Evidence map›Paper›PMID 41727513›Full record

ArticleAEM education and training2026

Trauma Training for Emergency Department Physicians in Low- and Middle-Income Countries: A Scoping Review.

Jill B Nelson, Rebecca Soistmann, Ana M Reyes, Blair Chang, Matthew Kis, Tressa Parker, Chase DeLong, Jacob Eisner, Rolando Valenzuela, Nicholas H Carter and 4 more

Abstract read
In one paragraph

Article in AEM education and training, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

14 authors.

Jill B NelsonUniversity of Miami Miller School of Medicine Miami Florida USA.ORCID https://orcid.org/0000-0003-2001-2490
Rebecca SoistmannUniversity of Miami Miller School of Medicine Miami Florida USA.
Ana M ReyesDivision of Trauma, Surgical Critical Care, and Burns, DeWitt Daughtry Family Department of Surgery University of Miami Miami Florida USA.
Blair ChangUniversity of Miami Miller School of Medicine Miami Florida USA.
Matthew KisUniversity of Miami Miller School of Medicine Miami Florida USA.
Tressa ParkerUniversity of Miami Miller School of Medicine Miami Florida USA.
Chase DeLongUniversity of Miami Miller School of Medicine Miami Florida USA.
Jacob EisnerUniversity of Miami Miller School of Medicine Miami Florida USA.
Rolando ValenzuelaDepartment of Emergency Medicine Jackson Memorial Hospital Miami Florida USA.
Nicholas H CarterDivision of Trauma, Surgical Critical Care, and Burns, DeWitt Daughtry Family Department of Surgery University of Miami Miami Florida USA.
Joyce I KaufmanDivision of Trauma, Surgical Critical Care, and Burns, DeWitt Daughtry Family Department of Surgery University of Miami Miami Florida USA.
Gerd D PustDivision of Trauma, Surgical Critical Care, and Burns, DeWitt Daughtry Family Department of Surgery University of Miami Miami Florida USA.
Gabriel RuizDivision of Trauma, Surgical Critical Care, and Burns, DeWitt Daughtry Family Department of Surgery University of Miami Miami Florida USA.
Julie Y ValenzuelaDivision of Trauma, Surgical Critical Care, and Burns, DeWitt Daughtry Family Department of Surgery University of Miami Miami Florida USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Trauma is a leading cause of morbidity and mortality globally, and a disproportionate burden falls on low- and middle-income countries (LMICs). Proper triage and prompt resuscitation are critical to providing life-saving care for these patients. Emergency Medicine (EM) is a rapidly growing field, and Emergency Department (ED) physicians often manage the immediate care for trauma patients. However, given a lack of EM residencies and EM-specialized physicians in many LMICs, EDs are often staffed by general practitioners who may have limited formal trauma training. This review assesses the scope of published literature on trauma-specific training for ED physicians in LMICs. Methods: A literature search was conducted in April 2025 using PubMed, EMBASE, and Scopus databases for publications about trauma training efforts for ED physicians in LMICs. Titles and abstracts were screened by two independent reviewers with discrepancies resolved by a third reviewer. Full-text articles in English were included. Secondary literature and articles addressing pre-hospital settings were excluded. Full-text review and data extraction were performed by two independent reviewers. Results: 261 unique articles were identified in the search and 14 articles from 12 LMICs were included. Studies primarily assessed the impact of short trauma courses averaging 2.65 days. Ten articles studied their impact on provider knowledge and confidence, three assessed clinical impact, and one detailed the process of creating a trauma course. Overall, articles were limited by small sample sizes and heterogeneous participant cohorts. Conclusions: ED physicians play a critical role in trauma care, yet in LMICs their trauma-specific training is limited. This review identified various short trauma courses demonstrating promising, yet limited, results in LMICs. Longitudinal assessment of knowledge retention, evaluation of skill application in clinical practice, and measurement of training effectiveness through clinical outcomes are opportunities to ensure adequate trauma education for ED physicians and strengthen trauma systems globally.

Identifiers

PMID41727513
PMCPMC12916438

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.