Lessons learned from the casualties of war: battlefield medicine and its implication for global trauma care

J R Soc Med. 2015 Mar;108(3):93-100. doi: 10.1177/0141076815570923.

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.

Keywords: developing world; innovation; military; trauma.

Publication types

  • Review

MeSH terms

  • Analgesia
  • Blood Transfusion
  • Brain Injuries / therapy
  • Developing Countries
  • Global Health
  • Humans
  • Income
  • Infusions, Intraosseous / instrumentation
  • Military Medicine*
  • Mobile Health Units
  • Social Class
  • Tourniquets
  • Transfer, Psychology
  • Warfare*
  • Wounds and Injuries* / therapy