Surgery and Trauma Care

Authors: Richard Gosselin, Anthony Charles, Manjul Joshipura, Nyengo Mkandawire, Charles Mock, Raymond Price, David Spiegel


Trauma care necessitates the rapid availability of trained personnel and readily available and sufficient equipment and supplies. Between 1.7 and 1.9 million lives, or 34–38 percent of all injury deaths in LMICs, could be saved if trauma care initiatives were designed and implemented for maximum effectiveness. The Essential Trauma Care Project established and prioritized a set of 11 essential trauma care services that should be made available to all injured patients. Areas that would benefit from improvement include transfer guidelines and rehabilitation services as well as patient safety initiatives. To achieve cost-effective treatment strategies, focus should be on the most commonly injured body regions and types of injuries: (1) head, neck, face, and spine: (2) thorax and abdomen: (3) pelvis and extremities; (4) burns; and (5) orthopedics.


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