@article{ref1,
title="Evaluating discrepancies in percent total body surface area burn assessments between prehospital providers and burn center physicians",
journal="Journal of burn care and research",
year="2021",
author="Tran, Duy P. and Arnold, Donald H. and Thompson, Callie M. and Richmond, Neal J. and Gondek, Stephen and Kidd, Rebecca S.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Burns are routinely assessed at the scene of the incident by prehospital or emergency medical services providers. The initial management of burns is based on the calculation of the extent of the injury, reported as percent total body surface area. This study evaluates discrepancies in estimation of total body surface area (TBSA) between prehospital providers and burn team physicians over a 3-year period at an academic, university medical center serving as the regional burn center. A total of 120 adult and 27 pediatric patients (less than age 16 years) were included, with 95 (65%) male, 67 (45.6%) Caucasian, 62, median age 35 years (Interquartile Range 27). The most common etiology of burns was hot liquid, 39 (26.5%). Median [IQR] and mean (SD) estimated TBSA (%) were 4[1, 10] and 8.6 (12.8) for prehospital providers, and 2 [1, 6] and 5.9 (9.9) for burn team physicians. Bland-Altman plots evaluating 2nd and 3rd degree burns separately and combined demonstrated that, as burns involved more surface area, agreement decreased between emergency medical service providers and burn physicians. Agreement between pre-hospital providers and burn physicians decreased as total body surface areas of burns increased. This finding reaffirms the need for more standardized education and training for all medical personnel.<p /> <p>Language: en</p>",
language="en",
issn="1559-047X",
doi="10.1093/jbcr/irab131",
url="http://dx.doi.org/10.1093/jbcr/irab131"
}