Violence and Injury Prevention

GACI working groups include:

Trauma system development

Long-term goals
  • Encourage improvements in trauma care by promoting trauma system planning, development and monitoring at the country level.
  • Promote best practices and policy-level changes for system-wide improvements in care of the injured.
Next steps
  • Develop a road map document that contains a description of the elements of trauma systems, which are globally applicable; along with a rating system for each element.
  • Develop an assessment guide on how the road map document can be used for both external and internal assessment of the status of trauma systems and for identification of next steps in trauma system development.

Evidence and research

Long-term goals
  • Facilitate an up-to-date evidence base that relates directly to the goals of GACI and set an agenda to promote research to address the most important evidence gaps.
Next steps
  • Document success stories that are examples of what has worked in advancing trauma systems in different settings globally.
  • Develop a list of relevant evidence resources.
  • Engage with international research consortia to identify the most important knowledge gaps.

Trauma registry and data

Long-term goals
  • Promote wider and more standardized collection of data for injury surveillance and trauma care quality improvement.
Next steps
  • Establish a minimum dataset to facilitate trauma registry implementation.
  • Compile case studies of good practice in establishing trauma registries globally.

Education and capacity building

Long-term goals
  • Identify gaps in current capacity and promote training to address these gaps.
  • Share information, experiences, and expertise through development of technical partnerships and other collaborative projects, including exchange visits and direct support to countries.
Next steps
  • Develop institutional twinning and individual mentorship programmes that would benefit developing trauma systems, in similar to fashion to the existing Mentor-VIP programme.
  • Undertake courses on trauma system planning and on trauma quality improvement at the request of countries and regions.

Advocacy

Long-term goals
  • Encourage increased attention and resource allocation for trauma care through advocacy efforts that will ultimately lead to increased access to essential trauma care services for all injured persons globally.
Next steps
  • Develop an aspirational statement to guide advocacy efforts.
  • Develop advocacy materials to promote GACI’s goals.

Other Participant Activities

Australia-India Trauma Systems Collaboration

Formal trauma systems have proven effective in lowering injury-related death and disability in high income countries, where expensive and complex care structures have evolved. There is, however, little data relevant to limited resource settings where over ninety percent of the world's injured are managed in quite different conditions.

Established with $2.6 million support from the Australia-India Strategic Research Fund Grand Challenge Scheme, the Australia-India Trauma Systems Collaboration (AITSC) brings together clinicians and researchers within the WHO Global Alliance for Care of the Injured, with university, government and industry partners. AITSC aims to develop and test innovative pre-hospital, hospital and post-hospital interventions that could improve care of the injured in countries at all levels of development. Examples include establishing mechanisms and protocols for field communication between pre-hospital care providers and receiving hospitals; telehealth technology allowing metropolitan and rural centres to connect with specialist trauma hospitals for real-time advice; trauma quality improvement training programs; and tailored home- and facility-based rehabilitation prescriptions to improve long-term recovery.

Led by the Australian National Trauma Research Institute, a partnership between The Alfred Hospital and Monash University in Melbourne, and the JPN Apex Trauma Centre at the All India Institute of Medical Sciences in Delhi, the AITSC engages Australian, Indian and international partner organizations from around the world.

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