CC BY 4.0 · Surg J (N Y) 2021; 07(04): e281-e285
DOI: 10.1055/s-0041-1732351
Review Article

Trauma Care in Low- and Middle-Income Countries

Dhurka Shanthakumar
1   Department of Surgery, Whipps Cross Hospital, London, United Kingdom
Anna Payne
2   Department of Surgery, Royal London Hospital, London, United Kingdom
Trish Leitch
3   Department of Surgery, St George's Hospital, London, United Kingdom
Maryam Alfa-Wali
2   Department of Surgery, Royal London Hospital, London, United Kingdom
› Institutsangaben
Funding None.


Background Trauma-related injury causes higher mortality than a combination of prevalent infectious diseases. Mortality secondary to trauma is higher in low- and middle-income countries (LMICs) than high-income countries. This review outlines common issues, and potential solutions for those issues, identified in trauma care in LMICs that contribute to poorer outcomes.

Methods A literature search was performed on PubMed and Google Scholar using the search terms “trauma,” “injuries,” and “developing countries.” Articles conducted in a trauma setting in low-income countries (according to the World Bank classification) that discussed problems with management of trauma or consolidated treatment and educational solutions regarding trauma care were included.

Results Forty-five studies were included. The problem areas broadly identified with trauma care in LMICs were infrastructure, education, and operational measures. We provided some solutions to these areas including algorithm-driven patient management and use of technology that can be adopted in LMICs.

Conclusion Sustainable methods for the provision of trauma care are essential in LMICs. Improvements in infrastructure and education and training would produce a more robust health care system and likely a reduction in mortality in trauma-related injuries.


Eingereicht: 28. Juli 2020

Angenommen: 21. Mai 2021

22. Oktober 2021 (online)

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (

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