Evaluating incorrect management of transferred pediatric burn patients.
BACKGROUND
Burns constitute one of the most important, potentially fatal types of trauma. Appropriate emergency management is essential in the avoidance of complication and the success of treatment. Emergency management and indications of transfer throughout the country were reviewed in the present study.


METHODS
Charts of 187 patients transferred to the present hospital from other cities between January 2009 and December 2013 were evaluated. Factors included demographics, referral vehicles, intravenous fluid therapy, respiratory conditions, urine drainage, and surgical complications.


RESULTS
According to transfer criteria, only 15 patients (8%) were transferred under appropriate conditions. In the transfer of 172 (92%) patients, at least 1 error was found.


CONCLUSIONS
Transport failure, and incorrect management and treatment causing complications such as the development of respiratory problems after unnecessary sedation, occur in developing countries such as Turkey. Referral protocols for burn patients have already been defined in the country, though training and feedback regarding effective treatment is still lacking.
Department of Pediatric Surgery, Yildirim Beyazit University Faculty of Medicine, Ankara-Turkey. atillasenayli@gmail.com.
Atilla
A
Şenaylı
Department of Pediatric Surgery, Children's Health and Disease Haemotology-Oncology Training and Research Hospital, Ankara-Turkey.
Fatma
F
Öztürk
Department of Pediatric Surgery, Children's Health and Disease Haemotology-Oncology Training and Research Hospital, Ankara-Turkey.
Müjdem Nur
MN
Azılı
Department of Pediatric Surgery, Children's Health and Disease Haemotology-Oncology Training and Research Hospital, Ankara-Turkey.
Sabri
S
Demir
Department of Pediatric Surgery, Children's Health and Disease Haemotology-Oncology Training and Research Hospital, Ankara-Turkey.
Rabia
R
Demir
Department of Pediatric Surgery, Yildirim Beyazit University Faculty of Medicine, Ankara-Turkey.
Emrah
E
Şenel
D002056:Burns / Q000628:therapy*; D002648:Child; D002662:Child Health Services; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D010360:Patient Transfer; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014421:Turkey