UNLABELLED: Approximately 600,000 burns present to Emergency Departments each year in the United States, yet there is little systematic or evidence-based training of Emergency Physicians in acute burn management. We retrospectively accessed the North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT) database to identify all thermal burns and electrical injuries with associated thermal burns presenting to 92% of North Carolina Emergency Departments over a 1-year period. RESULTS: 10,501 patients met inclusion criteria, 0.3% of all state-wide reported ED visits. Ninety-two percent of burn visits were managed exclusively by Emergency Physicians without acute intervention by burn specialists, including 87% of first degree, 82% of second degree, and 53% of third degree injuries. Only 4.3% were admitted; 4.3% were transferred to another institution. Fifty-five percent were male; 33% were aged 25-44 and 33% presented on weekends. CONCLUSION: This is the first state-wide study of burn injury and identifies Emergency Physicians as the major providers of acute burn care. Ninety-two percent of 10,501 burn visits, including the majority of severe injuries, were managed exclusively by Emergency Physicians. This supports a need for improved, evidence-based training of Emergency Physicians in the acute management of burns of all types.
UNLABELLED: Approximately 600,000 burns present to Emergency Departments each year in the United States, yet there is little systematic or evidence-based training of Emergency Physicians in acute burn management. We retrospectively accessed the North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT) database to identify all thermal burns and electrical injuries with associated thermal burns presenting to 92% of North Carolina Emergency Departments over a 1-year period. RESULTS: 10,501 patients met inclusion criteria, 0.3% of all state-wide reported ED visits. Ninety-two percent of burn visits were managed exclusively by Emergency Physicians without acute intervention by burn specialists, including 87% of first degree, 82% of second degree, and 53% of third degree injuries. Only 4.3% were admitted; 4.3% were transferred to another institution. Fifty-five percent were male; 33% were aged 25-44 and 33% presented on weekends. CONCLUSION: This is the first state-wide study of burn injury and identifies Emergency Physicians as the major providers of acute burn care. Ninety-two percent of 10,501 burn visits, including the majority of severe injuries, were managed exclusively by Emergency Physicians. This supports a need for improved, evidence-based training of Emergency Physicians in the acute management of burns of all types.
Authors: Christopher J Pannucci; Nicholas H Osborne; Reda M Jaber; Paul S Cederna; Wendy L Wahl Journal: J Burn Care Res Date: 2010 Nov-Dec Impact factor: 1.845
Authors: Pablo Palacios García; Francisco Javier Pacheco Compaña; Esther Rodríguez Pérez; Juan Ignacio Bugallo Sanz; Alejandro Fernández-Quinto; Edgar Mauricio Avellaneda-Oviedo Journal: Int Wound J Date: 2020-07-14 Impact factor: 3.315
Authors: Christian Smolle; Janos Cambiaso-Daniel; Abigail A Forbes; Paul Wurzer; Gabriel Hundeshagen; Ludwik K Branski; Fredrik Huss; Lars-Peter Kamolz Journal: Burns Date: 2016-09-03 Impact factor: 2.744
Authors: Nayef A Louri; Nigamananda Dey; Fatima K Ebrahim; Jincy Jose; Siji Susan Philip; Thambiraj Shanmugasundaram; Suresh Rengasamy Journal: Int J Burns Trauma Date: 2018-06-20
Authors: Esther Mm Van Lieshout; Daan T Van Yperen; Margriet E Van Baar; Suzanne Polinder; Doeke Boersma; Anne Ymvp Cardon; Piet Ar De Rijcke; Marc Guijt; Taco Mal Klem; Koen Ww Lansink; Akkie N Ringburg; Maarten Staarink; Leon Van de Schoot; Alexander H Van der Veen; Floortje C Van Eijck; Percy V Van Eerten; Paul A Vegt; Dagmar I Vos; Marco Waleboer; Michael Hj Verhofstad; Cornelis H Van der Vlies Journal: BMJ Open Date: 2018-11-15 Impact factor: 2.692
Authors: H Goei; B F M Wijnen; S Mans; M A C de Jongh; C H van der Vlies; S Polinder; N E E van Loey; M E van Baar Journal: Burns Trauma Date: 2017-11-08