Adjuncts, Analgesia, and First Aid for the Acute Management of Paediatric Burn Injuries

2021 ◽  
Author(s):  
◽  
Maleea Holbert
2019 ◽  
pp. 59-66
Author(s):  
Jorge Leon-Villapolas

In the UK alone there are approximately 175,000 acute burn injuries /year. There is a great variation in the way these injuries are managed. Advances in our understanding of the pathophysiology and natural history of burn injuries have highlighted the importance of early intervention in minimizing later functional and cosmetic morbidity. Differences in beliefs and ethnic background have a large impact on the way that burns are initially dealt with, as we know that only a minority of patients presenting with burns are optimally managed pre-hospital. Lack of education and conflicting information about burns first aid is believed to be a major factor in the common occurrence of burnt patients presenting with a variety of domestic remedies being applied to their burns as first aid. Judicious application of simple burns first aid is the first step for soft tissue preservation, improvement of outcomes and a decrease in the need for operative management.


Burns ◽  
2010 ◽  
Vol 36 (5) ◽  
pp. 673-679 ◽  
Author(s):  
Leila Cuttle ◽  
Margit Kempf ◽  
Pei-Yun Liu ◽  
Olena Kravchuk ◽  
Roy M. Kimble

2019 ◽  
Vol 17 (3) ◽  
pp. 315-319
Author(s):  
Santosh Bikram Bhandari ◽  
Sujit Kumar Sah ◽  
Khakindra Bahadur Bhandari ◽  
Jaswan Sakya ◽  
Laxmi Raj Pathak ◽  
...  

Background: According to WHO, burns are a serious public health problem and the second most common cause for injury in rural Nepal, accounting for 5% of disabilities. The overall objective of the study is to assess the prevailing perception and practice among community people and health service providers on care and management of burn injuries in Nepal. Methods: This was a qualitative study conducted in 2016 representing all eco-development regions. A total of 40 key informants interviews with health personnel and 18 focus group discussions with the community people were conducted.Results: There are very limited dedicated burn care facilities in Nepal. During discussion, the service providers and community people mentioned that a burn injury can affect any one irrespective of their age and socioeconomic status. The study showed that females are at higher risk for burn injury which is associated mostly with wood fire cooking.The burn cases in the hospitals were more during winter than insummer season. Among all the ethnic groups, Dalit and indigenous population were found more vulnerable towards burn injuries. Intentional burn injuries such as self-inflicted burns/suicidal attemptwere found to occur more in females.The community people had a good practice of taking the majority ofpatients having burn injury immediately to the hospital,if not, they at least provided them with a first aid treatment. Conclusions: Majority of burn injured cases are getting first aid treatment at the incident places and taking hospital immediately. Main reasons, who reached late, are unaware about seeking services and financial constraint. Overall, the community people are partially aware about the burn injury.Keywords: Burn injuries; community practice; hospitals; incident and types.


2017 ◽  
Author(s):  
Matthew J Simpson ◽  
Sean McInerney ◽  
Elliot J Carr ◽  
Leila Cuttle

AbstractFirst aid treatment of burn injuries reduces scarring and improves healing. Here, we quantify the efficacy of various first aid treatments by using a mathematical model to describe a suite of experimental data from a series of in vivo porcine experiments. We study a series of consistent burn injuries that are subject to first aid treatments that vary in both the temperature and duration of the first aid treatment. Calibrating the mathematical model to the experimental data provides estimates of the in vivo thermal diffusivity, the rate at which thermal energy is lost to the blood (perfusion), and the heat transfer coefficient controlling the loss of thermal energy at the interface of the fat and muscle layers. A limitation of working with in vivo animal experiments is the difficulty of resolving spatial variations in temperature across the tissues. Here, we use the solution of the calibrated mathematical model to predict and visualise the temperature distribution across the thickness of the tissue during the creation of the burn injury and the application of various first aid treatments. Using this information we propose, and report values for, a novel measure of the potential for tissue damage. This measure quantifies two important aspects that are thought to be related to thermal injury: (i) the volume of tissue that rises above the threshold temperature associated with the accumulation of tissue damage; and, (ii) the duration of time that the tissue remains above this threshold temperature. We conclude by discussing the clinical relevance of our findings.


2010 ◽  
Vol 43 (S 01) ◽  
pp. S15-S22
Author(s):  
Prabhat Shrivastava ◽  
Arun Goel

ABSTRACTThe care provided to the victims of burn injury immediately after sustaining burns can largely affect the extent and depth of the wound. Although standard guidelines have been formulated by various burn associations, they are still not well known to public at large in our country. In burn injuries, most often, the bystanders are the first care providers. The swift implementation of the measures described in this article for first aid in thermal, chemical, electrical and inhalational injuries in the practical setting, within minutes of sustaining the burn, plays a vital role and can effectively reduce the morbidity and mortality to a great extent. In case of burn disasters, triage needs to be carried out promptly as per the defined protocols. Proper communication and transport from the scene of the accident to the primary care centre and onto the burn care facility greatly influences the execution of the management plans


2008 ◽  
Vol 16 (5) ◽  
pp. 626-634 ◽  
Author(s):  
Leila Cuttle ◽  
Margit Kempf ◽  
Olena Kravchuk ◽  
Gael E. Phillips ◽  
Julie Mill ◽  
...  

Burns ◽  
1996 ◽  
Vol 22 (2) ◽  
pp. 130-134 ◽  
Author(s):  
G.M. Beer ◽  
P. Kompatscher
Keyword(s):  

Burns ◽  
2019 ◽  
Vol 45 (2) ◽  
pp. 433-439 ◽  
Author(s):  
Varun Harish ◽  
Neha Tiwari ◽  
Oliver M. Fisher ◽  
Zhe Li ◽  
Peter K.M. Maitz

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