A new tool evaluates trauma care in low-resource conflict settings, crucial for improving surgical outcomes.

• Only 30.6% of facilities can perform damage control laparotomy, with a stark contrast between regions (70%) and districts (15.4%).
• While 75% have blood banks, just 44.4% access tranexamic acid, and 33.3% have essential hemostatic supplies.

This data highlights urgent needs in equipment, training, and infrastructure to enhance trauma care, potentially saving lives in these settings.

• Less than half can perform essential war surgery procedures like chest tube placement and amputations.