Despite the availability of prehospital care, the standard of this care is still unsatisfactory in India and in low- and middle-income countries. This is a challenge for hospital administration, medical professionals, and the masses. To a large extent, improvements can be accomplished by providing physical resources for prehospital care, training first responders and paramedics, integrating prehospital services with hospitals, and providing a centralized reporting mechanism. Rehabilitation of neurotrauma victims is another dark side in the developing world. Rehabilitation should start during the course of a hospital stay and carry on actively after discharge. The role of psychosocial rehabilitation with the aid of role models and constant encouragement needs to be taught at the community level.
