Russian Journal of Pediatric SurgeryRussian Journal of Pediatric SurgeryДетская хирургия1560-95102412-0677Eco-Vector67610.17816/ps676ReviewsОБЗОРЫReview ArticlePrehospital medical care in pediatric burns: a literature reviewМедицинская помощь детям с ожогами на догоспитальном этапеhttps://orcid.org/0000-0001-5021-95948300-9715OborkinaDariya S.ОборкинаДарья Сергеевна
Russian Federation

MD

daria100199@gmail.comhttps://orcid.org/0000-0002-8975-61086458-7520BudkevichLiudmila I.БудкевичЛюдмила Иасоновна
Russian Federation

MD, Dr. Sci. (Medicine), Professor

д-р мед. наук, профессор

budkevich@yandex.ruThe Russian National Research Medical University named after N.I. PirogovРоссийский национальный исследовательский медицинский университет имени Н.И. ПироговаG.N. Speransky Children's City Clinical Hospital No. 9Детская городская клиническая больница № 9 имени Г.Н. Сперанского0304202428143523005202328012024Copyright ©; 2024, Eco-VectorCopyright ©; 2024, Эко-Вектор2024Eco-VectorЭко-Векторhttps://creativecommons.org/licenses/by-nc-nd/4.0/https://jps-nmp.ru/jour/article/view/676

The properly administered first aid is an important component in achieving better outcomes in the treatment of burn patients. One of the first stages of management of such patients is a pre-hospital one.

The purpose of the study is to analyze the literature review on medical care for children with burns in the prehospital stage, to identify critical deviations and changes that require revision of the current recommendations.

A review of trials and latest recommendations on providing medical care to burned children at the prehospital period was carried out. The search was done in PubMed, Medline, GoogleScholar, eLibrary databases, as well as in Yandex search system. Out of 8 168 sources, 17 publications were selected for the data analysis.

The performed review has identified main challenges in providing the first aid to children with burns at the prehospital stage. Children will benefit from reaching the consensus between burn specialists and emergency medical providers before patients are taken to a burn center. These data should be used as the basis for future agreements between these specialists.

Correctly placed accents on anesthesia, dressings, infusion therapy in children with burns before their arrival to the hospital dictate a need to revise the existing recommendations in our country.

Правильно оказанная первая помощь является важным компонентом достижения желаемых результатов лечения пациентов с ожогами. Один из первых этапов ведения таких пациентов — догоспитальный.

Для выявления критических отклонения и изменений, которые требуют пересмотра текущих рекомендаций, нами исследована литература, описывающая медицинскую помощь детям с ожогами в догоспитальном периоде. Был проведён обзор исследований и последних рекомендаций по оказанию медицинской помощи обожжённым детям в догоспитальном периоде. Поиск осуществлялся в базах данных PubMed, Medline, Google Scholar, eLibrary, а также в поисковой системе «Яндекс». Из 8 168 источников для анализа данных отобрано 17 публикаций, касающихся охлаждения раны, определения площади поражения, инфузионной терапии, обезболивания и перевязок детей с ожогами до приезда в специализированный стационар.

Данный обзор выявил основные трудности по оказанию первой помощи при ожогах у детей в догоспитальном периоде. Дети с ожогами выиграют от достижения консенсуса в отношении лечения. Наши данные следует использовать в качестве основы для будущих соглашений между специалистами ожоговых центров и специалистами, которые оказывают медицинскую помощь на догоспитальном этапе.

Правильно расставленные акценты на обезболивание, перевязки и инфузионную терапию у детей с ожогами до прибытия в специализированный стационар, выявили необходимость пересмотра существующих рекомендаций в нашей стране.

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