Burn Care in Low-Resource and Austere Settings

Barclay T Stewart; Kwesi Nsaful; Nikki Allorto; Shankar Man Rai

doi:10.1016/j.suc.2023.01.014

Burn Care in Low-Resource and Austere Settings

Surg Clin North Am. 2023 Jun;103(3):551-563. doi: 10.1016/j.suc.2023.01.014. Epub 2023 Apr 4.

Authors

Barclay T Stewart¹, Kwesi Nsaful², Nikki Allorto³, Shankar Man Rai⁴

Affiliations

¹ University of Washington, UW Medicine Regional Burn Center, Harborview Medical Center, Seattle, WA, USA. Electronic address: barclays@uw.edu.
² Department of Plastic, Reconstructive Surgery and Burns Unit, Ghana Navy, 37 Military Hospital, Accra, Ghana.
³ Head Pietermaritzburg Metropolitan Burn Service, Pietermaritzburg, KwaZulu Natal, South Africa.
⁴ National Academy of Medical Sciences, Nepal Cleft and Burn Center at Kirtipur Hospital, Kathmandu, Nepal.

PMID: 37149390
DOI: 10.1016/j.suc.2023.01.014

Abstract

More than 95% of the 11 million burns that occur annually happen in low-resource settings, and 70% of those occur among children. Although some low- and middle-income countries have well-organized emergency care systems, many have not prioritized care for the injured and experience unsatisfactory outcomes after burn injury. This chapter outlines key considerations for burn care in low-resource settings.

Keywords: Austere; Burn; Low- and middle-income countries; Resuscitation; Triage.

Publication types

Review

MeSH terms

Burns* / economics
Burns* / therapy
Child
Developing Countries / economics
Emergency Medical Services* / economics
Emergency Medical Services* / organization & administration
Humans