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NIHR Global Health Research Group on Neurotrauma

NIHR Global Health Research Group on Neurotrauma 

Founded in 2017, the NIHR Global Health Research Group on Neurotrauma (GHRGN) has an overarching mission to improve global neurotrauma care. This NIHR Group is led by Prof Peter Hutchinson and Prof David Menon. Working with 11 collaborators in low and middle income countries and a range of academic partners, the GHRGN has four research themes:

1. Mapping TBI care
2. Understanding TBI care
3. Generating and implementing innovation in TBI
4. Measuring and nurturing research capacity

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Global Neurotrauma Outcomes Study 1

Outcomes following emergency surgery for traumatic brain injury – a prospective, multi-centre, international cohort study.

This project aims to provide a global picture of the management and outcomes of patients undergoing emergency surgery for TBI, while establishing a platform and clinical network to facilitate future research in global neurotrauma and neurosurgery. 


A Systems Improvement Approach to Traumatic Brain Injury (ASIA-TBI)

Developing a participatory approach to the systems improvement of traumatic brain injury care in Yangon, Myanmar.

This project is a collaboration between the UDA, the Engineering Design Centre (EDC), and the NIHR Global Health Research Group on Neurotrauma. It seeks to use a Soft Systems Methodology within a wider engineering systems approach to understand and model the care of TBI patients in Yangon, with a view to developing improvement projects. 


A Systems Improvement Approach to Intensive Care Medicine (ASIA-ICM)

Mapping the systems of Intensive Care provision in Myanmar.

Instituted as a research element of the Cambridge Yangon Trauma Intervention Project (CYTIP) run by Cambridge Global Health Partnerships and University of Medicine (1), Yangon, this project seeks to map the provision of Intensive Care in Myanmar across two different time points, measuring not only material resources but also the systems and processes which underpin intensive care.


Publications

  1. Bashford T, Clarkson PJ, Menon DK, Hutchinson PJA. Unpicking the Gordian knot: a systems approach to traumatic brain injury care in low and middle income countriesBMJ Global Health 2018;3:e000768. 
  2. Maas AIR, Menon DK et al. Traumatic brain injury: integrated approaches to improve prevention, clinical care, and research. The Lancet Neurology , Volume 16 , Issue 12 , 987 – 1048. 
  3. Bashford T, Howell V. Anaesthesia & Tropical Disease 2BJA Education. 2017. Mar 18(30), p75-81 
  4. Bashford T, Howell V. Anaesthesia & Tropical Disease 1. BJA Education. 2017. Feb 18(2) , p35 – 40 
  5. Gibbs A, Bashford T, Wilson IA. Pulse oximetry in a high income setting: how big is the gap? Anaesthesia. 2017.72(12): 1565–1567. 
  6. Bashford T, Reshamwalla S, McAuley J, Allen NH, McNatt Z, Gebremedhen Y.  Implementation of the WHO Safe Surgery Checklist in an Ethiopian Referral Hospital. Patient Safety in Surgery. 2014 Mar 8(16).  
  7. Walker IA, Bashford T, Fitzgerald E, Wilson IH.  Improving Anesthesia Safety in Low-Income Regions of the WorldCurrent Anesthesiology Reports. 2014.
  8. Bashford T. Anaesthesia in Ethiopia: providers’ perspectives on the current state of the serviceTropical Doctor.2014 Jan 4(1) p6-13. 

Related Links

  1. Global Neurotrauma Outcomes Study 1
  2. A Systems Improvement Approach to Traumatic Brain Injury (ASIA-TBI)
  3. World Federation of Societies of Anaesthesiologists. Vision and mission
  4. Meara JG, Leather AJ, Hagander L, et al. Global Surgery 2030: Evidence and solutions for achieving health, welfare, and economic development. Lancet. 2015;386(9993):569-624.
  5. Mock CN, Donkor P, Gawande A, et al. Essential surgery: Key messages from Disease Control Priorities, 3rd edition. Lancet.2015;385(9983):2209-2219.
  6. World Health Assembly Resolution 68.15: Strengthening Emergency and Essential Surgical Care and Anaesthesia as a Component of Universal Health Coverage. Sixty-Eighth World Health Assembly. 
  7. United Nations. Sustainable Development Goals