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, Jeffrey V. Rosenfeld, Corey Scurlock, Nigel Crisp, Lubna Samad, Montray Smith, Laura Lippa, Rashid Jooma, Russell J. Andrews

Research output: Contribution to journalReview articlepeer-review

9 Scopus citations


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.

Original languageEnglish (US)
Article numbere001945
JournalBMJ Global Health
Issue number1
StatePublished - Jan 13 2020


  • disaster response resources
  • global surgery
  • integrated healthcare
  • national healthcare plans
  • resilient/mobile healthcare facilities
  • telemedicine and drones

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health


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