Surgery and Trauma Care
Authors: Richard Gosselin, Anthony Charles, Manjul Joshipura, Nyengo Mkandawire, Charles Mock, Raymond Price, David Spiegel
The burden of death and disability attributable to lack of access to surgical care for traumatic injuries, as well as of nontraumatic chronic conditions and soft tissue and bone infections, falls most heavily on people in low- and middle-income countries (LMICs) (Ozgediz and others 2008; Spiegel and others 2008). Human and technical capacities are insufficient to address the existing burden of injuries in these countries. Selected surgical interventions for trauma have proven cost- effective in these settings, and innovative low-cost programs and interventions have improved trauma care outcomes at individual hospitals. It is critical that LMICs create or strengthen existing trauma systems to improve outcomes. Identifying effective and cost-effective interventions and strategies to inform the future direction of these resource-challenged countries is an essential step in this process.