First Treatment in Burns: Evaluation of Treatment Attempts at Scene

Öz

To determine and evaluate the first treatments applied just after injury at scene or at primary/secondary care health institutions to burn patients before admission to a burn center and to provide suggestions to increase awareness in first treatment of burns. Between November 1, 2019 and December 31, 2019 300 burn patients, who admitted for the first time to the outpatient clinics of our tertiary burn center and agreed to participate were included in this descriptive-cross-sectional study. Patient data and the first treatments applied at the scene or another health care institution were evaluated. There were 153 male (51.0%) and 147 female (49.0%) patients. Scalds with tea (n=96) and water (n=79) was the most common etiology for burns. The percentage of burned total body surface area was 3.82±4.8. The first intervention was performed at the scene in 79% (n=237) patients, while in a health institution in 21% (n=63). 73.8% (n=175) of interventions at scene and 39.7% (n=25) of 63 interventions performed in a health institution were not appropriate. Patients or their parents who admitted to our outpatient burn clinic did not have enough information about first aid in burns. With education programs for mothers, awareness can be raised about indoors childhood burns and appropriate first intervention. For protection and correct intervention in workplaces, education on occupational health and safety should be continued seriously. There were also deficiencies in treatments performed in health institutions. In this regard in-service training to health personnel would be beneficial.

Anahtar Kelimeler

• Burns; first treatment; awareness;

Yanıkta İlk Tedavi: Olay Yerindeki Tedavi Uygulamalarının Değerlendirilmesi

Öz

Çalışmanın amacı, yaralanmadan hemen sonra olay yerinde veya birinci/ikinci basamak sağlık kuruluşunda yanık merkezine gönderilmeden önce yanan hastalara uygulanan ilk tedavileri belirleme ve değerlendirmenin yanı sıra yanıkların ilk tedavisinde farkındalığı artırmaya yönelik öneriler sunmaktır. Bu tanımlayıcı-kesitsel çalışmaya 1 Kasım 2019 ile 31 Aralık 2019 tarihleri arasında üçüncü basamak yanık merkezi polikliniğine ilk kez başvuran ve katılmayı kabul eden 300 yanık hastası dahil edildi. Hasta verileri ve olay yerinde veya başka bir sağlık kuruluşunda uygulanan ilk tedaviler değerlendirildi. Çalışmaya katılan 300 hastanın %51’i erkek (n=153), %49’u (n=147) kadındı. Etiyolojide en sık çay (n=96) ve su (n=79) ile yanma görüldü. Yanık vücut alan yüzdesi 3,82±4,8 olarak bulundu. İlk müdahale %79 (n=237) hastada olay yerinde yapılırken, %21 (n=63) hastada bir sağlık kurumunda yapılmıştı. Olay yeri müdahalelerinden %73,8’i (n=175) uygun müdahale değildi. Sağlık kurumunda yapılan 63 müdahalenin %39,7’sinin (n=25) uygun olmadığı görüldü. Yanık polikliniğimize başvuran hastaların veya ebeveynlerinin yanıkta ilk yardım konusunda yeterince bilgileri olmadığı görüldü. Annelere yönelik eğitim programları ile ev içi çocuk yanık insidansında azalma ve doğru ilk müdahale konusunda farkındalık sağlanabilir. İş yerlerinde korunma ve doğru müdahale için ise iş sağlığı ve güvenliğiyle ilgili çalışmaların ciddiyetle sürdürülmesi gereklidir. Yanık ile ilgili sağlık kurumlarında yapılan uygulamalarda da eksiklikler olduğu saptandı. Bu konuda sağlık personeline hizmet içi eğitim verilmesinin faydalı olacağı düşünüldü.

Anahtar Kelimeler

• yanık
• ilk tedavi
• farkındalık

Kaynakça

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