi:10.1016/j.jss.2021.08.032. ISSN   1095-8673. PMID   34649070.
  19. ↑ Delaney, Peter G.; Eisner, Zachary J.; Thullah, Alfred H.; Turay, Patrick; Sandy, Kpawuru; Boonstra, Philip S.; Raghavendran, Krishnan (2022-10-12). "Evaluating feasibility of a novel mobile emergency medical dispatch tool for lay first responder prehospital response coordination in Sierra Leone: A simulation-based study". Injury. 54 (1): 5–14. doi:10.1016/j.injury.2022.10.010. ISSN   1879-0267. PMID   36266111.
  20. ↑ "Web of Science: Peter G. Delaney Profile". www.webofscience.com. Retrieved 2023-04-11.
  21. ↑ Eisner, Zachary J.; Delaney, Peter G.; Thullah, Alfred H.; Yu, Amanda J.; Timbo, Sallieu B.; Koroma, Sylvester; Sandy, Kpawuru; Sesay, Abdulai Daniel; Turay, Patrick; Scott, John W.; Raghavendran, Krishnan (2020-09-03). "Evaluation of a Lay First Responder Program in Sierra Leone as a Scalable Model for Prehospital Trauma Care". Injury. 51 (11): 2565–2573. doi:10.1016/j.injury.2020.09.001. ISSN   1879-0267. PMID   32917385.
  22. ↑ Wambugu, Wangari (2023-03-17). "MMUST-LFR International Conduct First Responder Training to Community Health Workers to Develop Formal Emergency Medical Services in Kakamega County". Masinde Muliro University of Science and Technology, Kenya. Archived from the original on 2023-04-12. Retrieved 2024-03-17.
  23. ↑ Obinna, Chioma (2022-03-16). "LFR International expands to Nigeria via partnership with HEI". Vanguard News.
  24. ↑ "FRSC Joins Groups to Empower Emergency Responders in Lagos". African Times Magazine. 2022-09-19. Retrieved 2023-04-12.
  25. ↑ Eki, Cleopatra (2022-03-18). "LFR lnternational partners with Health Emergency lnitiative to train 350 responders". AV1 News. Retrieved 2023-04-12.
  26. ↑ "LFR Int'l partners HEI to train 350 emergency responders". Punch Newspapers. 2022-03-17. Retrieved 2023-04-12.
  27. ↑ Delaney, Peter G.; Eisner, Zachary J.; Thullah, Alfred H.; Muller, Benjamin D.; Sandy, Kpawuru; Boonstra, Philip S.; Scott, John W.; Raghavendran, Krishnan (2021-04-28). "Evaluating a Novel Prehospital Emergency Trauma Care Assessment Tool (PETCAT) for Low- and Middle-Income Countries in Sierra Leone". World Journal of Surgery . 45 (8): 2370–2377. doi:10.1007/s00268-021-06140-1. ISSN   1432-2323. PMID   33907897.
  28. ↑ "Piloting Digital Training for Lay First Responders". U.S. Agency for International Development (USAID). Retrieved December 7, 2024.
  29. ↑ "American College of Surgeons: Owen H Wangensteen Scientific Forum Excellence in Research Awards 2020". Journal of the American College of Surgeons . 231 (4): S4. 2020-10-01. doi:10.1016/S1072-7515(20)32161-X. ISSN   1879-1190.
  30. ↑ "Surgeon Voices: Medical Student Discusses Training Lay First Responders in Resource-Limited Nations". ACS. Retrieved 2023-04-11.
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