No abstract
BACKGROUND: We investigated the epidemiology and the knowledge of first aid regarding to burns in the rural area of Kulon Progo, located in Indonesia. Although 44% of Indonesia’s population resides in rural areas, data of burn in Indonesia are very limited to national referral centers located in Indonesia’s largest cities. We also surveyed the patients and families of these burn patients to try to understand their knowledge on the first aid of burns. AIM: We wanted to explore and discover what myths and misperceptions existed in rural communities. MATERIALS AND METHODS: A retrospective study analyzing the medical records of patients with burns admitted to two of Kulon Progo’s largest referral hospitals between January 2018 and December 2019. A survey was distributed to the patients and their families regarding their knowledge on the first aid of burns. We wanted to analyze if certain groups of the population were more at risk for specific types of burn etiologies, the correlation between burn etiology and length of stay, the correlation between total body surface area (TBSA) of burns and length of stay in the hospital, and the correlation between education level of survey participants’ and their knowledge of first aid of burns. RESULTS: A total of 115 patients were reviewed in this study. The highest proportion of total burn injuries occurred in the age group of 1–14 years old (38%). The major etiology of all burn cases were caused by scald (54%). Housewives and children were at a higher risk for scalds and laborers were at a higher risk for electrical and chemical burns (p = 0.001). There was no significant correlation between etiology and length of stay (p = 0.29). There was a statistically significant correlation between the TBSA and the length of hospital stay (p = 0.0001). The majority of survey respondents (66%) had poor knowledge on the first aid of burns. There was no significant correlation between education level and knowledge of first aid of burns (p = 0.07547). CONCLUSIONS: Children, laborers, and housewives have a significant risk of suffering from a burn injury. A majority of people still have poor knowledge on the first aid of burns. There was no correlation between education levels and knowledge of first aid burns.
Background:: ISBI Practice guidelines (PGs) for burn care are designed to improve burn care in resource-limited setting (RLS) and also become the standard of burn care. Discrepancy of burn care knowledge among emergency physicians will influence the implementation of ISBI PGs. Objective: of this study is to determine the discrepancy of burn care knowledge among the general physicians working in emergency unit of public hospitals in West Nusa Tenggara, Indonesia. Method: Validated questionnaires were distributed to emergency unit of 12 hospitals in West Nusa Tenggara, Indonesia. The questionnaire consist of 9 topics regarding: (a) burn center description, (b) referral criteria, (c) complications of burn trauma, (d) initial assessment, (e) burn extent calculation, (f) initial resuscitation, (g) monitoring, (h) inhalation injury and (i) wound management. Each topic consists of 10 questions or statements regarding burn care with ISBI PGs as the reference. The score for each question was 1 or 0. Total score of each topic was 10. The total score was divided into 3 categories (low score was 0-30, moderate score was 31-60 and high score was 61-90). Result: As many as 94 questionnaires were returned out of 108 questionnaires that were distributed. As many as 78% of respondents had high knowledge score while the remaining 22% of respondents had moderate knowledge score. Conclusion: The majority of emergency physicians in West Nusa Tenggara had high knowledge level of burn care. The lowest knowledge level is on initial burn assessment and resuscitation, monitoring of burn resuscitation and burn wound management topics
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