Verbrennungen im Kindesalter View Full Text


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Article Info

DATE

2006-02

AUTHORS

M. V. Küntscher, B. Hartmann

ABSTRACT

In Germany, burns are the third most frequent cause of serious accidents in children, most of them happening in the second to fourth years of life. Improved understanding of the illness caused by burns in childhood and improvements in intensive medicine have led to a definite reduction in mortality among children with severe burns. Primary care includes removing the children from the danger area and otherwise follows the recommendations of emergency care. The proportion of the body surface area that is burnt is estimated by means of the rule of nines after Wallace or the hand area rule, while the Lund and Browder method gives more exact values. The most precise estimate is obtained by using modern EDP-supported programs. To decide whether referral to a special unit/burn injuries centre the child’s age, whether or not inhalation injury is present and the mechanism of the accident must all be considered. Apart from fluid substitution, depending on the degree of burns surgical treatment may be indicated. This is so in the case of burns more severe than grade 2a. The treatment of severe burns in children requires an interdisciplinary team consisting of plastic surgeons with a special training in treating burns and/or paediatric surgeons, anaesthetists, psychiatrists and/or psychologists, specially trained care staff, physiotherapists, occupational therapists and social workers. More... »

PAGES

42-48

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10039-005-1076-9

DOI

http://dx.doi.org/10.1007/s10039-005-1076-9

DIMENSIONS

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