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ICU Rounds

Pediatric Burns

ICU Rounds

Jeffrey Guy

Medicine, Health & Fitness

4.8686 Ratings

🗓️ 13 February 2008

⏱️ 48 minutes

🧾️ Download transcript

Summary

Pediatric burns: all burns are serious, both big and small.   This episode reviews the objectives of burn care to result in the best functional outcome.  Also, burn is a very common method of child abuse and we detail how these children are injured and what to look for to identify possible abuse.

Transcript

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0:00.0

This episode of ICU rounds is dedicated to the topic of pediatric burn care.

0:06.0

Now we've talked previously about burn patients and some of the physiological challenges in providing

0:13.0

burn care to those patients, but it's important to realize that about 20% of burn victims treated at a burn center are pediatric patients.

0:22.7

Large numbers and the vast majority of patients, particularly with pediatric burns,

0:28.4

are not treated at burn centers, but treated in local emergency departments,

0:32.6

pediatricians, offices, and primary care providers.

0:37.1

It's my objective with this podcast to provide you with some

0:40.2

information on how we approach those patients and what patients are certainly appropriate for

0:44.9

referral to burn centers and burn surgeons. You would typically think that we're only interested

0:51.3

in perhaps the biggest and largest burns, but a lot of what

0:55.5

we've learned in caring for the largest and the most critical burns, we've been able to

1:00.2

improve the quality of life and the outcomes of patients with even the smallest burns.

1:08.9

I'm actually preparing this podcast of preparation for a talk tomorrow to our pediatric emergency department at Vanderbilt.

1:16.7

And as often I do with these podcasts is that I use them as archive teaching files for our residents to go back to and refer to at a later date.

1:26.6

The incidents of people who have burn injuries

1:29.6

are about estimated to be roughly 2 million patients a year,

1:32.7

and that's a very soft number

1:34.5

depending on what source of data you're looking.

1:36.5

I personally believe it's going to be much larger.

1:39.5

In most patients with burn injuries,

1:42.5

particularly when you're looking at all patients, regardless of age,

1:46.0

things such as arson, defective heating, manufacturing of illegal drugs.

...

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