Inadequate emergency medical services

Many victims of traffic and other accidents die on the scene or shortly thereafter, or suffer severe and possibly permanent disabilities, because they do not receive adequate emergency medical care in a prompt and efficient manner. Such accident victims die or are maimed despite the fact that within the medical community of almost all nations, the state-of-the-art in the delivery of emergency medical care in hospitals and medical centres is well developed.
Aggravated by 
(D) Detailed problems