Yanıkta İlk Tedavi: Olay Yerindeki Tedavi Uygulamalarının Değerlendirilmesi

Abstract

To determine and evaluate the first treatments applied just after injury at scene or at primary/secondary care health institutions to burn patients before admission to a burn center and to provide suggestions to increase awareness in first treatment of burns. Between November 1, 2019 and December 31, 2019 300 burn patients, who admitted for the first time to the outpatient clinics of our tertiary burn center and agreed to participate were included in this descriptive-cross-sectional study. Patient data and the first treatments applied at the scene or another health care institution were evaluated. There were 153 male (51.0%) and 147 female (49.0%) patients. Scalds with tea (n=96) and water (n=79) was the most common etiology for burns. The percentage of burned total body surface area was 3.82±4.8. The first intervention was performed at the scene in 79% (n=237) patients, while in a health institution in 21% (n=63). 73.8% (n=175) of interventions at scene and 39.7% (n=25) of 63 interventions performed in a health institution were not appropriate. Patients or their parents who admitted to our outpatient burn clinic did not have enough information about first aid in burns. With education programs for mothers, awareness can be raised about indoors childhood burns and appropriate first intervention. For protection and correct intervention in workplaces, education on occupational health and safety should be continued seriously. There were also deficiencies in treatments performed in health institutions. In this regard in-service training to health personnel would be beneficial.