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Prehospital Emergency Care and the Global Road Safety Crisis
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To the Editor: In his Medical News & Perspectives article, Dr Cole1 highlights the increasing burden of years of life lost and long-term disability from road traffic injuries in developing countries as a result of poorly designed transportation systems. An adequate response of emergency medical services in settings with scarce resources is a challenge for research and planning of health services.
Most developing countries have insufficient prehospital emergency medical services.2 Ground ambulances are available only in urban areas, if at all. Flight rescue is a luxury service for tourists but is inaccessible to local populations. In the absence of organized prehospital care, injured persons are often cared for by bystanders without any training in basic life support, and transported to the next medical facility in private or commercial vehicles.
In most regions with a sharp increase in traffic-related injuries, the response of the health sector does not keep pace. Even . . . [Full Text of this Article]
Erik von Elm, MD
vonelm@ispm.unibe.ch
Department of Social and Preventive Medicine
University of Bern
Bern, Switzerland
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