[Show abstract][Hide abstract]ABSTRACT: Estimation of acute burn injuries is known to be difficult, but a thorough and precise evaluation is essential in order to initiate relevant treatment. The initial estimation relates to the size, depth and localisation of the injury as well as a number of concomitant factors. This article reviews the literature concerning the initial evaluation of burns and highlights the areas, which most often cause difficulties. The initial treatment and the types of burn injuries needing referral to specialist care are summarized.
No preview · Article · Sep 2014 · Ugeskrift for laeger
[Show abstract][Hide abstract]ABSTRACT: Correct estimation of the severity of burns is important to obtain the right treatment of the patient and to avoid over- and undertriage. In this study we aimed to assess how often the guidelines for referral of burn injured patients are met at the national burn centre (NBC), Denmark.
We included burn patients referred to the NBC in a three-months period. Patient records were systematically analyzed and compared with the national guidelines for referral of burn injured patients.
A total of 97 burn injured patients were transferred for treatment at the NBC and the most common reason for referral was partial thickness burn exceeding 3% estimated area of burn (55% of the patients) while facial burns (32%) and inhalational injury (25%) were other common reasons. We found that 29 (30%) of the referrals were considered potentially unnecessary according to the guidelines. The overtriage was highest among patients suffering of burns due to scalding and these were mostly children below 2 years of age.
An overtriage of referred burn injured patient was found and 30% of the referred patients were treated as outpatients. A telemedicine solution may be useful in the evaluation of burn injured patients before transfer.
No preview · Article · Sep 2013 · Burns: journal of the International Society for Burn Injuries