2. Pre-hospital and Emergency Care of Neurosurgical Care in Thailand
Chaiwit Thanapaisal MD., FRCST, FRCNST
Khon Kaen University
Thailand

5. Thailand
Area 513,120 sq.Km.
Population 67million

6. Each region Cover 4.5 – 5 million population
13 Regions of
Health Care
Each region Cover 4.5 – 5 million population

7. Pre-hospital Care

8. Private Foundation
run pre-hospital care more than 100 years

9. Medical Emergency all over the country
Call 1669
Medical Emergency all over the country

14. Emergency Care

15. Motorway Fast Track Transfer System
Multiple injury /
Head injury
STEMI
Stroke
Critical Newborn
High risk pregnancy
Sepsis

16. Mortorway Fast track

17. Delayed @ emergency room Delayed CT Scan Delayed Operation
Major Problem of HI
emergency room
Delayed CT Scan
Delayed Operation

18. Head Injury Fast Tract

19. Moderate to severe head injury Need craniotomy
Head Injury Fast Tract
Inclusion
Moderate to severe head injury
Need craniotomy

20. Key Indicators for HI Fast Tract
Time in Emergency Room < 60 min.
Door to CT Scan < 120 min.
Door to OR < 240 min.

21. Results ( one 500 beds provincial hospital with 2 neurosurgeons)
Before
After
Goal
ER Time < 60 min.
41%
62%
90%
Door to CT Scan < 120 min.
67%
85%
Door to OR < 240 min.
55%
82%
Over all Mortality
37%
31%
20%

22. Easy numbers Total Thai Doctors 50,000 Total Thai Surgeons 5,000
Total Thai Neurosurgeons
10 % of Thai Surgeons
1% of Thai doctors
Quotes from some Foreign visitor in MICE industry that came to Thailand along the political crisis but it’s shown that Thailand remains a welcoming MICE destination and that it’s business as usual throughout the country.

24. Thai Neurosurgeon Total 460 Active 430 Female 18 (4%)
Working in Bangkok (45%)
Working outside Bangkok (55%)
Provincial hospital have NS 80%
Quotes from some Foreign visitor in MICE industry that came to Thailand along the political crisis but it’s shown that Thailand remains a welcoming MICE destination and that it’s business as usual throughout the country.

25. Training Institute Bangkok. 7 Chiangmai. 1 Pratumtani 1 Songkla
Training Institute Bangkok 7 Chiangmai 1 Pratumtani 1 Songkla 1 Khon Kaen 1

26. Current Status
Total 27 resident position/year
New neurosurgeons /year
Female neurosurgeons 3-5/year
Total Neurosurgeons 460
The country needs 400 more neurosurgeons

27. Full moon lunar day of the 3rd month for 3 days (Makabucha day)
Annual Meeting
Full moon lunar day of the 3rd month for 3 days
(Makabucha day)
20-22 February 2017

28. Thank You for your attention