n South African Medical Journal - Issues in medicine : the 11 P's of an Afrocentric trauma system for South Africa - time for action! : forum

Volume 101, Issue 3
  • ISSN : 0256-9574
  • E-ISSN: 2078-5135



A trauma system involves the interaction of prehospital care, emergency centre care and definitive care (including prevention and rehabilitation services), providing an organised approach to acutely injured patients within a defined geographical area, from primary care to advanced care. Trauma is, after infectious disease, the second leading cause of death and disability in Africa (Table I), and must therefore feature on the national health agendas of all African countries. The requirements for developing cost-efficient, patient-centred trauma systems relevant to South Africa are outlined below (each item commencing with a P, and hence the title).

Loading full text...

Full text loading...


Article metrics loading...


This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error