title: [Burn child specificity].
abstract: Burn is still a frequent accident in children and particularly occurs in young children under 4years. The majority were caused by hot liquids (scalds) with mixed-dermal burns and is commonly treated conservatively with surgery performed at 10-15 days post-injury after healing of superficial burn. Patients with burns greater than 10% need early fluid resuscitation and adequate nutritional support to avoid deepening with infection, improve healing and survival. Hypovolemic shock could be very abrupt in children. Prophylactic prevention of infection and optimization of healing before 21 days improve quality of scar. Management with rehabilitation team is more important in children than in adults because hypertrophic scar and retraction can restrain growth and function particularly for palmar hand burns occurring at the beginning of walking. Follow-up is essential during the growth to assess scar tension requiring secondary surgery. Better knowledge of injury mechanisms should facilitate education and prevention programs and decrease the incidence.
authors.affiliation: Service de chirurgie de l'enfant, CHU d'Amiens, site sud, D 408, 80054 Amiens cedex 1, France. Electronic address: plancq.marie-christine@chu-amiens.fr.
authors.forename: M C
authors.initials: MC
authors.lastname: Plancq
authors.affiliation: Centre interrégional de traitement des brûlés, site pédiatrique, CHU de Nancy, rue du Morvan, 54511 Vandœuvre-lès-Nancy, France.
authors.forename: L
authors.initials: L
authors.lastname: Goffinet
authors.affiliation: Service de chirurgie plastique, hôpital Salengro, 59037 Lille cedex, France.
authors.forename: V
authors.initials: V
authors.lastname: Duquennoy-Martinot
mesh_terms: D000700:Analgesics / Q000627:therapeutic use; D002056:Burns / Q000453:epidemiology / Q000523:psychology / Q000601:surgery*; D002648:Child; D003646:Debridement; D005440:Fluid Therapy; D006801:Humans; D015994:Incidence; D015601:Injury Severity Score; D018529:Nutritional Support; D010146:Pain / Q000188:drug therapy / Q000209:etiology; D016038:Skin Transplantation; D017768:Skin, Artificial; D018461:Soft Tissue Infections / Q000209:etiology / Q000517:prevention & control
chemical_list: D000700:Analgesics
keywords: Brûlure; Burn; Enfant; Paediatric