An estimated 4.8 to 5.8 million global deaths are attributable annually to injuries, with 90% occurring in low- and middle-income countries like Bolivia. Traumatic injuries include road traffic incidents, falls, burns, poisonings, drownings, and violence (assault, self-inflicted, or acts of war). General elements of a comprehensive trauma system should address these injuries through prevention, pre-hospital care, definitive hospital care, rehabilitation, process improvement, and patient safety initiatives. Effective trauma systems lead to improved patient survival, with up to a 20% decrease in mortality and improved functional outcomes.
The Bolivian Trauma Initiative has five main activities:
- Surgical & Trauma Capacity Assessments
- Qualitative Trauma System Evaluations
- Community & First Responder Trauma Training
[See: Evaluation of Pre-Hospital Care: Does Bolivia Need a Trauma First Responders Course? Bethune Round Table Conference 2014 (Hamilton, Ontario) June 5 – 8, 2014]
- Trauma Registry
- Local Education & Research Capacity Building
The above initiatives will facilitate the creation of evidence-based policy and interventions for injury prevention and trauma care quality improvements, in an effort to reduce injury morbidity and mortality within the Bolivian population.
NTSI is fortunate to be able to work with two highly-experienced Bolivian surgeons:
Jorge Esteban Foianini, MD, FACS in Santa Cruz
José Luis Gallardo Barrientos, MD, FACS in Potosi