Implementation of the WHO SSC was associated with robust reduction in morbidity and length of in-hospital stay and some reduction in mortality.

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When implemented well, the SSC improved operating room care processes; subsequently, high-quality SCC implementation and improved care processes led to better patient outcomes.This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0.

Highlights Burn mass casualty events can and do occur across the globe, often in environments where health systems are already fragile and under resourced. The World Health Organisation Emergency Medical Teams initiative was developed to improve local, national and international response to disasters. Clear, simple recommendations can help planning bodies and burn service providers with establishing a timely and appropriate response to burn mass casualty events. The following recommendations are based on extensive literature review, expert opinion and feedback from frontline staff involved in providing a response. These recommendations cover the initial response from the scene to the first receiving hospital and referral to specialist services, including clinical and logistical aspects.