Evidence map›Paper›PMID 40400867›Full record

ReviewCureus2025

Advancing Trauma Care in Sri Lanka: System Overview and Developmental Priorities.

Kayaththery Varathan, Havil Stephen Alexander Bakka, Tharaga Kirupakaran

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Kayaththery VarathanOrthopaedics and Trauma, Barts Health Trust, London, GBR.
Havil Stephen Alexander BakkaNeurosurgery, Royal Sussex County Hospital, Brighton, GBR.
Tharaga KirupakaranAcute Medicine, Kingston Hospital NHS Foundation Trust, Kingston, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trauma is a leading cause of global mortality and morbidity, with road traffic injuries being a significant contributor, especially in low- and middle-income countries (LMICs). With 25,000 road traffic accidents annually, Sri Lanka faces a substantial trauma burden, making it the leading cause of hospitalisation. Effective trauma systems, encompassing prevention, pre-hospital care, in-hospital treatment, rehabilitation, and planning, are crucial for improving patient outcomes and alleviating strain on the healthcare system. This review examines the key components of trauma systems and evaluates Sri Lanka's current trauma care infrastructure, identifying gaps and areas for improvement. Despite initiatives such as injury prevention programs, the establishment of pre-hospital ambulance services, and the introduction of emergency medicine specialists, Sri Lanka lacks a well-defined trauma pathway, standardized protocols, and adequate training for emergency medical technicians (EMTs). The recent development of a trauma registry in the northern region highlights the need for improved data collection and resource allocation. Challenges such as poor communication, limited public awareness of emergency services, and insufficient EMT training hinder the effectiveness of pre-hospital care. To strengthen its trauma system, Sri Lanka must prioritize the implementation of national trauma policies, enhance training programs, improve communication pathways, and expand the trauma registry nationwide. Addressing these issues requires recognising the multifactorial nature of implementing systemic improvements, which includes financial investment, political commitment, and a coordinated effort to create a standardized, efficient trauma care system that can reduce mortality and improve outcomes for trauma patients.

Indexed as

disaster medicineemergency medical services (ems)prehospital carepublic health policyroad traffic accidents (rtas)sri lanka healthcare systemtrauma care in low-income countries (lics)trauma registrytrauma rehabilitationtrauma systems

Identifiers

PMID40400867
PMCPMC12093280

What OpenQuestion holds

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LicenceCC BY
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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.