Prehospital medical care in pediatric burns: a literature review

Dariya S. Oborkina , Liudmila I. Budkevich

Russian Journal of Pediatric Surgery ›› 2024, Vol. 28 ›› Issue (1) : 43 -52.

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Russian Journal of Pediatric Surgery ›› 2024, Vol. 28 ›› Issue (1) : 43 -52. DOI: 10.17816/ps676
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Prehospital medical care in pediatric burns: a literature review

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Abstract

The properly administered first aid is an important component in achieving better outcomes in the treatment of burn patients. One of the first stages of management of such patients is a pre-hospital one.

The purpose of the study is to analyze the literature review on medical care for children with burns in the prehospital stage, to identify critical deviations and changes that require revision of the current recommendations.

A review of trials and latest recommendations on providing medical care to burned children at the prehospital period was carried out. The search was done in PubMed, Medline, GoogleScholar, eLibrary databases, as well as in Yandex search system. Out of 8 168 sources, 17 publications were selected for the data analysis.

The performed review has identified main challenges in providing the first aid to children with burns at the prehospital stage. Children will benefit from reaching the consensus between burn specialists and emergency medical providers before patients are taken to a burn center. These data should be used as the basis for future agreements between these specialists.

Correctly placed accents on anesthesia, dressings, infusion therapy in children with burns before their arrival to the hospital dictate a need to revise the existing recommendations in our country.

Keywords

pediatric burns / prehospital stage / review of literature

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Dariya S. Oborkina, Liudmila I. Budkevich. Prehospital medical care in pediatric burns: a literature review. Russian Journal of Pediatric Surgery, 2024, 28(1): 43-52 DOI:10.17816/ps676

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References

[1]

World Health Organization [Internet]. Burns. (2018). Available from: https://www.who.int/news-room/fact-sheets/detail/burns. Accessed: 26.05.2023.

[2]

World Health Organization [Интернет]. Burns. Режим доступа: https://www.who.int/news-room/fact-sheets/detail/burns. Дата обращения: 26.05.2023.

[3]

Allorto N, Atieh B, Bolgiani A, et al. ISBI practice guidelines for burn care, part 2. Burns. 2018;44(7):1617-1706. doi: 10.1016/j.burns.2018.09.012

[4]

Allorto N., Atieh B., Bolgiani A., et al. ISBI practice guidelines for burn care, Part 2 // Burns. 2018. Vol. 44, N 7. Р. 1617-1706. doi: 10.1016/j.burns.2018.09.012

[5]

Harish V, Li Z, Maitz P. First aid is associated with improved outcomes in large body surface area burns. Burns. 2019;45(8):1743-1748. doi: 10.1016/j.burns.2019.05.006

[6]

Harish V., Li Z., Maitz P. First aid is associated with improved outcomes in large body surface area burns // Burns. 2019. Vol. 45, N 8. Р. 1743-1748. doi: 10.1016/j.burns.2019.05.006

[7]

Harish V, Tiwari N, Fisher OM, et al. First aid improves clinical outcomes in burn injuries: Evidence from a cohort study of 4918 patients. Burns. 2019;45(2):433-439. doi: 10.1016/j.burns.2018.09.024

[8]

Harish V., Tiwari N., Fisher O.M., et al. First aid improves clinical outcomes in burn injuries: Evidence from a cohort study of 4918 patients // Burns. 2019. Vol. 45, N 2. Р. 433-439. doi: 10.1016/j.burns.2018.09.024

[9]

Baldwin AJ. Readability, accountability, and quality of burns first aid information available online. Burns. 2023;49(8):1823-1832. doi: 10.1016/j.burns.2023.03.002

[10]

Baldwin A.J. Readability, accountability, and quality of burns first aid information available online // Burns. 2023. Vol. 49, N 8. Р. 1823-1832. doi: 10.1016/j.burns.2023.03.002

[11]

Goncharenko VS, Chechetina TA, Sibirko VI, et al. Fires and fire safety in 2021. Statistics of fires and their consequences: statistical compendium. Balashikha: All-Russian Research Institute for Fire Protection of Ministry of Russian Federation for Civil Defense, Emergencies and Elimination of Consequences of Natural Disasters; 2022. 114 р. (In Russ).

[12]

Гончаренко В.С., Чечетина Т.А., Сибирко В.И., и др. Пожары и пожарная безопасность в 2021 году. Статистика пожаров и их последствий: статистический сборник. Балашиха: ФГБУ ВНИИПО МЧС России, 2022. 114 с.

[13]

Baartmans MG, de Jong AE, van Baar ME, et al. Early management in children with burns: Cooling, wound care and pain management. Burns. 2016;42(4):777-782. doi: 10.1016/j.burns.2016.03.003

[14]

Baartmans M.G., de Jong A.E., van Baar M.E., et al. Early management in children with burns: Cooling, wound care and pain management // Burns. 2016. Vol. 42, N 4. Р. 777-782. doi: 10.1016/j.burns.2016.03.003

[15]

Harshman J, Roy M, Cartotto R. Emergency care of the burn patient before the burn center: A systematic review and meta-analysis. J Burn Care Res. 2019;40(2):166-188. doi: 10.1093/jbcr/iry060

[16]

Harshman J., Roy M., Cartotto R. Emergency care of the burn patient before the burn center: A systematic review and meta-analysis // J Burn Care Res. 2019. Vol. 40, N 2. Р. 166-188. doi: 10.1093/jbcr/iry060

[17]

Oborkina DS, Dolotova D, Butkevich LI. Prospects for improving health care to children with thermal injuries. Detskaya khirurgiya (Russian Journal of Pediatric Surgery). 2021;25(3):174-178. EDN: PQONIM doi: 10.18821/1560-9510-2021-25-3-174-178

[18]

Оборкина Д.С., Долотова Д.Д., Будкевич Л.И. Перспективы совершенствования первичной медико-санитарной помощи детям с термической травмой // Детская хирургия. Журнал им. Ю.Ф. Исакова. 2021. Т. 25, № 3. С. 174-178. EDN: PQONIM doi: 10.18821/1560-9510-2021-25-3-174-178

[19]

Djärv T, Douma M, Palmieri T, et al. Duration of cooling with water for thermal burns as a first aid intervention: A systematic review. Burns. 2022;48(2):251-262. EDN: GKEERU doi: 10.1016/j.burns.2021.10.007

[20]

Djärv T., Douma M., Palmieri T., et al. Duration of cooling with water for thermal burns as a first aid intervention: A systematic review // Burns. 2022. Vol. 48, N 2. Р. 251-262. EDN: GKEERU doi: 10.1016/j.burns.2021.10.007

[21]

Griffin B, Cabilan CJ, Ayoub B, et al. The effect of 20 minutes of cool running water first aid within three hours of thermal burn injury on patient outcomes: A systematic review and meta-analysis. Australas Emerg Care. 2022;5(4):367-376. EDN: AYXDZD doi: 10.1016/j.auec.2022.05.004

[22]

Griffin B., Cabilan C.J., Ayoub B., et al. The effect of 20 minutes of cool running water first aid within three hours of thermal burn injury on patient outcomes: A systematic review and meta-analysis // Australas Emerg Care. 2022. Vol. 25, N 4. Р. 367-376. EDN: AYXDZD doi: 10.1016/j.auec.2022.05.004

[23]

Griffin BR, Frear CC, Babl F, et al. Cool running water first aid decreases skin grafting requirements in pediatric burns: A cohort study of two thousand four hundred ninety-five children. Ann Emerg Med. 2020;75(1):75-85. doi: 10.1016/j.annemergmed.2019.06.028

[24]

Griffin B.R., Frear C.C., Babl F., et al. Cool running water first aid decreases skin grafting requirements in pediatric burns: A cohort study of two thousand four hundred ninety-five children // Ann Emerg Med. 2020. Vol. 75, N 1. Р. 75-85. doi: 10.1016/j.annemergmed.2019.06.028

[25]

Holbert MD, Kimble RM, Chatfield M, Griffin BR. Effectiveness of a hydrogel dressing as an analgesic adjunct to first aid for the treatment of acute paediatric burn injuries: A prospective randomised controlled trial. BMJ Open. 2021;11(1):e039981. doi: 10.1136/bmjopen-2020-039981

[26]

Holbert M.D., Kimble R.M., Chatfield M., Griffin B.R. Effectiveness of a hydrogel dressing as an analgesic adjunct to first aid for the treatment of acute paediatric burn injuries: A prospective randomised controlled trial // BMJ Open. 2021. Vol. 11, N 1. Р. e039981. doi: 10.1136/bmjopen-2020-039981

[27]

Goodwin NS, Spinks A, Wasiak J. The efficacy of hydrogel dressings as a first aid measure for burn wound management in the pre-hospital setting: A systematic review of the literature. Int Wound J. 2016;13(4):519-525. doi: 10.1111/iwj.12469

[28]

Goodwin N.S., Spinks A., Wasiak J. The efficacy of hydrogel dressings as a first aid measure for burn wound management in the pre-hospital setting: A systematic review of the literature // Int Wound J. 2016. Vol. 13, N 4. Р. 519-525. doi: 10.1111/iwj.12469

[29]

Holbert MD, Kimble RM, Jones LV, et al. Risk factors associated with higher pain levels among pediatric burn patients: A retrospective cohort study. Reg Anesth Pain Med. 2021;46(3):222-227. doi: 10.1136/rapm-2020-101691

[30]

Holbert M.D., Kimble R.M., Jones L.V., et al. Risk factors associated with higher pain levels among pediatric burn patients: A retrospective cohort study // Reg Anesth Pain Med. 2021. Vol. 46, N 3. Р. 222-227. doi: 10.1136/rapm-2020-101691

[31]

UpToDate [Internet]. Wiechman S, Bhalla P. Management of burn wound pain and itching [2023 Feb 22]. Available from: https://www.uptodate.com/contents/14989. Accessed: 26.05.2023.

[32]

UpToDate [Интернет]. Wiechman S., Bhalla P. Management of burn wound pain and itching [2023 Feb 22]. Режим доступа: https://www.uptodate.com/contents/14989. Дата обращения: 26.05.2023.

[33]

Alsaqabi F, Ahmed Z. The accuracy of prehospital fluid resuscitation of burn patients: A systematic review. Eur Burn J. 2022;3(4):517-526. EDN: RAFNGZ doi: 10.3390/ebj3040044

[34]

Alsaqabi F., Ahmed Z. The accuracy of prehospital fluid resuscitation of burn patients: A systematic review // Eur Burn J. 2022. Vol. 3, N 4. Р. 517-526. EDN: RAFNGZ doi: 10.3390/ebj3040044

[35]

McCulloh C, Nordin A, Talbot LJ, et al. Accuracy of prehospital care providers in determining total body surface area burned in severe pediatric thermal injury. J Burn Care Res. 2018;13;39(4):491-496. doi: 10.1093/jbcr/irx004

[36]

McCulloh C., Nordin A., Talbot L.J., et al. Accuracy of prehospital care providers in determining total body surface area burned in severe pediatric thermal injury // J Burn Care Res. 2018. Vol. 39, N 4. Р. 491-496. doi: 10.1093/jbcr/irx004

[37]

Baartmans MG, van Baar ME, Boxma H, et al. Accuracy of burn size assessment prior to arrival in Dutch burn centres and its consequences in children: A nationwide evaluation. Injury. 2012;43(9):1451-1456. doi: 10.1016/j.injury.2011.06.027

[38]

Baartmans M.G., van Baar M.E., Boxma H., et al. Accuracy of burn size assessment prior to arrival in Dutch burn centres and its consequences in children: A nationwide evaluation // Injury. 2012. Vol. 43, N 9. Р. 1451-1456. doi: 10.1016/j.injury.2011.06.027

[39]

Fein M, Quinn J, Watt K, et al. Prehospital paediatric burn care: New priorities in paramedic reporting. Emerg Med Australas. 2014;26(6):609-615. doi: 10.1111/1742-6723.12313

[40]

Fein M., Quinn J., Watt K., et al. Prehospital paediatric burn care: New priorities in paramedic reporting // Emerg Med Australas. 2014. Vol. 26, N 6. Р. 609-615. doi: 10.1111/1742-6723.12313

[41]

Frear CC, Griffin B, Watt K, Kimble R. Barriers to adequate first aid for paediatric burns at the scene of the injury. Health Promot J Austr. 2018;29(2):160-166. EDN: YKKYXZ doi: 10.1002/hpja.184

[42]

Frear C.C., Griffin B., Watt K., Kimble R. Barriers to adequate first aid for paediatric burns at the scene of the injury // Health Promot J Austr. 2018. Vol. 29, N 2. Р. 160-166. EDN: YKKYXZ doi: 10.1002/hpja.184

[43]

Varley A, Sarginson J, Young A. Evidence-based first aid advice for paediatric burns in the United Kingdom. Burns. 2016;42(3):571-577. doi: 10.1016/j.burns.2015.10.029

[44]

Varley A., Sarginson J., Young A. Evidence-based first aid advice for paediatric burns in the United Kingdom // Burns. 2016. Vol. 42, N 3. Р. 571-577. doi: 10.1016/j.burns.2015.10.029

[45]

Meng F, Zuo KJ, Amar-Zifkin A, et al. Pediatric burn contractures in low- and lower middle-income countries: A systematic review of causes and factors affecting outcome. Burns. 2020;46(5):993-1004. EDN: BGCAPI doi: 10.1016/j.burns.2019.06.001

[46]

Meng F., Zuo K.J., Amar-Zifkin A., et al. Pediatric burn contractures in low- and lower middle-income countries: A systematic review of causes and factors affecting outcome // Burns. 2020. Vol. 46, N 5. Р. 993-1004. EDN: BGCAPI doi: 10.1016/j.burns.2019.06.001

[47]

Frear CC, Griffin B, Kimble R. Adequacy of cool running water first aid by healthcare professionals in the treatment of paediatric burns: A cross-sectional study of 4537 children. Emerg Med Australas. 2021;33(4):615-622. doi: 10.1111/1742-6723.13686

[48]

Frear C.C., Griffin B., Kimble R. Adequacy of cool running water first aid by healthcare professionals in the treatment of paediatric burns: A cross-sectional study of 4537 children // Emerg Med Australas. 2021. Vol. 33, N 4. Р. 615-622. doi: 10.1111/1742-6723.13686

[49]

British Burn Association [Internet]. Battaloglu E, Greasley L, Leon-Villapalos J, et al. Expert consensus meeting. Management of burns in pre: Hospital trauma care. 2018. Available from: https://fphc.rcsed.ac.uk/media/2621/burns-consensus-2019.pdf. Accessed: 26.05.2023.

[50]

British Burn Association [Интернет]. Battaloglu E., Greasley L., Leon-Villapalos J., et al. Expert consensus meeting. Management of burns in pre: Hospital trauma care. 2018. Режим доступа: https://fphc.rcsed.ac.uk/media/2621/burns-consensus-2019.pdf. Дата обращения: 26.05.2023.

[51]

European Burns Association [Internet]. European practice guidelines for burn care. Minimum level of Burn Care Provision in Europe. 2017. Available from: https://www.euroburn.org/wp-content/uploads/EBA-Guidelines-Version-4-2017.pdf. Accessed: 26.05.2023.

[52]

European Burns Association [Интернет]. European practice guidelines for burn care. Minimum level of Burn Care Provision in Europe. 2017. Режим доступа: https://www.euroburn.org/wp-content/uploads/EBA-Guidelines-Version-4-2017.pdf. Дата обращения: 26.05.2023.

[53]

American Burn Association [Internet]. Advanced burn life support course. Provider manual 2018 update. Available from: https://ameriburn.org/wp-content/uploads/2019/08/2018-abls-providermanual.pdf. Accessed: 27.05.2023.

[54]

American Burn Association [Интернет]. Advanced burn life support course. Provider manual 2018 update. Режим доступа: https://ameriburn.org/wp-content/uploads/2019/08/2018-abls-providermanual.pdf. Дата обращения: 27.05.2023.

[55]

Federal clinical recommendations on emergency medical care for burns in children. Ministry of Health of the Russian Federation, Union of Paediatricians of Russia, Russian Emergency Medical Aid Society; 2015. 13 р. (In Russ).

[56]

Федеральные клинические рекомендации по оказанию скорой медицинской помощи при ожогах у детей. Министерство здравоохранения Российской Федерации, Союз педиатров России, Российское общество скорой медицинской помощи, 2015. 13 с.

[57]

The Royal Children’s Hospital Melbourne [Internet]. Burns. Available from: https://www.rch.org.au/trauma-service/manual/Burns/. Accessed: 27.05.2023.

[58]

The Royal Children’s Hospital Melbourne [Интернет]. Burns. Режим доступа: https://www.rch.org.au/trauma-service/manual/Burns/. Дата обращения: 27.05.2023.

[59]

Women’s and children’s burns service [Internet]. Burns. 2020. Available from: https://cdn.wchn.sa.gov.au/downloads/WCH/children/burns/WCHN-paediatric-burns-service-guidelines-june-2020.pdf?mtime=20210402205659&focal=none. Accessed: 29.05.2023.

[60]

Women’s and children’s burns service [Интернет]. Burns. 2020. Режим доступа: https://cdn.wchn.sa.gov.au/downloads/WCH/children/burns/WCHN-paediatric-burns-service-guidelines-june-2020.pdf?mtime=20210402205659&focal=none. Дата обращения: 29.05.2023.

[61]

Children’s Health Queensland Hospital and Health Service [Internet]. Burns Queensland Children's Hospital Care and treatment for people with burn injuries. Burns first aid. Available from: https://www.childrens.health.qld.gov.au/service-burns-first-aid/. Accessed: 27.05.2023.

[62]

Children’s Health Queensland Hospital and Health Service [Интернет]. Burns Queensland Children's Hospital Care and treatment for people with burn injuries. Burns first aid. Режим доступа: https://www.childrens.health.qld.gov.au/service-burns-first-aid/. Дата обращения: 27.05.2023.

[63]

Bagnenko SF, Vertkin AL, Miroshnichenko G, Khubutia MS. Guidelines for medical emergencies. Moscow: GEOTAR-Media; 2021. 888 p. (In Russ).

[64]

Багненко С.Ф., Хубутия М.Ш., Мирошниченко А.Г., Миннуллина И.П., ред. Скорая медицинская помощь: национальное руководство. Москва: ГЭОТАР-Медиа, 2021. 888 с.

[65]

University Hospitals Bristol and Weston NHS Foundation Trust [Internet]. Critical burns care management of children. 2021. Available from: https://www.uhbristol.nhs.uk/for-clinicians/clinical-guidelines/. Accessed: 27.05.2023.

[66]

University Hospitals Bristol and Weston NHS Foundation Trust [Интернет]. Critical burns care management of children. 2021. Режим доступа: https://www.uhbristol.nhs.uk/for-clinicians/clinical-guidelines/. Дата обращения: 27.05.2023.

[67]

Gusarov AM, Papajan EG, Shhurov AJ, Zaharova OV. Training manual on the provision of emergency medical care to children at the prehospital stage. Saint Petersburg; 2016. Р. 76-79. (In Russ).

[68]

Гусаров А.М., Папаян Е.Г., Щуров А.Ю., Захарова О.В. Учебное пособие по оказанию скорой медицинской помощи детям на догоспитальном этапе. Санкт-Петербург, 2016. С. 76-79.

[69]

Barbarchuk FM, Biderman FM, Bojkov AA, et al. Algorithms for providing emergency medical care outside a medical organization: A manual for medical workers of field ambulance teams. Saint Petersburg; 2018. 158 р. (In Russ).

[70]

Барбарчук Ф.М., Бидерман Ф.М., Бойков А.А., и др. Алгоритмы оказания скорой медицинской помощи вне медицинской организации: пособие для медицинских работников выездных бригад скорой медицинской помощи. Санкт-Петербург, 2018. 158 с.

[71]

Brekke RL, Almeland SK, Hufthammer KO, Hansson E. Agreement of clinical assessment of burn size and burn depth between referring hospitals and burn centres: A systematic review. Burns. 2023;49(3):493-515. doi: 10.1016/j.burns.2022.05.007

[72]

Brekke R.L., Almeland S.K., Hufthammer K.O., Hansson E. Agreement of clinical assessment of burn size and burn depth between referring hospitals and burn centres: A systematic review // Burns. 2023. Vol. 49, N 3. Р. 493-515. doi: 10.1016/j.burns.2022.05.007

[73]

Baartmans MG, Baar ME, Boxma H, et al. Accuracy of burn size assessment prior to arrival in Dutch burn centres and its consequences in children: A nationwide evaluation. Injury. 2013;43(9):1451-1456. doi: 10.1016/j.injury.2011.06.027

[74]

Baartmans M.G., Baar M.E., Boxma H., et al. Accuracy of burn size assessment prior to arrival in Dutch burn centres and its consequences in children: A nationwide evaluation // Injury. 2013. Vol. 43, N 9. Р. 1451-1456. doi: 10.1016/j.injury.2011.06.027

[75]

Mcculloh C, Nordin A, Talbot L, et al. Accuracy of prehospital care providers in determining total body surface area burned in severe pediatric thermal injury. J Burn Care Res. 2017;39(4):491-496. doi: 10.1093/jbcr/irx004

[76]

Mcculloh C., Nordin A., Talbot L., et al. Accuracy of prehospital care providers in determining total body surface area burned in severe pediatric thermal injury // J Burn Care Res. 2017. Vol. 39, N 4. Р. 491-496. doi: 10.1093/jbcr/irx004

[77]

Middleton PM, Simpson PM, Sinclair G. Effectiveness of morphine, fentanyl, and methoxyflurane in the prehospital setting. Prehospital Emergency Care. 2010;14(4):439-447. doi: 10.3109/10903127.2010.497896

[78]

Middleton P.M., Simpson P.M., Sinclair G. Effectiveness of morphine, fentanyl, and methoxyflurane in the prehospital setting // Prehospital Emergency Care. 2010. Vol. 14, N 4. Р. 439-447. doi: 10.3109/10903127.2010.497896

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