Paper Information

Journal:   JOURNAL OF INJURY & VIOLENCE RESEARCH   JULY 2011 , Volume 3 , Number 2; Page(s) 98 To 109.
 
Paper:  CHILDREN WITH BURN INJURIES-ASSESSMENT OF TRAUMA, NEGLECT, VIOLENCE AND ABUSE
 
Author(s):  TOON MICHAEL H., MAYBAUER DIRK M., ARCENEAUX LISA L., FRASER JOHN F., MEYER WALTER, RUNGE ANTOINETTE, MAYBAUER MARC O.*
 
* DEPARTMENT OF ANESTHESIOLOGY, DIVISION OF CRITICAL CARE MEDICINE, THE UNIVERSITY OF TEXAS MEDICAL BRANCH AND SHRINERS BURNS HOSPITAL, 301 UNIVERSITY BOULEVARD, GALVESTON, TX, 77555-0591, USA
 
Abstract: 

Burns are an important cause of injury to young children, being the third most frequent cause of injury resulting in death behind motor vehicle accidents and drowning. Burn injuries account for the greatest length of stay of all hospital admissions for injuries and costs associated with care are substantial.
The majority of burn injuries in children are scald injuries resulting from hot liquids, occurring most commonly in children aged 0-4 years. Other types of burns include electrical, chemical and intentional injury. Mechanisms of injury are often unique to children and involve exploratory behavior without the requisite comprehension of the dangers in their environment.
Assessment of the burnt child includes airway, breathing and circulation stabilization, followed by assessment of the extent of the burn and head to toe examination. The standard rule of 9s for estimating total body surface area (TBSA) of the burn is inaccurate for the pediatric population and modifications include utilizing the Lund and Browder chart, or the child’s palm to represent 1% TBSA. Further monitoring may include cardiac assessment, indwelling catheter insertion and evaluation of inhalation injury with or without intubation depending on the context of the injury. Risk factors and features of intentional injury should be known and sought and vital clues can be found in the history, physical examination and common patterns of presentation.
Contemporary burn management is underscored by several decades of advancing medical and surgical care however, common to all injuries, it is in the area of prevention that the greatest po-tential to reduce the burden of these devastating occurrences exists

 
Keyword(s): CHILD, BURN, TRAUMA, NEGLECT, VIOLENCE, ABUSE
 
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