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Author Spotlight: A Multi-Depth Porcine Model for Comprehensive Study of Burn Injuries and Healing Processes
Published on: February 23, 2024
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.
Abstract:
The objective of this article is to outline the elements of an international burn care outreach program in a resource-constrained country. The program has grown from a collaborative effort with Ukrainian physicians and healthcare officials. With this collaboration, a multipronged approach has been developed to address the gaps in burn care as discovered by years of interaction with the medical community in Ukraine. Contact was initiated with the burn unit of a single municipal hospital in Lviv, Ukraine. Patients with burn injuries were screened and selected patients were comanaged over a 3-year period by American and Ukrainian physicians. This comanagement included repeated evaluation both by telemedicine conferencing as well as annual trips with physicians from Boston, Massachusetts, traveling to Ukraine to assess patients in an outreach clinic and perform surgical procedures. In our first trip in 2011 we assessed 22 patients and operated on 5. In 2012, 38 patients were evaluated and 12 had combined surgical intervention. In our 2013 trip, 63 patients were evaluated and we operated on 22 of these patients. Multiple clinical research projects related to burn prevention and improving perioperative care have been initiated, presented at national meetings, and submitted for publication in peer-reviewed journals. Our outreach program in Lviv, Ukraine, strives to improve overall burn care by a multilayered approach. These elements can serve as a possible template for additional international burn outreach plans as they can be customized for both large and small interventions.
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