An Evaluation of Management of Transferred Paediatric Burn Patients. | [Journal of Pakistan Medical Association • 2018]

Author(s):

1. Fatima Naumeri: King Edward Medical University, Lahore,

2. AliIjaz Ahmad: King Edward Medical University, Lahore,

3. Hafiz Mahmood Ahmad: King Edward Medical University, Lahore,

4. Uzma Malik: King Edward Medical University, Lahore,

5. Muhammad Zeeshan Sarwar: King Edward Medical University, Lahore,

Abstract:

The aim of study was to evaluate whether adequate initial management and safe transfer of paediatric burn patients was carried out in our setup. Patients transferred from other hospitals/ cities to Paediatric Surgery Department, Mayo Hospital were evaluated in this prospective study. Data was entered in a proforma. Around 90.4% patients on presentation had discrepancy in their burn percentage calculation. No intravenous fluids were administered to 75.4% patients and 71.1% patients did not have any intravenous access. Foley's catheter was inserted in 2 patients only though 72.8% needed it. No fasciotomy was performed in 10.5% patients needing it. Two patients needed endotracheal intubation but it was not passed, 49.1% patients were transferred by ambulance and 28.9% patients presented with sepsis. The mortality rate was 38.2%. Initial fluid resuscitation was compared with survival and found significant (p=0.000). This shows that initial burn management, transfer system and referral system is full of errors.

Page(s): 787-789

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 68, Issue: 5, Year: 2018

Keywords:

Management , Transfer

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