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BACKGROUND: Trauma has become a major cause of death and disability in developing countries. Most trauma patients receive initial care at general practitioner-staffed primary health center. We hypothesize that health professionals could improve their knowledge of trauma care after attending an educational course. METHODS: A trauma management was conducted to health care professionals. A pre-course test was given to assess baseline trauma knowledge. The core didactic sessions included: resuscitation/recognition of shock states, airway prioritization, and evaluation/initial management of head, cardiothoracic, abdominal, pelvic/genitourinary, and thermal injuries. A post-course test was used to assess trauma knowledge obtained from the course. Paired t tests were performed on the test scores and demographic data were stratified by specialty and training status. 
RESULTS: Of the 44 participants, 32 (72%) met study inclusion criteria. The study population was 62.5% male with 47% health professionals and 53% paramedics.  other were 71.8% of the entire group. Overall, the pre- and post- course scores improved from 70.7% +/-11.2 to 87.5% +/-8.9, P = 0.000 (95%CI 12.1, 21.2). There was an increase of mean scores: 21.4% (SD +/-13.7) for health professions and 11.3% (SD +/-8.5) for paramedics (P = 0.02). 
CONCLUSION: Although Health professionals had significantly higher pre-course scores than paramedics, at the end of the course, health professionals performed as well as paramedics. These findings suggest allocation of limited educational resources for trauma care in Nepal may be best used by health professionals.

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