India and the management of road crashes: Towards a national trauma system

Mark Fitzgerald, Yashbir Dewan, Gerard O'Reilly, Joseph Mathew, Carmel McKenna

Research output: Contribution to journalReview ArticleResearchpeer-review

25 Citations (Scopus)


Road trauma in India is a significant health and socio-economic burden which requires urgent attention. When compared to countries with established trauma systems, those injured in India have up to a six-fold higher mortality rate. The death rate would be reduced with better organized systems of trauma care. This is dependent on state authorities introducing systems that fund accident prevention along with the organized care of the injured. The goal of an effective trauma system should be to provide universal emergency care with equity of access. The belief that trauma care cannot be cost-effective in low-income settings needs to be refuted. Better planning will result in cost-effective improvements in patient outcomes. However, without protected and guaranteed funding schemes, the development of trauma systems in India will fail.

Original languageEnglish
Pages (from-to)226-232
Number of pages7
JournalIndian Journal of Surgery
Issue number4
Publication statusPublished - 1 Jul 2006
Externally publishedYes


  • Funding
  • Preventable death
  • Trauma systems

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