Burns first aid treatment in remote Northern Australia
| Autor: | David J. Read, Swee Chin Tan, Kathleen M. McDermott, Linda Ward |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Rural Population Burn injury medicine.medical_specialty Native Hawaiian or Other Pacific Islander Adolescent Critical Care and Intensive Care Medicine Indigenous 03 medical and health sciences Young Adult 0302 clinical medicine medicine Northern Territory First Aid Humans 030212 general & internal medicine Prospective Studies Prospective cohort study Child Burn wound Health professionals business.industry Australia 030208 emergency & critical care medicine General Medicine medicine.disease Surgery Increased risk Northern australia Emergency Medicine Female Medical emergency business Burns First aid |
| Zdroj: | Burns : journal of the International Society for Burn Injuries. 44(2) |
| ISSN: | 1879-1409 |
| Popis: | Background and objective It is well demonstrated that adequate burns first aid treatment (BFAT) improves clinical outcomes for the injured but adequacy remains low in many studies. This study presents a twelve month assessment of the adequacy of burns first aid treatment for patients managed by the Burns Service, Royal Darwin Hospital (RDH). Methods Prospective study design of all patients managed by the Burns Service, Royal Darwin Hospital. Data were collated from two sources; RDH Burns Registry, and the Burns Registry of Australia and New Zealand (BRANZ). Inclusion criterion was all patients managed by the Burns Service, Royal Darwin Hospital for the period 1 January 2014–31 December 2014. Variables collected and analysed include: demographics, burn mechanism, burn wound depth and adequacy of and circumstances around first aid. Results Overall 310 cases were analysed. Most injuries involved adults (68%), 19% Indigenous persons and 70% of all patients had their burn injury occur in the urban region. Adequate BFAT occurred in 41% of cases. Adults, contact burns and those where the burn injury occurred in the remote regions were less likely to receive adequate BFAT. Indigenous persons were less likely to attempt any BFAT at all and when they did receive BFAT it was more likely applied by an emergency responder or health professional. Conclusion Overall adequacy of BFAT is low in the Top End of the Northern Territory. Remote dwellers and Indigenous persons are at increased risk of not applying or receiving adequate BFAT. The poor level of adequate BFAT demonstrated in this study suggests that the Top End community particularly remote and Indigenous persons would benefit from targeted BFAT education programs that are delivered in a culturally and linguistically appropriate fashion. |
| Databáze: | OpenAIRE |
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