Burns and scalds in children. Current therapeutic concepts

作者：Nicolai T^*

来源：Monatsschrift Kinderheilkunde, 2012, 160(1): 75-84.

DOI：10.1007/s00112-011-2476-5

• Burns
• Analgesia
• Pediatric burns unit
• Occlusive dressing
• Dressing change

Burns and scalds are the second most frequent cause of accidents in children. In contrast to adults children usually suffer from hot water scalding and not flame burns. The initial therapy consists of pain management and maintenance of vital functions. During the first days of further treatment of larger burns, management of the massive fluid loss due to capillary leakage is important to avoid secondary organ damage. Later, avoidance or timely treatment of bacterial infections and the management of wound healing are core issues to achieve a good outcome. The management of fluid shifts and wound treatment are significantly different for children compared to adults and considerable experience is needed to guide therapy. Optimal treatment is best achieved in centres specialized in pediatric burns. Prevention is achieved through passive measures to enhance safety and active education of parents regarding mechanisms and risks for pediatric burn accidents.

• 出版日期2012-1