Global Observatory on Incendiary Weapons
Our aim is to document injuries caused by incendiary weapons globally. While the Explosive Weapons Trauma Care Collective (EXTRACCT) traditionally addresses the impact of explosive devices on civilians, incendiary and thermobaric weapons are equally devastating and thus this project aligns with the organization's core objective: reducing the mass and inhumane debilitation of civilians in conflict zones. For the purposes of this study:

An incendiary weapon is any munition that produces heat and fire through the chemical reaction of a flammable substance, such as napalm, white phosphorus, or thermite, that inflicts burns, other immediate and long-term injuries, or death.

If you have evaluated or treated a patient with suspicion that their injuries were caused by an incendiary weapon, please complete this form to the best of your capabilities. If you have evaluated or treated multiple patients, please submit each patient separately. We understand that you may be limited by time or resources. If you are unable to answer a field, you may leave it blank or fill it with "NA".

Contact our team at explosiveweaponstraumacare@gmail.com for further information on this study or with any questions pertaining to filling out this form. 
IRB exemption approval: #STUDY00021130

Thank you kindly for contributing. 
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Unique Patient Data Identifier: 

Please enter your initials, followed by today's date (mmdd), and the current time.

Ie: My name is John Doe, it is August 22nd at 3:12 pm (15:12) = JD08221512

Note: If submitting data on multiple patients, please submit each patient individually (1 patient per identifier). 
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Patient Sex *
Patient Age (in years) *
Is the patient age confirmed or estimated by provider? *
Approximate date of injury *
MM
/
DD
/
YYYY
Where did the incident of injury occur? Be as specific as possible (country; region; city/town/village/other type of location; street address, if available, or other description of the particular site; geolocation/coordinates, if available; etc.).  *
Geolocation/Coordinates of where injury occurred - Can be generated by Apple or Google maps, copy and paste coordinates into this text box, if available. See photo for example. 
Captionless Image
Where is the evaluating health facility located? Name and type of health facility (hospital, temporary field station, or clinic, etc. Also include location, and address if available - street, city, region, country) *
Geolocation/Coordinates of facility - Can be generated by Apple or Google maps, copy and paste coordinates into this text box, if available. See photo for example. 
Captionless Image
Please describe any history obtained about how this incident occurred, if available. Use this space to provide any additional information about the context in which the patient was injured, where the injury took place, who employed the causal weapons,  whether any military targets were present, and the source(s) of all of this information, etc. *
Which anatomic regions were injured? Select all that apply.  *
Required
Provide a description of the identified injuries. *
Do you suspect an incendiary weapon was involved in the mechanism of injury? Use your best judgment.

An incendiary weapon is any munition that produces heat and fire through the chemical reaction of a flammable substance, such as napalm, white phosphorus, or thermite, that inflicts burns, other immediate and long-term injuries, or death.
 *
If yes, please select which type of incendiary weapon you suspect was used?
Clear selection
If yes, please describe why you suspect an incendiary weapon was involved. (ie: characteristics of injury, military experience, testimony, etc)
Photo Submission
If possible, please send non-identifiable photographs of the patient injuries via Whatsapp (QR CODE BELOW) or via email to explosiveweaponstraumacare@gmail.com.

Include the Patient Data Identifier in the message (ie: JD08221512). 

To protect confidentiality, avoid including identifying tattoos or body markings in the photographs, and do not include the patient face unless there is a facial injury, in this case cover the eyes. 

We further welcome photographs of the injury setting, if the the patient has any testimony/images of the context in which the injury occured.

Photo Submission (WhatsApp)
Additional Data Submission (Optional) 
Thank you for completing this form and providing the necessary data to track incendiary and thermobaric injuries. 

If you are able, please consider completing this supplemental form about injury severity, pre-hospital data, patient management, and outcomes:  Supplemental Data Submission (optional)

NOTE: To correctly link responses, you will need to enter the same unique patient identifier from this form. 
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