Document Type
Article
Department
Emergency Medicine (East Africa)
Abstract
Introduction Blast-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.
Methods A narrative literature review and synthesis of expert opinion were used to develop this CPG.
Results The 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.
Conclusion This 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.
Publication (Name of Journal)
World journal of surgery
DOI
https://doi.org/10.1002/wjs.70456
Recommended Citation
Butterfield, E.,
Wooldridge, G.,
Asfaw, S.,
Alhilal, M.,
Steere, M.,
Wachira, B.,
Reavley, P.,
Shtybel, R.,
Rehn, M.
(2026). Explosive weapons trauma care collective (EXTRACCT) clinical practice guideline: Transfer of critically Injured Casualties. World journal of surgery, 50(8), 2455-2470.
Available at:
https://ecommons.aku.edu/eastafrica_fhs_mc_emerg_med/47
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.