PMID: 11900941Mar 20, 2002Paper

The importance of initial management: a case series of childhood burns in Vietnam

Burns : Journal of the International Society for Burn Injuries
Nhu Lam NguyenPhilip Ryan

Abstract

The success of treatment of childhood burns is critically dependent on how well the initial management is performed. In this case series of 695 children with burns transferred to the National Burn Institute (NBI) in Hanoi from peripheral hospitals, the initial management of each patient was assessed for the following initial management measures: removal of the cause and immediate cooling with water at the accident site; and pain relief, dry dressing, administration of oxygen, and adequate fluid replacement at the peripheral hospital. Overall, 61 of the 695 children died, but of the 95 patients who received all of these initial management measures, all survived. There were no cases of irreversible shock, acute renal failure, or multiple organ failure in the patients who received adequate initial management. Provision of adequate initial management was also significantly protective against septicaemia. Thus in this group of subjects who survived until admission, effective initial management significantly reduced the risk of death and other complications such as irreversible shock, septicaemia and multiple organ failure.

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Citations

Mar 25, 2010·Intensive Care Medicine·Nele BrusselaersEric A J Hoste
Mar 20, 2002·Burns : Journal of the International Society for Burn Injuries·Nhu Lam NguyenPhilip Ryan
Jan 1, 2004·Accident and Emergency Nursing·Keith Allison, Keith Porter
Jan 11, 2005·The Journal of Burn Care & Rehabilitation·Atilla CoruhAliye Esmaoglu
Jan 22, 2004·Emergency Medicine Journal : EMJ·K Allison, K Porter
Aug 3, 2014·The Surgical Clinics of North America·Shawn P FaganJeremy Goverman
Jul 16, 2008·Seminars in Nephrology·Vivekanand Jha, Kirpal S Chugh
Jul 21, 2015·Burns : Journal of the International Society for Burn Injuries·S G CoxH Rode
Dec 7, 2007·Burns : Journal of the International Society for Burn Injuries·Nguyen Nhu Lam, Nguyen Tien Dung
Feb 3, 2005·Burns : Journal of the International Society for Burn Injuries·Tsai-Ming LinSin-Daw Lin
Mar 31, 2016·Burns : Journal of the International Society for Burn Injuries·M G A BaartmansM K Nieuwenhuis
Jul 13, 2004·Injury·Keith Allison, Keith Porter
Nov 20, 2018·Journal of Burn Care & Research : Official Publication of the American Burn Association·Jamie HarshmanRobert Cartotto
Jun 13, 2017·Medical History·Mark Harrison, Sung Vin Yim
May 20, 2004·Journal of the Royal Army Medical Corps·K Allison, K Porter
Oct 13, 2020·Burns : Journal of the International Society for Burn Injuries·Amy HughesTom Potokar
Jun 17, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Sabri DemirEmrah Senel

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