Recommendations for burns care in mass casualty incidents: WHO Emergency Medical Teams Technical Working Group on Burns (WHO TWGB) 2017-2020.
Recommendations for burns care in mass casualty incidents: WHO Emergency Medical Teams Technical Working Group on Burns (WHO TWGB) 2017-2020.
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大规模伤亡事件中烧伤护理建议：世卫组织紧急医疗队烧伤技术工作组（WHO TWGB） 2017-2020。
DOI：
10.1016/j.burns.2020.07.001
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Potokar T
中科院分区：
文献类型：
--
作者：
Hughes A;Almeland SK;Leclerc T;Ogura T;Hayashi M;Mills JA;Norton I;Potokar T
烧伤大规模伤亡事件可以而且确实发生在全球各地，往往发生在卫生系统已经脆弱和资源不足的环境中。制定了世界卫生组织紧急医疗队倡议，以改进地方、国家和国际对灾害的反应。清晰、简单的建议可以帮助规划机构和烧伤服务提供者建立对烧伤大规模伤亡事件的及时和适当的反应。以下建议是基于广泛的文献查阅、专家意见和参与提供回应的前线工作人员的反馈。这些建议涵盖从现场到第一家接收医院的初步反应和转介到专家服务，包括临床和后勤方面。紧急情况下的卫生和后勤需求已得到很好的认识。在过去的7年里，在世界卫生组织紧急医疗队(EMT)倡议的领导下，受灾社区护理的职业化和标准化程度有所提高。导致烧伤的大规模伤亡事件(MCIS)是一个独特的挑战。烧伤管理得益于专家技能、专家知识和及时获得专家资源。随着烧伤MCIS在全球范围内的发生，以及现有烧伤护理能力的巨大差异，显然有必要加强烧伤护理能力。尽管一些高收入国家有完善的灾害管理计划，包括烧伤的具体计划，但许多国家没有--发生烧伤大规模伤亡事件的大多数国家都没有这样的既定计划。制定具有全球针对性的建议是解决这一赤字和加强应对这类灾害的准备的第一步。全球烧伤专家被邀请参加烧伤技术工作组(TWGB)的一系列会议：1)审查关于MCIS烧伤护理的文献；以及2)确定并商定MCIS烧伤护理的建议。由此产生的22项建议提供了一个框架，以指导国家和国际烧伤专家小组和卫生设施支持在MCIS向烧伤患者提供安全护理和改善结果。
Burn mass casualty events can and do occur across the globe, often in environments where health systems are already fragile and under resourced. The World Health Organisation Emergency Medical Teams initiative was developed to improve local, national and international response to disasters. Clear, simple recommendations can help planning bodies and burn service providers with establishing a timely and appropriate response to burn mass casualty events. The following recommendations are based on extensive literature review, expert opinion and feedback from frontline staff involved in providing a response. These recommendations cover the initial response from the scene to the first receiving hospital and referral to specialist services, including clinical and logistical aspects. Health and logistical needs in emergencies have been well recognised. The last 7 years has witnessed improved professionalisation and standardisation of care for disaster affected communities – led in part by the World Health Organisation Emergency Medical Team (EMT) initiative. Mass casualty incidents (MCIs) resulting in burn injuries present unique challenges. Burn management benefits from specialist skills, expert knowledge, and timely availability of specialist resources. With burn MCIs occurring globally, and wide variance in existing burn care capacity, the need to strengthen burn care capability is evident. Although some high-income countries have well-established disaster management plans, including burn specific plans, many do not – the majority of countries where burn mass casualty events occur are without such established plans. Developing globally relevant recommendations is a first step in addressing this deficit and increasing preparedness to deal with such disasters. Global burn experts were invited to a succession of Technical Working Group on burns (TWGB) meetings to: 1) review literature on burn care in MCIs; and 2) define and agree on recommendations for burn care in MCIs. The resulting 22 recommendations provide a framework to guide national and international specialist burn teams and health facilities to support delivery of safe care and improved outcomes to burn patients in MCIs.
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影响因子：
1.4
作者：
Barillo, David J.;Wolf, Steven
通讯作者：
Wolf, Steven
DOI：
10.1016/j.burns.2020.07.001
发表时间：
2021-03
期刊：
Burns : journal of the International Society for Burn Injuries
影响因子：
--
作者：
Hughes A;Almeland SK;Leclerc T;Ogura T;Hayashi M;Mills JA;Norton I;Potokar T
通讯作者：
Potokar T
影响因子：
1.5
作者：
Craigie, Ross J.;Farrelly, P. J.;Jones, D. J.
通讯作者：
Jones, D. J.
影响因子：
1.4
作者：
Al-Shamsi, Mustafa;Moitinho de Almeida, Maria;Jennes, Serge
通讯作者：
Jennes, Serge
影响因子：
3.6
作者：
Cheng, Ming-Huei;Mathews, Alexandra L.;Chung, Kevin C.
通讯作者：
Chung, Kevin C.