Prehospital trauma systems reduce mortality in developing countries

Abstract

Meta-analysis, level III+.

Time intervals in the treatment of fractured femurs as indicators of the quality of trauma systems

“…34 Pre-hospital time has been examined in various forms for other traumatic injuries in previous studies. 5,7,10,26 It has been shown thatfor high-velocity trauma -the earlier a patient receives initial treatment, the better the outcome. [34][35][36] The longest times from injury to admission occurred in hospital systems in low-income countries that did not have adequate resources available for the initiation of emergency medical services in the field.…”

“…Pre-hospital time has been reported as a valid quality indicator in other research articles but not specifically for patients with fractured femurs. 5,26 The admission to surgery interval is affected by in-hospital variables such as the availability of human resources and essential equipment and the hospital infrastructure. 27 The final surgery to discharge interval may be affected by medication availability, nursing care, rehabilitation and the postoperative availability of social services.…”

Wilderness First Aid Training as a Tool for Improving Basic Medical Knowledge in South Sudan

“…5 Basic first aid administered at the scene of an injury has been shown to decrease morbidity and mortality. [7][8][9] The challenges presented by traumatic injuries are especially acute in South Sudan. The population exceeds 11 million people, 83% of whom live in rural areas.…”

Comparative analysis of three prehospital emergency medical services organizations in India and Pakistan

“…With growing morbidity and mortality caused by non-communicable diseases and injuries in LMICs, emergency services, including pre-hospital care, are urgently required in order to prevent needless death and disability [5, 6]. Pre-hospital care is essential to achieving such a goal, as highlighted in a recent systematic review which showed that the availability of pre-hospital trauma systems in LMICs resulted in a 25% reduction in trauma-related mortality [7]. …”