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(PDF) Evaluating Pediatric Burn Treatment Outcomes

<!DOCTYPE html> <html > <head> <meta charset="utf-8"> <meta rel="search" type="application/opensearchdescription+xml" href="/open_search.xml" title="Academia.edu"> <meta content="width=device-width, initial-scale=1" name="viewport"> <meta name="google-site-verification" content="bKJMBZA7E43xhDOopFZkssMMkBRjvYERV-NaN4R6mrs"> <meta name="csrf-param" content="authenticity_token" /> <meta name="csrf-token" content="f2RgvMaZPEJmHvY2KCAMU6YER2ZCeRTPmKboXMMAGsfe4UuHN39AshW3Lia4js2cMAwhXyvJaLROCQ4nuBgMtQ" /> <meta name="citation_title" content="Deep and extensive paediatric burns: retrospective evaluation of scheme of patients in Department of Children&amp;#39;s Developmental Defects Surgery and Traumatology SUM" /> <meta name="citation_publication_date" content="2022/01/01" /> <meta name="citation_journal_title" content="Polish Journal of Surgery" /> <meta name="citation_author" content="Jakub Kufel" /> <meta name="twitter:card" content="summary" /> <meta name="twitter:url" content="https://www.academia.edu/104779557/Deep_and_extensive_paediatric_burns_retrospective_evaluation_of_scheme_of_patients_in_Department_of_Childrens_Developmental_Defects_Surgery_and_Traumatology_SUM" /> <meta name="twitter:title" content="Deep and extensive paediatric burns: retrospective evaluation of scheme of patients in Department of Children&#39;s Developmental Defects Surgery and Traumatology SUM" /> <meta name="twitter:description" content="Introduction: Burns are one of the most common injuries among children. Despite the scale of the problem, there is no generally accepted algorithm for dealing with burn wounds in children in Poland. Aim: The aim of our study was to evaluate our" /> <meta name="twitter:image" content="https://0.academia-photos.com/277611842/126669085/116046329/s200_jakub.kufel.png" /> <meta property="fb:app_id" content="2369844204" /> <meta property="og:type" content="article" /> <meta property="og:url" content="https://www.academia.edu/104779557/Deep_and_extensive_paediatric_burns_retrospective_evaluation_of_scheme_of_patients_in_Department_of_Childrens_Developmental_Defects_Surgery_and_Traumatology_SUM" /> <meta property="og:title" content="Deep and extensive paediatric burns: retrospective evaluation of scheme of patients in Department of Children&#39;s Developmental Defects Surgery and Traumatology SUM" /> <meta property="og:image" content="http://a.academia-assets.com/images/open-graph-icons/fb-paper.gif" /> <meta property="og:description" content="Introduction: Burns are one of the most common injuries among children. Despite the scale of the problem, there is no generally accepted algorithm for dealing with burn wounds in children in Poland. Aim: The aim of our study was to evaluate our" /> <meta property="article:author" content="https://sum.academia.edu/JakubKufel" /> <meta name="description" content="Introduction: Burns are one of the most common injuries among children. Despite the scale of the problem, there is no generally accepted algorithm for dealing with burn wounds in children in Poland. Aim: The aim of our study was to evaluate our" /> <title>(PDF) Evaluating Pediatric Burn Treatment Outcomes</title> <link rel="canonical" href="https://www.academia.edu/104779557/Deep_and_extensive_paediatric_burns_retrospective_evaluation_of_scheme_of_patients_in_Department_of_Childrens_Developmental_Defects_Surgery_and_Traumatology_SUM" /> <script async src="https://www.googletagmanager.com/gtag/js?id=G-5VKX33P2DS"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-5VKX33P2DS', { cookie_domain: 'academia.edu', send_page_view: false, }); gtag('event', 'page_view', { 'controller': "single_work", 'action': "show", 'controller_action': 'single_work#show', 'logged_in': 'false', 'edge': 'unknown', // Send nil if there is no A/B test bucket, in case some records get logged // with missing data - that way we can distinguish between the two cases. // ab_test_bucket should be of the form <ab_test_name>:<bucket> 'ab_test_bucket': null, }) </script> <script> var $controller_name = 'single_work'; var $action_name = "show"; var $rails_env = 'production'; var $app_rev = 'd2d91d20c0e811dc8861908f7d2d16a42bab4a4d'; var $domain = 'academia.edu'; var $app_host = "academia.edu"; var $asset_host = "academia-assets.com"; var $start_time = new Date().getTime(); var $recaptcha_key = "6LdxlRMTAAAAADnu_zyLhLg0YF9uACwz78shpjJB"; var $recaptcha_invisible_key = "6Lf3KHUUAAAAACggoMpmGJdQDtiyrjVlvGJ6BbAj"; var $disableClientRecordHit = false; </script> <script> window.require = { config: function() { return function() {} } } </script> <script> window.Aedu = window.Aedu || {}; window.Aedu.hit_data = null; window.Aedu.serverRenderTime = new Date(1739994355000); window.Aedu.timeDifference = new Date().getTime() - 1739994355000; </script> <script type="application/ld+json">{"@context":"https://schema.org","@type":"ScholarlyArticle","abstract":"Introduction: Burns are one of the most common injuries among children. Despite the scale of the problem, there is no generally accepted algorithm for dealing with burn wounds in children in Poland. Aim: The aim of our study was to evaluate our treatment scheme as well as the long-term effects of burn treatment in our department. Material and methods: We conducted a telephone survey with the parents of patients treated at our ward in 01.01.2016–01.01.2021 due to thermal burns. To assess the cosmetic effect of treatment, the modified Vancouver Scar Scale (mVSS) was used, as well as the evaluation of parents’ satisfaction with the treatment of patients on a scale from 1 to 10. Criteria to be included were the thermal burn of the skin to at least a 2b degree and/or burns with not less than 8% of the Total Body Surface Area (TBSA), as well as answering all the questions included in the questionnaire. The inclusion criteria were met by 38 out of 97 hospitalized patients. Results: 26.32% of patients achieved 0 points on the mVSS, 21.05% achieved 1 point, 15.79% achieved 2 points, 15.79% achieved 3 points, 2.63% patients received 4 points, 5.26% patients received 5 points, 5.26% patients received 7 points, 2.63% patients received 8 points, 2.63% patients received 9 points, 2.63% of patients received 10 points, none of the patients received 6 and 11 points higher. 3% of parents rated their satisfaction at 5 points, 3% of caretakers as 7 points, 8% as 8 points, 8% as 9 points, and 89% as 10 points. Discussion: Our treatment algorithm brings good therapeutic effects and is also very well received by the patients\u0026amp;#39; parents. In order to carry out a nationwide standardization of the treatment of childhood burn wounds, it would be necessary to conduct a similarly constructed study in a multicenter setting.","author":[{"@context":"https://schema.org","@type":"Person","name":"Jakub Kufel","url":"https://sum.academia.edu/JakubKufel"}],"contributor":[],"dateCreated":"2023-07-20","dateModified":"2025-02-03","datePublished":"2022-01-01","headline":"Deep and extensive paediatric burns: retrospective evaluation of scheme of patients in Department of Children's Developmental Defects Surgery and Traumatology SUM","identifier":{"@type":"PropertyValue","propertyID":"DOI","value":"10.5604/01.3001.0015.7679"},"image":"https://attachments.academia-assets.com/104467477/thumbnails/1.jpg","inLanguage":"en","keywords":[],"publication":"Polish Journal of 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"https://www.academia.edu/login?post_login_redirect_url=https%3A%2F%2Fwww.academia.edu%2F104779557%2FDeep_and_extensive_paediatric_burns_retrospective_evaluation_of_scheme_of_patients_in_Department_of_Childrens_Developmental_Defects_Surgery_and_Traumatology_SUM%3Fshow_translation%3Dtrue"; window.loswp.previewableAttachments = [{"id":104467477,"identifier":"Attachment_104467477","shouldShowBulkDownload":false}]; window.loswp.shouldDetectTimezone = true; window.loswp.shouldShowBulkDownload = true; window.loswp.showSignupCaptcha = false window.loswp.willEdgeCache = false; window.loswp.work = {"work":{"id":104779557,"created_at":"2023-07-20T22:52:48.270-07:00","from_world_paper_id":null,"updated_at":"2025-02-03T13:37:43.002-08:00","_data":{"doi":"10.5604/01.3001.0015.7679","issue":"5","volume":"94","abstract":"Introduction: Burns are one of the most common injuries among children. Despite the scale of the problem, there is no generally accepted algorithm for dealing with burn wounds in children in Poland.\r\n\r\nAim: The aim of our study was to evaluate our treatment scheme as well as the long-term effects of burn treatment in our department.\r\n\r\nMaterial and methods: We conducted a telephone survey with the parents of patients treated at our ward in 01.01.2016–01.01.2021 due to thermal burns. To assess the cosmetic effect of treatment, the modified Vancouver Scar Scale (mVSS) was used, as well as the evaluation of parents’ satisfaction with the treatment of patients on a scale from 1 to 10. Criteria to be included were the thermal burn of the skin to at least a 2b degree and/or burns with not less than 8% of the Total Body Surface Area (TBSA), as well as answering all the questions included in the questionnaire. The inclusion criteria were met by 38 out of 97 hospitalized patients.\r\n\r\nResults: 26.32% of patients achieved 0 points on the mVSS, 21.05% achieved 1 point, 15.79% achieved 2 points, 15.79% achieved 3 points, 2.63% patients received 4 points, 5.26% patients received 5 points, 5.26% patients received 7 points, 2.63% patients received 8 points, 2.63% patients received 9 points, 2.63% of patients received 10 points, none of the patients received 6 and 11 points higher. 3% of parents rated their satisfaction at 5 points, 3% of caretakers as 7 points, 8% as 8 points, 8% as 9 points, and 89% as 10 points.\r\n\r\nDiscussion: Our treatment algorithm brings good therapeutic effects and is also very well received by the patients' parents. In order to carry out a nationwide standardization of the treatment of childhood burn wounds, it would be necessary to conduct a similarly constructed study in a multicenter setting.","ai_title_tag":"Evaluating Pediatric Burn Treatment Outcomes","journal_name":"Polish Journal of Surgery","page_numbers":"31-39","publication_date":"2022,,"},"document_type":"other","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Deep and extensive paediatric burns: retrospective evaluation of scheme of patients in Department of Children's Developmental Defects Surgery and Traumatology SUM","broadcastable":false,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [277611842]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "full_page_mobile_sutd_modal"; window.loswp.useOptimizedScribd4genScript = false; window.loginModal = {}; window.loginModal.appleClientId = 'edu.academia.applesignon'; window.userInChina = "false";</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div class="ds-loswp-container"><div class="ds-work-card--grid-container"><div class="ds-work-card--container js-loswp-work-card"><div class="ds-work-card--cover"><div class="ds-work-cover--wrapper"><div class="ds-work-cover--container"><button class="ds-work-cover--clickable js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;swp-splash-paper-cover&quot;,&quot;attachmentId&quot;:104467477,&quot;attachmentType&quot;:&quot;pdf&quot;}"><img alt="First page of “Deep and extensive paediatric burns: retrospective evaluation of scheme of patients in Department of Children&#39;s Developmental Defects Surgery and Traumatology SUM”" class="ds-work-cover--cover-thumbnail" src="https://0.academia-photos.com/attachment_thumbnails/104467477/mini_magick20230723-1-eogprp.png?1690127087" /><img alt="PDF Icon" class="ds-work-cover--file-icon" src="//a.academia-assets.com/images/single_work_splash/adobe_icon.svg" /><div class="ds-work-cover--hover-container"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span><p>Download Free PDF</p></div><div class="ds-work-cover--ribbon-container">Download Free PDF</div><div class="ds-work-cover--ribbon-triangle"></div></button></div></div></div><div class="ds-work-card--work-information"><h1 class="ds-work-card--work-title">Deep and extensive paediatric burns: retrospective evaluation of scheme of patients in Department of Children&#39;s Developmental Defects Surgery and Traumatology SUM</h1><div class="ds-work-card--work-authors ds-work-card--detail"><a class="ds-work-card--author js-wsj-grid-card-author ds2-5-body-md ds2-5-body-link" data-author-id="277611842" href="https://sum.academia.edu/JakubKufel"><img alt="Profile image of Jakub Kufel" class="ds-work-card--author-avatar" src="https://0.academia-photos.com/277611842/126669085/116046329/s65_jakub.kufel.png" />Jakub Kufel</a></div><div class="ds-work-card--detail"><p class="ds-work-card--detail ds2-5-body-sm">2022</p><a class="js-loswp-work-card-doi-link ds2-5-body-sm ds2-5-body-link" href="https://doi.org/10.5604/01.3001.0015.7679" rel="nofollow">https://doi.org/10.5604/01.3001.0015.7679</a><div class="ds-work-card--work-metadata"><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">visibility</span><p class="ds2-5-body-sm" id="work-metadata-view-count">…</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">description</span><p class="ds2-5-body-sm">9 pages</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">link</span><p class="ds2-5-body-sm">1 file</p></div></div><script>(async () => { const workId = 104779557; const worksViewsPath = "/v0/works/views?subdomain_param=api&amp;work_ids%5B%5D=104779557"; const getWorkViews = async (workId) => { const response = await fetch(worksViewsPath); if (!response.ok) { throw new Error('Failed to load work views'); } const data = await response.json(); return data.views[workId]; }; // Get the view count for the work - we send this immediately rather than waiting for // the DOM to load, so it can be available as soon as possible (but without holding up // the backend or other resource requests, because it's a bit expensive and not critical). const viewCount = await getWorkViews(workId); const updateViewCount = (viewCount) => { try { const viewCountNumber = parseInt(viewCount, 10); if (viewCountNumber === 0) { // Remove the whole views element if there are zero views. document.getElementById('work-metadata-view-count')?.parentNode?.remove(); return; } const commaizedViewCount = viewCountNumber.toLocaleString(); const viewCountBody = document.getElementById('work-metadata-view-count'); if (!viewCountBody) { throw new Error('Failed to find work views element'); } viewCountBody.textContent = `${commaizedViewCount} views`; } catch (error) { // Remove the whole views element if there was some issue parsing. document.getElementById('work-metadata-view-count')?.parentNode?.remove(); throw new Error(`Failed to parse view count: ${viewCount}`, error); } }; // If the DOM is still loading, wait for it to be ready before updating the view count. if (document.readyState === "loading") { document.addEventListener('DOMContentLoaded', () => { updateViewCount(viewCount); }); // Otherwise, just update it immediately. } else { updateViewCount(viewCount); } })();</script></div><p class="ds-work-card--work-abstract ds-work-card--detail ds2-5-body-md">Introduction: Burns are one of the most common injuries among children. Despite the scale of the problem, there is no generally accepted algorithm for dealing with burn wounds in children in Poland. Aim: The aim of our study was to evaluate our treatment scheme as well as the long-term effects of burn treatment in our department. Material and methods: We conducted a telephone survey with the parents of patients treated at our ward in 01.01.2016–01.01.2021 due to thermal burns. To assess the cosmetic effect of treatment, the modified Vancouver Scar Scale (mVSS) was used, as well as the evaluation of parents’ satisfaction with the treatment of patients on a scale from 1 to 10. Criteria to be included were the thermal burn of the skin to at least a 2b degree and/or burns with not less than 8% of the Total Body Surface Area (TBSA), as well as answering all the questions included in the questionnaire. The inclusion criteria were met by 38 out of 97 hospitalized patients. Results: 26.32% of patients achieved 0 points on the mVSS, 21.05% achieved 1 point, 15.79% achieved 2 points, 15.79% achieved 3 points, 2.63% patients received 4 points, 5.26% patients received 5 points, 5.26% patients received 7 points, 2.63% patients received 8 points, 2.63% patients received 9 points, 2.63% of patients received 10 points, none of the patients received 6 and 11 points higher. 3% of parents rated their satisfaction at 5 points, 3% of caretakers as 7 points, 8% as 8 points, 8% as 9 points, and 89% as 10 points. Discussion: Our treatment algorithm brings good therapeutic effects and is also very well received by the patients&#39; parents. In order to carry out a nationwide standardization of the treatment of childhood burn wounds, it would be necessary to conduct a similarly constructed study in a multicenter setting.</p><div class="ds-work-card--button-container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;continue-reading-button--work-card&quot;,&quot;attachmentId&quot;:104467477,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:&quot;https://www.academia.edu/104779557/Deep_and_extensive_paediatric_burns_retrospective_evaluation_of_scheme_of_patients_in_Department_of_Childrens_Developmental_Defects_Surgery_and_Traumatology_SUM&quot;}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;download-pdf-button--work-card&quot;,&quot;attachmentId&quot;:104467477,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:&quot;https://www.academia.edu/104779557/Deep_and_extensive_paediatric_burns_retrospective_evaluation_of_scheme_of_patients_in_Department_of_Childrens_Developmental_Defects_Surgery_and_Traumatology_SUM&quot;}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div><div class="ds-signup-banner-trigger-container"><div class="ds-signup-banner-trigger ds-signup-banner-trigger-control"></div></div><div class="ds-signup-banner ds-signup-banner-control"><div id="ds-signup-banner-close-button"><button class="ds2-5-button ds2-5-button--secondary ds2-5-button--inverse"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">close</span></button></div><div class="ds-signup-banner-ctas"><img src="//a.academia-assets.com/images/academia-logo-capital-white.svg" /><h4 class="ds2-5-heading-serif-sm">Sign up for access to the world's latest research</h4><button class="ds2-5-button ds2-5-button--inverse ds2-5-button--full-width js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;signup-banner&quot;}">Sign up for free<span class="material-symbols-outlined" style="font-size: 20px" translate="no">arrow_forward</span></button></div><div class="ds-signup-banner-divider"></div><div class="ds-signup-banner-reasons"><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Get notified about relevant papers</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Save papers to use in your research</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Join the discussion with peers</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Track your impact</span></div></div></div><script>(() => { // Set up signup banner show/hide behavior: // 1. 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However, thermal injuries most often occur in children. Aim of the study: Burn treatment should consider both local treatment and prevention of existing systemic disturbances. Frequency and importance of the problem requires a revision and optimisation of the existing therapeutic schemes applied for paediatric burns, which constitutes the purpose of this study. Material and methods: A retrospective analysis was performed on treatment of 310 paediatric patients hospitalised for burns in the years 2010-2017. Results: In the studied period, 310 patients were hospitalised for burns; the majority of them (66.8%, 207 patients) were boys. In most cases, hospitalisation was required by children between the first and third year of life (71.9%, 223 patients). The main cause of burn injuries was contact with hot liquid (98.1%, 304 patients), primarily in the upper body part. The majority of the patients required only conservative treatment, while split-thickness skin graft (STSG) was performed in 9% of patients. Early introduction of surgical treatment accelerated wound healing and normalisation of systemic disturbances and correlated with reduced length of stay (p = 0.0019). No prevalence of any of the applied professional dressings on the wound healing rate was observed. Substantially, all children required multidrug pain therapy. A low rate of analgesic administration at the pre-hospitalisation stage was recorded. Conclusions: The vast majority of the patients required only conservative treatment, although the need for introducing surgery should be considered as early as at the first treatment stage. The current condition of burn wound with particular focus on exudation rate and presence of eschar should be the key criterion for the selection of dressing.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Early management of paediatric burn injuries&quot;,&quot;attachmentId&quot;:104079878,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/104316937/Early_management_of_paediatric_burn_injuries&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/104316937/Early_management_of_paediatric_burn_injuries"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="1" data-entity-id="100770164" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/100770164/Management_of_Paediatric_Burns">Management of Paediatric Burns</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="267188397" href="https://independent.academia.edu/AliNasser187">Ali Nasser</a></div><p class="ds-related-work--metadata ds2-5-body-xs">2002</p><p class="ds-related-work--abstract ds2-5-body-sm">Almost one-third of all burn centre admissions involve children under the age of ten years. Caring for the burned child continues to demand the close attention of a multidisciplinary team to the patient&#39;s many needs. Paediatric burns impose enormous economic burdens on families and on society as a whole. Scald burns secondary to household accidents predominate in most series, constituting 70% of all thermal injuries in infants, toddlers, and preschool children. Most of these injuries are potentially preventable. Children with 5% TBSA third-degree burns or more than 10% TBSA second-and third-degree burns need to be hospitalized for proper resuscitation and burn wound management. Children with burn injuries involving the face, hands, or genital areas also require hospitalization. The goal of the resuscitation of hospitalized burn victims is to restore circulating blood volume and to minimize the early stress response. This is accomplished with adequate fluid replacement, correction of hypoxia and ventilatory disturbances, prevention of hypothermia, and adequate control of pain and anxiety. Minor burns can be treated at home with topical ointments. The recently introduced MEBO (Moist Exposed Burn Ointment) seems to be highly promising in this regard. Burn wounds should be encouraged to heal in the shortest possible period by a judicious combination of topical therapy, eschar excision, and skin grafting.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Management of Paediatric Burns&quot;,&quot;attachmentId&quot;:101497253,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/100770164/Management_of_Paediatric_Burns&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/100770164/Management_of_Paediatric_Burns"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="2" data-entity-id="51604645" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/51604645/A_Multi_Centers_Comparative_Study_of_Extensive_and_Deep_Degree_Burns_of_Children">A Multi-Centers Comparative Study of Extensive and Deep Degree Burns of Children</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="121771975" href="https://independent.academia.edu/PangayomanRoys">Roys Pangayoman</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of US-China Medical Science, 2012</p><p class="ds-related-work--abstract ds2-5-body-sm">Objective: To summarize and assess the therapeutic effects of Burns Regenerative Medicine and Therapy (BRT) and Eschar Excision and Skin Grafting Techniques (SGT) on extensive and deep degree pediatric burns treatment. Methods: A multi-center controllable randomization comparative method was used in this study. The 69 pediatric in-patients with extensive and deep degree burns that from 7 centers in 3 countries were separate randomization into test group (37 cases were treated with BRT) and control group (32 cases were treated with SGT). The main outcome measures included average usage rates of analgesic in treatment, wound infection rates, skin grafting rates, average wound healing time, scar hyperplasia rates after treatment, dysfunction rates and mortality. Statistical analysis was applied to the data of both groups. Results: No significant difference was found in mortality between test group (2.70%) and control group (3.13%); The results of t-test or x 2-test of other main outcome measures showed significant difference (P < 0.01) between the two groups. Conclusion: Burns regenerative medicine and therapy provides a more satisfactory treatment for extensive and deep degree pediatric burns.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;A Multi-Centers Comparative Study of Extensive and Deep Degree Burns of Children&quot;,&quot;attachmentId&quot;:69256724,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/51604645/A_Multi_Centers_Comparative_Study_of_Extensive_and_Deep_Degree_Burns_of_Children&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/51604645/A_Multi_Centers_Comparative_Study_of_Extensive_and_Deep_Degree_Burns_of_Children"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="3" data-entity-id="56667030" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/56667030/Medical_management_of_paediatric_burn_injuries_Best_practice">Medical management of paediatric burn injuries: Best practice</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="36651769" href="https://sydney.academia.edu/AndrewHolland">Andrew J A Holland</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Paediatrics and Child Health, 2012</p><p class="ds-related-work--abstract ds2-5-body-sm">Burns commonly occur in children and their first aid remains inadequate despite burn prevention programmes. While scald injuries predominate, contact and flame burns remain common. Although typically less severe injuries overall than those in adults, hypertrophic scarring complicating both the burn wound and even donor sites occur more frequently in children. The heterogeneous nature of burn wounds, coupled with the difficulties associated with the early clinical assessment of burn depth, has stimulated the application of novel technologies to predict burn wound outcome. This review explores current best practice in the management of paediatric burns, with a focus on prevention, optimal first aid, resuscitation, burn wound prediction and wound management strategies.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Medical management of paediatric burn injuries: Best practice&quot;,&quot;attachmentId&quot;:71940050,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/56667030/Medical_management_of_paediatric_burn_injuries_Best_practice&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/56667030/Medical_management_of_paediatric_burn_injuries_Best_practice"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="53635249" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/53635249/Management_of_Paediatric_Second_degree_Burn_in_a_Developing_Country_With_or_Without_Closed_Dressing">Management of Paediatric Second-degree Burn in a Developing Country: With or Without Closed Dressing?</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="31256039" href="https://independent.academia.edu/RashedulProdip">Rashedul Alam Prodip</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Chattagram Maa-O-Shishu Hospital Medical College Journal, 2013</p><p class="ds-related-work--abstract ds2-5-body-sm">Objective: Our objective was to observe whether second-degree burn wound management can be done without using any occlusive dressing than conventional occlusive dressing in children. The purpose of this study was to evaluate our experience and to see the results of open dressing versus closed dressing in management of second-degree burn in children. Methods: A prospective comparative study was done on children (0-12 years) presented with second-degree burn during the period of August 2009 to December 2010. More than 10% total burn surface area (TBSA) involving any region of the body and any percentage of TBSA involving the hands, feet, face, and perineum were included. Patients arrived only after 24 hours after burn; burn with other systemic illnesses were excluded. By randomized controlled trial (RCT) sampling technique, study population was divided into two groups-group A and group B. In group A, exposure or without dressing technique was followed and in group B, occlusive dressing technique was followed. Results: 125 patients were treated in each group. Age range was from 2 months 15 days to10 years. The range of mean length of stay (LOS) in the hospital in group A was 5 to 26 days and in group B, 7 to 43 days. In group B, 42% (52) patients had wound infection, but in group A, it was only 15%. Pseudomonas infection in group B was found in 40 cases. In group A it was only in 5 patients. In group B, 94% patients needed cleaning and dressing under general anesthesia and in group A it was only 12%. Eleven patients from group B needed skin grafting, but none from group A needed it. Mean total costs of management was USD 111.13 in group A, it was USD 182.85 in group B. Conclusion: The present study demonstrated that the open or exposure or without dressing method is suitable and effective in reducing patients&#39; morbidity when compared to the closed or with occlusive dressing method for the management of second-degree burn wound in children. This method is also significantly cost effective.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Management of Paediatric Second-degree Burn in a Developing Country: With or Without Closed Dressing?&quot;,&quot;attachmentId&quot;:70387933,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/53635249/Management_of_Paediatric_Second_degree_Burn_in_a_Developing_Country_With_or_Without_Closed_Dressing&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/53635249/Management_of_Paediatric_Second_degree_Burn_in_a_Developing_Country_With_or_Without_Closed_Dressing"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="101984236" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/101984236/A_prospective_observational_study_investigating_all_children_presenting_to_a_specialty_paediatric_burns_centre">A prospective observational study investigating all children presenting to a specialty paediatric burns centre</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="253441553" href="https://independent.academia.edu/nicolerodriguez492">nicole rodriguez</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Burns : journal of the International Society for Burn Injuries, 2015</p><p class="ds-related-work--abstract ds2-5-body-sm">The aim of this study was to describe the mechanism of injury and outcome of all children who presented to The Stuart Pegg Paediatric Burns Centre (SPPBC) with a burn injury in the year 2013. A detailed proforma was completed prospectively at time of presentation to hospital. During the one year period, 758 children with a median age of 2 years 3 months presented with a burn injury. Overall, 12.7% of patients (n=96) were initially treated as inpatients. Similarities existed between in and outpatients. Over half the children admitted had a scald injury (53.1%). Whilst slightly higher than the outpatient scald rate of 43.1% there was no statistical significant difference. However, there was a significant difference between inpatients and outpatients with respect to other mechanisms of injury. Contact burns were under represented in inpatients (27.1%) compared to outpatients (44.5%), p&amp;lt;0.05. In contrast, flame burns were over represented in inpatients, 11.5% compared to outpatients,...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;A prospective observational study investigating all children presenting to a specialty paediatric burns centre&quot;,&quot;attachmentId&quot;:102372139,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/101984236/A_prospective_observational_study_investigating_all_children_presenting_to_a_specialty_paediatric_burns_centre&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/101984236/A_prospective_observational_study_investigating_all_children_presenting_to_a_specialty_paediatric_burns_centre"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="31470230" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/31470230/Guidelines_for_the_Management_of_Paediatric_Burns">Guidelines for the Management of Paediatric Burns</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="60203515" href="https://independent.academia.edu/vs259">v s</a></div><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Guidelines for the Management of Paediatric Burns&quot;,&quot;attachmentId&quot;:51824775,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/31470230/Guidelines_for_the_Management_of_Paediatric_Burns&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/31470230/Guidelines_for_the_Management_of_Paediatric_Burns"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="124036287" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/124036287/Pediatric_Burns_Time_to_Collaborate_Together">Pediatric Burns—Time to Collaborate Together</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="55728306" href="https://independent.academia.edu/mullaibaalaaji">mullai baalaaji</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Indian Journal of Critical Care Medicine, 2023</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Pediatric Burns—Time to Collaborate Together&quot;,&quot;attachmentId&quot;:118336366,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/124036287/Pediatric_Burns_Time_to_Collaborate_Together&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/124036287/Pediatric_Burns_Time_to_Collaborate_Together"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="62671394" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/62671394/A_Ghastly_Rising_Rate_of_Preventable_Pediatric_Burns_We_Need_to_Act">A Ghastly Rising Rate of Preventable Pediatric Burns: We Need to Act</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="68219012" href="https://independent.academia.edu/AsadMaqbool2">Asad Maqbool</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Pakistan Armed Forces Medical Journal</p><p class="ds-related-work--abstract ds2-5-body-sm">Objective: To ascertain the increase in paediatric burn admissions in our tertiary care facility. Find various causes of this trend and assess the morbidity and mortality in paediatric population, and suggest remedies. Study Design: This is a “descriptive case series study” Place of Study: This Study was conducted during September 2017 to August 2019 at Department of Burns &amp; Plastic surgery. Materials and Methods: Total number of acute burn admissions under 12 years were recorded. Subdivided this group into 0 to 2 years and 2 to 12 years. We assessed epidemiology, sex, cause of burn, mode of admission, location of incident, type of first aid given, mortality, and compared results during two equal halves of this period. We used SPSS 20 for data analysis. Results: 504 (49.85%) were pediatric acute burn admissions. Their age ranged from 25 days to 12 years (mean 5 ±1.2 years). 152 were infants/toddlers aged 0-2 years. 270 male and 234 females. 316 were direct admissions. There were 72...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;A Ghastly Rising Rate of Preventable Pediatric Burns: We Need to Act&quot;,&quot;attachmentId&quot;:75357003,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/62671394/A_Ghastly_Rising_Rate_of_Preventable_Pediatric_Burns_We_Need_to_Act&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/62671394/A_Ghastly_Rising_Rate_of_Preventable_Pediatric_Burns_We_Need_to_Act"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="20720666" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/20720666/Healing_at_Home_Comparing_Cohorts_of_Children_With_Medium_Sized_Burns_Treated_as_Outpatients_With_In_Hospital_Applied_Acticoat_to_Those_Children_Treated_as_Inpatients_With_Silver_Sulfadiazine">Healing at Home: Comparing Cohorts of Children With Medium-Sized Burns Treated as Outpatients With In-Hospital Applied Acticoat™ to Those Children Treated as Inpatients With Silver Sulfadiazine</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="42017556" href="https://centrodeimagenysonido.academia.edu/FranciscoRivera">Francisco Rivera</a></div><p class="ds-related-work--abstract ds2-5-body-sm">Using Acticoat™ (Smith &amp; Nephew, London, UK), a dressing that requires changing only twice per week, we are able to discharge children with medium-sized burns for the majority of their acute care. In sizeable wounds, early burn care is often too painful to do at home and, therefore, sedative analgesia or anesthesia can be provided by the burn unity as necessary. In the interval between dressings, the patients remain at home. A cohort of 30 patients treated in this fashion between 2000 and 2002 were compared with 73 matched historical controls kept as inpatients and treated with silver sulfadiazine. Children treated with Acti-coat™ spent, on average, 0.83 days admitted in hospital whereas those treated with silver sulfadiazine averaged 13.85 days (P &lt; .001). There was a reduction in complications in patients treated with Acticoat™ and the need for skin grafting was not increased. We have been able to facilitate earlier discharges while continuing to provide safe and effective comprehensive burn care. (J Burn Care Res 2006;27:198-201) Age, years (range) 2.78 Ϯ 2.91 (0.75-13) 3.23 Ϯ 3.99 (0.5-16) 0.52 Mean TBSA, % (range) 6.97 Ϯ 3.82 (2.0-18.0) 6.72 Ϯ 4.13 (1.0-18.0) 0.78 Mean total full-thickness, % (range) 1.33 Ϯ 2.93 (0-15.0) 1.61 Ϯ 2.88 (0-18.0) 0.65</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Healing at Home: Comparing Cohorts of Children With Medium-Sized Burns Treated as Outpatients With In-Hospital Applied Acticoat™ to Those Children Treated as Inpatients With Silver Sulfadiazine&quot;,&quot;attachmentId&quot;:41524729,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/20720666/Healing_at_Home_Comparing_Cohorts_of_Children_With_Medium_Sized_Burns_Treated_as_Outpatients_With_In_Hospital_Applied_Acticoat_to_Those_Children_Treated_as_Inpatients_With_Silver_Sulfadiazine&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/20720666/Healing_at_Home_Comparing_Cohorts_of_Children_With_Medium_Sized_Burns_Treated_as_Outpatients_With_In_Hospital_Applied_Acticoat_to_Those_Children_Treated_as_Inpatients_With_Silver_Sulfadiazine"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;continue-reading-button--sticky-ctas&quot;,&quot;attachmentId&quot;:104467477,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;download-pdf-button--sticky-ctas&quot;,&quot;attachmentId&quot;:104467477,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_104467477" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. You can download the paper by clicking the button above.</p></div></div></div></div><div class="ds-sidebar--container js-work-sidebar"><div class="ds-related-content--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="0" data-entity-id="110291680" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/110291680/Burns_in_Children_Difficult_Medical_Social_and_Environmental_Problems">Burns in Children - Difficult Medical, Social, and Environmental Problems</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="42459728" href="https://independent.academia.edu/GrzegorzCieslar">Grzegorz Cieślar</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Polish Journal of Environmental Studies, 2012</p><div 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href="https://independent.academia.edu/AndreasYiacoumettis">Andreas Yiacoumettis</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Burns, 1977</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;An analysis of burns in children&quot;,&quot;attachmentId&quot;:47947442,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/27681707/An_analysis_of_burns_in_children&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-related-work-grid-card-view-pdf" href="https://www.academia.edu/27681707/An_analysis_of_burns_in_children"><span 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data-collection-position="11" data-entity-id="21264438" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/21264438/The_Changing_Pattern_of_Pediatric_Burns">The Changing Pattern of Pediatric Burns</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="42384705" href="https://independent.academia.edu/LawrenceLam3">Lawrence Lam</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Burn Care &amp; Research, 2011</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;The Changing Pattern of Pediatric 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href="https://www.academia.edu/123695433/Commentary_No_statistically_significant_difference_in_long_term_scarring_outcomes_of_pediatric_burns_patients_treated_surgically_vs_those_treated_conservatively"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="18" data-entity-id="30631000" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/30631000/Burn_patients_parents_and_doctors_are_we_in_agreement">Burn patients, parents and doctors; are we in agreement?</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="58357477" href="https://independent.academia.edu/DaleEdgar">Dale Edgar</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Burns, 2012</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Burn patients, parents and doctors; are we in agreement?&quot;,&quot;attachmentId&quot;:51076337,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/30631000/Burn_patients_parents_and_doctors_are_we_in_agreement&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-related-work-grid-card-view-pdf" href="https://www.academia.edu/30631000/Burn_patients_parents_and_doctors_are_we_in_agreement"><span class="ds2-5-text-link__content">View PDF</span><span 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href="https://www.academia.edu/23914305/Results_of_a_survey_on_the_use_of_different_treatment_options_for_partial_and_full_thickness_burns"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="24" data-entity-id="30401806" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/30401806/Developing_a_Pediatric_Burn_Treatment_Program_in_a_Community_Hospital">Developing a Pediatric Burn Treatment Program in a Community Hospital</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="57948668" href="https://independent.academia.edu/AndreAlfharizi">Andre Alfharizi</a></div><div 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