Wuthisuthimethawee, PrasitLindquist, Samuel J.Sandler, NicolaClavisi, OrnellaKorin, StephanieWatters, DavidGruen, Russell L.2025-07-082025-07-080364-2313PubMed:25085100ORCID:/0000-0001-8023-1957/work/167652373https://hdl.handle.net/1885/733766317Background: Few guidelines exist for the initial management of wounds in disaster settings. As wounds sustained are often contaminated, there is a high risk of further complications from infection, both local and systemic. Healthcare workers with little to no surgical training often provide early wound care, and where resources and facilities are also often limited, and clear appropriate guidance is needed for early wound management. Methods: We undertook a systematic review focusing on the nature of wounds in disaster situations, and the outcomes of wound management in recent disasters. We then presented the findings to an international consensus panel with a view to formulating a guideline for the initial management of wounds by first responders and subsequent healthcare personnel as they deploy. Results: We included 62 studies in the review that described wound care challenges in a diverse range of disasters, and reported high rates of wound infection with multiple causative organisms. The panel defined a guideline in which the emphasis is on not closing wounds primarily but rather directing efforts toward cleaning, debridement, and dressing wounds in preparation for delayed primary closure, or further exploration and management by skilled surgeons. Conclusion: Good wound care in disaster settings, as outlined in this article, can be achieved with relatively simple measures, and have important mortality and morbidity benefits.The members of the Wound Management in Disaster Settings Consensus Meeting are listed in Table . P.W. was supported by a Weary Dunlop Boon Pong Fellowship of the Royal College of Surgeons of Thailand and the Royal Australasian College of Surgeons. R.L.G. was supported by a Practitioner Fellowship from the Australian National Health and Medical Research Council. The development and dissemination of the Wound Care in Disaster Settings guidelines has been supported by the Royal Australasian College of Surgeons through its International Committee.12enPublisher Copyright: © 2014 Société Internationale de Chirurgie.201510.1007/s00268-014-2663-384938747173