Global health, global surgery and mass casualties. I. Rationale for integrated mass casualty centres
It has been well-documented recently that 5 billion people globally lack surgical care. Also well-documented is the need to improve mass casualty disaster response. Many of the United Nations (UN) Sustainable Development Goals (SDGs) for 2030—healthcare and economic milestones—require significant im...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2019-12-01
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| Series: | BMJ Global Health |
| Online Access: | https://gh.bmj.com/content/4/6/e001943.full |
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| author | Rifat Latifi Kee B Park Haitham Shoman Lubna Samad Luke Caddell Patricia Garcia Tariq Khan Leonidas Quintana Sergio Aguilera Roxanna Garcia Robert Dempsey Jeffrey V Rosenfeld Corey Scurlock Montray Smith Laura Lippa Rashid Jooma Russell J Andrews |
| author_facet | Rifat Latifi Kee B Park Haitham Shoman Lubna Samad Luke Caddell Patricia Garcia Tariq Khan Leonidas Quintana Sergio Aguilera Roxanna Garcia Robert Dempsey Jeffrey V Rosenfeld Corey Scurlock Montray Smith Laura Lippa Rashid Jooma Russell J Andrews |
| author_sort | Rifat Latifi |
| collection | DOAJ |
| description | It has been well-documented recently that 5 billion people globally lack surgical care. Also well-documented is the need to improve mass casualty disaster response. Many of the United Nations (UN) Sustainable Development Goals (SDGs) for 2030—healthcare and economic milestones—require significant improvement in global surgical care, particularly in low-income and middle-income countries. Trauma/stroke centres evolved in high-income countries with evidence that 24/7/365 surgical and critical care markedly improved morbidity and mortality for trauma and stroke and for cardiovascular events, difficult childbirth, acute abdomen. Duplication of emergency services, especially civilian and military, often results in suboptimal, expensive care. By combining all healthcare resources within the ongoing healthcare system, more efficient care for both individual emergencies and mass casualty situations can be achieved. We describe progress in establishing mass casualty centres in Chile and Pakistan. In both locations, planning among the stakeholders (primarily civilian and military) indicates the feasibility of such integrated surgical and emergency care. We also review other programmes and initiatives to provide integrated mass casualty disaster response. Integrated mass casualty centres are a feasible means to improve both day-to-day surgical care and mass casualty disaster response. The humanitarian aspect of mass casualty disasters facilitates integration among stakeholders—from local healthcare systems to military resources to international healthcare organisations. The benefits of mass casualty centres—both healthcare and economic—can facilitate achieving the 2030 UN SDGs. |
| format | Article |
| id | doaj-art-1491de4f4145459190cac475bebd9e5d |
| institution | OA Journals |
| issn | 2059-7908 |
| language | English |
| publishDate | 2019-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Global Health |
| spelling | doaj-art-1491de4f4145459190cac475bebd9e5d2025-08-20T01:58:56ZengBMJ Publishing GroupBMJ Global Health2059-79082019-12-014610.1136/bmjgh-2019-001943Global health, global surgery and mass casualties. I. Rationale for integrated mass casualty centresRifat Latifi0Kee B Park1Haitham Shoman2Lubna Samad3Luke Caddell4Patricia Garcia5Tariq Khan6Leonidas Quintana7Sergio Aguilera8Roxanna Garcia9Robert Dempsey10Jeffrey V Rosenfeld11Corey Scurlock12Montray Smith13Laura Lippa14Rashid Jooma15Russell J Andrews16Surgery, Westchester Medical Center, Valhalla, New York, USAProgram in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA2 Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USACenter for Global Health Delivery Harvard Medical School, Dubai, United Arab EmiratesUniversity of Miami School of Medicine, Miami, Florida, USAprofessorDean and Chair of Neurosurgery, Northwest General Hospital and Research Centre, Peshawar, PakistanWorld Federation of Neurosurgical Societies, Nyon, SwitzerlandNeurosurgery, Almirante Nef Naval Hospital & Valparaiso University Hospital, Viña del Mar & Valparaiso, ChileNeurosurgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USANeurosurgery, University of Wisconsin–Madison School of Medicine and Public Health, Madison, Wisconsin, USAMajor General, Royal Australian Army Medical Corps, Melbourne, Victoria, AustraliaAnesthesiology, Internal Medicine, eHealth, Westchester Medical Center, Valhalla, New York, USAAssistant Professor & HSC Health and Social Justice Scholar, University of Louisville School of Nursing, Louisville, Kentucky, USANeurosurgery, Azienda Ospedaliera Universitaria Senese, Siena, Toscana, ItalyHealth Services, Government of Pakistan, Islamabad, Islamabad, PakistanWorld Federation of Neurosurgical Societies, Nyon, SwitzerlandIt has been well-documented recently that 5 billion people globally lack surgical care. Also well-documented is the need to improve mass casualty disaster response. Many of the United Nations (UN) Sustainable Development Goals (SDGs) for 2030—healthcare and economic milestones—require significant improvement in global surgical care, particularly in low-income and middle-income countries. Trauma/stroke centres evolved in high-income countries with evidence that 24/7/365 surgical and critical care markedly improved morbidity and mortality for trauma and stroke and for cardiovascular events, difficult childbirth, acute abdomen. Duplication of emergency services, especially civilian and military, often results in suboptimal, expensive care. By combining all healthcare resources within the ongoing healthcare system, more efficient care for both individual emergencies and mass casualty situations can be achieved. We describe progress in establishing mass casualty centres in Chile and Pakistan. In both locations, planning among the stakeholders (primarily civilian and military) indicates the feasibility of such integrated surgical and emergency care. We also review other programmes and initiatives to provide integrated mass casualty disaster response. Integrated mass casualty centres are a feasible means to improve both day-to-day surgical care and mass casualty disaster response. The humanitarian aspect of mass casualty disasters facilitates integration among stakeholders—from local healthcare systems to military resources to international healthcare organisations. The benefits of mass casualty centres—both healthcare and economic—can facilitate achieving the 2030 UN SDGs.https://gh.bmj.com/content/4/6/e001943.full |
| spellingShingle | Rifat Latifi Kee B Park Haitham Shoman Lubna Samad Luke Caddell Patricia Garcia Tariq Khan Leonidas Quintana Sergio Aguilera Roxanna Garcia Robert Dempsey Jeffrey V Rosenfeld Corey Scurlock Montray Smith Laura Lippa Rashid Jooma Russell J Andrews Global health, global surgery and mass casualties. I. Rationale for integrated mass casualty centres BMJ Global Health |
| title | Global health, global surgery and mass casualties. I. Rationale for integrated mass casualty centres |
| title_full | Global health, global surgery and mass casualties. I. Rationale for integrated mass casualty centres |
| title_fullStr | Global health, global surgery and mass casualties. I. Rationale for integrated mass casualty centres |
| title_full_unstemmed | Global health, global surgery and mass casualties. I. Rationale for integrated mass casualty centres |
| title_short | Global health, global surgery and mass casualties. I. Rationale for integrated mass casualty centres |
| title_sort | global health global surgery and mass casualties i rationale for integrated mass casualty centres |
| url | https://gh.bmj.com/content/4/6/e001943.full |
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