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Título:
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Global health, global surgery and mass casualties: II. Mass casualty centre resources, equipment and implementation
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Autores:
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Aguilera, Sergio ;
Quintana, Leonidas ;
Khan, Tariq ;
Garcia, Roxanna ;
Shoman, Haitham ;
Caddell, Luke ;
Latifi, Rifat ;
Park, Kee B. ;
Garcia, Patricia ;
Dempsey, Robert ;
Rosenfeld, Jeffrey V. ;
Scurlock, Corey ;
Crisp, Nigel ;
Samad, Lubna ;
Smith, Montray ;
Lippa, Laura ;
Jooma, Rashid ;
Andrews, Russell J.
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Tipo de documento:
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texto impreso
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Editorial:
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BMJ Publishing Group, 2020-07-14T00:00:52Z
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Nota general:
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info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
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Idiomas:
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Inglés
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Palabras clave:
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Editados por otras instituciones
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Artículos
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Artículos en revistas indizadas
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Resumen:
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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.
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En línea:
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http://repositorio.upch.edu.pe/handle/upch/8215
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