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" "That also enabled me to see beyond the immediate problems, to the bigger ones that hamper care in LMICs. In trauma, patients are still getting debilitating osteomyelitis because there is not enough saline to carry out a decent debridement (the process of removing unhealthy tissue from the body). Perhaps the surgical community needs to begin addressing upstream factors which make our surgical practice an impossible task.
Olive Chifefe Kobusingye is a Ugandan consultant trauma surgeon, emergency surgeon, accident injury epidemiologist and academic, who serves as a Senior Research Fellow at both Makerere University School of Public Health and the Institute for Social and Health Sciences of the University of South Africa. She heads the Trauma, Injury, & Disability (TRIAD) Project at Makerere University School of Public Health, where she coordinates the TRIAD graduate courses
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The cost of mismanaged medical services culminating in lives needlessly lost was always before me. It was more evident during my year as the Acting Head of the Accident & Emergency at Mulago National Referral Hospital. Frustrated at the many needless injuries, especially from road traffic crashes, I chose to take on trauma care and injury prevention as the focus of my career.
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