The analysis of death rate among burn victims and difficulties with interpretation of epidemiological data

Chrapusta, Anna; Jędrys, Joanna; Budzyńska, Agnieszka; Małek, Karolina; Nessler, Michał; Wach, Roman; Mudyna, Wojciech; Mądry, Ryszard

doi:10.15374/lr2014010

Cited by 2 publications

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“…The degree of tissue damage depends on the temperature and duration of contact with the causative agent [4][5][6], and it requires hospitalization in accordance with the accepted criteria (Table 1) [7,8].…”

Section: Introductionmentioning

confidence: 99%

Nursing care after skin autotransplantation as a treatment method of second- and third-degree thermal burns – a case study based on the NANDA and ICNP ® classifications

Wojnar-Gruszka¹,

Jasica²,

Kojs³

et al. 2022

ppiel

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Introduction: Burns are the fourth most common cause of injury throughout the world. Thermal burns account for 86% of these. The basis of burn disease treatment is fluid resuscitation, pain management, antithrombotic treatment, and in severe cases, surgical intervention and skin transplantation. The aim of the study was to present selected nursing diagnoses of a patient with burn disease after partial skin autotransplantation as a thermal burn treatment method while using the NANDA and ICNP® classifications. Material and methods:The study applied the case study method of a 35-year-old woman with second-/thirddegree thermal burns covering 40% of the body surface. Research techniques were used: observation, documentation analysis, and interview, using the American ABA burn depth assessment scale and the NRS pain scale research tools. Results:The main nursing diagnoses were severe pain on the injured tissue and in autografted areas, decreased myocardial oxygen demand due to the catabolic state of the body, the risk of oligovolemic shock, and the risk of graft site infection and infections on other burn wounds. The patient experienced increased anxiety and difficulties with accepting her health situation. Conclusions: The depth and extent of the trauma required skin autotransplantation in the patient. Treating the burn consisted, inter alia, of correcting fluid and electrolyte disorders, pain management, antithrombotic treatment, β-blocker administration, and transfusing blood products. Comprehensive care, requiring extended monitoring, epidemiological regime, and risk assessment of complications, was important in the nursing process. Both diagnosis classifications -NANDA and ICNP ® -proved useful in the patient's care, complementing each other.

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Section: Introductionmentioning

confidence: 99%

Nursing care after skin autotransplantation as a treatment method of second- and third-degree thermal burns – a case study based on the NANDA and ICNP ® classifications

Wojnar-Gruszka¹,

Jasica²,

Kojs³

et al. 2022

ppiel

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Burns in Practice of Helicopter Emergency Medical Service in Poland. Retrospective Analysis

Rzońca

Tomaka²,

Gałązkowski

2019

Wiad Lek

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Introduction: Burns are a huge problem for public health and a challenge for healthcare systems all around the world. They are responsible for 180.000 deaths worldwide each year. In order to ensure high quality treatment and rehabilitation of these patients burn centres are established in many countries. Another vital factor influencing the prognosis of patients with burns is quick transport that in many countries, including Poland is carried out by Helicopter Emergency Medical Service (HEMS). The aim: To describe the operations carried out by HEMS with particular stress put on the target medical facility. Materials and methods: The research was conducted with the method of retrospective analysis of operations performed by HEMS crews. All missions from January 2011 to December 2018 were included in the study and 2534 cases were qualified for the final analysis. Results: The study group was predominantly male (72.72%) aged 18 years old and less (36.65%). Nearly two thirds of the patients were transported to hospitals with a burn ward (61.88%). Opioid analgesics as well as crystalloids were the most commonly administered drugs (respectively 68.55% and 64.76%). Statistical analysis showed that HEMS arrival time (20.77 minutes vs 18.60 minutes) and duration of the transport to designated hospital (40.11 minutes vs 19.66 minutes) were significantly higher in the cases of deciding to transport the patient to the hospital with the burns department (p<0.001). Conclusions: Presented results showed that HEMS crews are more often assigned to help ground-based Medical Rescue Teams in case of patients who required treatment in burn centres. Moreover, the time and distance to the hospital with burn ward was significantly longer compared to other healthcare facilities. This confirms that the assigning of HEMS crews for the patients with severe burns was reasonable.

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The analysis of death rate among burn victims and difficulties with interpretation of epidemiological data

Cited by 2 publications

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Nursing care after skin autotransplantation as a treatment method of second- and third-degree thermal burns – a case study based on the NANDA and ICNP ® classifications

Nursing care after skin autotransplantation as a treatment method of second- and third-degree thermal burns – a case study based on the NANDA and ICNP ® classifications

Burns in Practice of Helicopter Emergency Medical Service in Poland. Retrospective Analysis

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