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American Academy of Pediatrics
Article

Burn Care for Children

Robert L. Sheridan
Pediatrics in Review June 2018, 39 (6) 273-286; DOI: https://doi.org/10.1542/pir.2016-0179
Robert L. Sheridan
*Burn Service, Boston Shriners Hospital for Children; Division of Burns, Massachusetts General Hospital; and Department of Surgery, Harvard Medical School, Boston, MA
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  1. Robert L. Sheridan, MD*
  1. *Burn Service, Boston Shriners Hospital for Children; Division of Burns, Massachusetts General Hospital; and Department of Surgery, Harvard Medical School, Boston, MA
  • AUTHOR DISCLOSURE

    Dr Sheridan has disclosed that he has a research grant for burn outcomes from Shriners Hospital for Children and a grant for clinical research for burn depth determination from Physical Sciences Inc/the Department of Defense and that he is a consultant for developing burn mapping software for SimQuest. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.

Education Gap

Burn injuries are common in children. Management of these injuries and their consequences will be part of most busy general pediatric practices. Although most burns in children are small and can be managed with care provided in the outpatient setting, there is a significant number of children with more serious burn injuries whose acute and long-term management will involve a collaboration between the regional burn program and the child’s pediatrician. An understanding of the practice of outpatient small burn care is important. Also useful is a grasp of the concepts of inpatient burn care and long-term burn aftercare.

Objectives

After completing this article, readers should be able to:

  1. Understand the local and systemic physiologic changes caused by burns so that they can best understand therapeutic options.

  2. Describe the essential components of outpatient care of small burns.

  3. Grasp the essential components of inpatient care of more serious burns.

  4. Develop an awareness that long-term physical and emotional outcomes can be enhanced through participation in burn aftercare programs that include scar management, burn-specific physical and occupational therapy, ready access to burn reconstruction, emotional counseling, and family and peer support.

  5. Have an awareness of the nonburn conditions commonly treated in burn units.

Introduction

The first objective of this review is to familiarize the reader with the local and systemic changes caused by burns and relate these to the immediate and long-term practical needs of children who have experienced such injuries. The …

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In this issue

Pediatrics in Review: 39 (6)
Pediatrics in Review
Vol. 39, Issue 6
1 Jun 2018
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Burn Care for Children
Robert L. Sheridan
Pediatrics in Review Jun 2018, 39 (6) 273-286; DOI: 10.1542/pir.2016-0179

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Burn Care for Children
Robert L. Sheridan
Pediatrics in Review Jun 2018, 39 (6) 273-286; DOI: 10.1542/pir.2016-0179
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  • Table of Contents

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  • Article
    • Education Gap
    • Objectives
    • Introduction
    • Physiology of Burn Injury
    • Initial Evaluation and Immediate Management
    • Management of Small Burns
    • Management of Large Burns
    • Nonburn Problems in the Burn Unit
    • Reconstruction, Rehabilitation, Reintegration
    • References
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