Prehospital trauma care systems - World Health Organization

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PREHOSPITAL TRAUMA CARE SYSTEMS Governments can enhance their health-care capacity and improve access to care for a wide range of emergency problems and conditions by closely linking these systems to the existing public health and health-care infrastructures in their countries. In the pages that follow, we describe a simple but effective approach that can be taken to achieve this goal. 4
2. Introduction 2.1 Injury prevention and control: the magnitude of the problem Every year, approximately 5 million people worldwide die from injuries (1). In 2002, road traffic-related injuries, self-inflicted injuries, interpersonal violence, burns and drowning were among the 15 leading causes of death occurring among people aged between 5 years and 44 years (Table 1) (2). In addition to the millions who die each year, millions more are temporarily or permanently disabled.This toll is expected to increase in coming years (3). Injuries, whether due to road traffic crashes, violence or other causes, affect not only the immediate victim, but also his or her family and members of the surrounding community. Injuries exact a large societal and economic toll on society.The economic burden of injury is great – both in terms of the direct costs of medical care and the indirect economic costs of premature death and disability.This burden is magnified when one or more family members are forced to leave work to care for a disabled family member or relative. Countless hours of productivity are lost as family, friends and society adapt to the death or disability of loved ones. Rates of injury are high, particularly in the developing world. Numerous factors contribute to the high rate of injury in developing countries.These include, but are not limited to, hazardous environments and workplaces, income and gender inequalities, poorly designed roads, inadequate enforcement of traffic regulations, poorly maintained motor vehicles, alcohol abuse, lack of efficient emergency medical response systems and overburdened health-care infrastructures. 5
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Page 5 and 6: Contents Preface ..................
Page 7 and 8: Preface Injury is a major cause of
Page 9 and 10: Contributors Editors Scott Sasser,
Page 11 and 12: 1. Executive summary Injury is one
Page 13: 1. EXECUTIVE SUMMARY Examples of th
Page 17 and 18: 2. INTRODUCTION The incidents that
Page 19 and 20: 2. INTRODUCTION While advanced syst
Page 21 and 22: 2. INTRODUCTION care manuals teach
Page 23 and 24: 3. Designing and administering the
Page 25 and 26: 3. DESIGNING AND ADMINISTERING THE
Page 27 and 28: 3. DESIGNING AND ADMINISTERING THE
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Page 47 and 48: 6. Documenting care A high quality
Page 49 and 50: 7. Transportation and communication
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Page 61 and 62: 9. Ethical and legal considerations
Page 63 and 64: 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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63 1.TITRE
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Prehospital trauma care systems - World Health Organization

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