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Burns are a leading cause of unintentional injury and death in children, with the vast majority of cases occurring in the home. Regardless of the burn depth or extent, these injuries can have significant long-term functional, aesthetic, and psychological consequences for the child.

BROWSE INFORMATiON REPOSITORY

 

 
 
Bottom Line Recommendations English (5) French (1) All (6)

Bottom Line Recommendations: Pediatric Thermal Burns

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Crombie T & Malic C and TREKK Network

Bottom line recommendations for the treatment and management of pediatric thermal burns - version 1.0. Published online: February 2021.

Burns Centre Consultation Guidelines

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CritiCall Ontario

Guidelines for burns centre consultations.

Paediatric Burn Assessment

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Victorial Adult Burns Service at the Alfred

Burns management guidelines for pediatric burn assessment.

Paediatric Burn Guidelines

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Women's and Children's Hospital

Pediatric burn guidelines reference chart.

Pediatric Burn Referrals

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UBC Division of Plastic Surgery

UBC Division of Plastic Surgery: Pediatric burn referrals.

Recommandations de Base: Brûlures thermiques

Download

Crombie T & Malic C and TREKK Network

Bottom line recommendations for the treatment and management of pediatric thermal burns - en français. version 1.0. Published online: February 2021.

Bottom Line Recommendations: Pediatric Thermal Burns

Download

Crombie T & Malic C and TREKK Network

Bottom line recommendations for the treatment and management of pediatric thermal burns - version 1.0. Published online: February 2021.

Recommandations de Base: Brûlures thermiques

Download

Crombie T & Malic C and TREKK Network

Bottom line recommendations for the treatment and management of pediatric thermal burns - en français. version 1.0. Published online: February 2021.

Burns Centre Consultation Guidelines

Visit

CritiCall Ontario

Guidelines for burns centre consultations.

Paediatric Burn Assessment

Visit

Victorial Adult Burns Service at the Alfred

Burns management guidelines for pediatric burn assessment.

Paediatric Burn Guidelines

Visit

Women's and Children's Hospital

Pediatric burn guidelines reference chart.

Pediatric Burn Referrals

Visit

UBC Division of Plastic Surgery

UBC Division of Plastic Surgery: Pediatric burn referrals.

Clinical guidelines English (2) French All (2)

Burns / management of burn wounds

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The Royal Children's Hospital Melbourne

Guideline for the management of burn wounds.

ISBI Practice Guidelines for Burn Care

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ISBI Practice Guidelines Committee; Steering Subcommittee; Advisory Subcommittee

ISBI 2014-2016 Practice guidelines for burn care.

Burns / management of burn wounds

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The Royal Children's Hospital Melbourne

Guideline for the management of burn wounds.

ISBI Practice Guidelines for Burn Care

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ISBI Practice Guidelines Committee; Steering Subcommittee; Advisory Subcommittee

ISBI 2014-2016 Practice guidelines for burn care.

Summaries of systematic reviews English (3) French All (3)

Cochrane Summary: Antiseptics for Burns

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Norman G, Christie J, Liu Z, Westby MJ, Jefferies JM, Hudson T, Edwards J, Mo...

Objective: To assess the effects and safety of antiseptics for the treatment of burns in any care setting.

Cochrane Summary: Antibiotics to prevent burn wounds becoming infected

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Barajas-Nava LA, Lpez-Alcalde J, Roqu i Figuls M, Sol I, Bonfill Cosp X

Objective: To assess the effects of antibiotic prophylaxis on rates of burn wound infection.

Cochrane Summary: Dressings for treating superficial and partial-thickness burns

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Wasiak J, Cleland H, Campbell F, Spinks A

Objective: To assess the effects of burn wound dressings on superficial and partial thickness burns.

Cochrane Summary: Antiseptics for Burns

Visit

Norman G, Christie J, Liu Z, Westby MJ, Jefferies JM, Hudson T, Edwards J, Mo...

Objective: To assess the effects and safety of antiseptics for the treatment of burns in any care setting.

Cochrane Summary: Antibiotics to prevent burn wounds becoming infected

Visit

Barajas-Nava LA, Lpez-Alcalde J, Roqu i Figuls M, Sol I, Bonfill Cosp X

Objective: To assess the effects of antibiotic prophylaxis on rates of burn wound infection.

Cochrane Summary: Dressings for treating superficial and partial-thickness burns

Visit

Wasiak J, Cleland H, Campbell F, Spinks A

Objective: To assess the effects of burn wound dressings on superficial and partial thickness burns.

Systematic reviews English (12) French All (12)

Systematic Review: Comparative study of Silver Sulfadiazine with other materials for healing and infection prevention in burns: A systematic review and meta-analysis

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Nmia HH, Carvalho VF, Isaac C, Souza F, Gemperli R, Paggiaro AO

Objective: The aim of this systematic review with meta-analysis was to compare the effect of Silver Sulfadiazine (SSD) with other new dressings, with or without silver, on healing and infection prevention in burns.

Review: Burn Care for Children

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Sheridan RL

Objective: To provide an understanding of the practice of outpatient small burn care, and to present the concepts of inpatient burn care and long-term burn aftercare.

Review: Emergency management of burns: part 1

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Stiles K

Objective: The aim of this article is to give an overview of burns trauma, and to describe the initial assessment and management of patients with these injuries in emergency departments (EDs). Part 1 of 2.

Review: Emergency management of burns: part 2

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Stiles K

Objective: The aim of the two articles is to enhance emergency clinicians knowledge and confidence in burn management, and to build awareness of the life-changing implications of the initial clinical interventions in burn care. Part 2 of 2.

Review: Emergency Care of Pediatric Burns

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Strobel AM, Fey R

Objective: To review emergency care, management and prevention of pediatric burns.

Systematic Review: A systematic review and meta-analysis of clinical outcomes associated with nanocrystalline silver use compared to alternative silver delivery systems in the management of superficial and deep partial thickness burns

Visit

Nherera LM, Trueman P, Roberts CD, Berg L

Objective: The purpose of this systematic review and meta-analysis was to assess the clinical effectiveness of nanocrystalline silver compared to alternative silver delivery systems (silver sulphadiazine [SSD] and silver nitrate) in adults and children with superficial and deep partial thickness burns.

Review: Pediatric burn resuscitation: past, present, and future

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Romanowski KS, Palmieri TL

Objective: To discuss the history of fluid resuscitation, current resuscitation practices, and future directions of resuscitation for the pediatric burn population.

Review: Pediatric Burn Resuscitation

Visit

Palmieri TL

Objective: The purpose of this article is to provide a foundation for initial assessment and management in burned children.

Review: Optimizing emergency management to reduce morbidity and mortality in pediatric burn patients

Visit

Haines E, Fairbrother H

Objective: This article reviews methods for accurate classification and management of the full range of burns seen in pediatric patients.

Cochrane Systematic Review: Antibiotic prophylaxis for preventing burn wound infection

Visit

Barajas-Nava LA, Lpez-Alcalde J, Roqu i Figuls M, Sol I, Bonfill Cosp X

Objective: To assess the effects of antibiotic prophylaxis on rates of burn wound infection.

Review: Use of Acticoat dressings in burns: what is the evidence?

Visit

Khundkar R, Malic C, Burge T

Objective: To determine the level of evidence available in the literature in view of recent increased usage of Acticoat dressings in burns.

Review: Critical care of the burn patient: the first 48 hours

Visit

Latenser BA

Objective: The goal of this concise review is to provide an overview of some of the most important resuscitation and monitoring issues and approaches that are unique to burn patients compared with the general intensive care unit population.

Systematic Review: Comparative study of Silver Sulfadiazine with other materials for healing and infection prevention in burns: A systematic review and meta-analysis

Visit

Nmia HH, Carvalho VF, Isaac C, Souza F, Gemperli R, Paggiaro AO

Objective: The aim of this systematic review with meta-analysis was to compare the effect of Silver Sulfadiazine (SSD) with other new dressings, with or without silver, on healing and infection prevention in burns.

Review: Burn Care for Children

Visit

Sheridan RL

Objective: To provide an understanding of the practice of outpatient small burn care, and to present the concepts of inpatient burn care and long-term burn aftercare.

Review: Emergency management of burns: part 1

Visit

Stiles K

Objective: The aim of this article is to give an overview of burns trauma, and to describe the initial assessment and management of patients with these injuries in emergency departments (EDs). Part 1 of 2.

Review: Emergency management of burns: part 2

Visit

Stiles K

Objective: The aim of the two articles is to enhance emergency clinicians knowledge and confidence in burn management, and to build awareness of the life-changing implications of the initial clinical interventions in burn care. Part 2 of 2.

Review: Emergency Care of Pediatric Burns

Visit

Strobel AM, Fey R

Objective: To review emergency care, management and prevention of pediatric burns.

Systematic Review: A systematic review and meta-analysis of clinical outcomes associated with nanocrystalline silver use compared to alternative silver delivery systems in the management of superficial and deep partial thickness burns

Visit

Nherera LM, Trueman P, Roberts CD, Berg L

Objective: The purpose of this systematic review and meta-analysis was to assess the clinical effectiveness of nanocrystalline silver compared to alternative silver delivery systems (silver sulphadiazine [SSD] and silver nitrate) in adults and children with superficial and deep partial thickness burns.

Review: Pediatric burn resuscitation: past, present, and future

Visit

Romanowski KS, Palmieri TL

Objective: To discuss the history of fluid resuscitation, current resuscitation practices, and future directions of resuscitation for the pediatric burn population.

Review: Pediatric Burn Resuscitation

Visit

Palmieri TL

Objective: The purpose of this article is to provide a foundation for initial assessment and management in burned children.

Review: Optimizing emergency management to reduce morbidity and mortality in pediatric burn patients

Visit

Haines E, Fairbrother H

Objective: This article reviews methods for accurate classification and management of the full range of burns seen in pediatric patients.

Cochrane Systematic Review: Antibiotic prophylaxis for preventing burn wound infection

Visit

Barajas-Nava LA, Lpez-Alcalde J, Roqu i Figuls M, Sol I, Bonfill Cosp X

Objective: To assess the effects of antibiotic prophylaxis on rates of burn wound infection.

Review: Use of Acticoat dressings in burns: what is the evidence?

Visit

Khundkar R, Malic C, Burge T

Objective: To determine the level of evidence available in the literature in view of recent increased usage of Acticoat dressings in burns.

Review: Critical care of the burn patient: the first 48 hours

Visit

Latenser BA

Objective: The goal of this concise review is to provide an overview of some of the most important resuscitation and monitoring issues and approaches that are unique to burn patients compared with the general intensive care unit population.

Key studies English (5) French All (5)

Key study: Delayed Healing Associated with Silver Sulfadiazine Use for Partial Thickness Scald Burns in Children

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Raymond SL, Zecevic A, Larson SD, Ruzic A, Islam S

Objective: The purpose of this study was to compare outcomes of three different dressings for pediatric partial-thickness scald burns.

Key study: Effectiveness of aspiration or deroofing for blister management in patients with burns: A prospective randomized controlled trial

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Ro HS, Shin JY, Sabbagh MD, Roh SG, Chang SC, Lee NH

Objective: To determine which treatment is the best option when encountering blisters while treating burn patients.

Key study: A Randomized Controlled Study of Silver-Based Burns Dressing in a Pediatric Emergency Department

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Brown M, Dalziel SR, Herd E, Johnson K, Wong She R, Shepherd M

Objective: This study sought to determine whether silver sodium carboxymethyl cellulose dressing is a superior treatment to nanocrystalline silver-coated polyethylene dressing in pediatric patients with partial thickness burns.

Key study: Randomized controlled trial of three burns dressings for partial thickness burns in children

Visit

Gee Kee EL, Kimble RM, Cuttle L, Khan A, Stockton KA

Objective: This study compared the effects of three silver dressing combinations on small to medium size acute partial thickness burns in children, focusing on re-epithelialization time, pain and distress during dressing changes.

Key study: Discrepancy in Initial Pediatric Burn Estimates and Its Impact on Fluid Resuscitation

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Goverman J, Bittner EA, Friedstat JS, Moore M, Nozari A, Ibrahim AE, Sarhane ...

Objective: To evaluate the differences between initial TBSA estimates and its impact on fluid resuscitation at an American Burn Associationverified pediatric burn center.

Key study: Delayed Healing Associated with Silver Sulfadiazine Use for Partial Thickness Scald Burns in Children

Visit

Raymond SL, Zecevic A, Larson SD, Ruzic A, Islam S

Objective: The purpose of this study was to compare outcomes of three different dressings for pediatric partial-thickness scald burns.

Key study: Effectiveness of aspiration or deroofing for blister management in patients with burns: A prospective randomized controlled trial

Visit

Ro HS, Shin JY, Sabbagh MD, Roh SG, Chang SC, Lee NH

Objective: To determine which treatment is the best option when encountering blisters while treating burn patients.

Key study: A Randomized Controlled Study of Silver-Based Burns Dressing in a Pediatric Emergency Department

Visit

Brown M, Dalziel SR, Herd E, Johnson K, Wong She R, Shepherd M

Objective: This study sought to determine whether silver sodium carboxymethyl cellulose dressing is a superior treatment to nanocrystalline silver-coated polyethylene dressing in pediatric patients with partial thickness burns.

Key study: Randomized controlled trial of three burns dressings for partial thickness burns in children

Visit

Gee Kee EL, Kimble RM, Cuttle L, Khan A, Stockton KA

Objective: This study compared the effects of three silver dressing combinations on small to medium size acute partial thickness burns in children, focusing on re-epithelialization time, pain and distress during dressing changes.

Key study: Discrepancy in Initial Pediatric Burn Estimates and Its Impact on Fluid Resuscitation

Visit

Goverman J, Bittner EA, Friedstat JS, Moore M, Nozari A, Ibrahim AE, Sarhane ...

Objective: To evaluate the differences between initial TBSA estimates and its impact on fluid resuscitation at an American Burn Associationverified pediatric burn center.

undefined English (1) French All (1)

Emergency Medicine Cases Podcast: Burn and Inhalation Injuries

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Episode 124: Burn and inhalation injury patients present to the ED more often than one might think, with a staggering half a million annual visits in the USA alone. It turns out that for all burn patients—from minor to severe—there is a lot of room for improvement in ED management, counselling and disposition. Things like inaccurate estimation of burn size, unnecessary endotracheal intubation, over- and under-estimation of fluid resuscitation volumes, inadequate analgesia and inappropriate wound dressings are just some of the issues where a small change to ED practice patterns could have a huge impact on patient care. In this EM Cases main episode podcast we have the director of the Burn Unit at Hospital for Sick Children, Dr. Joel Fish and EM educator Dr. Maria Ivankovic discuss dozens of pearls and pitfalls in the management of both pediatric and adult burn and inhalation injuries management with a special appearance by airway master George Kovacs to talk about awake intubation in the burn and inhalation injuries patient. Published online: May 2019

Emergency Medicine Cases Podcast: Burn and Inhalation Injuries

Visit

Episode 124: Burn and inhalation injury patients present to the ED more often than one might think, with a staggering half a million annual visits in the USA alone. It turns out that for all burn patients—from minor to severe—there is a lot of room for improvement in ED management, counselling and disposition. Things like inaccurate estimation of burn size, unnecessary endotracheal intubation, over- and under-estimation of fluid resuscitation volumes, inadequate analgesia and inappropriate wound dressings are just some of the issues where a small change to ED practice patterns could have a huge impact on patient care. In this EM Cases main episode podcast we have the director of the Burn Unit at Hospital for Sick Children, Dr. Joel Fish and EM educator Dr. Maria Ivankovic discuss dozens of pearls and pitfalls in the management of both pediatric and adult burn and inhalation injuries management with a special appearance by airway master George Kovacs to talk about awake intubation in the burn and inhalation injuries patient. Published online: May 2019