Global health, global surgery and mass casualties: II. Mass casualty centre resources, equipment and implementation

BMJ Global Health
Sergio AguileraRussell J Andrews

Abstract

Trauma/stroke centres optimise acute 24/7/365 surgical/critical care in high-income countries (HICs). Concepts from low-income and middle-income countries (LMICs) offer additional cost-effective healthcare strategies for limited-resource settings when combined with the trauma/stroke centre concept. Mass casualty centres (MCCs) integrate resources for both routine and emergency care-from prevention to acute care to rehabilitation. Integration of the various healthcare systems-governmental, non-governmental and military-is key to avoid both duplication and gaps. With input from LMIC and HIC personnel of various backgrounds-trauma and subspecialty surgery, nursing, information technology and telemedicine, and healthcare administration-creative solutions to the challenges of expanding care (both daily and disaster) are developed. MCCs are evolving initially in Chile and Pakistan. Technologies for cost-effective healthcare in LMICs include smartphone apps (enhance prehospital care) to electronic data collection and analysis (quality improvement) to telemedicine and drones/robots (support of remote regions and resource optimisation during both daily care and disasters) to resilient, mobile medical/surgical facilities (eg, battery-ope...Continue Reading

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Citations

May 16, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Rifat Latifi, Charles R Doarn
Mar 27, 2021·Annual Review of Biomedical Engineering·Juan P WachsSamuel A Tisherman

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