The Ethical Triage and Management Guidelines of the Entrapped and Mangled Extremity in Resource Scarce Environments: A Systematic Literature Review

被引：0

作者：

Weinstein, Eric ^{[1
]}

Gosney, James E. ^{[2
]}

Ragazzoni, Luca ^{[1
]}

Franc, Jeffrey ^{[3
]}

Herbert, TeriLynn ^{[4
]}

Weinstein, Brielle ^{[5
]}

Verde, Manuela ^{[1
]}

Zeller, Johannes ^{[6
]}

Wolfson, Nikolaj ^{[7
]}

Boyce, Will ^{[8
]}

Cramer, Jordan ^{[9
]}

机构：

[1] Univ Studi Piemonte Orientale, Res Ctr Emergency & Disaster Med CRIMEDIM, 3 Piano,Via Bernardino Lanino,1, I-28100 Novara, NO, Italy

[2] Geisinger Hlth Syst, Dept Phys Med & Rehabil, Bloomsburg, PA USA

[3] Univ Alberta, Edmonton, AB, Canada

[4] Med Univ South Carolina, Charleston, SC 29425 USA

[5] Univ S Florida, Hlth Morsani Coll Med, Plast & Reconstruct Surg PGY4, Tampa, FL 33620 USA

[6] Bundeswehr Cent Hosp, Dept Anesthesiol, Koblenz, Germany

[7] St Francis Mem Hosp, Calif Pacific Med Ctr, Dept Orthoped, San Francisco, CA USA

[8] Dartmouth Coll, Geisel Sch Med MS4, Hanover, NH 03755 USA

[9] MS3 Med Univ South Carolina, Charleston, SC USA

来源：

DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS | 2021年 / 15卷 / 03期

关键词：

blast injuries; crush syndrome; delivery of health care; mass casualty incidents; standard of care; SEVERITY SCORE; ORTHOPEDIC INJURIES; TIBIAL FRACTURES; VASCULAR INJURY; LIMB INJURIES; AMPUTATION; COMBAT; SALVAGE; OUTCOMES; TRAUMA;

D O I：

10.1017/dmp.2020.49

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: A systematic literature review (SLR) was performed to elucidate the current triage and treatment of an entrapped or mangled extremity in resource scarce environments (RSEs). Methods: A lead researcher followed the search strategy following inclusion and exclusion criteria. A first reviewer (FR) was randomly assigned sources. One of the 2 lead researchers was the second reviewer (SR). Each determined the level of evidence (LOE) and quality of evidence (QE) from each source. Any differing opinions between the FR and SR were discussed between them, and if differing opinions remained, then a third reviewer (the other lead researcher) discussed the article until a consensus was reached. The final opinion of each article was entered for analysis. Results: Fifty-eight (58) articles were entered into the final study. There was 1 study determined to be LOE 1, 29 LOE 2, and 28 LOE 3, with 15 determined to achieve QE 1, 37 QE 2, and 6 QE 3. Conclusion: This SLR showed that there is a lack of studies producing strong evidence to support the triage and treatment of the mangled extremity in RSE. Therefore, a Delphi process is suggested to adapt and modify current civilian and military triage and treatment guidelines to the RSE.

引用

页码：389 / 397

页数：9

共 71 条

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