2022
DOI: 10.1017/s1049023x22000401
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Gaps in Prehospital Care for Patients Exposed to a Chemical Attack – A Systematic Review

Abstract: Introduction: The survivability of mass casualties exposed to a chemical attack is dependent on clinical knowledge, evidence-based practice, as well as protection and decontamination capabilities. The aim of this systematic review was to identify the knowledge gaps that relate to an efficient extraction and care of mass casualties caused by exposure to chemicals. Methods: This systematic review was conducted from November 2018 through September 2020 in compliance with Cochrane guidelines… Show more

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Cited by 5 publications
(9 citation statements)
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“…12 16 19-30 39-48 On the other hand, a review of the literature revealed that most studies involved clinical interventions taking place after the patient had already been admitted to the hospital or medical facility. 12 16 19-30 39-48 A recent systematic review 49 assessing past medical responses in prehospital settings after chemical attacks [50][51][52][53] constitutes one study, 49 confirming the existence of these gaps and standardisation issues in clinical care, as well as in protection 12-15 17-30 39-41 49 54-56 and decontamination capabilities 12-15 17-30 39-41 49 54-56 for both patients and staff. These deficiencies are directly related to the medical extraction of casualties exposed to chemical attacks from the incident site to the point of transfer to a medical facility (ie, acute settings), which the systematic review also revealed to be an area that has hardly been studied.…”
Section: Open Accessmentioning
confidence: 93%
See 3 more Smart Citations
“…12 16 19-30 39-48 On the other hand, a review of the literature revealed that most studies involved clinical interventions taking place after the patient had already been admitted to the hospital or medical facility. 12 16 19-30 39-48 A recent systematic review 49 assessing past medical responses in prehospital settings after chemical attacks [50][51][52][53] constitutes one study, 49 confirming the existence of these gaps and standardisation issues in clinical care, as well as in protection 12-15 17-30 39-41 49 54-56 and decontamination capabilities 12-15 17-30 39-41 49 54-56 for both patients and staff. These deficiencies are directly related to the medical extraction of casualties exposed to chemical attacks from the incident site to the point of transfer to a medical facility (ie, acute settings), which the systematic review also revealed to be an area that has hardly been studied.…”
Section: Open Accessmentioning
confidence: 93%
“…These deficiencies are directly related to the medical extraction of casualties exposed to chemical attacks from the incident site to the point of transfer to a medical facility (ie, acute settings), which the systematic review also revealed to be an area that has hardly been studied. 49 Given the scarcity of information regarding validated medical response data in acute settings, 49 it is necessary to conduct studies on medical responses during a CBRNE event, starting with chemical exposures.…”
Section: Open Accessmentioning
confidence: 99%
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“…In other countries, evacuation of casualties from the hot to the warm zone is required prior to triage and treatment of casualties. The absence of advanced medical treatment within a CBRN hot zone is a widely acknowledged problem described as a ‘therapeutic vacuum’ [ 17 ].…”
Section: Current Organophosphorus Response – the First Point Of Carementioning
confidence: 99%