Prehospital trauma care systems - World Health Organization

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Acknowledgements reviewers, advisers and consultants whose dedication, support and expertise made this document possible.The document also benefited from the contributions of a number of other people. In particular, acknowledgement is made to Miriam Pinchuk for editing the final text; to Désirée Kogevinas for assistance with the preparation of the manuscript for printing; and to Pascale Lanvers-Casasola for administrative support. The World Health Organization also wishes to thank the following for their generous financial support to the process of developing this manual: the governments of Norway and Sweden, the FIA Foundation for the Automobile and Society, the United States Centers for Disease Control and Prevention and the United States Department of Transportation, National Highway Traffic Safety Administration. viii
1. Executive summary Injury is one of the leading causes of mortality and morbidity worldwide.The burden that injuries place upon societies is particularly large in countries with limited resources. The mission of the Department of Injuries and Violence Prevention at the World Health Organization (WHO) is not only to prevent injuries and violence but also to mitigate their consequences and enhance the quality of life of people with disabilities.The department recognizes that the prehospital care of people who have been injured is an important aspect of this goal, so a working group of experts was convened to draft a document outlining key concepts for developing prehospital trauma care systems.The document that follows embodies this vision. It is designed to promote the core values of simplicity, sustainability, practicality, efficiency and flexibility.The recommendations it contains are intended to be used by individuals and groups working at policy-development and implementation levels. Premise Some might argue that the measures proposed in this document are too basic. However, there is scant evidence that more advanced and costly approaches to prehospital care are inherently superior to less expensive but effective treatments. Considerable good may be accomplished by ensuring that severely injured people receive simple but lifesustaining care within minutes of injury. At the heart of this document is the notion that selected bystanders, community volunteers and other citizens with minimal training, working in concert with professional health-care providers and the formal medical care structures, can provide effective and sustainable prehospital trauma care, regardless of a nation’s level of resources. Core components Every effective prehospital care system must have certain core administrative and programmatic elements.When available, a country or region’s existing emergency medical service should be utilized and strengthened, with input from community leaders and members of the population that it serves.Various structural models of prehospital care systems exist.The one chosen for a particular locale should take into account local factors and resources. At the national level, a lead agency should be designated to 1
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Page 5 and 6: Contents Preface ..................
Page 7 and 8: Preface Injury is a major cause of
Page 9: Contributors Editors Scott Sasser,
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9. Ethical and legal considerations
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10. Conclusion This document descri
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Annex 1. Advanced prehospital traum
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References 1. Holder Y et al., eds.
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REFERENCES 34. Van Rooyen et al. In
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Selected readings 1. Ali J et al.Tr
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Prehospital trauma care systems - World Health Organization

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