Prompt neutralization of traumatic hyperthermic factors of burn injuries in children at the stages of selfhelp, mutual assistance and first aid
DOI:
https://doi.org/10.15574/PS.2021.70.38Keywords:
burn injuries, children, first aid, traumatic hyperthermic agents, neutralizationAbstract
Occupying a leading position in the structure of general injuries, burn injuries in children remain an urgent issue of combustiology in particular and medicine in general. At the same time, many issues related to the organization of first aid to such patients still remain unregulated. To this end, a study aimed at conducting a comparative analysis of the clinical effectiveness of emergency care for children with burn injuries, including the use of the suggested algorithm, was conducted.
Materials and methods. 153 cases of burn injuries with boiling water of IIab–III degree on the area of 10–40% of the body surface in children aged from 8 months to 16 years, who were treated at the Clinical Center for Thermal Injury and Plastic Surgery of the Municipal Non-profit Enterprise «Vinnytsia Regional Pirogov Clinical Hospital Vinnytsya Regional Council» in the period of 2015–2020 were analyzed. All patients underwent comprehensive diagnosis and treatment including surgery. Depending on the nature of first aid, children were divided into two groups: patients of the main group (n=97) underwent prompt neutralization of the traumatic effects of exogenous hyperthermic factors on the injured areas from the moment the injury was sustained. Childrenin the control group (n=56) sought help on the 5th–14th day after the injury. The duration of prompt neutralization did not exceed 15 minutes or was not performed at all. It was often combined with the irrational use of pharmacological agents and folk remedies.
Results. Comparative analysis of the course of the disease in children of the main group and the comparison group reliably confirmed the benefits of prompt neutralization of traumatic effects of hyperthermic exogenous and endogenous damage factors in burn injuries manifested by a more favorable course of the disease, faster improvement, lower local and systemic inflammatory response, shorter hospital stay with less occurrence of various complications, repeated surgical interventions, better aesthetic and functional results.
Conclusions. The obtained results objectively confirmed the importance and effectiveness of the suggested system of organization of care for children with burn injuries, especially at the stages of self-help, mutual assistance and first aid.
The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of these Institutes. The informed consent of the patient was obtained for conducting the studies.
The authors declare no conflicts of interests.
References
Ahmadabadi A, Tavousi SH, Sedaghat A, Khadem Rezaeyan M. (2016). Pattern of burns injury in preschool children. J Saf Promot Inj Prev. 4 (4): 225-230.
Ali Z, Bhaskar SB. (2016). Basic statistical tools in research and data analysis. Indian J Anaesth. 60 (9): 662-669. https://doi.org/10.4103/0019-5049.190623; PMid:27729694 PMCid:PMC5037948
Altintas B, Altintas AA, Kraemer R, Sorg H, Vogt PM, Altintas MA. (2014). Acute effects of local cold therapy in superficial burns on pain, in vivo microcirculation, edema formation and histomorphology. Burns. 40 (5): 915-921. https://doi.org/10.1016/j.burns.2013.11.023; PMid:24342123
Biswas A, Rahman F, Maitz P, Baset KU, Hossain J, Mashreky SR. (2017). An evaluation of Emergency Management of Severe Burn (EMSB) course in Bangladesh: a strategic direction. Burns Trauma. 5: 12. https://doi.org/10.1186/s41038-017-0078-8; PMid:28466024 PMCid:PMC5408382
Bitter CC, Erickson TB. (2016). Management of Burn Injuries in the Wilderness: Lessons from Low-Resource Settings. Wilderness Environ Med. 27 (4): 519-525. https://doi.org/10.1016/j.wem.2016.09.001; PMid:28029455
Burgess J, Watt K, Kimble RM, Cameron CM. (2018). Combining Technology and Research to Prevent Scald Injuries (the Cool Runnings Intervention): Randomized Controlled Trial. J Med Internet Res. 20 (10): e10361. https://doi.org/10.2196/10361; PMid:30305263 PMCid:PMC6234332
Cheng W, Shen C, Zhao D et al. (2019). The epidemiology and prognosis of patients with massive burns: A multicenter study of 2483 cases. Burns. 45 (3): 705-716. https://doi.org/10.1016/j.burns.2018.08.008; PMid:30837206
Cuttle L, Pearn J, McMillan JR, Kimble RM. (2009). A review of first aid treatments for burn injuries. Burns. 35 (6): 768-775. https://doi.org/10.1016/j.burns.2008.10.011; PMid:19269746
Davies JW. (1982). Prompt cooling of burned areas: a review of benefits and the effector mechanisms. Burns Incl Therm Inj. 9 (1): 16. https://doi.org/10.1016/0305-4179(82)90127-9
Farroha A. (2020). Effects of COVID-19 pandemic on burns epidemiology. Burns. 46 (6): 1466. https://doi.org/10.1016/j.burns.2020.05.022; PMid:32507521 PMCid:PMC7256614
Gololo SS, Makhubela SD, Tshidino T, Mogale MA. (2019). Purification and characterization of proteases from cow dung: validation of an ancient african home treatment for burn wounds. Ann Burns Fire Disasters. 32 (2): 103-114.
Iashvili BP. (1976). O vtorichnom nekroze tkani pri termicheskikh ozhogakh. Organizatsiya pomoshchi bol'nym s ostroy termicheskoy travmoy i ikh lechenie: materialy respublikanskoy nauchnoy konferentsii. Moscow. Meditsina: 88-90.
Karaoz B. (2010). First-aid home treatment of burns among children and some implications at Milas, Turkey. J Emerg Nurs. 36 (2): 111-114. https://doi.org/10.1016/j.jen.2009.12.018; PMid:20211400
Kattan AE, AlShomer F, Alhujayri AK, Addar A, Aljerian A. (2016). Current knowledge of burn injury first aid practices and applied traditional remedies: a nationwide survey. Burns Trauma. 4: 37. https://doi.org/10.1186/s41038-016-0063-7; PMid:27826592 PMCid:PMC5094133
Krishnamoorthy V, Ramaiah R, Bhananker SM. (2012). Pediatric burn injuries. Int J Crit Illn Inj Sci. 2 (3): 128-134. https://doi.org/10.4103/2229-5151.100889; PMid:23181206 PMCid:PMC3500004
Lefort H, Ravat F, ChandreCouturier C, Fontaine M. (2019). Telemedicine and initial medical regulation of severe burns. Rev Infirm. 68 (256): 21-22. https://doi.org/10.1016/j.revinf.2019.10.005; PMid:31870472
Nagaichuk VI, Khimich SD, Zheliba MD et al. (2017). Modern technologies of treatment of patients with critical and supercritical burns. Reports of Vinnytsia National Medical University. 21 (2): 428-433.
Nahaychuk VI. (2006). Organisation and rendering of self- and mutual aid to burned patients on the site of trauma and treatment at the evacuation stages in the Vinnytsia Region. Scientific bulletin of uzhhorod university. 49 (1): 1013.
Nguyen NL, Ngo MD. (2019). Profile and outcome of burn injuries amongst preschool children in a developing country. Ann Burns Fire Disasters. 32 (4): 267-271.
Outwater AH, Thobias A, Shirima PM et al. (2018). Prehospital treatment of burns in Tanzania: a mini-meta-analysis. Int J Burns Trauma. 8 (3): 68-76.
Outwater AH, Van Braekel T. (2020). Prehospital care of burn injuries in Africa: A review, 1990-2018. Burns. 46 (8): 1737-1745. https://doi.org/10.1016/j.burns.2019.08.009; PMid:31785926
Research2Guidance. (2016). mHealth App Developer Economics. URL: https://research2guidance.com/product/mhealth-appdeveloper-economics-2016/webcite.
Rudovsky V, Nazilovsky V, Zitkevich V, Zinkevich K. (1980). Theory and practice of burn treatment. Moscow: Medicine: 375.
Shelkova N, Prokopets V. (2009). Quantitative research method of maintenance of bacteria in clinical species which are selected by waddin tampon. Coliection of scientific works of staff member of P.L. Shupyk NMAPE. 17 (2): 698-702.
Skinner AM, Brown TL, Peat BG, Muller MJ. (2004). Reduced hospitalisation of burns patients following a multi-media campaign that increased adequacy of first aid treatment. Burns. 30 (1): 82-85. https://doi.org/10.1016/j.burns.2003.09.009; PMid:14693091
Smolle C, CambiasoDaniel J, Forbes AA et al. (2017). Recent trends in burn epidemiology worldwide: A systematic review. Burns. 43 (2): 249-257. https://doi.org/10.1016/j.burns.2016.08.013; PMid:27600982 PMCid:PMC5616188
Stander M, Wallis LA. (2011). The emergency management and treatment of severe burns. Emerg Med Int: 161-375. https://doi.org/10.1155/2011/161375; PMid:22046536 PMCid:PMC3195355
Wright EH, Harris AL, Furniss D. (2015). Cooling of burns: Mechanisms and models. Burns. 41 (5): 882-889. https://doi.org/10.1016/j.burns.2015.01.004; PMid:25820085
Yin S. (2017). Chemical and Common Burns in Children. Clin Pediatr (Phila). 56 (5): 8S-12S. https://doi.org/10.1177/0009922817706975; PMid:28420255
Downloads
Published
Issue
Section
License
The policy of the Journal “PAEDIATRIC SURGERY. UKRAINE” is compatible with the vast majority of funders' of open access and self-archiving policies. The journal provides immediate open access route being convinced that everyone – not only scientists - can benefit from research results, and publishes articles exclusively under open access distribution, with a Creative Commons Attribution-Noncommercial 4.0 international license(СС BY-NC).
Authors transfer the copyright to the Journal “PAEDIATRIC SURGERY.UKRAINE” when the manuscript is accepted for publication. Authors declare that this manuscript has not been published nor is under simultaneous consideration for publication elsewhere. After publication, the articles become freely available on-line to the public.
Readers have the right to use, distribute, and reproduce articles in any medium, provided the articles and the journal are properly cited.
The use of published materials for commercial purposes is strongly prohibited.
