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Management of severe trauma worldwide: implementation of trauma systems in emerging countries: China, Russia and South Africa
As emerging countries, China, Russia, and South Africa are establishing and/or improving their trauma systems. China has recently established a trauma system named “the Chinese Regional Trauma Care System” and covered over 200 million populations. It includes paramedic-staffed pre-hospital care, in-...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8352140/ https://www.ncbi.nlm.nih.gov/pubmed/34372903 http://dx.doi.org/10.1186/s13054-021-03681-8 |
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author | Zhou, Jing Wang, Tianbing Belenkiy, Igor Hardcastle, Timothy Craig Rouby, Jean-Jacques Jiang, Baoguo |
author_facet | Zhou, Jing Wang, Tianbing Belenkiy, Igor Hardcastle, Timothy Craig Rouby, Jean-Jacques Jiang, Baoguo |
author_sort | Zhou, Jing |
collection | PubMed |
description | As emerging countries, China, Russia, and South Africa are establishing and/or improving their trauma systems. China has recently established a trauma system named “the Chinese Regional Trauma Care System” and covered over 200 million populations. It includes paramedic-staffed pre-hospital care, in-hospital care in certified trauma centers, trauma registry, quality assurance, continuous improvement and ongoing coverage of the entire Chinese territory. The Russian trauma system was formed in the first decade of the twenty-first century. Pre-hospital care is region-based, with a regional coordination center that determines which team will go to the scene and the nearest hospital where the victim should be transported. Physician-staffed ambulances are organized according to three levels of trauma severity corresponding to three levels of trauma centers where in-hospital care is managed by a trauma team. No national trauma registry exists in Russia. Improvements to the Russian trauma system have been scheduled. There is no unified trauma system in South Africa, and trauma care is organized by public and private emergency medical service in each province. During the pre-hospital care, paramedics provide basic or advanced life support services and transport the patients to the nearest hospital because of the limited number of trauma centers. In-hospital care is inclusive with a limited number of accredited trauma centers. In-hospital care is managed by emergency medicine with multidisciplinary care by the various specialties. There is no national trauma registry in South Africa. The South African trauma system is facing multiple challenges. An increase in financial support, training for primary emergency trauma care, and coordination of private sector, need to be planned. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13054-021-03681-8. |
format | Online Article Text |
id | pubmed-8352140 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-83521402021-08-10 Management of severe trauma worldwide: implementation of trauma systems in emerging countries: China, Russia and South Africa Zhou, Jing Wang, Tianbing Belenkiy, Igor Hardcastle, Timothy Craig Rouby, Jean-Jacques Jiang, Baoguo Crit Care Review As emerging countries, China, Russia, and South Africa are establishing and/or improving their trauma systems. China has recently established a trauma system named “the Chinese Regional Trauma Care System” and covered over 200 million populations. It includes paramedic-staffed pre-hospital care, in-hospital care in certified trauma centers, trauma registry, quality assurance, continuous improvement and ongoing coverage of the entire Chinese territory. The Russian trauma system was formed in the first decade of the twenty-first century. Pre-hospital care is region-based, with a regional coordination center that determines which team will go to the scene and the nearest hospital where the victim should be transported. Physician-staffed ambulances are organized according to three levels of trauma severity corresponding to three levels of trauma centers where in-hospital care is managed by a trauma team. No national trauma registry exists in Russia. Improvements to the Russian trauma system have been scheduled. There is no unified trauma system in South Africa, and trauma care is organized by public and private emergency medical service in each province. During the pre-hospital care, paramedics provide basic or advanced life support services and transport the patients to the nearest hospital because of the limited number of trauma centers. In-hospital care is inclusive with a limited number of accredited trauma centers. In-hospital care is managed by emergency medicine with multidisciplinary care by the various specialties. There is no national trauma registry in South Africa. The South African trauma system is facing multiple challenges. An increase in financial support, training for primary emergency trauma care, and coordination of private sector, need to be planned. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13054-021-03681-8. BioMed Central 2021-08-09 /pmc/articles/PMC8352140/ /pubmed/34372903 http://dx.doi.org/10.1186/s13054-021-03681-8 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Review Zhou, Jing Wang, Tianbing Belenkiy, Igor Hardcastle, Timothy Craig Rouby, Jean-Jacques Jiang, Baoguo Management of severe trauma worldwide: implementation of trauma systems in emerging countries: China, Russia and South Africa |
title | Management of severe trauma worldwide: implementation of trauma systems in emerging countries: China, Russia and South Africa |
title_full | Management of severe trauma worldwide: implementation of trauma systems in emerging countries: China, Russia and South Africa |
title_fullStr | Management of severe trauma worldwide: implementation of trauma systems in emerging countries: China, Russia and South Africa |
title_full_unstemmed | Management of severe trauma worldwide: implementation of trauma systems in emerging countries: China, Russia and South Africa |
title_short | Management of severe trauma worldwide: implementation of trauma systems in emerging countries: China, Russia and South Africa |
title_sort | management of severe trauma worldwide: implementation of trauma systems in emerging countries: china, russia and south africa |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8352140/ https://www.ncbi.nlm.nih.gov/pubmed/34372903 http://dx.doi.org/10.1186/s13054-021-03681-8 |
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