Table 2

Quality of evidence of the peer-reviewed literature

AuthorYearDisaster zoneEMTQuality*Theme
Salibi261975MultipleNot specifiedIIIPo
Rautio and Paavolainen271988AfghanistanICRCII-3A, H, L, TA
Gertsch281987PeshawarICRCIIIH, L, TA
Gosselin et al291993PeshawarICRCII-3AI
Strada et al301993AfghanistanICRCII-3TA
Sundin311995RwandaICRCII-3A, Abx, C, F, T, TA
Rowley321996Afghanistan, SudanICRCII-3F, L
Molde331998MultipleICRCIIIF, L
du Mortier and Arpagaus342005DRCICRCII-3I, M, S
Kanter et al352008MultipleNot specifiedIIIICU, P
Chapman et al362008MultipleNot specifiedIIIIm
Clasper and Rowley372009SudanICRCIIIL
Ennis382010HaitiProject MedishareIIIW, Sc
Deering et al392011IraqUS MHS - CSHII-2In, Tr
Jawa et al402012HaitiProject MedishareIIIA, Abx, C, F, MR, TA
Sever et al412012MultipleRenal Disaster Relief Task ForceIIIR
Zoraster and Burkle422013MultipleNot specifiedIIIMR
Asgary432013MultipleNot specifiedIIISp, T
Nessen et al442013AfghanistanUS Military Forward Surgical TeamII-3BPS
Einav et al452014MultipleNot specifiedIIIB, D, ICU, Ref
Elder et al462015MultipleMSFIIIAbx, B
Borovecki et al472015MultipleICRCIIIPSC
Jafar et al152015MultipleNot specifiedIIIMR
Rau and Blake482015MultipleICRCIIID, MR, Ph
Ren et al492015PhilippinesPeace Ark Hospital ShipII-3Ra
Trudeau and Rothstein502016MultipleMultiple, including MSFIIIP
Cancedda et al512016Sierra LeonePartners in Health and Wellbody AllianceIIIE
Kuckelman et al522016AfghanistanUS Military Forward Surgical TeamII-3S
Bauhan and Veen532017DRCICRCII-3F, L
Burkle542018MultipleNot specifiedIIIT
  • *Classified according to the US Preventive Services Taskforce. I. Properly powered and conducted RCT; well-conducted systematic review or meta-analysis of homogeneous RCTs. II-1. Well-designed controlled trial without randomisation. II-2. Well-designed cohort or case–control analysis study. II-3. Multiple time series, with or without the intervention; results from uncontrolled studies that yield results of large magnitude. III. Opinions of respected authorities, based on clinical experience; descriptive studies or case reports; reports of expert committees.

  • A, anaesthesia; Abx, antibiotics; AI, arterial injury; B, burns; BPS, blood products safety; C, chest; D, discharge planning; DRC, Democratic Republic of Congo; E, Ebola outbreak; EMT, emergency medical team; F, fracture; H, head injury; I, indicator; ICRC, International Committee of the Red Cross; ICU, intensive care unit; Im, immunisation; In, incident reporting; L, limb; M, medicines; MHS-CSH, Military Healthcare System—Combat Support Hospital; MR, medical records; MSF, Medicines Sans Frontieres; P, paediatric care; Ph, physiotherapy; Po, positioning of patient; PSC, patient safety culture; R, renal injury; Ra, radiology; RCT, randomised controlled trial; Ref, referral or second opinion; S, sharps disposal; Sc, scoring system; Sp, supervision; Su, surgery; T, triage; TA, thoracoabdominal; Tr, training.