Brûlures par explosion en pratique civile

Translated title of the contribution: Civilian blast-related burn injuries

Jugal Narendra Patel, A. Tan, P. Dziewulski

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

There is limited English literature describing the experience of a civilian hospital managing blast-related burn injuries. As the largest regional burn unit, we reviewed our cases with the aim of identifying means to improve current management. A 6-year retrospective analysis of all patients coded as sustaining blast-related burns was conducted through the unit’s burns database. Medical case notes were reviewed for information on burn demographics, management and outcomes. 42 patients were identified. Male to female ratio was 37:5. Age range was 12-84 years, (mean=33 years). Total body surface area (%TBSA) burn ranged from 0.25% to 60%, (median=1%). The most common burn injury was flame (31/42, 73.8%). Gas explosions were the most common mechanism of injury (19 cases; 45.2%). 7/42 cases (16.7%) had full ATLS management pre-transfer to the burns unit. The Injury Severity Score (ISS) ranged from 0-43 (median=2). 17/42 (40.4%) patients required admission. 37/36 (88.1%) patients were managed conservatively of which 1 patient later required surgery due to deeper burns. 5/42 (11.9%) patients required surgical management at presentation and these were noted to be burns with >15% TBSA requiring resuscitation. One case required emergency escharotomies and finger amputations. All patients survived their burn injuries. Blast-related burn injuries are generally uncommon in the civilian setting. Following proper assessment, most of these cases can be deemed as minor injuries and managed conservatively. Improvement in burns management education and training at local emergency departments would provide efficient patient care and avoid unnecessary referrals to a burns unit.

Translated title of the contributionCivilian blast-related burn injuries
Original languageFrench
Pages (from-to)42-45
Number of pages4
JournalAnnals of Burns and Fire Disasters
Volume29
Issue number1
StatePublished - Mar 2016
Externally publishedYes

Keywords

  • Advance Trauma Life Support (ATLS)
  • Blast
  • Burns
  • Civilian
  • Injury severity
  • Outcomes

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency
  • Critical Care and Intensive Care Medicine

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