Goodwin Nicholas S
Ambulance Victoria, 375 Manningham Road, Doncaster 3108, Victoria, Australia.
Burns. 2016 Aug;42(5):1148-1150. doi: 10.1016/j.burns.2016.01.033. Epub 2016 Jun 6.
As the lead author of a recently published systematic review on hydrogel burn dressings in pre-hospital, I was alarmed to read the claim by the authors to the effect no one method of burn wound cooling was superior to any other; "There is no evidence to recommend a specific temperature or method of cooling". The reputation and prominence of the ERC within the circle of resuscitation councils now delving into 1st Aid recommendations leads to the conclusion that misguided recommendations may cause confusion amongst first responders, may falsely misdirect 1st Aid providers to unsupported practices or alternatively create a window of opportunity for marketers or sellers of alternative burn 1st Aid technologies to make unsupported claims in respect of comparable efficacy of their own product versus "traditional" methods.
作为最近发表的一篇关于院前水凝胶烧伤敷料的系统评价的第一作者,读到作者声称没有一种烧伤伤口冷却方法比其他方法更优越,即“没有证据推荐特定的温度或冷却方法”时,我感到震惊。欧洲复苏委员会(ERC)在复苏委员会圈子里的声誉和知名度如今正深入研究急救建议,这导致一个结论:误导性的建议可能会在急救人员中造成困惑,可能会错误地将急救人员引导至无依据的做法,或者为替代烧伤急救技术的营销商或销售商创造机会,使其就自己产品与“传统”方法的可比疗效提出无依据的主张。