@article{ee76d637673d4ccf85e0fbab4f58c352,
title = "Global health, global surgery and mass casualties. I. Rationale for integrated mass casualty centres",
abstract = "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.",
keywords = "health economics, health policy, injury, surgery, traumatology",
author = "Tariq Khan and Leonidas Quintana and Sergio Aguilera and Roxanna Garcia and Haitham Shoman and Luke Caddell and Rifat Latifi and Park, {Kee B.} and Patricia Garcia and Robert Dempsey and Rosenfeld, {Jeffrey V.} and Corey Scurlock and Nigel Crisp and Lubna Samad and Montray Smith and Laura Lippa and Rashid Jooma and Andrews, {Russell J.}",
note = "Funding Information: 1Chair, Neurotrauma Committee, World Federation of Neurosurgical Societies, Nyon, Switzerland 2Dean and Chair of Neurosurgery, Northwest General Hospital and Research Centre, Peshawar, Pakistan 3Neurosurgery, Valparaiso University School of Medicine, Valparaiso, Chile 4World Federation of Neurosurgical Societies, Nyon, Switzerland 5Neurosurgery, Almirante Nef Naval Hospital & Valparaiso University Hospital, Vi{\~n}a del Mar & Valparaiso, Chile 6Neurosurgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA 7Program in Global Surgery and Social Change, Harvard Medical School Department of Global Health and Social Medicine, Boston, Massachusetts, USA 8Chair, Department of Surgery, New York Medical College, Valhalla, New York, USA 9Founder & President, International Virtual eHospital Foundation, Hope, Idaho, USA 10Professor, School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru 11Former Minister of Health, Peru 12Professor & Chair, Neurosurgery, University of Wisconsin Madison School of Medicine and Public Health, Madison, Wisconsin, USA 13Chair, Foundation for International Education in Neurological Surgery, Madison, Wisconsin, USA 14Senior Neurosurgeon, Alfred Hospital, Melbourne, Victoria, Australia 15Major General, Royal Australian Army Medical Corps, Melbourne, Victoria, Australia 16Professor Anesthesiology/Internal Medicine & Director e-Health, Westchester Medical Center, Valhalla, New York, USA 17Co-Chair, House of Lords Parliamentary Group on Global Health, London, UK 18Co-Chair, Nursing Now, London, UK 19Director, Center for Essential Surgical Network, Indus Health Network, Karachi, Sindh, Pakistan 20Center for Global Health Delivery Harvard Medical School, Dubai, United Arab Emirates 21Assistant Professor and Health & Social Justice Scholar, University of Louisville School of Nursing, Louisville, Kentucky, USA 22Neurosurgery, Azienda Ospedaliera Universitaria Senese, Siena, Toscana, Italy 23Neurosurgery, Aga Khan University, Karachi, Sindh, Pakistan 24Former Director General of Health Services, Government of Pakistan, Islamabad, Pakistan 25Nanotechnology & Smart Systems, NASA Ames Research Center, Moffett Field, California, USA Publisher Copyright: {\textcopyright} 2019 Author(s).",
year = "2019",
month = dec,
day = "22",
doi = "10.1136/bmjgh-2019-001943",
language = "English",
volume = "4",
journal = "BMJ Global Health",
issn = "2059-7908",
publisher = "BMJ",
number = "6",
}