In 2013 trauma was estimated to cause 4,8 million deaths, which is more than HIV/AIDS, tuberculosis, malaria and maternal conditions combined (1). Ninety per cent of these deaths occur in lower-middle income countries (LMIC) and an estimated two million lives could be saved annually by improved quality of care (2,3). India is considered a lower-middle income country with over 1 million annual trauma deaths (1). In 2020 trauma is estimated to be the third leading cause of death in the country (4). Hence, efforts to strengthen trauma care in India are urgently needed.