Early management of paediatric burn injuries


      Burns are common injuries in the paediatric population and comprise a significant epidemiological problem worldwide. This article describes the most common patterns of burn injuries encountered in clinical practice as well as the basic principles of burn wound pathophysiology. Key aspects of clinical management including assessment of burn depth and total burn surface area are described and issues pertinent to paediatric fluid resuscitation are discussed. Particular reference is made to the provision of optimal pre-hospital first aid and the principles of specialist management according to UK national guidelines.


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      Further reading

        • Barret J.P.
        • Dziewulski P.
        • Ramzy P.I.
        • Wolf S.E.
        • Desai M.H.
        • Herndon D.N.
        Biobrane versus 1% silver sulfadiazine in second-degree pediatric burns.
        Plast Reconstr Surg. 2000; 105: 62-65
        • British Burn Association
        Emergency management of severe burns course manual, UK version.
        Wythenshaw Hospital, Manchester2008
        • Cubison T.C.
        • Pape S.A.
        • Parkhouse N.
        Evidence for the link between healing time and the development of hypertrophic scars (HTS) in paediatric burns due to scald injury.
        Burns. 2006; 32: 992-999
        • Greenbaum A.R.
        • Donne J.
        • Wilson D.
        • Dunn K.W.
        Intentional burn injury: an evidence-based, clinical and forensic review.
        Burns. 2004; 30: 628-642
      1. http://www.specialisedservices.nhs.uk/library/35/National_Burn_Care_Referral_Guidance.pdf

        • Hudspith J.
        • Rayatt S.
        First aid and treatment of minor burns.
        BMJ. 2004; 328: 1487-1489
        • Kim L.H.
        • Ward D.
        • Lam L.
        • Holland A.J.
        The impact of laser Doppler imaging on time to grafting decisions in pediatric burns.
        J Burn Care Res. 2010; 31: 328-332
        • National Burn Care Review
        National burn injury referral guidelines.
        Standards and strategy for burn care. NBCR, London2001: 68-69
        • Peck M.D.
        • Kruger G.E.
        • van der Merwe A.E.
        • et al.
        Burns and fires from non-electric domestic appliances in low- and middle-income countries Part II. A strategy for intervention using the Haddon matrix.
        Burns. 2008; 34: 312-319
      2. WHO. Facts about injuries: burns. www.who.int/violence_injury)prevention/publications/other_injury/en/burns_factsheet.pdf.