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Author Spotlight: A Multi-Depth Porcine Model for Comprehensive Study of Burn Injuries and Healing Processes
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Choosing wisely in burn care.

A D Rogers1, A Amaral2, R Cartotto1

  • 1Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

Burns : Journal of the International Society for Burn Injuries
|September 26, 2021
PubMed
Summary
This summary is machine-generated.

Choosing Wisely Canada developed burn care recommendations to reduce unnecessary procedures and costs. These guidelines promote evidence-based practices, improve patient outcomes, and encourage shared decision-making in burn management.

Keywords:
AntibioticsBlood productsBurnChest X-raysOpioidsQuality improvement

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Area of Science:

  • Medical Research
  • Public Health Initiatives
  • Surgical Specialties

Background:

  • The Choosing Wisely Campaign, initiated in 2012, aims to decrease unnecessary medical interventions globally.
  • In Canada, burn injury management involves primary care, emergency services, and surgical specialists.
  • There is a need for evidence-based guidelines to optimize burn care investigations and treatments.

Purpose of the Study:

  • To develop Choosing Wisely statements specifically for burn care in Canada.
  • To guide healthcare practitioners in making suitable and cost-effective decisions for burn patients.
  • To reduce unnecessary diagnostic and therapeutic procedures in burn management.

Main Methods:

  • Recommendations were formulated by the Canadian Special Interest Group of the American Burn Association.
  • An initial list of 29 statements was refined to 11 recommendations.
  • A modified Delphi process and SurveyMonkey™ were employed for consensus.

Main Results:

  • Key recommendations include avoiding prophylactic antibiotics and routine bloodwork.
  • Guidelines address the judicious use of blood products and adjunctive analgesics.
  • Emphasis is placed on appropriate monitoring and titration of opioid analgesics.

Conclusions:

  • The Choosing Wisely recommendations for burn care aim to reduce costs and adverse effects.
  • These statements encourage enhanced communication among healthcare professionals and patients.
  • The goal is to maintain high standards of evidence-based burn care while minimizing unnecessary interventions.