Global health: burn outreach program

Gennadiy Fuzaylov1, Richard Anderson, Justin Knittel

  • 1From the * Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Massachusetts General Hospital, Boston; †Department of Surgery, Division of Plastic Surgery, Shriners Hospital, Boston, Massachusetts.

Insights

This study outlines an international burn care outreach program in Ukraine, demonstrating a collaborative, multi-pronged approach to improve patient outcomes through telemedicine and surgical interventions. The program serves as a template for global burn care initiatives.

Area of Science:

  • Global Health
  • Surgical Outreach
  • Burn Care Management

Background:

  • Burn care in resource-constrained settings presents significant challenges.
  • International collaboration is crucial for advancing medical expertise and treatment in underserved regions.
  • Previous interactions highlighted critical gaps in burn care within Ukraine.

Purpose of the Study:

  • To detail the components of a sustainable international burn care outreach program.
  • To establish a collaborative framework between American and Ukrainian medical professionals.
  • To address identified deficiencies in burn treatment and management in Ukraine.

Main Methods:

  • Initiated contact with a burn unit in Lviv, Ukraine.
  • Implemented a 3-year co-management strategy for burn patients involving American and Ukrainian physicians.
  • Utilized telemedicine for remote patient evaluation and conducted annual surgical outreach trips.
  • Screened and selected patients for co-management and surgical procedures.

Main Results:

  • The program facilitated increasing patient evaluations and surgical interventions annually from 2011 to 2013.
  • 2011: 22 patients evaluated, 5 surgeries performed.
  • 2012: 38 patients evaluated, 12 surgeries performed.
  • 2013: 63 patients evaluated, 22 surgeries performed.
  • Launched clinical research projects on burn prevention and perioperative care.

Conclusions:

  • The established multi-layered approach effectively enhances burn care in a resource-limited environment.
  • The program's elements provide a adaptable template for future international burn outreach initiatives.
  • Sustained collaboration and tailored interventions are key to improving global burn treatment outcomes.

Related Concept Videos

International Nursing Organizations II01:28

International Nursing Organizations II

The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
1.4K
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
3.0K
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...
4.4K
International Nursing Organizations I01:23

International Nursing Organizations I

International Nursing Organization (ICN) is a global union of national nurses' organizations. Individual nurses can be a part of ICN through member organizations. Each member organization strives to ensure quality nursing care, sound health policies, the advancement of nursing knowledge, respect for the profession, and a satisfied and competent nursing workforce.
ICN member organizations work to advance the field of nursing and healthcare via policies, partnerships, lobbying, professional...
2.2K
Models of Health Promotion and Illness Prevention II01:18

Models of Health Promotion and Illness Prevention II

The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
2.1K