Evidence map›Paper›PMID 42423140›Full record

GuidelineWorld journal of surgery2026

Explosive Weapons Trauma Care Collective (EXTRACCT) Clinical Practice Guideline: Transfer of Critically Injured Casualties.

Emma Butterfield, Gavin Wooldridge, Solomon Abraha Asfaw, Mervat Alhilal, Mardi Steere, Benjamin W Wachira, Paul Reavley, Roman Shtybel, Marius Rehn, EXTRACCT Clinical Practice Guidelines collaboration

Abstract readPractice GuidelineReview
PubMed Full text at PMC Publisher
In one paragraph

Guideline in World journal of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
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

10 authors.

Emma ButterfieldIntensive Care, Barts Health NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0001-9076-6875
Gavin WooldridgePaediatric Intensive Care and Retrieval, North West and North Wales Paediatric Transport and Retrieval Service, Manchester, UK.ORCID https://orcid.org/0000-0001-6806-9328
Solomon Abraha AsfawHumanity & Inclusion, Mekelle, Ethiopia.
Mervat AlhilalHALO Trust, Amman, Jordan.
Mardi SteereRoyal Flying Doctor Service SA/NT, Adelaide, Australia.ORCID https://orcid.org/0000-0001-8029-6056
Benjamin W WachiraEmergency Medicine, The Aga Khan University, Nairobi, Kenya.ORCID https://orcid.org/0000-0002-9449-5416
Paul ReavleyPediatric Emergency Medicine, Bristol Royal Hospital for Children, Bristol, UK.
Roman ShtybelMedical Service of the 12th Special Forces Brigade, Donetsk Oblast, Ukraine.
Marius RehnAir Ambulance Department, Division of Prehospital Services, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0001-9519-241X
EXTRACCT Clinical Practice Guidelines collaboration

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBlast-injured patients often present to healthcare facilities which cannot definitively meet their clinical needs. This clinical practice guideline (CPG) reviews and describes best practice for inter-facility transfer of casualties in resource limited and conflict-afflicted contexts where there may not be a formal referral pathway or specialized inter-facility transfer service.

methodsA narrative literature review and synthesis of expert opinion were used to develop this CPG.

resultsThe guideline describes current standards and best practice in inter-facility transfer in a low resource context-particularly during conflict when referral and transfer pathways may be overwhelmed-and advises on the selection and preparation of patients, as well as equipment and staff.

conclusionThis CPG outlines how clinicians can prepare to deliver the safest possible transfer in their context using a series of simple checklists and a flowchart to guide decision making. The evidence base for the CPG is limited by the lack of data on inter-facility transfers in resource-limited contexts and the difficulty in translating guidance from the global north into resource limited and conflict-afflicted contexts.

Indexed as

Blast InjuriesPatient TransferHumansPractice Guidelines as TopicResource-Limited Settingscritical careresource limited settingtransfertransporttrauma

Identifiers

PMID42423140
PMCPMC13460947

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.