Evidence map›Paper›PMID 40924187›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Transposing intensive care innovation from modern warfare to other resource-limited settings.

Audrey Jarrassier, Gaël de Rocquigny, Cécile Delagarde, Anne-Cécile Ezanno, Florent Josse, Clément Dubost, Olivier Duranteau, Salah Boussen, Pierre Pasquier

Abstract readScoping Review
PubMed Publisher
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Audrey JarrassierDepartment of Anesthesiology and Intensive Care Unit, Bégin Military Teaching Hospital, 69 avenue de Paris, Saint-Mandé, 94160, France. jarrassieraudrey@gmail.com.ORCID http://orcid.org/0000-0001-9542-8779
Gaël de RocquignyDepartment of Anesthesiology and Intensive Care Unit, Bégin Military Teaching Hospital, 69 avenue de Paris, Saint-Mandé, 94160, France.ORCID http://orcid.org/0000-0003-4747-0686
Cécile DelagardeDepartment of Anesthesiology and Intensive Care Unit, Bégin Military Teaching Hospital, 69 avenue de Paris, Saint-Mandé, 94160, France.
Anne-Cécile EzannoDepartment of Surgery, Bégin Military Teaching Hospital, Saint Mandé, France.ORCID http://orcid.org/0000-0003-0270-5090
Florent JosseDepartment of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Clinical Acute and Emergency Medicine, Federal Armed Forces Hospital Ulm, Ulm, Germany.
Clément DubostDepartment of Anesthesiology and Intensive Care Unit, Bégin Military Teaching Hospital, 69 avenue de Paris, Saint-Mandé, 94160, France.ORCID http://orcid.org/0000-0001-7539-6271
Olivier DuranteauDepartment of Anesthesiology and Intensive Care, Percy Military Teaching Hospital, Clamart, France.ORCID http://orcid.org/0000-0002-3028-2104
Salah BoussenDepartment of Anesthesiology and Intensive Care, Sainte-Anne Military Teaching Hospital, Toulon, France.ORCID http://orcid.org/0000-0002-9259-1498
Pierre PasquierFrench Military Medical Service Academy - École du Val-de-Grâce, Paris, France.ORCID http://orcid.org/0000-0003-2337-7874

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelivering intensive care in conflict zones and other resource-limited settings presents unique clinical, logistical, and ethical challenges. These contexts, characterized by disrupted infrastructure, limited personnel, and prolonged field care, require adapted strategies to ensure critical care delivery under resource-limited settings.

objectiveThis scoping review aims to identify and characterize medical innovations developed or implemented in recent conflicts that may be relevant and transposable to intensive care units operating in other resource-limited settings.

methodsA scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines. Five major databases were searched for English-language publications from 2014 to 2025. Studies describing innovations applicable to intensive care in modern warfare or resource-limited settings were included.

resultsWhile many studies relied on experimental or simulated models, a subset described real-world applications in resource-limited environments, including ultrasound-guided regional analgesia, resuscitative endovascular balloon occlusion of the aorta, portable blood transfusion platforms, and artificial intelligence-supported monitoring of traumatic brain injury. Training strategies such as teleconsultation/telementoring and low-cost simulation were also emphasized. Few of these intensive care innovations were validated in real-life wartime conditions.

conclusionInnovations from modern warfare offer pragmatic and potentially transposable solutions for intensive care in resource-limited settings. Successfully adapting them requires validation and contextual adaptation, as well as the implementation of concrete collaborative strategies, including tailored training programs, joint simulation exercises, and structured knowledge translation initiatives, to ensure effective and sustainable integration.

Indexed as

Critical CareHealth ResourcesIntensive Care UnitsWarfareHumansResource-Limited SettingsInnovative solutionsIntensive careModern warfareResource-limited settings

Identifiers

PMID40924187

What OpenQuestion holds

Textmetadata
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.