Evidence map›Paper›PMID 32133170›Full record

ReviewBMJ global health2020

Global health, global surgery and mass casualties: II. Mass casualty centre resources, equipment and implementation.

Sergio Aguilera, Leonidas Quintana, Tariq Khan, Roxanna Garcia, Haitham Shoman, Luke Caddell, Rifat Latifi, Kee B Park, Patricia Garcia, Robert Dempsey and 8 more

Abstract readReview
In one paragraph

Review in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Review
  2. Review
  3. Prehospital stroke care in low- and middle-income countries: A World Stroke Organization (WSO) scientific statement.International journal of stroke : official journal of the International Stroke Society · 2025
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Sergio AguileraNeurosurgery, Almirante Nef Naval Hospital & Valparaíso University, Viña del Mar, Valparaíso, Chile.
Leonidas QuintanaNeurosurgery, Valparaiso University School of Medicine, Valparaiso, Chile.
Tariq KhanWorld Federation of Neurosurgical Societies, Nyon, Switzerland.
Roxanna GarciaNeurosurgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Haitham ShomanProgram in Global Surgery and Social Change, Harvard Medical School Department of Global Health and Social Medicine, Boston, Massachusetts, USA.ORCID 0000-0003-3408-7020
Luke CaddellProgram in Global Surgery and Social Change, Harvard Medical School Department of Global Health and Social Medicine, Boston, Massachusetts, USA.
Rifat LatifiSurgery, New York Medical College, Valhalla, New York, USA.
Kee B ParkProgram in Global Surgery and Social Change, Harvard Medical School Department of Global Health and Social Medicine, Boston, Massachusetts, USA.
Patricia GarciaSchool of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru.
Robert DempseyNeurosurgery, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USA.
Jeffrey V RosenfeldNeurosurgery, Alfred Hospital, Melbourne, Victoria, Australia.
Corey ScurlockAnesthesiology, Internal Medicine, eHealth, Westchester Medical Center, Valhalla, New York, USA.
Nigel CrispHouse of Lords Parliamentary Group on Global Health, London, UK.
Lubna SamadDirector, Centre for Essential Surgical Network, Indus Health Network, Karachi, Sindh, Pakistan.
Montray SmithAssistant Professor & HSC Health and Social Justice Scholar, University of Louisville School of Nursing, Louisville, Kentucky, USA.
Laura LippaNeurosurgery, Azienda Ospedaliera Universitaria Senese, Siena, Toscana, Italy.
Rashid JoomaNeurosurgery, Aga Khan University, Karachi, Sindh, Pakistan.
Russell J AndrewsWorld Federation of Neurosurgical Societies, Nyon, Switzerland.ORCID 0000-0003-1771-1768

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trauma/stroke centres optimise acute 24/7/365 surgical/critical care in high-income countries (HICs). Concepts from low-income and middle-income countries (LMICs) offer additional cost-effective healthcare strategies for limited-resource settings when combined with the trauma/stroke centre concept. Mass casualty centres (MCCs) integrate resources for both routine and emergency care-from prevention to acute care to rehabilitation. Integration of the various healthcare systems-governmental, non-governmental and military-is key to avoid both duplication and gaps. With input from LMIC and HIC personnel of various backgrounds-trauma and subspecialty surgery, nursing, information technology and telemedicine, and healthcare administration-creative solutions to the challenges of expanding care (both daily and disaster) are developed. MCCs are evolving initially in Chile and Pakistan. Technologies for cost-effective healthcare in LMICs include smartphone apps (enhance prehospital care) to electronic data collection and analysis (quality improvement) to telemedicine and drones/robots (support of remote regions and resource optimisation during both daily care and disasters) to resilient, mobile medical/surgical facilities (eg, battery-operated CT scanners). The co-ordination of personnel (within LMICs, and between LMICs and HICs) and the integration of cost-effective advanced technology are features of MCCs. Providing quality, cost-effective care 24/7/365 to the 5 billion who lack it presently makes MCCs an appealing means to achieve the healthcare-related United Nations Sustainable Development Goals for 2030.

Indexed as

disaster response resourcesglobal surgeryintegrated healthcarenational healthcare plansresilient/mobile healthcare facilitiestelemedicine and drones

Identifiers

PMID32133170
PMCPMC7042577

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.