Emergency department management of minor burn injuries in Ontario, Canada

被引:18
|
作者
Bezuhly, M
Gomez, M
Fish, JS
机构
[1] Sunnybrook & Womens Coll, Hlth Sci Ctr, Ross Tilley Burn Ctr, Toronto, ON M4N 3M5, Canada
[2] Dalhousie Univ, Div Plast Surg, Dept Surg, Halifax, NS, Canada
关键词
minor burn injuries; minor burn management; emergency department;
D O I
10.1016/j.burns.2003.10.006
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Many thermal injuries are minor and can be effectively treated in a primary care setting. A cross-sectional survey was conducted to examine how emergency department physicians care for minor burns in the Canadian province of Ontario. Respondents were provided with a colour photograph of a patient with a minor burn and asked to comment about history, physical examination, investigations, treatment plan and follow-up care. A 37% response rate was attained (141/380). Of all respondents, 70% failed to record the burn extent, and 45% failed to discuss analgesia. No significant differences existed between emergency physicians in teaching and non-teaching hospitals (P > 0.05), with the exception that teaching hospital physicians referred significantly more to burn centres (P = 0.013). This suggests that educational interventions focussing on burn extent, pain control and referral criteria may be beneficial to emergency physicians. (C) 2003 Elsevier Ltd and ISBI. All rights reserved.
引用
收藏
页码:160 / 164
页数:5
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