Related Experiment Video

Updated: Jun 19, 2026

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
07:22

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

Published on: March 14, 2025

Initial management of acute pediatric hand burns

Tina L Palmieri1

  • 1Shriners Hospital for Children Northern California, University of California Davis, 2425 Stockton Boulevard, Suite 718, Sacramento, CA 95817, USA. tina.palmieri@ucdmc.ucdavis.edu

Hand Clinics
|October 6, 2009
PubMed

Insights

Pediatric hand burns are a common cause of hand injury in children, potentially leading to impaired function. Prompt management and referral to a burn center are crucial for optimal outcomes and reduced scarring.

Area of Science:

  • Pediatric surgery
  • Burn management
  • Orthopedic surgery

Background:

  • Hand burns represent a significant cause of injury in pediatric patients.
  • These injuries can lead to substantial and long-term impairment of hand function.
  • Effective initial management is critical for functional recovery and scar minimization.

Purpose of the Study:

  • To emphasize the importance of appropriate initial management for pediatric hand burns.
  • To highlight the role of specialized care in optimizing functional outcomes.
  • To underscore the recommendation for referral to verified burn centers.

Main Methods:

  • Review of current literature on pediatric hand burn management.
  • Analysis of outcomes associated with different management strategies.
  • Examination of guidelines from professional organizations.

Main Results:

  • Early and specialized intervention significantly improves functional results.
  • Delayed or inadequate treatment correlates with increased scarring and functional deficits.
  • Referral to burn centers is associated with better patient outcomes.

Conclusions:

  • Appropriate initial management is imperative for pediatric hand burns.
  • Referral to a verified burn center is advocated by the American Burn Association for optimal care.
  • Timely intervention minimizes long-term functional impairment and scarring.

More Related Videos

A Swine Burn Model for Investigating the Healing Process in Multiple Depth Burn Wounds02:49

A Swine Burn Model for Investigating the Healing Process in Multiple Depth Burn Wounds

Published on: February 23, 2024

Severe Burn Injury in a Swine Model for Clinical Dressing Assessment07:45

Severe Burn Injury in a Swine Model for Clinical Dressing Assessment

Published on: November 6, 2018

Related Concept Videos

Burn Injuries01:22

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
Hand hygiene01:23

Hand hygiene

Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Handwashing II: Pre-procedure and Initial Procedure Steps01:19

Handwashing II: Pre-procedure and Initial Procedure Steps

The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury.  The nails must be short and clean, without nail paint...
Handwashing III: During the Procedure and Post-Procedure Steps01:15

Handwashing III: During the Procedure and Post-Procedure Steps

To wash hands properly, follow these steps:
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Prevention of Further Absorption of Poison01:14

Prevention of Further Absorption of Poison

In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...