Questions and Topics We Can Help You To Answer:
Paper Instructions:

Using your topic from Week 1 develop a one-page letter of intent that you can submit to your identified funder. The Letter Of Intent (LOI) should include a topic overview, the identification of the problem and how your proposal would address the problem. Review your funder's criteria and be sure to match your LOI to your funder's specific interests as well.

The letter should demonstrate a thorough understanding of audience and purpose in the Letter of Intent.

Uses appropriate, relevant, and compelling content to: illustrate need, summarize of how need will be addressed, and how the proposed project is particularly qualified to meet those needs. 

Demonstrates skillful use of high quality, credible, relevant sources to develop ideas that are appropriate for the genre of grant writing.

Readings & References 

My area of research would involve evaluating and establishing the critical point areas of intervention in emergency trauma care following accidents. Most fatalities and associated complications following road accidents occur because the medical intervention is not well aware and equipped with the right knowledge and capability to identify and address the critical point areas of trauma that need care (Terrier et al., 2017). Consequently, the research will seek to evaluate and understand the precise areas that are common and prevalently in need of trauma care to save and preserve lives. There is scanty research on the subject and lack of prevalent attention on the actual areas where critical intervention, if well directed would help to save lives (Ton et al., 2019). Subsequently, the focus of this research will evaluate actual cases and develop a guiding template that would potentially help to intervene and improve strategic efforts of intervention following the occurrence of such incidents.

I settled for this topic because there is scanty research on the subject, yet accidents account for high levels of fatality and loss. The narrow moment after an accident and first response following the event plays a critical role in defining and influencing the status of the victim. However, when this window is not utilized effectively, this often results in many cases of fatality and deaths (Thao et al., 2018). Consequently, there is an opportunity to save lives and enhance the process of intervention to a point where it can identify and closely meet the needs of patients during instances of emergency care. Ultimately, I also seek to make a viable contribution to the efforts of intervention and prevention against many of the fatalities during accidents. The study will add to the existing few studies on the subject and contribute that would effectively save lives.

                                                                              References

Terrier, J.-E., Paparel, P., Gadegbeku, B., Ruffion, A., Jenkins, L. C., & N’Diaye, A. (2017). Genitourinary injuries after traffic accidents. Journal of Trauma and Acute Care Surgery, 82(6), 1087–1093. https://doi.org/10.1097/ta.0000000000001448

Thao, P. T. N., Tra, T. T., Son, N. T., & Wada, K. (2018). Reduction in the IL-6 level at 24 h after admission to the intensive care unit is a survival predictor for Vietnamese patients with sepsis and septic shock: a prospective study. BMC Emergency Medicine, 18(1). https://doi.org/10.1186/s12873-018-0191-4

Ton Thanh Tra, Thao T.N Pham, Van Khoi N, Quoc Hung L, Wada K, et al. (2019) Clinical Factors Affecting Mortality in Patients with Traumatic Shock Caused by Road Traffic Accidents Admitted to The Emergency Department: A Prospective Cohort Study. Emerg Med Trauma Care J: EMTCJ-100002


Highlights from a retrospective study using an expert panel review methodology indicates that "Potentially preventable or preventable deaths represented 7% of cases that had attempted resuscitation from paramedics; and system of care was considered suboptimal thus providing opportunities to improve trauma systems" (Beck et al, 2019). Hence there are indeed opportunities to improve emergency and trauma care in our population.

In 1975 R. Adams Cowley stated in an article that "the first hour after injury will largely determine a critically injured person's chances for survival" (Rogers et al, 2014). This is widely known as the golden hour and is considered most important time to provide quality care for a patient that received traumatic injury. Hence, in light of this findings from research in this area can be useful to save lives and improve emergency care provided to patients.

Resources

Rogers et al (2015). The golden hour in trauma: Dogma or medical folklore? DOI: https://doi.org/10.1016/j.injury.2014.08.043. Retrieved from: https://www.injuryjournal.com/article/S0020-1383(14)00417-3/fulltext#articleInformation

Beck et al. (2019). Potentially preventable trauma deaths: A retrospective review. DOI:https://doi.org/10.1016/j.injury.2019.03.003. Retrieved from: 
https://www.injuryjournal.com/article/S0020-1383(19)30100-7/fulltext

Once an accident occurs, the clock begins ticking. There is a narrow window to assess injury and treat said injuries. When you establish these critical care points will you establish those points with in field treatment, treatment in route, and treatment in ER care? This is a very interesting topic of research, and if you were to focus on different points in which care should be done, such as with in field care, you could expand this research to include education. This could include education for bystanders, and emergency responders. This is a great topic.