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

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dc.contributor.author Aguilera, Sergio
dc.contributor.author Quintana, Leonidas
dc.contributor.author Khan, Tariq
dc.contributor.author Garcia, Roxanna
dc.contributor.author Shoman, Haitham
dc.contributor.author Caddell, Luke
dc.contributor.author Latifi, Rifat
dc.contributor.author Park, Kee B.
dc.contributor.author Garcia, Patricia
dc.contributor.author Dempsey, Robert
dc.contributor.author Rosenfeld, Jeffrey V.
dc.contributor.author Scurlock, Corey
dc.contributor.author Crisp, Nigel
dc.contributor.author Samad, Lubna
dc.contributor.author Smith, Montray
dc.contributor.author Lippa, Laura
dc.contributor.author Jooma, Rashid
dc.contributor.author Andrews, Russell J.
dc.date.accessioned 2020-07-14T00:00:52Z
dc.date.available 2020-07-14T00:00:52Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/20.500.12866/8215
dc.description.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-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. en_US
dc.language.iso eng
dc.publisher BMJ Publishing Group
dc.relation.ispartof urn:issn:2059-7908
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject disaster response resources en_US
dc.subject global surgery en_US
dc.subject integrated healthcare en_US
dc.subject national healthcare plans en_US
dc.subject resilient/mobile healthcare facilities en_US
dc.subject telemedicine and drones en_US
dc.title Global health, global surgery and mass casualties: II. Mass casualty centre resources, equipment and implementation en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1136/bmjgh-2019-001945
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE


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