Publications by authors named "F Salio"
Background: Resource limitations in settings such as burn mass casualty incidents (MCIs) present challenges to the judicious fluid resuscitation required for major burns. Previous recommendations for burns care in MCIs have suggested certain adaptations from routine care, such as delaying intravenous (IV) fluid resuscitation until arrival at facility; using a fluid calculation formula that is independent of percentage of total body surface area (%TBSA) burned; or using fluid calculation formula based on time of arrival to first receiving facility rather than from time of injury, thus omitting 'catch-up' fluid.
Objectives: To synthesize and assess certainty of evidence from resource-limited settings on the three adaptations to fluid resuscitation for patients with major burns in MCIs.
Background: Timely and safe intravenous (IV) fluid resuscitation for major burns may be difficult or impossible during mass casualty burn incidents. Oral/enteral fluid resuscitation may be an alternative.
Objectives: To synthesize and assess certainty of evidence on oral/enteral fluid resuscitation as compared to IV or no fluid resuscitation for major burns.
Article Synopsis
- On November 5, 2021, a tanker explosion in Freetown, Sierra Leone, caused a fire incident resulting in injuries and fatalities, prompting an emergency response led by the WHO and local health authorities.
- The study examines how Sierra Leone managed this crisis, focusing on the role of international Emergency Medical Teams (EMTs) in providing essential medical care and support to the affected hospitals.
- Key findings show effective coordination by local authorities, successful deployment of EMTs, and additional healthcare services like reconstructive surgery and psychosocial support, ultimately enhancing local clinicians' skills and community appreciation for the medical teams.
Article Synopsis
- The WHO Emergency Medical Teams Initiative aims to quickly deploy qualified medical teams to respond to public health emergencies globally, with special emphasis on enhancing capacities, particularly in the African region.
- Since 2016, 40 EMTs have been classified worldwide, but only 10 priority African countries are incorporating them to tackle regional health emergencies.
- A case study approach was used to examine the development and progress of national EMTs in Africa, documenting challenges and lessons learned since the initiative's launch in December 2017.