Guidelines for the management of partial-thickness burns in a general hospital or community setting -: Recommendations of a European working party

被引:36
作者
Alsbjorn, Barne
Gilbert, Philip
Hartmann, Bernd
Kazmierski, Marcin
Monstrey, Stan
Palao, Ricard
Roberto, Maria Angelica
Van Trier, Antoine
Voinchet, Veronique
机构
[1] Univ Copenhagen, Rigshosp, DK-2100 Copenhagen, Denmark
[2] Unfallkrankenhaus Berlin, Zentrum Schwerbrandverletzte Plast Chirurg, Berlin, Germany
[3] Poznan Tech Univ, Dept Paediat Surg & Traumatol, Poznan, Poland
[4] Univ Ziekenhuis, Dept Plast Reconstruct & Aesthet Surg, Ghent, Belgium
[5] Hosp Gen Valle Hebron, Dept Plast Surg, Barcelona, Spain
[6] Hosp S Jose, Dept Plast Surg, Unidade Cuidados Intens Queimados, Lisbon, Portugal
[7] Hosp S Jose, Burn Ctr, Unidade Cuidados Intens Queimados, Lisbon, Portugal
[8] Red Cross Hosp, Dept Plast & Reconstruct Surg, Beverwijk, Netherlands
[9] Hop Mere Enfants, Hop Nord, Dept Plast Surg, Childrens Burn Ctr, Marseille, France
关键词
partial-thickness burns; burn specialists; non-burn specialists; guidelines; CARE; AID;
D O I
10.1016/j.burns.2006.07.025
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Most partial-thickness burns in Europe and the United States are managed by non-burns specialists who do not treat burns on a regular basis. To achieve better patient outcomes, partial-thickness burns should be properly managed in non-specialist centres and referred to burn units when appropriate. Although some guidelines have been published to assist non-specialists, few have attempted to provide a comprehensive step-by-step guidance emphasising wound-healing principles. A working party of European burn specialists devised a new treatment algorithm to provide clear and current guidance on the management of partial-thickness burns in the general hospital and community setting. Four areas were identified for improvement: diagnosis and referral, wound preparation, wound covering and post-wound care. The guidelines take into account the role of wound dressings, infection and general patient well-being, bearing in mind the different working environments that occur across Europe. They are aimed at improving the overall outcome for community-treated patients within the expanding European Union and reducing the number of preventable late referrals to specialists. (c) 2006 Published by Elsevier Ltd and ISBI.
引用
收藏
页码:155 / 160
页数:6
相关论文
共 21 条
[1]   Consensus on the prehospital approach to burns patient management [J].
Allison, K ;
Porter, K .
EMERGENCY MEDICINE JOURNAL, 2004, 21 (01) :112-114
[2]  
*AM COLL SURG, 1984, GUID PROPH TET WOUND
[3]   Emergency department management of minor burn injuries in Ontario, Canada [J].
Bezuhly, M ;
Gomez, M ;
Fish, JS .
BURNS, 2004, 30 (02) :160-164
[4]  
Bolton LL, 1990, WOUNDS, V2, P126
[5]  
Bryan J, 2004, J Wound Care, V13, P227
[6]   Time off work and return to work rates after burns: Systematic review of the literature and a large two-center series [J].
Brych, SB ;
Engrav, LH ;
Rivara, FP ;
Ptacek, JT ;
Lezotte, DC ;
Esselman, PC ;
Kowalske, KJ ;
Gibran, NS .
JOURNAL OF BURN CARE & REHABILITATION, 2001, 22 (06) :401-405
[7]   Burn area color changes after superficial burns in childhood: Can they be predicted? [J].
de Chalain, TMB ;
Tang, C ;
Thomson, HG .
JOURNAL OF BURN CARE & REHABILITATION, 1998, 19 (01) :39-49
[8]  
HERNDON DN, 2001, TOTAL BURN CARE
[9]   ABC of burns - First aid and treatment of minor burns [J].
Hudspith, J ;
Rayatt, S .
BRITISH MEDICAL JOURNAL, 2004, 328 (7454) :1487-1489
[10]   Cooling the burn wound: evaluation of different modalites [J].
Jandera, V ;
Hudson, DA ;
de Wet, PM ;
Innes, PM ;
Rode, H .
BURNS, 2000, 26 (03) :265-270