Evidence map›Paper›PMID 39851170›Full record

ArticlePrehospital and disaster medicine2024

Synthesizing the Evidence Base to Enhance Coordination between Humanitarian Mine Action and Emergency Care for Casualties of Explosive Ordnance and Explosive Weapons: A Scoping Review.

Hannah Wild, Christopher LeBoa, Nikolaos Markou-Pappas, Micah Trautwein, Loren Persi, Christelle Loupforest, Elke Hottentot, Emilie Calvello Hynes, Jack Denny, Firoz Alizada and 11 more

Abstract readScoping Review
In one paragraph

Article in Prehospital and disaster medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

21 authors.

Hannah WildDepartment of Surgery, University of Washington, Seattle, WashingtonUSA.ORCID 0000-0003-0974-0956
Christopher LeBoaDepartment of Environmental Health Sciences, University of California Berkeley, Berkeley, CaliforniaUSA.
Nikolaos Markou-PappasCenter for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health (CRIMEDIM), Novara, Italy.
Micah TrautweinDartmouth Geisel School of Medicine, Hanover, New HampshireUSA.
Loren PersiVictim Assistance Specialist, Belgrade, Serbia.
Christelle LoupforestUnited Nations Mine Action Service (UNMAS), Geneva, Switzerland.
Elke HottentotVictim Assistance Specialist, Geneva, Switzerland.
Emilie Calvello HynesWorld Health Organization, Geneva, Switzerland.
Jack DennyInternational Blast Injury Research Network (IBRN), University of Southampton, Southampton, United Kingdom.
Firoz AlizadaAntipersonnel Mine Ban Convention Implementation Support Unit, Geneva, Switzerland.
Reykhan MuminovaTajikistan National Mine Action Centre, Dushanbe, Tajikistan.
Teresa JewellHealth Science Library, University of Washington, Seattle, WashingtonUSA.
Sebastian KasackMines Advisory Group, Manchester, United Kingdom.
Stacey PizzinoSchool of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Gregory HynesInternational Federation of Red Cross and Red Crescent Societies, Geneva, Switzerland.
Lina EcheverriCenter for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health (CRIMEDIM), Novara, Italy.ORCID 0000-0003-2869-4270
Flavio SalioWorld Health Organization, Geneva, Switzerland.
Sherry M WrenStanford University School of Medicine, Stanford, CaliforniaUSA.
Charles MockDepartment of Surgery, University of Washington, Seattle, WashingtonUSA.ORCID 0000-0001-7458-4748
Adam L KushnerSurgeons OverSeas, New York, New YorkUSA.
Barclay T StewartDepartment of Surgery, University of Washington, Seattle, WashingtonUSA.

Funding

Research Mentoring and Building Capacity of underrepresented Minority Research Scientists in India.D43TW010540 · FIC · YALE UNIVERSITY · PI MICHELE BARRY, Eva Harris · 2017 to 2026
$15.5M
FIC NIH HHS D43 TW010540World Health Organization 001
6 · The paper itself

Abstract

backgroundHumanitarian mine action (HMA) stakeholders have an organized presence with well-resourced medical capability in many conflict and post-conflict settings. Humanitarian mine action has the potential to positively augment local trauma care capacity for civilian casualties of explosive ordnance (EO) and explosive weapons (EWs). Yet at present, few strategies exist for coordinated engagement between HMA and the health sector to support emergency care system strengthening to improve outcomes among EO/EW casualties.

methodsA scoping literature review was conducted to identify records that described trauma care interventions pertinent to civilian casualties of EO/EW in resource-constrained settings using structured searches of indexed databases and grey literature. A 2017 World Health Organization (WHO) review on trauma systems components in low- and middle-income countries (LMICs) was updated with additional eligible reports describing trauma care interventions in LMICs or among civilian casualties of EO/EWs after 2001.

resultsA total of 14,195 non-duplicative records were retrieved, of which 48 reports met eligibility criteria. Seventy-four reports from the 2017 WHO review and 16 reports identified from reference lists yielded 138 reports describing interventions in 47 countries. Intervention efficacy was assessed using heterogenous measures ranging from trainee satisfaction to patient outcomes; only 39 reported mortality differences. Interventions that could feasibly be supported by HMA stakeholders were synthesized into a bundle of opportunities for HMA engagement designated links in a Civilian Casualty Care Chain (C-CCC).

conclusionsThis review identified trauma care interventions with the potential to reduce mortality and disability among civilian EO/EW casualties that could be feasibly supported by HMA stakeholders. In partnership with local and multi-lateral health authorities, HMA can leverage their medical capabilities and expertise to strengthen emergency care capacity to improve trauma outcomes in settings affected by EO/EWs.

Indexed as

AltruismBlast InjuriesEmergency Medical ServicesExplosionsMass Casualty IncidentsRelief WorkHumansand operative (ECO) careblast injurycivilian casualtiesconflictcriticalemergencyexplosive ordnanceexplosive weaponslow- and middle-income countrieslow-resource settingsprehospital trauma caretrauma systemstrauma training

Identifiers

PMID39851170
PMCPMC11821299

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.