Transfer edilen �ocuk yan�k hastalar�ndaki yanl�� uygulamalar�n de�erlendirilmesi

�enayl�, Atilla; �zt�rk, Fatma; Az�l�, M�jdem Nur; Demir, Sabri; Demir, Rabia; �enel, Emrah

30/4Gelecek Say� Ar�iv Kapaklar Pop�ler Makaleler

ICMJE COI Form

H�zl� Arama

Transfer edilen �ocuk yan�k hastalar�ndaki yanl�� uygulamalar�n de�erlendirilmesi [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2016; 22(3): 247-252 | DOI: 10.5505/tjtes.2015.46037

Transfer edilen �ocuk yan�k hastalar�ndaki yanl�� uygulamalar�n de�erlendirilmesi

Atilla �enayl�¹, Fatma �zt�rk², M�jdem Nur Az�l�², Sabri Demir², Rabia Demir², Emrah �enel¹
¹Y�ld�r�m Beyaz�t �niversitesi, T�p Fak�ltesi, �ocuk Cerrahisi Abd,ankara, T�rkiye
²Ankara �ocuk Sa�l�� Ve Hastal�klar� Hematoloji-onkoloji E�itim Ve Ara�t�rma Hastanesi, �ocuk Cerrahisi Klini�i, Ankara, T�rkiye

AMA�: Yan�klar �ocuklarda �l�me en �ok neden olabilen travmalardan biridir. Bu y�zden, uygun acil m�dahale komplikasyonlar� �nlemek ve ba�ar�l� tedavi sa�lamak i�in gereklidir. Bu �al��mada, yan�k hastalar�n�n acil m�dahale �al��malar� de�erlendirildi ve �lkemizdeki sevk endikasyonlar� g�zden ge�irildi.
GERE� VE Y�NTEM: Hastanemize Ocak 2009 ile Aral�k 2013 tarihleri aras�nda di�er �ehirlerden sevk edilmi� olan 187 hastan�n dosyalar� de�erlendirildi. Demografiler, sevk ara�lar�, intraven�z s�v� tedavileri, solunum durumlar�, idrar ��k��lar� ve cerrahi komplikasyonlar de�erlendirildi.
BULGULAR: Transfer kriterlerine g�re sadece 15 hasta (8%) uygun ko�ullarda sevk edilmi�tir. Y�z yetmi� iki hasta (%92) i�in ise, en az bir transfer hatas� ile sevk edildi�i anla��lm��t�r.
TARTI�MA: Geli�mekte olan �lkelerde; yanl�� m�dahaleler, hatal� tedaviler, gereksiz sedasyon ile solunum problemleri ve transport hatalar� mevcuttur. �lkemizde, sevk edilecek hastalar�n protokolleri tan�mlanm��t�r ancak etkili tedavi i�in e�itim ve geri bildirim eksikli�i vard�r.

Anahtar Kelimeler: �ocuklar, korunma, terapi, yan�klar.

Evaluating incorrect management of transferred pediatric burn patients

Atilla �enayl�¹, Fatma �zt�rk², M�jdem Nur Az�l�², Sabri Demir², Rabia Demir², Emrah �enel¹
¹Yildirim Beyazit University, School Of Medicine, Department Of Pediatric Surgery, Ankara Turkey
²Children�s Health And Disease Haemotology-oncology Education And Research Hospital, Ankara, Turkey

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.
CONCLUSION: 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.

Keywords: Burns, children, prevention, therapy.

Atilla �enayl�, Fatma �zt�rk, M�jdem Nur Az�l�, Sabri Demir, Rabia Demir, Emrah �enel. Evaluating incorrect management of transferred pediatric burn patients. Ulus Travma Acil Cerrahi Derg. 2016; 22(3): 247-252

Sorumlu Yazar: Atilla �enayl�, T�rkiye
Makale Dili: �ngilizce

ARA�LAR Tam Metin PDF Yazd�r Al�nt�y� �ndir RIS EndNote BibTex Medlars Procite Reference Manager E-Postala Payla� Yazara e-posta g�nder Benzer makaleler PubMed Google Scholar