Approaches of emergency department to burns management: a systematic review

Abstract

Burn injuries in mass casualty incidents (MCIs) pose particular difficulties. Expert knowledge, specialized abilities, and prompt access to technical resources are all advantageous for burn management. There is a clear need to improve burn care competency, given the prevalence of burn MCIs worldwide and the considerable variations in current burn treatment practices. This study aimed to evaluate the approaches to burn management in the emergency department. This was an updated systematic review that addressed research conducted between 2012 and 2023 regarding burn management strategies in emergency rooms. Studies were examined using the PubMed, Cochrane, Web of Science, and Google Scholar databases. The terms were employed in different combinations and included \"approaches, guidelines, burn, management, emergency, and department.\" Furthermore, a review of original literature was conducted about methods to burn care in the emergency department. Publications in full text were used as the inclusion criterion. Out of the 85 articles that were acquired, only nine were deemed suitable for inclusion. Every study was a retrospective study. Approximately 1,135,990 burn patients were included in the research population; 622 of these patients were children (0–15 years old) who had acute burns and were hospitalized within 24 hours of the injury. Burn patients require substantial continuous medical and psychological care. Approaches to burn management included first aid, immediate hospital management, fluid resuscitation, escharotomy, analgesia, surgery and rehabilitation.