Strengthening Care For The Injured

"Injury accounts for a significant proportion of the world's burden of disease. Each year 5.8 million people die from injury and millions more are disabled. The response to this global health problem needs to include a range of activities, from better surveillance to more in-depth research, and primary prevention. Also needed are efforts to strengthen care of the injured. The World Health Organization (WHO) has responded to this need with a variety of actions. It has supported countries in setting up trauma care programmes and in developing their capacity to care for the injured. It has also developed, in consultation with global experts, guidelines to assist with the organization and planning of trauma care, such as Prehospital trauma care systems, Guidelines for essential trauma care, and Guidelines for trauma quality improvement programmes. These publications have been used in many countries and have helped to stimulate 'on the ground' improvements and policy changes. Through this publication, WHO seeks to increase communication and the exchange of ideas among those working in the field of trauma care, whether in the prehospital setting, in acute care in hospitals, or in longer term rehabilitation; to increase communication among those involved in planning, administering, advocating for, or directly providing trauma care services; and to increase communication among those working in the field of trauma care in different countries worldwide." - p. iii.

Developed by WHO and the International Committee of the Red Cross in collaboration with the International Federation for Emergency Medicine Basic Emergency Care (BEC): Approach to the acutely ill and injured is an open-access training course for frontline healthcare providers who manage acute illness and injury with limited resources. BEC teaches a systematic approach to the initial assessment and management of time-sensitive conditions where early intervention saves lives. It includes modules on: the ABCDE and SAMPLE history approach trauma difficulty in breathing shock and altered mental status. The practical skills section covers the essential time-sensitive interventions for these key acute presentations. The BEC package includes a Participant Workbook and electronic slide decks for each module. BEC integrates the guidance from WHO Emergency Triage Assessment and Treatment (ETAT) for children WHO Pocket Book of Hospital Care for Children WHO Integrated Management of Pregnancy and Childbirth and the Integrated Management of Adult/Adolescent Illness (IMAI).

As the culminating volume in the DCP3 series, volume 9 will provide an overview of DCP3 findings and methods, a summary of messages and substantive lessons to be taken from DCP3, and a further discussion of cross-cutting and synthesizing topics across the first eight volumes. The introductory chapters (1-3) in this volume take as their starting point the elements of the Essential Packages presented in the overview chapters of each volume. First, the chapter on intersectoral policy priorities for health includes fiscal and intersectoral policies and assembles a subset of the population policies and applies strict criteria for a low-income setting in order to propose a "highest-priority" essential package. Second, the chapter on packages of care and delivery platforms for universal health coverage (UHC) includes health sector interventions, primarily clinical and public health services, and uses the same approach to propose a highest priority package of interventions and policies that meet similar criteria, provides cost estimates, and describes a pathway to UHC.

Injuries are the leading cause of death and disability among people under age 35 in the United States. Despite great strides in injury prevention over the decades, injuries result in 150,000 deaths, 2.6 million hospitalizations, and 36 million visits to the emergency room each year. Reducing the Burden of Injury describes the cost and magnitude of the injury problem in America and looks critically at the current response by the public and private sectors, including: Data and surveillance needs. Research priorities. Trauma care systems development. Infrastructure support, including training for injury professionals. Firearm safety. Coordination among federal agencies. The authors define the field of injury and establish boundaries for the field regarding intentional injuries. This book highlights the crosscutting nature of the injury field, identifies opportunities to leverage resources and expertise of the numerous parties involved, and discusses issues regarding leadership at the federal level.

Gun violence—intentional, self-directed or accidental—is a profoundly traumatic experience. From physical injuries to unseen psychological scars and permanent impairments, it irrevocably changes people’s lives. Gun violence does not just the individual shot or threatened. Secondary victimisation also includes relatives, friends, colleagues, caregivers, and, perhaps controversially, perpetrators themselves. Gun Violence, Disability and Recovery provides the first overview of the rights and needs of survivors of gun violence. The collection contains contributions from gun violence survivors, trauma surgeons, disability rights activists, rehabilitation specialists, violence prevention and reduction experts, development practitioners, and gender justice advocates. From countries with low resource levels to those already equipped with state-of-the-art rehabilitation centres, this innovative publication provides policymakers, practitioners, government officials, and donors with timely analysis on what could be done differently to meet the needs and rights of survivors of gun violence. “This volume speaks to me both as a government official and as a survivor of gun violence. I know first-hand how painful the aftermath of such a life-changing event can be. But I also know it is possible to recover and make a positive difference in society. I hope this book will inspire other survivors to follow this path.” Lenín Moreno Garcés, Vice President, Ecuador “Little attention has been paid to the fact that for every person killed by gun violence, as many as six victims will survive, often with severe disabilities. The long-term physical and psychological damage, social and economic impacts, can no longer be overlooked. Bringing together voices of survivors, as well as health, medical, rehabilitation and legal concerns, this book represents a significant step forward, outlining key issues for policy, practice and intervention. It is a must read for anyone concerned about human rights and violence—and that should mean all of us.” Nora Ellen Groce, Director, Leonard Cheshire Disability & Inclusive Development Centre, University College London, UK “Every year, hundreds of thousands of victims of gun violence, together with their families, experience the real costs of the availability and misuse of arms in our communities. For these victims to attain their basic human rights, so often denied them, we need a better understanding of their predicament, challenges and needs. Gun Violence, Disability and Recovery, with its comprehensive overview and analysis, will critically inform our efforts to develop and implement better policies and practices to enhance the realisation of the rights of survivors of armed violence, including implementation of the Arms Trade Treaty.” Espen Barth Eide, former Minister of Foreign Affairs, Norway “The reality of survivors of gun violence—my reality—is so often lost in narrow political and economic interests. This volume gives me hope that attention to life after gun violence will begin to receive long overdue attention, and contribute to the long haul effort of improving services for survivors as well as working towards accountability about the arms trade.” Shelley Barry, filmmaker, South Africa “International development goals, including the Millennium Development Goals, will not be achieved if the rights of people with disabilities are not met. Through a broad range of case studies and examples from low and middle income countries, this book shows us how States could do better. Let us hope that its message is heard. As a

In order to promote greater implementation of effective, affordable and sustainable trauma systems globally, the World Health Organization and the International Association for Trauma Surgery and Intensive Care have worked collaboratively to produce these guidelines on trauma quality improvement. The response to the growing problem of injury needs to include the improvement of care of the injured. Quality improvement (QI) programs offer an affordable and sustainable means to implement such improvements. These programs enable health care institutions to better monitor trauma care services, better detect problems in care, and more effectively enact and evaluate corrective measures targeted at these problems. The goal of this publication is to give guidance on ways in which health care institutions globally can implement QI programs oriented to strengthening care of the injured. This guidance is intended to be universally applicable to all countries, no matter what their economic level. These guidelines provide basic definitions and an overview of the field of QI, so that those not familiar with this field will have a working knowledge of it. Evidence of the benefit of QI in general and trauma QI in particular is then laid out. The main part of the publication reviews the most common methods of trauma QI, written in a how-do-to fashion. This covers a wide range of techniques. The first two of these are especially emphasized as ways in which to strengthen trauma QI in the setting of low-income and middle-income countries.

Injury is an increasingly significant health problem throughout the world, accounting for 16 per cent of the global burden of disease. The public health burden of death and disability from injury is particularly notable in low and middle income countries. These guidelines seek to establish practical and affordable standards applicable to injury or trauma care worldwide, whether in rural health posts, small hospitals, hospitals staffed by specialists or tertiary care centres. It sets out a list of key trauma treatment services designed to be achievable in all settings, and defines the various human and physical resources required. It also includes a number of recommendations for methods to promote such standards including training, performance improvement, trauma team organisation and hospital inspection.

Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.