title: Lessons learned from the casualties of war: battlefield medicine and its implication for global trauma care.
abstract: According to the Global Burden of Disease, trauma is now responsible for five million deaths each year. High-income countries have made great strides in reducing trauma-related mortality figures but low-middle-income countries have been left behind with high trauma-related fatality rates, primarily in the younger population. Much of the progress high-income countries have made in managing trauma rests on advances developed in their armed forces. This analysis looks at the recent advances in high-income military trauma systems and the potential transferability of those developments to the civilian health systems particularly in low-middle-income countries. It also evaluates some potential lifesaving trauma management techniques, proven effective in the military, and the barriers preventing these from being implemented in civilian settings.
authors: King's Centre for Global Health, King's College London, London SE5 9RJ, UK Catherine.chatfield-ball@kcl.ac.uk.
authors: Catherine
authors: C
authors: Chatfield-Ball
authors: University of Strathclyde Institute of Global Public Health at iPRI, Lyon, 69130 France International Prevention Research Institute, Lyon, 69130 France.
authors: Peter
authors: P
authors: Boyle
authors: University of Strathclyde Institute of Global Public Health at iPRI, Lyon, 69130 France International Prevention Research Institute, Lyon, 69130 France.
authors: Philippe
authors: P
authors: Autier
authors: King's Centre for Global Health, King's College London, London SE5 9RJ, UK.
authors: Sibylle Herzig
authors: SH
authors: van Wees
authors: Conflict & Health Research Group, King's Centre for Global Health, Kings College London, London SE5 9RJ, UK.
authors: Richard
authors: R
authors: Sullivan
mesh_terms: D000698:Analgesia; D001803:Blood Transfusion; D001930:Brain Injuries / Q000628:therapy; D003906:Developing Countries; D014943:Global Health; D006801:Humans; D007182:Income; D017148:Infusions, Intraosseous / Q000295:instrumentation; D008887:Military Medicine; D008952:Mobile Health Units; D012923:Social Class; D014111:Tourniquets; D014163:Transfer, Psychology; D014857:Warfare; D014947:Wounds and Injuries / Q000628:therapy
keywords: developing world; innovation; military; trauma