title: Pre-hospital management of burns by the UK fire service.
abstract: OBJECTIVE
  To determine the current policies and practice of UK fire services for the management of burns patients.
  
  
  METHODS
  Structured telephone questionnaire covering formal policies including patient assessment, oxygen and entonox use, burn assessment and treatment, and paediatric patients and training.
  
  
  RESULTS
  The questionnaire was completed by 74% of the UK Fire Services (n = 46); only 14 had a specific written policy for the management of burns. Most services use "ABC" or "First Aid at Work" principles, although five have no formal guidelines for patient assessment. Oxygen is given by 44 services, all services cool burns with water and/or dressings, and 31 assess burn size. The same protocols are used for both adults and children by 29 brigades, while two brigades use lower oxygen concentrations for children. Only three brigades receive joint training from the fire and ambulance services.
  
  
  CONCLUSIONS
  UK firefighters are in an ideal position to provide early assessment and treatment of burns, but there is currently a wide variation in the fire services' management of these patients. There is a need for clear evidence based national guidelines for all pre-hospital providers to standardise patient care for burns. A suggested protocol is included in this report.
authors.affiliation: Mid Yorkshire Trust, Leeds, UK. alison.walker2@midyorks.nhs.uk <alison.walker2@midyorks.nhs.uk>
authors.forename: A
authors.initials: A
authors.lastname: Walker
authors.forename: R
authors.initials: R
authors.lastname: Baumber
authors.forename: B
authors.initials: B
authors.lastname: Robson
mesh_terms: D000328:Adult; D002056:Burns / Q000628:therapy*; D002648:Child; D002985:Clinical Protocols; D004632:Emergency Medical Services / Q000379:methods*; D004634:Emergency Medical Technicians; D005390:Fires; D006801:Humans; D010102:Oxygen Inhalation Therapy / Q000706:statistics & numerical data; D011364:Professional Practice / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D006113:United Kingdom
references.citation: Acta Chir Plast. 2002;44(2):59-62
references.pmid: 12197163
references.citation: Pathol Biol (Paris). 2002 Mar;50(2):74-81
references.pmid: 11933837
references.citation: Burns. 2002 Mar;28(2):135-42
references.pmid: 11900936
references.citation: Eur J Emerg Med. 1996 Dec;3(4):247-51
references.pmid: 9056137
references.citation: Emerg Med J. 2004 Jan;21(1):112-4
references.pmid: 14734397
references.citation: Burns. 1997 May;23(3):250-5
references.pmid: 9232287