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De opvang van kinderen met brandwonden

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Tijdschrift voor Kindergeneeskunde

Samenvatting

De opvang van kinderen met brandwonden behoort, zoals bij alle traumapatiënten, gestructureerd te verlopen. Daarnaast dient de brandwond beoordeeld en behandeld te worden. In dit artikel wordt de pathofysiologie van brandwonden beschreven en de speciale aspecten van patiënten met brandwonden, zoals: calculatie van het verbrand lichaamsoppervlak, rehydratie, pijnstilling, wondverzorging en criteria voor verwijzing en transport naar een brandwondencentrum. Tevens dient bij kinderen de mogelijkheid van kindermishandeling te worden overwogen als oorzaak voor de brandwonden.

Summary

The care of children with burns asks for a very structured approach, as counts for all trauma patients. Besides that, the wound has to be assessed and treated. This article describes the pathophysiology of burns and the special aspects that relate to burn victims, such as: calculation of the total body surface area burn; rehydration; pain control; wound dressing; and criteria for referral and transport to a burn unit. Moreover, if the burn victim is a child, child abuse should be considered as a cause for the burns.

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Literatuur

  1. Verbranding bij kinderen 0-4 jaar. Een veldverkenning. Stichting Consument en Veiligheid. 2005.

  2. Jaarcijfers 2002-2004. Rotterdam: Brandwondencentrum Medisch Centrum Rijnmond-Zuid.

  3. Herndon DN. Epidemiological, demographic, and outcome characteristics of burn injury. In: Herndon DN (ed.). Total burn care, 3rd ed. London: Saunders Elsevier, 2006. p. 14-32.

  4. Tam N. Evaluation of the burn wound: management decisions. In: Herndon DN (ed.). Total burn care, 3rd ed. London: Saunders Elsevier, 2006. p. 119-26.

  5. Hettiaratchy S, Dziewulski P. ABC of burns: pathophysiology and types of burns. BMJ. 2004;328: 1427-9.

    Google Scholar 

  6. Jackson DM. The diagnosis of the depth of burning. Br J Surg. 1953;40:588-96.

    Google Scholar 

  7. Kramer GC. Pathophysiology of burn shock and burn edema. In: Herndon DN (ed.). Total burn care, 3rd ed. London: Saunders Elsevier, 2006. p. 93-106.

  8. Lee JO. The pediatric burned patient. In: Herndon DN (ed.). Total burn care, 3rd ed. London: Saunders Elsevier, 2006. p. 485-95.

  9. Amirsheybani HR, Crecelius GM, Timothy NH, et al. The natural history of the growth of the hand: I. Hand area as a percentage of body surface area. Plast Reconstr Surg. 2001;107:726-33.

    Google Scholar 

  10. Upshaw JE, Smith CD, Tagge EP, Evans J. Thermal injury in children. J S C Med Assoc. 2004;100:342-6.

    Google Scholar 

  11. Mlcak RP. Pre-Hospital management, transportation, and emergency care. In: Herndon DN (ed.). Total burn care, 3rd ed. London: London: Saunders Elsevier, 2006. p. 81-92.

  12. Advanced Trauma Life Support Manual, 7th ed. American College of Surgeons Committee and Leonard Morgan. 1997.

  13. Turner NM, Vugth AJ van. Advanced Paediatric Life Support, 2e druk. Maarssen: Elsevier gezondheidszorg, 2006. p. 199-206; p. 275-82.

  14. Emergency Management of Severe Burns, course manual, 2005 ed. Australian and New Zealand Burn Association, 1996.

  15. Hettiaratchy S, Papini R, Initial management of a major burn: I – overview. BMJ. 2004;328:1555-7.

    Google Scholar 

  16. Nugent N. Diagnosis and treatment of inhalation injury. In: Herndon DN (ed.). Total burn care, 3rd ed. London: London: Saunders Elsevier, 2006. p. 262-72.

  17. Hettiaratchy S, Papini R. Initial management of a major burn: II – assessment and resuscitation. BMJ. 2004;329:101-3.

    Google Scholar 

  18. Burn injuries in child abuse. Portable guidelines to investigate child abuse. US Department of Justice, 2001.

  19. Titus MO, Baxter AL, Starling S. Accidental scald burns in sinks. Pediatrics. 2003;111:e191-4.

    Google Scholar 

  20. Hyden PW, Gallagher RA. Child abuse intervention in the emergency room. Pediatr Emerg Med. 1992;39:1053-81.

    Google Scholar 

  21. Chester DL, Jose RM, Aldlyami E, et al. Non-accidental burns in children – are we neglecting neglect? Burns. 2006;32:222-8.

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Authors and Affiliations

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    M. G. A. Baartmans

Authors
  1. M. G. A. Baartmans
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  2. H. G. Stas
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  3. J. Dokter
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  4. H. Boxma
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Corresponding author

Correspondence to M. G. A. Baartmans.

Additional information

Dhr. M.G.A. Baartmans, kinderarts, mw. H.G. Stas, kinderarts, afdeling Kindergeneeskunde; dhr. J. Dokter, medisch coördinator, dhr. dr. H. Boxma, chirurg, afdeling Chirurgie/Brandwondencentrum, Maasstadziekenhuis, Groene Hilledijk 315, 3075 EA Rotterdam.

Correspondentieadres: M.G.A. Baartmans, afdeling Kindergeneeskunde, Maasstadziekenhuis, Groene Hilledijk 315, 3075 EA Rotterdam

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Baartmans, M.G.A., Stas, H.G., Dokter, J. et al. De opvang van kinderen met brandwonden. KIND 76, 282–290 (2008). https://doi.org/10.1007/BF03078221

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  • DOI: https://doi.org/10.1007/BF03078221

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