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European Burns Association guidelines for the management of burn mass casualty incidents within a European response plan
Percy Mil Teaching Hosp, France; Val De Grace Mil Med Acad, France.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery.ORCID iD: 0000-0002-5903-2918
Grand Hop Charleroi, Belgium.
Hosp Univ La Paz, Spain.
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2023 (English)In: Burns, ISSN 0305-4179, E-ISSN 1879-1409, Vol. 49, no 2, p. 275-303Article in journal (Refereed) Published
Abstract [en]

Background: A European response plan to burn mass casualty incidents has been jointly developed by the European Commission and the European Burn Association. Upon request for assistance by an affected country, the plan outlines a mechanism for coordinated international assistance, aiming to alleviate the burden of care in the affected country and to offer adequate specialized care to all patients who can benefit from it. To that aim, Burn Assessment Teams are deployed to assess and triage patients. Their transportation priority recommendations are used to distribute outnumbering burn casualties to foreign burn centers. Following an appropriate medical evacuation, these casualties receive specialized care in those facilities. Methods: The European Burns Associations disaster committee developed medical-organizational guidelines to support this European plan. The experts identified fields of interest, defined questions to be addressed, performed relevant literature searches, and added their expertise in burn disaster preparedness and response. Due to the lack of highlevel evidence in the available literature, recommendations and specially designed implementation tools were provided from expert opinion. The European Burns Association officially endorsed the draft recommendations in 2019, and the final full text was approved by the EBA executive committee in 2022. Recommendations: The resulting 46 recommendations address four fields. Field 1 underlines the need for national preparedness plans and the necessary core items within such plans, including coordination and integration with an international response. Field 2 describes Burn Assessment Teams roles, composition, training requirements, and reporting goals. Field 3 addresses the goals of specialized in-hospital triage, appropriate severity criteria, and their effects on priorities and triage. Finally, field 4 covers medical evacuations, including their timing and organization, the composition of evacuation teams and their assets, preparation, and the principles of en route care. (c) 2022 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

Place, publisher, year, edition, pages
ELSEVIER SCI LTD , 2023. Vol. 49, no 2, p. 275-303
Keywords [en]
Burns; Mass casualty incidents; Disaster planning; Burn assessment teams; Triage; Patients transportation
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-193408DOI: 10.1016/j.burns.2022.12.011ISI: 000957684500001PubMedID: 36702682OAI: oai:DiVA.org:liu-193408DiVA, id: diva2:1755080
Note

Funding Agencies|European Commission, Directorate-General for European Civil Protection and Humanitarian Aid Operations (ECHO); European Commission, Directorate-General for European Civil Protection and Humanitarian Aid Operations (ECHO) [ECHOB1-NP-2019-05]

Available from: 2023-05-05 Created: 2023-05-05 Last updated: 2024-05-03

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Sjöberg, Folke

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Division of Surgery, Orthopedics and OncologyFaculty of Medicine and Health SciencesDepartment of Hand and Plastic Surgery
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