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Published on: February 23, 2024
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Mobile Burn Disaster Response Teams: A Scoping Review.
Danielle Fuchko1, Kathryn King-Shier2, Vincent Gabriel3
1Faculty of Nursing, University of Calgary, Alberta, Canada.
Summary
Mass casualty disasters can overwhelm burn care resources. Mobile burn response teams offer specialized care, but few countries have implemented World Health Organization recommendations due to specialist shortages, suggesting a hybrid model may be needed.
Area of Science:
- Disaster Medicine
- Surgical Specialties
- Public Health Policy
Background:
- Modern burn care resources are vulnerable to mass casualty incidents.
- The World Health Organization (WHO) advised countries to establish deployable burn expert teams for disaster response in 2021.
Purpose of the Study:
- To review literature on the organization and effectiveness of mobile burn response teams.
- To identify challenges in implementing WHO recommendations for burn care disaster preparedness.
- To explore potential revisions to WHO recommendations.
Main Methods:
- A comprehensive scoping review of literature published up to January 2022 was performed.
- Searches included MEDLINE, EMBASE, Scopus, and CINAHL databases.
- Twenty-six publications were analyzed from 6,132 identified reports.
Main Results:
- Three types of mobile burn response teams were identified: burn care network teams, government-organized disaster teams, and military teams.
- These teams have provided specialized supplies and personnel, demonstrating advantages in triage and stabilization.
- A key limitation is the scarcity of deployable burn specialists.
Conclusions:
- Despite WHO recommendations, global implementation of mobile burn response teams remains limited.
- Few countries have adopted these recommendations due to challenges with specialist availability.
- A hybrid model, integrating on-scene communication with burn center expertise for triage, could mitigate current challenges.
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