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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | ACTA CHIRURGIAE PLASTICAE 44, 2, 2002, pp. 59 - 62 |
QUALITY OF PREHOSPITAL MANAGEMENT
OF PATIENTS WITH BURN
INJURIES - A RETROSPECTIVE STUDY Čupera J.1, Mannová J.1, Říhová H.2, Brychta P.2, Čundrle I.1 1Department of Anesthesiology and Resuscitation, and 2Clinic for Burn and Reconstructive Surgery, Masaryk University Faculty Hospital, Brno, Czech Republic |
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Summary: The authors evaluate the quality of burn patient management prior to admission to a specialized department. The
most frequent mistake was found to be inadequate airway management (no intubation) and a lack of an i.v. line
and volume resuscitation. These problems could be seen especially in the patients admitted to the specialized
department as secondary transfers, following initial treatment in another healthcare facility. Prehospital care of the
patients admitted as primary transfers was found to be satisfactory in the majority of cases. The authors conclude
that some mistakes in diagnosis may be caused by the development of the burn over time as well as by the fact
that certain clinical experience is necessary for determining the correct diagnosis. The predominant cause of inadequate
management in patients with severe thermal injuries is underestimating the severity of the injury and ignorance
of the possible consequences of inadequate management of the patients for transfer.
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