First Rwanda National Trauma Symposium 2019: Challenges and priorities

摘要

The global burden of trauma is enormous. Worldwide, nearly 5 million people die from trauma every year [ ]. Trauma accounts for 9% of global mortality, which is 1.7 times the number of deaths from HIV/AIDS, tuberculosis and malaria, combined [ ]. Trauma deaths are on the rise. The three-leading trauma-related causes of death are predicted to be among the leading 20 causes of death worldwide by 2030 [ ]. In both low-middle income (LMIC) and high-income (HIC) countries, road traffic injuries (RTI) rank as a leading cause of death for 5-44 year-olds [ ]. In addition, tens of millions of people suffer from injury-related disability leading to increased utilization of health care, an already limited resource in LMICs [ ]. The most common demographic to suffer from an RTI are males in the most productive years of their lives [ ]. The impact of these injured males impacts the entire family unit and community. The reasons that LMICs face so much disability and more than 90% of global trauma-related deaths are complex, including limited prehospital and emergency care, inadequate rehabilitation systems, on top of delicate social welfare and economic foundations [ - ].