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Military and civilian handover communication in emergency care: how does it differ?

Military and civilian handover communication in emergency care: how does it differ?
Military and civilian handover communication in emergency care: how does it differ?
There is a growing body of literature on handover communication between prehospital and hospital receiving teams in civilian emergency care settings but little is known about how this differs from handover in the UK military medical services. This literature review shows that civilian handover is a complex process conducted in less-than-ideal circumstances, and it is affected by human behaviour and patient factors. There is a debate around standardisation including the use of the Mechanism, Injury or Illness, Signs, Treatment (MIST) mnemonic. There is limited understanding of how this mnemonic was used by the UK military, how it was developed to deal with specific patient characteristics or in the context of military operations in Afghanistan within which it evolved. Advancements in clinical practice made during conflict are ancillary to military objectives and should be supported by an evidence base before being transferred to civilian health care.
66-73
Slope, Rowena
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Pope, Catherine
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Crouch, Robert
3a3b1f32-e067-43d0-9bc7-85d1229412fe
Bernthal, Elizabeth M.M.
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Slope, Rowena
2c23313f-df22-46f9-ba65-6e2309e17d9a
Pope, Catherine
21ae1290-0838-4245-adcf-6f901a0d4607
Crouch, Robert
3a3b1f32-e067-43d0-9bc7-85d1229412fe
Bernthal, Elizabeth M.M.
610f0fe3-8620-4fae-9395-794d677e5acc

Slope, Rowena, Pope, Catherine, Crouch, Robert and Bernthal, Elizabeth M.M. (2019) Military and civilian handover communication in emergency care: how does it differ? Journal of Paramedic Practice, 11 (2), 66-73. (doi:10.12968/jpar.2019.11.2.66).

Record type: Article

Abstract

There is a growing body of literature on handover communication between prehospital and hospital receiving teams in civilian emergency care settings but little is known about how this differs from handover in the UK military medical services. This literature review shows that civilian handover is a complex process conducted in less-than-ideal circumstances, and it is affected by human behaviour and patient factors. There is a debate around standardisation including the use of the Mechanism, Injury or Illness, Signs, Treatment (MIST) mnemonic. There is limited understanding of how this mnemonic was used by the UK military, how it was developed to deal with specific patient characteristics or in the context of military operations in Afghanistan within which it evolved. Advancements in clinical practice made during conflict are ancillary to military objectives and should be supported by an evidence base before being transferred to civilian health care.

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Accepted/In Press date: 17 September 2018
e-pub ahead of print date: 2 February 2019

Identifiers

Local EPrints ID: 430587
URI: https://eprints.soton.ac.uk/id/eprint/430587
PURE UUID: 50404fad-59b4-4ae6-a562-f665afaf84b8
ORCID for Catherine Pope: ORCID iD orcid.org/0000-0002-8935-6702

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Date deposited: 03 May 2019 16:30
Last modified: 04 May 2019 00:35

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Contributors

Author: Rowena Slope
Author: Catherine Pope ORCID iD
Author: Robert Crouch
Author: Elizabeth M.M. Bernthal

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