McLure Michael, Macneil Finlay, Wood Fiona M, Cuttle Leila, Eastwood Kathryn, Bray Janet, Tracy Lincoln M
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, AUS.
Department of Urology, Gosford District Hospital and Gosford Private Hospital, Gosford, AUS.
Cureus. 2021 Jun 20;13(6):e15779. doi: 10.7759/cureus.15779. eCollection 2021 Jun.
We conducted a rapid review of current international and Australian/New Zealand guidelines on first aid for burns to identify any critical variation and any recent major changes in the literature that would warrant a significant change to current recommendations. A search was conducted to identify Australian/New Zealand and international first aid guidelines for burn care using guideline databases, and we compared key recommendations from each guideline relating to burns first aid. A literature search of relevant databases (Medline, Embase, Cochrane Database of Systematic Reviews, PROSPERO international register of systematic reviews, and ClinicalTrials.gov databases) was conducted to identify existing and in-progress research published on the topic of first aid for burn injuries. Seven guidelines were identified from the Australia/New Zealand region, and 11 international guidelines were identified from the United States of America and Europe. All Australian and New Zealand guidelines recommended a cooling duration of 20 minutes and made some mention of when to refer a burn for medical evaluation, while international guidelines saw cooling duration variation, a number of guidelines failed to mention referral criteria. The review of published systematic reviews and clinical trials revealed a lack of new evidence in the last six years. Our rapid review identified key variation between first aid guidelines for burns that would benefit from the development of an international consensus on management. We identified no new significant evidence that would alter guideline recommendations and did not identify any upcoming reviews or clinical trials on this subject.
我们对当前关于烧伤急救的国际及澳大利亚/新西兰指南进行了快速审查，以确定文献中是否存在任何关键差异以及近期的重大变化，这些变化可能需要对当前建议进行重大修改。我们通过指南数据库进行搜索，以确定澳大利亚/新西兰以及国际上关于烧伤护理的急救指南，并比较了各指南中与烧伤急救相关的关键建议。我们还对相关数据库（Medline、Embase、Cochrane系统评价数据库、PROSPERO国际系统评价注册库和ClinicalTrials.gov数据库）进行了文献检索，以确定已发表的关于烧伤急救主题的现有研究和正在进行的研究。从澳大利亚/新西兰地区确定了7项指南，从美国和欧洲确定了11项国际指南。所有澳大利亚和新西兰的指南都建议冷却时间为20分钟，并对何时将烧伤患者转诊进行医学评估有所提及，而国际指南中冷却时间存在差异，一些指南未提及转诊标准。对已发表的系统评价和临床试验的审查显示，在过去六年中缺乏新的证据。我们的快速审查确定了烧伤急救指南之间的关键差异，这些差异将受益于制定国际管理共识。我们未发现会改变指南建议的新的重要证据，也未发现有关该主题的即将进行的审查或临床试验。
