Features  |   June 2014
The Global Trauma Burden and Anesthesia Needs in Low- and Middle-Income Countries
Author Affiliations
  • K.A. Kelly McQueen, M.D., M.P.H.
    Committee on Global Humanitarian Outreach
    Chair
Article Information
Trauma / Burn Care / Features
Features   |   June 2014
The Global Trauma Burden and Anesthesia Needs in Low- and Middle-Income Countries
ASA Monitor 06 2014, Vol.78, 16-19.
ASA Monitor 06 2014, Vol.78, 16-19.
In the past 20 years, the global disease burden has significantly shifted from communicable to non-communicable disease. Practically, this translates to a higher percentage of death and disability from cardiovascular disease, trauma, cancer, obesity and diabetes. The transition away from HIV, TB and malaria has also increased the necessity for safe anesthesia and surgery to treat these emerging diseases in the countries of greatest need for both: low- and middle-income countries (LMICs).
Trauma is a disease and ranks as the leading cause of global disability and death. Millions of injuries occur around the world, and more than 1.24 million deaths result annually. The majority of trauma-related deaths (91 percent) occurs in the poorest countries and impacts the healthiest population, those aged 15-29 years.1  Unfortunately, it is in these same LMICs where emergency surgery is most often unavailable, largely due to the lack of safe anesthesia.
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