The Accuracy of Prehospital Fluid Resuscitation of Burn Patients: A Systematic Review

Early management of burns is an essential component of achieving desirable patient outcomes. One of the earliest points of patient management in the case of burn injuries is in the prehospital setting. Unlike first aid, which can be provided by a non-healthcare worker, fluid resuscitation can be pro...

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Main Authors: Fahad Alsaqabi, Zubair Ahmed
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:European Burn Journal
Subjects:
Online Access:https://www.mdpi.com/2673-1991/3/4/44
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author Fahad Alsaqabi
Zubair Ahmed
author_facet Fahad Alsaqabi
Zubair Ahmed
author_sort Fahad Alsaqabi
collection DOAJ
description Early management of burns is an essential component of achieving desirable patient outcomes. One of the earliest points of patient management in the case of burn injuries is in the prehospital setting. Unlike first aid, which can be provided by a non-healthcare worker, fluid resuscitation can be provided in the prehospital setting by emergency medical services personnel. This systematic review aims to investigate whether burn patients are receiving accurate fluid resuscitation in the prehospital setting. In addition, it will investigate if existing inaccuracies could impact patient outcomes negatively. This systematic review was completed in accordance with the guidelines from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search for eligible studies started by searching relevant databases (PubMed, Embase, Medline, and Google Scholar). The selected studies were screened, and data were extracted and analyzed using a narrative synthesis approach. Seven studies met the inclusion criteria of this review, with a total of 961 patients. All seven studies included in this review reported that the volume of fluids for resuscitation purposes received by burn patients in the prehospital setting was inaccurate. However, most reported that the patient outcomes were not affected. Most of the studies were rated as “good,” however, and further high-quality randomized control studies are required before strong recommendations can be made.
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spelling doaj.art-03325391726945159762c413de15ffb02023-11-16T16:26:54ZengMDPI AGEuropean Burn Journal2673-19912022-11-013451752610.3390/ebj3040044The Accuracy of Prehospital Fluid Resuscitation of Burn Patients: A Systematic ReviewFahad Alsaqabi0Zubair Ahmed1Emergency Medical Care Department, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam 34212, Saudi ArabiaInstitute of Inflammation and Ageing, University of Birmingham, Edgbaston, Birmingham B15 2TT, UKEarly management of burns is an essential component of achieving desirable patient outcomes. One of the earliest points of patient management in the case of burn injuries is in the prehospital setting. Unlike first aid, which can be provided by a non-healthcare worker, fluid resuscitation can be provided in the prehospital setting by emergency medical services personnel. This systematic review aims to investigate whether burn patients are receiving accurate fluid resuscitation in the prehospital setting. In addition, it will investigate if existing inaccuracies could impact patient outcomes negatively. This systematic review was completed in accordance with the guidelines from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search for eligible studies started by searching relevant databases (PubMed, Embase, Medline, and Google Scholar). The selected studies were screened, and data were extracted and analyzed using a narrative synthesis approach. Seven studies met the inclusion criteria of this review, with a total of 961 patients. All seven studies included in this review reported that the volume of fluids for resuscitation purposes received by burn patients in the prehospital setting was inaccurate. However, most reported that the patient outcomes were not affected. Most of the studies were rated as “good,” however, and further high-quality randomized control studies are required before strong recommendations can be made.https://www.mdpi.com/2673-1991/3/4/44prehospitalburnfluidresuscitationemergency medical services
spellingShingle Fahad Alsaqabi
Zubair Ahmed
The Accuracy of Prehospital Fluid Resuscitation of Burn Patients: A Systematic Review
European Burn Journal
prehospital
burn
fluid
resuscitation
emergency medical services
title The Accuracy of Prehospital Fluid Resuscitation of Burn Patients: A Systematic Review
title_full The Accuracy of Prehospital Fluid Resuscitation of Burn Patients: A Systematic Review
title_fullStr The Accuracy of Prehospital Fluid Resuscitation of Burn Patients: A Systematic Review
title_full_unstemmed The Accuracy of Prehospital Fluid Resuscitation of Burn Patients: A Systematic Review
title_short The Accuracy of Prehospital Fluid Resuscitation of Burn Patients: A Systematic Review
title_sort accuracy of prehospital fluid resuscitation of burn patients a systematic review
topic prehospital
burn
fluid
resuscitation
emergency medical services
url https://www.mdpi.com/2673-1991/3/4/44
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