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Your post is kind of babbling and I am not sure what you are talking about.
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What I'm babbling about was my quest to understand this statement..
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Out of the 44.6 people, 7 of them had wounds that would have been survivable had they had there been level 1 trauma care available.
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I did not know what level 1 trauma care was, nor where it was available. This made me wonder, WHY level 1 care was not available to those 7 people who "would have survived" if it had been. Based on what I found out, it seems the most likely answer to that question is that level 1 care was too far away, and the victims simply didn't live long enough to get there.