• Tobias Gauss, Mariska de Jongh, Marc Maegele, Elaine Cole, and Pierre Bouzat.
• Division Anesthesia and Critical Care, University Hospital Grenoble Alpes, Grenoble, France. tgauss@chu-grenoble.fr.
• Crit Care. 2024 Mar 16; 28 (1): 8484.

AbstractConsiderable political, structural, environmental and epidemiological change will affect high socioeconomic index (SDI) countries over the next 25 years. These changes will impact healthcare provision and consequently trauma systems. This review attempts to anticipate the potential impact on trauma systems and how they could adapt to meet the changing priorities. The first section describes possible epidemiological trajectories. A second section exposes existing governance and funding challenges, how these can be met, and the need to incorporate data and information science into a learning and adaptive trauma system. The last section suggests an international harmonization of trauma education to improve care standards, optimize immediate and long-term patient needs and enhance disaster preparedness and crisis resilience. By demonstrating their capacity for adaptation, trauma systems can play a leading role in the transformation of care systems to tackle future health challenges.© 2024. The Author(s).

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