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Evidence-based first aid advice for paediatric burns in the United Kingdom

Alice Varley1, Julia Sarginson1, Amber Young1

  • 1The Healing Foundation Children's Burns Research Centre, Bristol Royal Hospital for Children, Paul O'Gorman Building, Upper Maudlin St., Bristol, BS2 8BJ, UK.

Burns : Journal of the International Society for Burn Injuries
|December 15, 2015
PubMed

Insights

First aid advice for paediatric burns in the UK lacks consistency among health organizations. Evidence-based guidelines recommend cooling burns with running water for 20 minutes, removing clothing/jewelry, and covering the injury.

Area of Science:

  • Paediatric emergency medicine
  • Public health interventions
  • First aid protocols

Background:

  • Burn and scald injuries are frequent in children.
  • Various UK health organizations offer first aid advice for paediatric burns.
  • Despite available advice, many children receive inadequate first aid before reaching emergency departments.

Purpose of the Study:

  • To survey and analyze the content and consistency of first aid advice for paediatric burns from UK health organizations.
  • To determine if the provided first aid advice is evidence-based.

Main Methods:

  • A survey was conducted on first aid advice from a selection of UK health organizations.
  • The content and consistency of the advice were analyzed.
  • A literature review was performed to assess the evidence base for the advice.

Main Results:

  • Significant inconsistencies were found in the first aid advice provided by 21 UK organizations.
  • Most information (71%) was exclusively available online.
  • Cooling methods, duration, clothing/jewelry removal, and immediate covering techniques varied widely among organizations.
  • Evidence-based recommendations include 20 minutes of cooling with running tap water, removal of clothing and jewelry, and covering with cling film or a non-adhesive dressing.

Conclusions:

  • There is a notable lack of consistency in paediatric burn first aid guidance disseminated by UK health organizations and charities.
  • Inconsistent advice may contribute to inadequate first aid provision for child burn injuries.
Abstract

Keywords:
BurnsChildrenCoolingFirst aidPreventionScalds

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