Barriers to adequate first aid for paediatric burns at the scene of the injury

Frear, Cody C.; Griffin, Bronwyn; Watt, Kerrianne; Kimble, Roy

doi:10.1002/hpja.184

Cited by 16 publications

(20 citation statements)

References 13 publications

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“…This series of 14 articles reviews the burden of injuries and violence, evaluates the effectiveness of various interventions, discusses theories and methods that can be adapted for use in various population settings, and illustrates how interventions can be used to improve practice among minority and disadvantaged groups such as First Nation People. This Special Issue contains articles on alcohol and injury, 22–25 Aboriginal and Torres Strait Islander injury prevention, 26–28 child injury prevention, 25,26,29 drowning prevention, 29,30 falls, 27,31,32 farm safety, 33 first aid 34 and injury surveillance. 35…”

Section: Injury Prevention and Health Promotionmentioning

confidence: 99%

Injury prevention and health promotion: A global perspective

Franklin

Sleet

2018

Health Prom J of Aust

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Section: Injury Prevention and Health Promotionmentioning

confidence: 99%

Injury prevention and health promotion: A global perspective

Franklin

Sleet

2018

Health Prom J of Aust

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“…[10][11][12] Nevertheless, less than one-third of Australian children receive adequate CRW from caregivers immediately post-injury. 13 The responsibility therefore falls to healthcare professionals to ensure the delivery of appropriate cooling.…”

Section: Introductionmentioning

confidence: 99%

“…The administration of CRW not only serves an analgesic function but has been associated with significantly improved patient outcomes, including reduced odds of skin grafting 10–12 . Nevertheless, less than one‐third of Australian children receive adequate CRW from caregivers immediately post‐injury 13 . The responsibility therefore falls to healthcare professionals to ensure the delivery of appropriate cooling.…”

Section: Introductionmentioning

confidence: 99%

Adequacy of cool running water first aid by healthcare professionals in the treatment of paediatric burns: A cross‐sectional study of 4537 children

Frear

Griffin

Kimble

2020

Emerg Medicine Australasia

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Objective: To determine the adequacy of cool running water first aid provided by healthcare professionals in the early management of children with thermal burn injuries. Methods: A cross-sectional study was undertaken using a prospectively collected registry of children who presented with a thermal burn to the only major paediatric burns centre in Queensland, Australia, from January 2013 to December 2018. Main outcome measures included the type and duration of first aid administered by paramedics, general practitioners and emergency providers at local general hospitals and a children's hospital. In accordance with current Australian guidelines, adequate cooling was defined as 20 min of cool running water within 3 h of the injury. Results: Of the 4537 children who presented to the paediatric burns centre, 3261 (71.9%) received adequate first aid, including 1502 (33.1%) at the scene of injury. Paramedics and general practitioners administered adequate cooling to 184 (25.0%) and 52 (24.2%) of their patients, respectively. ED clinicians adhered to guidelines in the treatment of 1019 (56.3%) children at general hospitals and 411 (76.0%) at the children's hospital. Among ED patients who presented with incomplete prior first aid, the risk of inadequate cooling was significantly greater for those transported via ambulance (P < 0.001). Conclusion: Deficiencies remain in the cooling of paediatric burns patients at all levels of initial management. There is a need in the healthcare community for improved education regarding the parameters and clinical benefits of cool running water first aid.

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“…8 9 Nevertheless, only 25%-28% of children with a burn receive optimal first aid before they present to the emergency department. 8 10 Parents have limited knowledge of the appropriate first aid treatment for burns, [11][12][13] online information regarding burn first aid is inconsistent and inaccurate, 14 15 and inappropriate or harmful home remedies are often used. 8 12 There are few interventions aiming to prevent hot drink scalds in children, [16][17][18] and limited research into effective burn first aid education for caregivers, although there is evidence that educational interventions may improve caregivers' knowledge of appropriate burn first aid, at least in the short term.…”

Section: Introductionmentioning

confidence: 99%

Mixed-methods process evaluation of SafeTea: a multimedia campaign to prevent hot drink scalds in young children and promote burn first aid

Cowley

Bennett

Brown³

et al. 2020

Inj Prev

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ObjectivesSafeTea is a multifaceted intervention delivered by community practitioners to prevent hot drink scalds to young children and improve parents’ knowledge of appropriate burn first aid. We adapted SafeTea for a national multimedia campaign, and present a mixed-methods process evaluation of the campaign.MethodsWe used social media, a website hosting downloadable materials and media publicity to disseminate key messages to parents/caregivers of young children and professionals working with these families across the UK. The SafeTea campaign was launched on National Burns Awareness Day (NBAD), October 2019, and ran for 3 months. Process evaluation measurements included social media metrics, Google Analytics, and quantitative and qualitative results from a survey of professionals who requested hard copies of the materials via the website.ResultsFindings were summarised under four themes: ‘reach’, ‘engagement’, ‘acceptability’ and ‘impact/behavioural change’. The launch on NBAD generated widespread publicity. The campaign reached a greater number of the target audience than anticipated, with over 400 000 views of the SafeTea educational videos. Parents and professionals engaged with SafeTea and expressed positive opinions of the campaign and materials. SafeTea encouraged parents to consider how to change their behaviours to minimise the risks associated with hot drinks. Reach and engagement steadily declined after the first month due to reduced publicity and social media promotion.ConclusionThe SafeTea campaign was successful in terms of reach and engagement. The launch on NBAD was essential for generating media interest. Future campaigns could be shorter, with more funding for additional social media content and promotion.

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Barriers to adequate first aid for paediatric burns at the scene of the injury

Cited by 16 publications

References 13 publications

Injury prevention and health promotion: A global perspective

Injury prevention and health promotion: A global perspective

Adequacy of cool running water first aid by healthcare professionals in the treatment of paediatric burns: A cross‐sectional study of 4537 children

Mixed-methods process evaluation of SafeTea: a multimedia campaign to prevent hot drink scalds in young children and promote burn first aid

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