INTENSIVE CARE OF CHILDREN WITH MASSIVE BURNS DURING THE FIRST 24 HOURS AFTER THE INJURY – RESULTS OF THE INTERACTIVE SURVEY

The goal: to study the actual situation related to the intensive care tactics when treating children with severe burns during the first 24 hours after the injury. Subjects and methods. The study was designed based on an anonymous survey among anesthesiologists and emergency physicians, providing care to children with thermal injuries. The interactive questionnaire was developed using the free platform of Google Forms and distributed through medical social media and communities. Respondents were supposed to answer 26 questions on the actual issues of intensive care of burns. The participation in the survey was free and voluntary, no remuneration was paid for it. The survey was performed from August 28 to October 21, 2017. The results were presented in the format of actual numbers and/or percent out of a number of respondents. Pearson's chi-squared test (χ²) was used for defining statistically significant differences, the comparison included departments providing care both to children and adults and children only. The level of statistical significance was ascertained at the probability of error of 0.05. The applied software of Statistica 10 и SAS JMP 11 was used for statistic processing of data. Results. The replies were received from 56 departments, providing care to children with burns. 8 questionnaires were incomplete, the remaining 48 questionnaires were analyzed. The survey demonstrated the lack of the unified approach to the intensive care of children with severe burns. Conclusion. It is necessary to review organizational and methodical approaches in the routing of patients in large children burn centers where many children are concentrated, and it is necessary to continue clinical trials and to develop federal clinical recommendations with consequent development of hospital protocols based on the above.

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