The missing middle in war and disaster critical care: stabilization, referral, and hospital pre-alert in conflict-affected Somalia - Takeaways - MDSpire
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Addressing the Gap in Critical Care During Conflict and Disasters: The Importance of Stabilization, Referral, and Hospital Pre-Alert in Somalia

  • By

  • Abdishakur Mohamud Hassan Hidigow

  • August 27, 2026

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  • 1

    Critical care readiness in Somalia is critically low, with over 80% of hospitals assessed falling below the readiness threshold.

  • 2

    A conflict-adapted referral pathway should integrate triage, stabilization, transport, pre-alert, and structured handover.

  • 3

    Obstacles to effective critical care in Somalia include user fees, equipment shortages, and inadequate staff coverage.

  • 4

    Pre-alerts must communicate essential clinical information and anticipated resource needs to improve patient transfer efficiency.

  • 5

    Preparedness indicators should track critical transfer documentation, including stabilization and handover details.

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