The resuscitation of burned children.
نویسنده
چکیده
Burns and scalds remain all too common injuries among children in this country. In any large series of burns in children two major groups are discernible: first the toddler of either sex who is particularly subject to scalds from hot water or tea; secondly, the 5-to-8-year-old, usually a girl, whose clothes catch fire from a naked flame. While the majority of these injuries fall into the 'minor' or 'moderate' categories, each year sees an appreciable number of children admitted with major burns. In the most severe cases, survival for a week or two may represent our present therapeutic limit. Many others will spend long weeks or months in hospital, to emerge once more with an intact skin covering after what can only have been, for a young child, an emotional and physical ordeal. If the coping stone of ultimate recovery is to be reached the foundations must be truly laid, and it is this early fundamental care that forms the subject matter of this presentation.
منابع مشابه
Children without Inhalation Injury
We evaluated the accurate fluid requirement to prevent respiratory failure during the postresuscitation period in the resuscitation of massively burned children without inhalation injury. Forty-nine children were treated by similar fluid resuscitation and physiologic support protocols. Using a retrospective chart review, the children were divided into three groups as follows: Group N (no lung i...
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BACKGROUND During the past 13 years, mortality from acute renal failure in burned children has been on the decline. OBJECTIVE To determine which new burn therapies contributed to the decrease in mortality. DESIGN The medical records of burned children admitted from February 1966 to January 1997 were reviewed, and the outcome of changes in the treatment of burned children were compared. PA...
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Hyperoncotic albumin proved ineffective as a plasma volume expander in the resuscitation of four acutely burned children. Hypovolemia and pulmonary edema were apparently intensified by an obligatory fluid shift following tissue extravasation of protein. We conclude that, when used, hyperoncotic albumin should be suspended in a sufficient volume of saline to produce a solution isotonic and iso-o...
متن کاملAssessment of adverse events in the demise of pediatric burn patients.
BACKGROUND Given the contention that survival is to be expected from even the most severely burned child, then, intuitively, at least some pediatric burn victims die because of suboptimal care. The purpose of this study is to assess the impact of any adverse events that may have contributed to the death of burned children. METHODS Four surgeons with specialty training in pediatric burn care r...
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Introduction: Awareness of pediatric cardiopulmonary resuscitation (CPR) is obligatory for every graduated medical student. In fact, only correct and effective Cardiopulmonary resuscitation can increase the survival rate of patients with cardiopulmonary arrest and since CPR techniques and maneuvers should be done in a specific way for children, it is important to evaluate the knowledge of pedia...
متن کاملAmerican Burn Association practice guidelines burn shock resuscitation.
Guidelines • Adults and children with burns greater than 20% TBSA should undergo formal fluid resuscitation using estimates based on body size and surface area burned. • Common formulas used to initiate of resuscitation estimate a crystalloid need for 2 to 4 ml/kg body weight/%TBSA during the first 24 hours. • Fluid resuscitation, regardless of solution type or estimated need, should be titrate...
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ورودعنوان ژورنال:
- Archives of disease in childhood
دوره 32 166 شماره
صفحات -
تاریخ انتشار 1957