Emergency and early management of burns and scalds

摘要: #### Summary points Burn injuries are an important global health problem. Most simple burns can be managed by general practitioners in primary care, but complex and all major warrant a specialist skilled multidisciplinary approach for successful clinical outcome. This article discusses the principles behind managing scalds using evidence based provides framework community. #### Sources selection criteria We searched Medline, Ovid, Burns, Cochrane Library until June 2008 randomised controlled trials, systematic reviews, reports, recent guidelines from international burn associations. Annually United Kingdom, around 175 000 people attend accident emergency departments with various causes (box 1).1 represents 1% of department attendances, about 10% these patients need inpatient management unit.2 A further 250 000 community allied professionals. Of referred to hospital, some 16 000 admitted, 1000 active fluid resuscitation. The number related deaths average 300 year.1 #### Box 1 Some scalds Globally, World Health Organization estimates that 322 000 die each year …