Smith Brandon George, Edmiston Thomas, Hobbs Laura, Bath Michael, Kohler Katharina, Ahsan Saleyha, Kuhn Isla, Luggya Tonny, Nagraj Shobhana, Venturini Sara, Sendagire Cornelius, Kabatoro Daphne, Khattak Almas, Whiffin Charlotte Jane, Hutchinson Peter John, Bashford Tom, Khan Tariq, Kwizera Arthur
International Health Systems Group, Department of Engineering, University of Cambridge, Cambridge, UK.
Cambridge Public Health Interdisciplinary Research Centre, University of Cambridge, Cambridge, UK.
Int J Surg Protoc. 2025 May 13;29(2):48-51. doi: 10.1097/SP9.0000000000000040. eCollection 2025 Jun.
Traumatic injuries remain a leading cause of preventable death globally, and continue to burden global healthcare services, particularly in low-resource settings. Mobile phone-based community injury response and coordination (mCIRC) systems represent a promising solution in facilitating rapid identification of injured persons, and coordinating a community-led response as an alternative or adjunct to a formal emergency service. mCIRC systems may use technologies such as geolocation and push notifications to mobilize trained responders in the vicinity of the incident, ensuring timely intervention before professional medical services arrive. This scoping review aims to provide a comprehensive overview of the existing evidence on the effectiveness and implementation of mCIRC systems in response to trauma as well as other medical emergencies, such as out-of-hospital cardiac arrest. We will evaluate their deployment in both high- and low-resource settings. In particular, the review will assess how these systems improve health outcomes of patients, such as reducing mortality and morbidity, and the feasibility and uptake of such systems by the global community. Additionally, the review will explore the operational challenges and facilitators of implementing such systems, particularly in low- and middle-income countries where healthcare infrastructure is often limited. This review will offer a comprehensive insight into the role of mobile technologies in improving trauma care at the community level, highlighting possible avenues for future research in this domain.
创伤性损伤仍然是全球可预防死亡的主要原因，并持续给全球医疗服务带来负担，在资源匮乏地区尤其如此。基于手机的社区创伤应对与协调（mCIRC）系统是一种很有前景的解决方案，有助于快速识别受伤人员，并协调社区主导的应对措施，作为正规急救服务的替代或补充。mCIRC系统可以利用地理定位和推送通知等技术，调动事故现场附近的受过培训的响应人员，确保在专业医疗服务到达之前及时进行干预。本范围综述旨在全面概述现有证据，说明mCIRC系统在应对创伤以及其他医疗紧急情况（如院外心脏骤停）方面的有效性和实施情况。我们将评估其在高资源和低资源环境中的部署情况。特别是，该综述将评估这些系统如何改善患者的健康结局，如降低死亡率和发病率，以及全球社区对这些系统的可行性和接受程度。此外，该综述将探讨实施此类系统的操作挑战和促进因素，特别是在医疗基础设施往往有限的低收入和中等收入国家。本综述将全面深入了解移动技术在改善社区层面创伤护理方面的作用，突出该领域未来可能的研究方向。
