Burn care standards in Israel: Lack of consensus
Section snippets
Background
Burns are a major trauma form in both traditional and modern groups of society in western countries, and burn care and rehabilitation is an ever evolving discipline. The methods applied in the treatment of burn patients vary from the simplest of dressings to the most complicated rehabilitative surgical procedures. Thus, numerous sets of guidelines for the treatment of each burn, according to degree, site, and size, have been adopted and abandoned over the years.
Israel is a small country, with a
Methods
A survey was conducted among 70 health-care professionals from 13 hospitals in Israel, involved in the treatment of burn patients. Interviews were conducted during a burn care convention or via personal telephone conversations. The questionnaire, comprised of 30 questions, regarded the severity of burns admitted, the site of initial medical treatment, wound care in different burn and donor (when appropriate) sites, the frequency of dressing changes in burn and donor sites, sterility precautions
Participants
Seventy questionnaires were distributed among burn care personnel. Of that total 54 (77%) questionnaires were filled out. Six (11%) questionnaires were filled out by plastic surgeons involved in burn care. Forty-seven (87%) questionnaires were filled out by burn units’ and plastic surgery departments’ nurses. One (2%) questionnaire was filled out by a burn unit physiotherapist.
Twenty-one (38.9%) survey participants represented plastic surgery departments, 19 (35.2%) participants represented
Discussion
The main finding of this study is that even though no national guidelines for the treatment of burn patients exist, most issues were under relative consensus, or were agreed upon by at least half of the participants. The only issues that were not agreed upon, and for which responses demonstrated a non-uniform pattern, were the timing of first dressing removal in donor sites, the local treatment for facial burns, and the local treatment for skin grafts with good take.
A possible explanation for
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The quality of survey research in burn care: A systematic review
2022, BurnsCitation Excerpt :Many surveys (21%) were not sent to a specific individual, but rather to a “burn center” and not further specified. The survey studies covered a variety of themes related to burn care: education/training/workforce (21%) [17–46], resuscitation/critical care (17%) [1,2,47–69], wound care (14%) [70–88], rehabilitation (11%) [89–104], organization (8%) [44–46,51,105–112], acute surgery (8%) [3,69,85–88,104,113–117], pain/sedation/itch (8%) [84,118–127], psychosocial (6%) [103,128–135], scar care (4%) [136–141], infection/sepsis (3%) [67,68,142,143], nutrition (3%) [69,118,144,145], Steven-Johnson syndrome/toxic epidermal necrolysis (2%) [146–148], end-of-life care (2%) [149–151], prevention (1%) [152,153], and reconstructive surgery (1%) [154]. Table 2 describes questionnaire delivery, incentives, and sample selection.
Infections in critically ill burn patients
2016, Medicina IntensivaCitation Excerpt :It seems appropriate to individually assess the benefits and risks to set the timing and the area(s) to be excised in each interventions. In practice the attitude of the early excision and prevention of infection varies considerably between countries and, within countries, between centres.25,26 The American Burn Association has established standardized definitions of burn wound infections.27
Hydrotherapy in burn care: A survey of hydrotherapy practices in the UK and Ireland and literature review
2014, BurnsCitation Excerpt :A survey carried out by Thomson et al. demonstrated that variation exists with regard to whether the patient is immersed, showered or sprayed, the frequency and duration of “tubbing” which member of the team carries out the hydrotherapy; the type of tub used and the solution used [17]. Other documented variations include the use of disposable liners and whether equipment decontamination is undertaken [19,26–28]. To date, there has not been a published study regarding hydrotherapy practices in the UK and Ireland.
Optimizing Suprathel <sup>®</sup>-therapy by the use of Octenidine-Gel <sup>®</sup>
2011, BurnsCitation Excerpt :Partial-thickness (second-degree) burn wounds represent one of the most prevalent injuries. While a clear treatment protocol for first- and third-degree (full-thickness) burns exists, an algorithm for partial-thickness burn wounds is difficult [1,2]. In contrast to deeper wounds which require surgical treatment with excision and grafting, superficial burns usually heal on their own within 10–14 days [3].
Safety of troclosene sodium solution in decontamination of wounds: A prospective clinical and laboratory study
2023, Wound Repair and Regeneration