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Civilian blast-related burn injuries
J N Patel1, A Tan1, P Dziewulski1
1St Andrews Burns Unit, Broomfield Hospital, Chelmsford, UK.
Annals of Burns and Fire Disasters
|November 19, 2016
Summary
Civilian hospitals rarely manage blast-related burn injuries. Most cases are minor and can be treated conservatively, improving local emergency department training can enhance patient care.
Area of Science:
- Trauma Surgery
- Burn Management
- Emergency Medicine
Background:
- Limited English literature exists on civilian hospital management of blast-related burn injuries.
- The study was conducted at a large regional burn unit to identify improvements in patient care.
Purpose of the Study:
- To review cases of blast-related burn injuries managed at a civilian hospital.
- To identify strategies for improving the current management of these injuries.
Main Methods:
- A 6-year retrospective analysis of patients with blast-related burns was performed.
- Data on demographics, management, and outcomes were collected from medical records.
Main Results:
- 42 patients were identified; most burns were flame-related (73.8%) from gas explosions (45.2%).
- The median burn size was 1% Total Body Surface Area (TBSA); 40.4% required admission.
- 88.1% were managed conservatively, with only one requiring later surgery; all patients survived.
Conclusions:
- Blast-related burn injuries are uncommon in civilian settings and often minor.
- Conservative management is effective for most cases after proper assessment.
- Enhanced burns management education in local emergency departments can optimize care and reduce unnecessary referrals.
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