Low-Cost Improvements in Prehospital Trauma Care in a Latin American City

Arreola-Risa, Carlos; Mock, Charles; Lojero-Wheatly, L; Cruz, Oscar; García, Carlos Gil; Canavati-Ayub, F; Jurkovich, Gregory J.

doi:10.1097/00005373-200001000-00020

Cited by 133 publications

(106 citation statements)

References 10 publications

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“…Studies from other low-and middle-income countries have shown that prehospital trauma training programs can reduce mortality [6,23,24]. The same was shown for hospital-based care from Trinidad where regular implementation of an ATLS-course led to reduced mortality in severely injured patients [25].…”

Section: Staffing and Trainingmentioning

confidence: 82%

Trauma Care in Africa: A Status Report From Botswana, Guided by the World Health Organization’s “Guidelines for Essential Trauma Care”

et al. 2012

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Section: Staffing and Trainingmentioning

confidence: 82%

Trauma Care in Africa: A Status Report From Botswana, Guided by the World Health Organization’s “Guidelines for Essential Trauma Care”

et al. 2012

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“…Two reports specifically addressed the impact of establishing or reorganizing dispatch systems to improve access to care. In Monterrey, Mexico, an increase from 2 to 4 ambulance dispatch stations decreased mean response time by 40%; coupled with training, these prehospital care improvements cost only US$77,600 per year (16% of the annual system budget) (13). A new dispatch algorithm implemented in Tehran, Iran (Islamic Republic of ), improved utilization of existing resources and resulted in a 16% decrease in unnecessary trauma responses (7).…”

Section: Records After Abstract Screening (N = 163)mentioning

confidence: 99%

“…Reynolds et al Process (3,5,6,9,12,13,14,15,20,21,46,50,53,54,57,64,67,68,69,71,86,93,103) 23 (32) Clinical or population health outcome (3,4,12,14,15,16,17,18,19,22,23,24,28,29,35,36,41,42,43,45,48,49,53,54,57,59,60,61,64,…”

mentioning

confidence: 99%

The Impact of Trauma Care Systems in Low- and Middle-Income Countries

Reynolds

Stewart

Drewett

et al. 2017

Annu. Rev. Public Health

140

120

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Injury is a leading cause of death globally, and organized trauma care systems have been shown to save lives. However, even though most injuries occur in low-and middle-income countries (LMICs), most trauma care research comes from high-income countries where systems have been implemented with few resource constraints. Little context-relevant guidance exists to help policy makers set priorities in LMICs, where resources are limited and where trauma care may be implemented in distinct ways. We have aimed to review the evidence on the impact of trauma care systems in LMICs through a systematic search of 11 databases. Reports were categorized by intervention and outcome type and summarized. Of 4,284 records retrieved, 71 reports from 32 countries met inclusion criteria. Training, prehospital systems, and overall system organization were the most commonly reported interventions. Quality-improvement, costing, rehabilitation, and legislation and governance were relatively neglected areas. Included reports may inform trauma care system planning in LMICs, and noted gaps may guide research and funding agendas.

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“…33 In middle-income settings where emergency medical services do exist, relatively low-cost interventions could have a substantial impact on improving prehospital trauma care such as a wider geographical distribution of ambulance dispatch and further training for ambulance staff which have been shown to be highly effective in Latin America. 35 …”

Section: First Aid Training For Traumamentioning

confidence: 99%

Lessons learned from the casualties of war: battlefield medicine and its implication for global trauma care

et al. 2015

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SummaryAccording to the Global Burden of Disease, trauma is now responsible for five million deaths each year. High-income countries have made great strides in reducing traumarelated mortality figures but low-middle-income countries have been left behind with high trauma-related fatality rates, primarily in the younger population. Much of the progress high-income countries have made in managing trauma rests on advances developed in their armed forces. This analysis looks at the recent advances in high-income military trauma systems and the potential transferability of those developments to the civilian health systems particularly in lowmiddle-income countries. It also evaluates some potential lifesaving trauma management techniques, proven effective in the military, and the barriers preventing these from being implemented in civilian settings.

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Low-Cost Improvements in Prehospital Trauma Care in a Latin American City

Cited by 133 publications

References 10 publications

Trauma Care in Africa: A Status Report From Botswana, Guided by the World Health Organization’s “Guidelines for Essential Trauma Care”

Trauma Care in Africa: A Status Report From Botswana, Guided by the World Health Organization’s “Guidelines for Essential Trauma Care”

The Impact of Trauma Care Systems in Low- and Middle-Income Countries

Lessons learned from the casualties of war: battlefield medicine and its implication for global trauma care

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