Evidence map›Paper›PMID 41588499›Full record

ArticleBMC emergency medicine2026

Trauma handover practices between ambulance clinicians, emergency department staff and trauma teams: scoping review.

Naif Harthi, Ateeq Almuwallad, Hussin Albargi, Rayan Jafnan Alharbi, Rami A Alyami, Abdulhadi A Al Ruwaithi, Mohsen Almakrami

Abstract readScoping Review
In one paragraph

Article in BMC emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Naif HarthiEmergency Medical Services Programme, Department of Nursing, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia. nharthi@jazanu.edu.sa.
Ateeq AlmuwalladEmergency Medical Services Programme, Department of Nursing, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.
Hussin AlbargiEmergency Medical Services Programme, Department of Nursing, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.
Rayan Jafnan AlharbiEmergency Medical Services Programme, Department of Nursing, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.
Rami A AlyamiRespiratory Therapy Programme, Department of Nursing, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.
Abdulhadi A Al RuwaithiDepartment of Clinical Technology, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia.
Mohsen AlmakramiDepartment of Population Health, Ministry of Health, Najran, 66262, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective handovers between paramedics and emergency department (ED) or trauma teams are crucial for safe trauma care. However, communication challenges and system-level barriers can disrupt this process. This scoping review explores the current evidence on trauma handovers to identify key challenges, effective strategies, and areas for improvement.

methodsThis review followed Arksey and O’Malley’s five-stage framework and adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) guidelines. A systematic search of five electronic databases was conducted to identify studies focusing on trauma handovers between paramedics and emergency department staff. Fourteen studies were included, employing diverse methodologies including quantitative, qualitative, mixed methods, and multi-method designs. Data were charted and thematically analysed to identify overarching themes and subthemes.

resultsThree major themes were identified: (1) challenges in communication (2), strengthening handover practices, and (3) the impact of handover quality on patient outcomes. Subthemes included disruptions and distractions, inconsistent communication frameworks, barriers to collaboration, the standardisation of handover tools, and education and training initiatives. Across included studies, structured communication tools were associated with improvements in handover efficiency, fewer communication errors and omissions, and better team coordination; however, the evidence base was heterogeneous and largely observational. Nonetheless, barriers such as inconsistent adoption, insufficient formal training, and infrastructural limitations were recurrent. Notably, most studies originated from a few countries, including the United States, Canada, and Iran, leaving gaps in understanding trauma handovers in other settings.

conclusionsStandardised communication tools, targeted training, and stronger collaboration emerge as important strategies for improving trauma handovers. Future research should address gaps in training, tool adoption, and global representation, and explore context-sensitive and digital strategies to enhance handover practices. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

AmbulancesEmergency Service, HospitalPatient Care TeamPatient HandoffWounds and InjuriesCommunicationHumansParamedicineParamedicsEmergency departmentEmergency medical techniciansHandoverParamedicsTrauma patientsTrauma team

Identifiers

PMID41588499
PMCPMC12918115

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.