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Integrated Trauma Care Facility in Mumbai

e Hinduja Hospital, Lilavati Hopsital and Breach Candy Hospital earlier this week.

"We have formed the committee and the service, first of its kind in India, may start in June. Over 100 private and public hospitals at the primary, secondary and tertiary level would be part of the initiative," Damle said.

"Such a facility is the necessity of Mumbai as the ratio of trauma accidents are almost double the national ratio," he added.

In India, an average 24 trauma accidents take place per 10,000 vehicles every day as against a meager two such accidents in the US. In Mumbai, the ratio is 40 trauma accidents per 10,000 vehicles.

"While the fatality rate in road accidents are up to 20 percent, in case of train accidents the casualty rate is at least 50 percent. We hope the initiative would reduce death by almost 90 percent," Damle added.

Shah said they have unanimously decided to start the service with at least 17 ambulances. "Its an integration of the existing facilities. We have asked the government for 10 more ambulances."

"America has a huge trauma care network. Even helicopters are used for this service but we are starting here with ambulances. It's the modified version of American model and if found successful would be replicated in other major cities," he said.

The participating hospitals have been divided into four levels.

In a level one hospital, there must be round the clock presence of general surgeons, anesthesiologist, emergency room physician, operating room staff, and respiratory therapist.

Availability of thoracic, cardiac, neurosurgery and all other surgical sub specialty experts must be available within 30 minutes. The hospital should also have well equipped dedicated room for trauma patients in the emergency ward.

The level two hospitals would have all facility like level one except facilities for cardiac and neurosurgery. The level three centres s
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