The Surgeon
Volume 8, Issue 2 , Pages 101-104, April 2010

Emergency pre-hospital care of burn patients

  • Thomas Muehlberger

      Affiliations

    • Department of Plastic Surgery and Hand Surgery, DRK-Kliniken Berlin Westend, Humboldt Universität Berlin, Spandauer Damm 130, 14050 Berlin, Germany
    • Corresponding Author InformationCorresponding author. Tel.: +49 30 8322 9622.
    • ,
  • Christian Ottomann

      Affiliations

    • Burn Center, Unfallkrankenhaus Berlin, Germany
    • ,
  • Nidal Toman

      Affiliations

    • Department of Plastic Surgery and Hand Surgery, DRK-Kliniken Berlin Westend, Humboldt Universität Berlin, Spandauer Damm 130, 14050 Berlin, Germany
    • ,
  • Adrien Daigeler

      Affiliations

    • Department of Plastic Surgery and Burn Center, BG-Kliniken Bergmannsheil, Ruhr Universität Bochum, Germany
    • ,
  • Marcus Lehnhardt

      Affiliations

    • Department of Plastic Surgery and Burn Center, BG-Kliniken Bergmannsheil, Ruhr Universität Bochum, Germany

Received 14 October 2009; accepted 22 October 2009.

Abstract 

Intensive care and the surgical therapy of burn injuries have made significant advancements. The immediate care on the scene of the accident, however, is not uniform. There is no ‘golden hour’ which will decide the further clinical process. The acute estimate of the percentage of the extent of the burns is of little relevance and does not facilitate the admission to a burn unit. The emergency calculation of the volume of intravenous infusion is not advisable. The choice of transport has no discernible impact on the prognosis of the patient. Avoiding hypothermia and perceiving associated trauma can be of crucial prognostic importance in the pre-hospital care of burn patients. Detailed knowledge about the circumstances of the injury is of exceeding importance.

Keywords: Burns, Pre-hospital treatment, Hypothermia, Trauma

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PII: S1479-666X(09)00002-X

doi:10.1016/j.surge.2009.10.001

The Surgeon
Volume 8, Issue 2 , Pages 101-104, April 2010

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