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BURN INJURIES:
A SERIOUS PUBLIC HEALTH PROBLEM
• Globally a serious public health problem
• devastating injury
• the 4th most common type of injury worldwide
• over 195,000 deaths yearly from fires alone
• more deaths from scald, electrical burns, and other
forms of burns
• global data are not available
• Fire-related deaths rank
among the 15 leading causes
of death among children &
young adults 5-29 yrs
• > 95% of fatal burns occur in
low/middle-income countries
• < 5 yrs and elderly (> 70 yrs)
- highest mortality rates
• millions left with
disabilities &
disfigurement resulting
in stigma
• more tragic as burns
are so eminently
preventable
• Significant increase in burn injury cases can be observed during the months of March and April
• significant decrease can be plotted during the months of September, October and November
Most of burn injuries occur in the morning
(8AM- 12NN) and also during in the late
afternoon (4PM- 7:59PM)
Hospitals with
Burn Units/ Centers
• 1. Philippine General Hospital
• 2. Jose Reyes Memorial Medical Center
• 3. East Avenue Medical Center
• 4. Southern Philippines Medical Center
• 5. Quirino Memorial Medical Center
JRMMC Burn Unit Experience
• A 7-bed specialized critical care unit dedicated to
patients with acute burn injuries
• Supervised by a Burn Unit Chief who is directly
under the Chief of Section of Plastic and
Reconstructive Surgery with a Head Nurse, four
staff nurses, two nursing assistants, a plastic and
reconstructive surgery fellow and two surgical
residents
• The unit was equipped with 2 cribs, 1
bassinet for Pediatric patients and 4 adult
beds
• Baseline xrays, hematologic and chemistry
laboratory tests are done upon admission
• Close of monitoring of vital signs and fluid
balance are vital in the overall management
of patients
• Hydration and stabilization of the acutely
burned is the first priority
• Daily bedside debridements and regular
dressing changes are done within the unit
• Patients who necessitate formal
debridements under anesthesia are brought
to the Operating Room as required
• Topical skin and wound care is addressed by
application of silver sulfadiazine
(Flammazine) cream or cerium nitrate- silver
sulfadiazine and MEBO (moist exposed burn
ointment)
BURN TREATMENT • The nature and complexity of severe burn injury requires a
collaborative approach to patient care. This is provided by
a multi-disciplinary team with expertise in the management
of severe burns in a Burn Unit with supporting services
such as: critical care, surgery, reconstruction and
rehabilitation.
• Bringing together the expertise required to
coordinate clinical services across the continuum
of care - from initial hospital admission through to
hospital discharge, rehabilitation and ongoing
care.
• Sharing clinical expertise
• Developing standardized clinical practice
guidelines for patient care
• Increasing the focus on prevention, improving
links to community outreach services for patients
and undertaking research to improve patient care
END
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