Author/Editor		Derganc, Metka
Title		Urgentni ukrepi pri opečenih otrocih
Translated title		Emergency management of children with burn injuries
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 4. Zbornik 5. mednarodni simpozij o urgentni medicini; 1998 jun 17-20; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		1998
Volume		str. 145-8
Language		slo
Abstract		Survival of children with extensive deep burns has markedly improved in the last decade: in specialized centers a 50% survival is expected in 98% deep burns. This improvement is the result of better emergency treatment (more effective fluid replacement and treatment of respiratory distress), early excisional therapy, metabolic care, and prevention and treatment of severe infection. During emergency care the ABC system of resuscitation is followed: securing airway and breathing, support of circulation by intravenous fluids and effective analgesia. In flame burns in closed space the possibility of CO intoxication must be taken into consideration, therefore 100% oxygen should be given during transport and hyperbaric treatment provided in the centre. During transport 20-40 ml/kg/h Ringeržs lactate must be given, whereas in the burn centre the preferred regimen is : maintenance fluids for age + 5000 ml/kg/% burn surface (acc. to Carvajal). Half of all fluids are given in the first 8 h after burning, the other half in the following 16 h. During transport effective analgesia is provided by means of intermittent i.v. morphine (0.1 mg/ kg Q 4 h) or continuous morphine infusion ( 0.05 mg/kg/h). Gastric tube and urinary catheter must be inserted prior to transport.
Descriptors		CARBON MONOXIDE POISONING BURNS, ELECTRIC EMERGENCIES CHILD