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FireSync EMS: A Novel Mobile Application for Burn Surface Area Calculation.

Nicolas Malkoff1, Brigette Cannata1, Sarah Wang1

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Summary
This summary is machine-generated.

A new mobile app, FireSync EMS, offers a more accurate and user-friendly method for calculating the percent total body surface area (TBSA) burned compared to the traditional Lund-Browder chart, especially for pediatric burns.

Keywords:
burnsclinical assessmentemergency respondersmobile application

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Area of Science:

  • Emergency Medicine
  • Burn Management
  • Medical Technology

Background:

  • Accurate estimation of percent total body surface area (TBSA) burned is crucial for patient care and prognosis.
  • The Lund-Browder (LB) chart is the current standard but can be complex for field use.
  • First responders need practical tools for rapid burn assessment.

Purpose of the Study:

  • To develop and validate a novel mobile application, FireSync EMS, for estimating TBSA burned.
  • To compare the accuracy and usability of FireSync EMS against the LB chart.
  • To assess the impact of user experience, manikin size, and burn size on estimation accuracy.

Main Methods:

  • Development of the FireSync EMS mobile application.
  • Simulation of 8 burns of varying sizes on infant, pediatric, and adult manikins.
  • Comparison of TBSA estimations by 42 medical students and firefighters using FireSync EMS and the LB chart.
  • Statistical analysis including univariate analysis and mixed-effects linear regression.

Main Results:

  • FireSync EMS significantly reduced overestimation bias compared to the LB chart (0.11% vs 0.91%, P = .002).
  • The app demonstrated particular accuracy for child-size manikins and burns <10% or >20% TBSA.
  • The LB chart was an independent determinant of estimation error (1.19x multiplicative effect vs FireSync EMS, P < .001).
  • Users found FireSync EMS significantly easier, more intuitive, faster, and preferable.

Conclusions:

  • FireSync EMS provides a more accurate and less biased estimation of TBSA burned than the LB chart.
  • The mobile application is a practical and preferred tool for first responders in burn assessment.
  • FireSync EMS has the potential to improve initial management and outcomes for burn patients.