Pediatric burn care: new techniques and outcomes
- PMID: 32371842
- DOI: 10.1097/MOP.0000000000000902
Pediatric burn care: new techniques and outcomes
Abstract
Purpose of review: Thermal injury is a leading cause of morbidity and mortality in children. This review highlights the current management of thermal injury and its complications.
Recent findings: Many recent advances in burn care have improved the outcomes of patients with thermal injury; however, variability does exist, and there are many opportunities for improvement. This review will highlight the complexity of issues encountered along the continuum of care for thermal injury patients. Accurate estimation of total burn surface area (TBSA) of a burn continues to be a challenge in pediatric patients. Variability continues to exist surrounding the management of burn resuscitation and complex wounds. Children with extensive burns have profound immune and metabolic changes that can lead to multiple complications, including infections, growth arrest, and loss of lean body mass. Standardization in measurements related to quality of life and psychological stress following pediatric thermal injury is much needed.
Summary: The care of pediatric patients with thermal injury is complex and multifaceted. This review highlights the most recent advances in pediatric burn care.
Similar articles
-
Pediatric burn resuscitation, management, and recovery for the pediatric anesthesiologist.Curr Opin Anaesthesiol. 2020 Jun;33(3):360-367. doi: 10.1097/ACO.0000000000000859. Curr Opin Anaesthesiol. 2020. PMID: 32371635 Review.
-
Discrepancy in Initial Pediatric Burn Estimates and Its Impact on Fluid Resuscitation.J Burn Care Res. 2015 Sep-Oct;36(5):574-9. doi: 10.1097/BCR.0000000000000185. J Burn Care Res. 2015. PMID: 25407387
-
Emergency Care of Pediatric Burns.Emerg Med Clin North Am. 2018 May;36(2):441-458. doi: 10.1016/j.emc.2017.12.011. Emerg Med Clin North Am. 2018. PMID: 29622333 Review.
-
Overview of current pediatric burn care.Semin Pediatr Surg. 2015 Feb;24(1):47-9. doi: 10.1053/j.sempedsurg.2014.11.008. Epub 2014 Nov 7. Semin Pediatr Surg. 2015. PMID: 25639810 Review.
-
Does Overestimation of Burn Size in Children Requiring Fluid Resuscitation Cause Any Harm?J Burn Care Res. 2017 Mar/Apr;38(2):e546-e551. doi: 10.1097/BCR.0000000000000382. J Burn Care Res. 2017. PMID: 27380123
Cited by
-
Pediatric Burns - Who Requires Follow-up? A Study of Urban Pediatric Emergency Department Patients.West J Emerg Med. 2024 Jul;25(4):634-644. doi: 10.5811/westjem.17984. West J Emerg Med. 2024. PMID: 39028250 Free PMC article.
-
Analysis of curative effect of insulin external application on burn wounds of diabetic patients with different depths.Int Wound J. 2023 May;20(5):1393-1401. doi: 10.1111/iwj.13987. Epub 2022 Nov 6. Int Wound J. 2023. Retraction in: Int Wound J. 2025 Apr;22(4):e70558. doi: 10.1111/iwj.70558. PMID: 36336969 Free PMC article. Retracted.
-
Knowledge level on the management of pediatric burn patients among physicians working in the emergency department.Ulus Travma Acil Cerrahi Derg. 2022 Dec;29(1):73-80. doi: 10.14744/tjtes.2022.85781. Ulus Travma Acil Cerrahi Derg. 2022. PMID: 36588503 Free PMC article.
-
Metabolic and Hormonal Changes in Pediatric Burn Patients: Mechanisms, Evidence, and Care Strategies.Eur Burn J. 2025 Apr 7;6(2):17. doi: 10.3390/ebj6020017. Eur Burn J. 2025. PMID: 40265372 Free PMC article. Review.
-
A systematic study of emergency strategies for skin healing after pediatric burns: a comprehensive review and a multidisciplinary perspective.Ital J Pediatr. 2025 Jul 15;51(1):233. doi: 10.1186/s13052-025-02066-9. Ital J Pediatr. 2025. PMID: 40660258 Free PMC article.
References
-
- Centers for Disease Control and Prevention - Web-based injury statistics query and reporting system (WISQARS): Nonfatal Injury Data 2017. https://www.cdc.gov/injury/wisqars/index.html. [Accessed 03 December 2019].
-
- Centers for Disease Control and Prevention - Web-based injury statistics query and reporting system (WISQARS): Fatal Injury Data 2017. https://www.cdc.gov/injury/wisqars/index.html. [Accessed 03 December 2019].
-
- Gonzalez R, Shanti CM. Overview of current pediatric burn care. Semin Pediatr Surg 2015; 24:47–49.
-
- Dinesh A, Polanco T, Khan K, et al. Our inner-city children inflicted with burns: a retrospective analysis of pediatric burn admissions at Harlem Hospital, NY. J Burn Care Res 2018; 39:995–999.
-
- Romanowski KS, Palmieri TL. Pediatric burn resuscitation: past, present, and future. Burns Trauma 2017; 5:26.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Research Materials