DIAGNOSTIC DIFFICULTIES IN THE ASSESSMENT OF CHILDREN’S BURN INJURY ON THE DIFFERENT STAGES OF MEDICAL CARE

Objective. To determine the differences in the assessment of the severity of a children’s burn injury on the different stages of medical care.

Materias and methods. The material of investigation presented by data about deep thermal burns in 207 children underwent surgical treatment in children’s burn department of the City Clinical Emergency Hospital from 2018 to 2022. Information in medical cards have been analyzed at the stages beginning from emergency medical care and follow up outpatient, inpatient and specialized combustiological medical care.

Results. Predominantly numbers of referral diagnoses were an underestimation of the depth of the burn injury and without indication of the specific cause of the burn injury. When specialized medical care was provided by a combustiologist the specific causes of the burn were indicated for all admitted children in the diagnosis. At the same time, more than 80 % of cases accounted for the correct interpretation of the depth of the burn injury.

Conclusion. Visually, during clinical examination, an adequate interpretation of burn wounds at different stages of medical care is very difficult. The result of treatment and the severity of the consequences in children with thermal burns depends on the start date of specialized inpatient treatment. This situation necessitates the earliest possible hospitalization of children with burns in a specialized department for the provision of qualified medical care by specialists-combustiologists.

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Автор(ы): N. M. Shapetska