Related Experiment Video

Updated: Mar 16, 2026

Author Spotlight: A Multi-Depth Porcine Model for Comprehensive Study of Burn Injuries and Healing Processes
02:49

Author Spotlight: A Multi-Depth Porcine Model for Comprehensive Study of Burn Injuries and Healing Processes

Published on: February 23, 2024

2.2K

Inter-facility transfer of pediatric burn patients from U.S. Emergency Departments

Sarah A Johnson1, Junxin Shi1, Jonathan I Groner2

  • 1Center for Pediatric Trauma Research, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States; Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States.

Burns : Journal of the International Society for Burn Injuries
|August 25, 2016
PubMed

Insights

Most pediatric burn patients in U.S. emergency departments meet American Burn Association referral criteria but are not transferred from low-volume hospitals. This suggests potential under-referral and missed opportunities for specialized burn care.

Area of Science:

  • Pediatric Emergency Medicine
  • Burn Epidemiology
  • Healthcare Transfer Systems

Background:

  • Emergency departments (EDs) manage a significant volume of pediatric burn injuries.
  • American Burn Association (ABA) guidelines exist to standardize referral criteria for specialized burn care.
  • Understanding transfer patterns is crucial for optimizing patient outcomes.

Purpose of the Study:

  • To describe the epidemiology of pediatric burn patients in U.S. EDs.
  • To identify factors associated with inter-facility transfer for these patients.

Main Methods:

  • Analysis of the 2012 Nationwide Emergency Department Sample.
  • Identification of pediatric burn patients meeting ABA referral criteria.
  • Logistic models used to assess transfer odds from low-volume hospitals.

Main Results:

  • An estimated 126,742 pediatric burn ED visits occurred in 2012.
  • Over 54% of visits met ABA referral criteria, predominantly in low-volume hospitals.
  • Only 8.2% of eligible patients were transferred from low-volume facilities; 98.3% treated and released.

Conclusions:

  • The majority of pediatric burn patients meeting referral criteria are not transferred from low-volume EDs.
  • A significant proportion of pediatric burn patients may be under-referred, potentially impacting clinical outcomes.
  • Further investigation into referral practices is warranted to ensure optimal care.
Abstract

Keywords:
BurnPediatricReferralTransfer

More Related Videos

Guidelines for Elective Pediatric Fiberoptic Intubation11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

18.8K
Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management06:43

Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management

Published on: November 21, 2017

25.2K

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...
4.9K
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
312
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
682
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
450
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
351
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
825