The Journal of emergency medicine · 2026
From Emergency Call to Emergency Department Handover: Emergency Medical Dispatch Support for Burn Injury Telephone Triage, Pre-Arrival Instructions and Referral Decisions.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Unterholzer Fabian, La Notte Michele
Аннотация
BACKGROUND: Initial burn management often starts at the emergency call. Emergency medical dispatch (EMD) must identify high-risk features, initiate evidence-based first aid, and support safe referral decisions despite uncertainty in burn size and depth.
STUDY OBJECTIVE: To synthesize evidence and standards relevant to dispatcher-assisted burn telephone triage, pre-arrival instructions, and destination/referral decisions, and to propose an implementable dispatch-to-emergency department (ED) framework.
METHODS: We performed a structured clinical (narrative) review informed by SANRA and complemented by standards and guideline sources. The synthesis provides a core pre-arrival instruction bundle (including cooling with hypothermia safeguards), phenotype-specific add-ons (chemical, electrical, inhalation risk), conservative escalation triggers, and a minimum prenotification dataset to support ED parallel processing.
CONCLUSIONS: Standardized, safety-bounded dispatcher scripts and governance across the dispatch-ED interface may reduce harmful first-aid variation, improve timely escalation and burn-center referral, and strengthen handover quality for patients with burn injuries.
STUDY OBJECTIVE: To synthesize evidence and standards relevant to dispatcher-assisted burn telephone triage, pre-arrival instructions, and destination/referral decisions, and to propose an implementable dispatch-to-emergency department (ED) framework.
METHODS: We performed a structured clinical (narrative) review informed by SANRA and complemented by standards and guideline sources. The synthesis provides a core pre-arrival instruction bundle (including cooling with hypothermia safeguards), phenotype-specific add-ons (chemical, electrical, inhalation risk), conservative escalation triggers, and a minimum prenotification dataset to support ED parallel processing.
CONCLUSIONS: Standardized, safety-bounded dispatcher scripts and governance across the dispatch-ED interface may reduce harmful first-aid variation, improve timely escalation and burn-center referral, and strengthen handover quality for patients with burn injuries.