Evidence map›Paper›PMID 39143646›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2024

Prehospital treatment of severely burned patients: a retrospective analysis of patients admitted to the Berlin burn centre.

David Josuttis, Marianne Kruse, Philip Plettig, Ida Katinka Lenz, Denis Gümbel, Bernd Hartmann, Simon Steffan Kuepper, Volker Gebhardt, Marc Dominik Schmittner

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Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

David Josuttis *Department of Anesthesiology, Intensive Care and Pain Medicine, BG Klinikum Unfallkrankenhaus Berlin, Warener Strasse 7, 12683, Berlin, Germany. david.josuttis@ukb.de.ORCID http://orcid.org/0000-0001-9086-9065
Marianne Kruse *Department of Anesthesiology, Intensive Care and Pain Medicine, BG Klinikum Unfallkrankenhaus Berlin, Warener Strasse 7, 12683, Berlin, Germany.
Philip PlettigDepartment of Anesthesiology, Intensive Care and Pain Medicine, BG Klinikum Unfallkrankenhaus Berlin, Warener Strasse 7, 12683, Berlin, Germany.
Ida Katinka LenzDepartment of Anesthesiology, Intensive Care and Pain Medicine, BG Klinikum Unfallkrankenhaus Berlin, Warener Strasse 7, 12683, Berlin, Germany.
Denis GümbelDepartment of Trauma and Orthopaedic Surgery, BG Klinikum Unfallkrankenhaus Berlin, Warener Strasse 7, 12683, Berlin, Germany.
Bernd HartmannDepartment of Plastic Surgery, Burn Centre, BG Klinikum Unfallkrankenhaus Berlin, Warener Strasse 7, 12683, Berlin, Germany.
Simon Steffan KuepperDepartment of Plastic Surgery, Burn Centre, BG Klinikum Unfallkrankenhaus Berlin, Warener Strasse 7, 12683, Berlin, Germany.
Volker GebhardtDepartment of Anesthesiology, Intensive Care and Pain Medicine, BG Klinikum Unfallkrankenhaus Berlin, Warener Strasse 7, 12683, Berlin, Germany.
Marc Dominik SchmittnerDepartment of Anesthesiology, Intensive Care and Pain Medicine, BG Klinikum Unfallkrankenhaus Berlin, Warener Strasse 7, 12683, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrehospital management of severely burned patients is extremely challenging. It should include adequate analgesia, decision-making on the necessity of prehospital endotracheal intubation and the administration of crystalloid fluids. Guidelines recommend immediate transport to specialised burn centres when certain criteria are met. To date, there is still insufficient knowledge on the characteristics of prehospital emergency treatment. We sought to investigate the current practice and its potential effects on patient outcome.

methodsWe conducted a single centre, retrospective cohort analysis of severely burned patients (total burned surface area > 20%), admitted to the Berlin burn centre between 2014 and 2019. The relevant data was extracted from Emergency Medical Service reports and digital patient charts for exploratory data analysis. Primary outcome was 28-day-mortality.

resultsNinety patients (male/female 60/30, with a median age of 52 years [interquartile range, IQR 37-63], median total burned surface area 36% [IQR 25-51] and median body mass index 26.56 kg/m

conclusionWe showed that severely burned patients frequently received excessive fluid administration prehospitally and that this was not associated with more hemodynamic stability or outcome. In our cohort, patients were frequently intubated prehospitally, which was associated with increased mortality rates. Further research and emergency medical staff training should focus on adequate fluid application and cautious decision-making on the risks and benefits of prehospital intubation.

trial registrationGerman Clinical Trial Registry (ID: DRKS00033516).

Indexed as

BurnsEmergency Medical ServicesFluid TherapyAdultBerlinBurn UnitsCrystalloid SolutionsFemaleHumansIntubation, IntratrachealMaleMiddle AgedRetrospective StudiesCrystalloid SolutionsAdvanced trauma careBurn injuryCritical careEmergency Medical ServiceFluid resuscitationPrehospital airway managementPrehospital emergency care

Identifiers

PMID39143646
PMCPMC11323598

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.