Estimates of Total Burned Surface Area by Emergency Department Clinicians and Burn Specialists
| Autor: | Wayne Fu, Jaclyn Dibello, Nicole Berwald, Christopher Price, Jerel Chacko, Josh Greenstein, Barry Hahn, Seungwhan Alex Roh |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Body surface area
medicine.medical_specialty Burn injury emergency department business.industry body surface area General Engineering Specialty Poison control Retrospective cohort study Emergency department 030204 cardiovascular system & hematology Trauma 03 medical and health sciences 0302 clinical medicine Interquartile range Emergency medicine Emergency Medicine medicine burn business Total body surface area 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.9362 |
| Popis: | Introduction Correctly assessing burn size is extremely important since it is directly associated with a patient's subsequent management. Further, an accurate assessment of the total body surface area (TBSA) involved is crucial to decide if specialty care in a burn unit is necessary, whereby overestimation has the potential to lead to unnecessary patient transfers and undesirable burdens on the healthcare system and inconvenience to patients. The goal of this study was to identify whether burn injury estimates of TBSA percentage correlate between emergency department (ED) clinician and burn specialists. Methods This was a retrospective study conducted between February 1, 2018 and July 31, 2019 of patients with a burn injury who were evaluated by both an ED clinician and a burn specialist during the same ED visit. Charts were reviewed to identify the documentation of TBSA by pre-hospital personnel, ED nursing staff, ED mid-level providers (MLP), ED attending physicians, burn consultant MLPs, and burn consultant attending physicians. Results During the study period, 189 subjects with both an ED and burn consultant. The median age was 11 years [interquartile range (IQR) 1-49], and 103 (54%) were males. More than half of the subjects (n=106, 56%) were under the age of 18. There was a statistically significant correlation between estimates of TBSA between ED and burn consultants overall (p |
| Databáze: | OpenAIRE |
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