Dania Aijaz Shah, Adil Aijaz Shah.
The decrepit state of trauma care in under-developed healthcare settings.
J Pak Med Assoc Jan ;64(10):1217-1217.

The escalating number of deaths attributed to injuries in developing countries approximates 90% of trauma-related mortality worldwide.1 Trauma burdens the fragile economic and health environments of developing nations, especially when survival culminates into permanent disability of individuals that contribute to the workforce.1 Timely and adequate provision of trauma care determines the survival and functional outcomes of trauma patients — factors which are grossly overlooked in under-developed healthcare settings. Injuries are difficult to address in developing countries because of undeveloped trauma care facilities, untrained healthcare personnel and dearth of basic life support systems. Few clinical facilities consist of an emergency department, solely dedicated to serve trauma patients.2 Absence of multidisciplinary trauma teams and surgeons often deters these hospitals from tending to complex trauma cases.2,3 Patients are often transferred to higher-volume facilities which contributes to significant delays in care and increases risk of major complications and poor outcomes.3

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