Evidence map›Paper›PMID 40235927›Full record

ReviewResuscitation plus2025

Strengthening trauma resuscitation education and training in low-resource settings: A call for global inclusion.

Ileana Lulic, Carlos Mesquita, Dinka Lulic, Romeo Lages Simões, Luís Ferreira, Piotr Koleda, Sérgio Baptista, Henrique Alexandrino, Thiago Rodrigues Calderan, Vanessa Henriques Carvalho and 6 more

Abstract readReview
In one paragraph

Review in Resuscitation plus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Trauma Surgeons' Impactful Last Half Century.World journal of surgery · 2026
    Review
  3. Article
  4. Article
  5. 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

16 authors.

Ileana LulicDepartment of Anesthesiology, Intensive Care and Pain Medicine, Clinical Hospital Merkur, Zajceva 19, 10 000 Zagreb, Croatia.
Carlos MesquitaLusitanian Association for Trauma and Emergency Surgery, Rua Fernando Pessoa, 7-1° 3000-170 Santo António dos Olivais, Coimbra, Portugal.
Dinka LulicImmediate Medical Care Unit, Saint James Hospital, George Borg Olivier St, Sliema SLM 1807, Malta.
Romeo Lages SimõesSchool of Medicine, University Vale do Rio Doce, Federal University Juiz de Fora, Rua José Lourenço Kelmer s/n, Bairro São Pedro, CEP: 36036-900 Juiz de Fora, Minas Gerais, Brazil.
Luís FerreiraLusitanian Association for Trauma and Emergency Surgery, Rua Fernando Pessoa, 7-1° 3000-170 Santo António dos Olivais, Coimbra, Portugal.
Piotr KoledaDepartment of Emergency Medicine, Jan Mikulicz-Radecki University Teaching Hospital, 213 Borowska St, 50-566 Wroclaw, Poland.
Sérgio BaptistaLusitanian Association for Trauma and Emergency Surgery, Rua Fernando Pessoa, 7-1° 3000-170 Santo António dos Olivais, Coimbra, Portugal.
Henrique AlexandrinoLusitanian Association for Trauma and Emergency Surgery, Rua Fernando Pessoa, 7-1° 3000-170 Santo António dos Olivais, Coimbra, Portugal.
Thiago Rodrigues CalderanDivision of Trauma Surgery, Department of Surgery, School of Medical Sciences, University of Campinas (Unicamp), R. Tessália Vieira de Camargo, 126 Cidade Universitária, Campinas - SP, 13083-887, Brazil.
Vanessa Henriques CarvalhoDepartment of Anesthesiology, University of Campinas, Campinas, Brazil R. Tessália Vieira de Camargo, 126 Cidade Universitária, Campinas SP 13083-887, Brazil.
Vitor Favali KrugerDivision of Trauma Surgery, Department of Surgery, School of Medical Sciences, University of Campinas (Unicamp), R. Tessália Vieira de Camargo, 126 Cidade Universitária, Campinas - SP, 13083-887, Brazil.
Rodrigo Caselli BelemEmergency Department, Federal District Hospital de Base, SMHS - Área Especial, Q. 101 - Asa Sul, Brasília - DF, 70330-150, Brazil.
Fernando López-MozosDepartment of Digestive and General Surgery, University Hospital Valencia, 106, Avinguda de Fernando Abril Martorell, E-46026 Valencia, Spain.
Carlos YanezMediclinic Parkview Hospital, Umm Suqeim St, Arjan-Dubailand, Al Barsha South, Dubai, United Arab Emirates.
Jadranka Pavicic SaricDepartment of Anesthesiology, Intensive Care and Pain Medicine, Clinical Hospital Merkur, Zajceva 19, 10 000 Zagreb, Croatia.
Gustavo Pereira FragaDivision of Trauma Surgery, Department of Surgery, School of Medical Sciences, University of Campinas (Unicamp), R. Tessália Vieira de Camargo, 126 Cidade Universitária, Campinas - SP, 13083-887, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trauma is a leading cause of preventable death worldwide, disproportionately affecting low-resource settings where access to specialized care is limited. Systemic barriers, including fragmented trauma networks and workforce shortages, contribute to poor outcomes. Strengthening trauma resuscitation through structured education and training is critical to improving survival and reducing disparities. However, traditional trauma training models often fail to address regional constraints, limiting their effectiveness. Brazil has developed a comprehensive trauma resuscitation education model by integrating public awareness campaigns, medical student-led initiatives, digital learning, simulation-based training, and telemedical support. A horizontal approach to trauma patient management, combined with hands-on immersive simulation training, has further enhanced this framework, emphasizing the team approach and non-technical skills essential for high-performance trauma care. This narrative review examines Brazil's trauma resuscitation training strategies and explores their potential to serve as a template for low-resource settings. By analyzing key educational components, we identify cost-effective solutions to strengthen trauma system capacity. To bridge disparities, trauma education must extend beyond well-resourced environments. Faculty development, sustainable mentorship, and access to technology-driven education are critical to equipping providers with the skills needed to manage complex trauma scenarios. Mobile simulation units and telemedicine platforms expand training to remote regions, while scalable digital platforms enable real-time collaboration. Despite these advancements, funding constraints, logistical barriers, and the need for culturally tailored education hinder widespread implementation. Embedding trauma education into national health policies and disaster response systems is essential to ensuring sustainable, high-quality trauma care worldwide.

Indexed as

EducationHorizontal team approachLow-resource settingsMultidisciplinary approachSimulation-based trainingTrauma resuscitation

Identifiers

PMID40235927
PMCPMC11999482

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.