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MULTIPLE BURNS IN A 22-MONTH-OLD CHILD: CASE REPORT
NEDŽAD BAŠAGIĆ
; Rijeka University Hospital Centre, Department of Anesthesiology and Intensive Care Medicine, Rijeka, Croatia
BOBAN DANGUBIĆ
; Rijeka University Hospital Centre, Department of Anesthesiology and Intensive Care Medicine, Rijeka, Croatia
VLATKA SOTOŠEK TOKMADŽIĆ
; Rijeka University Hospital Centre, Department of Anesthesiology and Intensive Care Medicine, Rijeka, Croatia
ARIJAN VERBIĆ
; eka University Hospital Center, Department of Pediatrics, Rijeka, Croatia
Abstract
Over 120,000 children present to emergency department due to burns annually. Many burn injuries are minor and do not require hospital admission. We report a case of airway burns and major body burns in a 22-month-old girl. Emergency medical service brought the girl to the Rijeka University Hospital Centre from Poreč, where she had suffered burns from the fi re in a car. Initial assessment revealed upper airway burns that presented with stridor, breathing was insuffi cient, and she was hemodynamically unstable. The patient was immediately transferred to the operating room where the airway was secured and an intravascular route was obtained. Estimated burn size was approximately 35% of the total body surface area; volume resuscitation was started and burns were surgically revised. After the operation, the patient was transferred to the Hospital Intensive Care Unit. Until the morning, her condition worsened and in consultation with the pediatrician correction of the disorders was done. During further clinical course, her health condition improved very well, the burns were routinely revised, and she was transferred to surgical ward.
Keywords
airway burns; major pediatric burns; initial management of burns
Hrčak ID:
197905
URI
Publication date:
3.4.2018.
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