Even though, low- and middle-income countries (LMICs) are facing a far greater traumatic brain injury (TBI) burden compared to high-income countries (HICs), agency funding and multi-centre research efforts have had a disproportionately greater focus on HICs.1 Initiatives, such as InTBIR,2 are advancing TBI care in HICs but the participation of LMICs has been very limited. Additionally, multicentre trials in TBI, with very few exceptions, have predominantly focused on HIC populations.