Global Surgery Episode 2: Trauma Care in Resource-Limited Settings
Behind The Knife: The Surgery Podcast
Behind The Knife: The Surgery Podcast
4.8 • 1.4K Ratings
🗓️ 25 March 2024
⏱️ 35 minutes
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Summary
Traumatic injury remains one of the largest burdens of disease and causes of mortality internationally. The WHO estimates that 4.4 million lives are lost to traumatic injuries per year, accounting for approximately 8% of all deaths. Notably, traumatic injuries are the top killer of children, adolescents, and young adults, compounding the patient-years lost. Trauma is ubiquitous–accidents and injuries happen all over the globe, and thus differences in trauma incidence and mortality is often a function of health systems and infrastructure.
Jon Williams is joined by Dr. Anthony Charles. Dr. Charles is a trauma surgeon at University of North Carolina, Chapel Hill. Additionally, he holds professorships in the medical school and school of public health at UNC, as well as serving as the director of the adult ECMO program and the director of global surgery at the UNC Institute of Global Health and Infectious Diseases. He leads the Malawian Surgical Initiative, designed to train and support local surgeons in the country of Malawi where he has established a longstanding partnership with UNC. Having been raised in Nigeria, Dr. Charles completed medical school at the University of Lagos, and subsequently underwent general surgery residency training in London at North Middlesex University Hospital and subsequently at Charles Drew University in Los Angeles. Upon completion of trauma and critical care fellowship at University of Michigan, he took a faculty position at UNC where he has remained since and grown the global surgery presence to what it is today.
Key Points:
- Often, the pivotal first step in developing global surgery trauma initiatives is increasing trained personnel, and so training initiatives are very meaningful and provide sustainability to the effort.
- Growing a health system’s ability to provide trauma care helps develop improved care for all aspects of disease. The resources, training, and infrastructure required benefits healthcare at large.
- Improvement of trauma care extends well beyond in-hospital care–injury prevention and pre-hospital care/triage/transport are even more impactful.
- It takes more than surgeons to improve trauma care globally. Thus, clinician and non-clinician training and oversight is critical, and foundational concepts of care of the trauma patient must be familiar to all.
- Local governing bodies need to understand the importance of trauma care to invest in it. Traumatic injuries and mortality are a health burden, but even more so an economic burden to a country. This is what is compelling to investment in trauma care.
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Transcript
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| 0:00.0 | Behind the surgery podcast relevant and engaging content designed to help you dominate the day. |
| 0:13.0 | Welcome back to Behind the Knife. This is Kevin and I'm here with Jason and we have some exciting news to let you know about. |
| 0:28.0 | Yeah, thanks Kevin. So we are now pleased to offer bundle and institutional sales for our Behind the Knife premium products. |
| 0:35.6 | The bundle includes our General Surgery Oral Board Audio Review, |
| 0:39.1 | our Trauma Surgery Video Atlas, and our Oral board audio reviews for vascular, |
| 0:43.9 | colorectal, surgical oncology, and cardiothoracic surgery. |
| 0:47.5 | We offer institutional discounts to our |
| 0:55.0 | bundle and individual premium products. |
| 0:54.0 | Yeah, so all of this is available via our new website and app, |
| 0:58.0 | where you can take notes, pen chapters, and download chapters for offline viewing |
| 1:02.0 | both on the website and the app. So please email |
| 1:04.7 | hello at behind the NAC.org and check out the show notes to learn more. |
| 1:08.9 | And remember this isn't only for board review. You can use our content to prepare throughout the year and provide |
| 1:15.2 | didactic learning across all levels for all residents. |
| 1:19.5 | So level up the education at your institution and let your program directors know that behind the knife can |
| 1:24.3 | be bought in institutional packages and in bundle pricing. |
| 1:28.0 | All right, let's get back to the episode. |
| 1:29.9 | Hello and welcome to behind the knife. |
| 1:31.7 | Today we will host another episode of our new global surgery series, |
| 1:35.3 | today with a special focus on trauma care |
| 1:37.2 | and emergency surgical care in remote and resource limited settings. |
| 1:41.4 | Traumatic injury remains one of the largest burdens of disease and causes of mortality at the international level. |
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