TY - JOUR
T1 - Global health, global surgery and mass casualties
T2 - II. Mass casualty centre resources, equipment and implementation
AU - Aguilera, Sergio
AU - Quintana, Leonidas
AU - Khan, Tariq
AU - Garcia, Roxanna
AU - Shoman, Haitham
AU - Caddell, Luke
AU - Latifi, Rifat
AU - Park, Kee B.
AU - Garcia, Patricia
AU - Dempsey, Robert
AU - Rosenfeld, Jeffrey V.
AU - Scurlock, Corey
AU - Crisp, Nigel
AU - Samad, Lubna
AU - Smith, Montray
AU - Lippa, Laura
AU - Jooma, Rashid
AU - Andrews, Russell J.
N1 - Publisher Copyright:
© Author(s) (or their employer(s)) 2020.
PY - 2020/1/13
Y1 - 2020/1/13
N2 - 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-operated CT scanners). The co-ordination of personnel (within LMICs, and between LMICs and HICs) and the integration of cost-effective advanced technology are features of MCCs. Providing quality, cost-effective care 24/7/365 to the 5 billion who lack it presently makes MCCs an appealing means to achieve the healthcare-related United Nations Sustainable Development Goals for 2030.
AB - 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-operated CT scanners). The co-ordination of personnel (within LMICs, and between LMICs and HICs) and the integration of cost-effective advanced technology are features of MCCs. Providing quality, cost-effective care 24/7/365 to the 5 billion who lack it presently makes MCCs an appealing means to achieve the healthcare-related United Nations Sustainable Development Goals for 2030.
KW - disaster response resources
KW - global surgery
KW - integrated healthcare
KW - national healthcare plans
KW - resilient/mobile healthcare facilities
KW - telemedicine and drones
UR - http://www.scopus.com/inward/record.url?scp=85078246797&partnerID=8YFLogxK
U2 - 10.1136/bmjgh-2019-001945
DO - 10.1136/bmjgh-2019-001945
M3 - Review article
AN - SCOPUS:85078246797
SN - 2059-7908
VL - 5
JO - BMJ Global Health
JF - BMJ Global Health
IS - 1
M1 - e001945
ER -
