Interventions for Burns

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Age Cohort: < 5 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Mass media campaigns on preventing burns in children * Community awareness on the prevention of fire, heat, burn Educate KG students on safety measures	Counselling on burn prevention Keep children away from fires, flames, hot surfaces and hot liquids Create a safe and not risky environment at home and school		Decontamination Home wound care Oral fluids Early recognition of the need for referral of thermal and chemical injuries
Primary Care
Mass media campaigns on preventing burns in children Community awareness on the prevention of fire, heat, burn Educate KG students on safety measures	Counselling on burn prevention Keep children away from fires, flames, hot surfaces and hot liquids * Create a safe and not risky environment at home and school		Decontamination Outpatient wound care Oral analgesics for thermal and chemical injuries Intravenous fluids Clinical assessment for early recognition of the need for referral
Referral Facility: General
Mass media campaigns on preventing burns in children Community awareness on the prevention of fire, heat, burn Educate KG students on safety measures	Counselling on burn prevention Keep children away from fires, flames, hot surfaces and hot liquids Create a safe and not risky environment at home and school		Accurate Total Body Surface Area (TBSA) estimation Adequate analgesia to facilitate assessment and patient comfort IV fluid resuscitation Check peripheral perfusion and need for escharotomy Prevention of hypothermia Dressings depending on the type of burn Burn wound management depending on the type of burn Intramuscular tetanus toxoid for burns Blood and blood product transfusion Nutritional support including therapeutic feeding for thermal and chemical injuries Surgical interventions: trauma management, debridement, basic skin grafting, escharotomy fasciotomy-myectomy
Referral Facility: Specialist
Mass media campaigns on preventing burns in children Community awareness on the prevention of fire, heat, burn Educate KG students on safety measures.	Counselling on burn prevention Keep children away from fires, flames, hot surfaces and hot liquids * Create a safe and not risky environment at home and school		Accurate Total Body Surface Area (TBSA) estimation Adequate analgesia to facilitate assessment and patient comfort IV fluid resuscitation Check peripheral perfusion and need for escharotomy Prevention of hypothermia Dressings depending on the type of burn Burn wound management depending on the type of burn Intramuscular tetanus toxoid for burns Blood and blood product transfusion Nutritional support including therapeutic feeding for thermal and chemical injuries Surgical interventions: trauma management, debridement, basic skin grafting, escharotomy fasciotomy-myectomy

Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community awareness on safe environment Community awareness on how to identify and modify hazards that might lead to in indoor and outdoor environment Sensitization of parents, teachers and care givers on home hazards, burns Community awareness on responsible parenting Discourage harmful traditional practice in the management of burn	Counselling for prevention of burns Media campaigns for burn prevention		Decontamination Home wound care Oral fluids Early recognition of the need for referral of thermal and chemical injuries
Primary Care
Community awareness on safe environment Community awareness on how to identify and modify hazards that might lead to in indoor and outdoor environment Sensitization of parents, teachers and care givers on home hazards, burns Community awareness on responsible parenting Discourage harmful traditional practice in the management of burn	Counselling for prevention of burns		Clinical assessment of burns Decontamination Outpatient wound care Adequate analgesics and hypothermia prevention Intravenous fluids resuscitation Early recognition of the need for referral of thermal and chemical injuries
Referral Facility: General
Community awareness on safe environment Community awareness on how to identify and modify hazards that might lead to in indoor and outdoor environment Sensitization of parents, teachers and care givers on home hazards, burns Community awareness on responsible parenting Discourage harmful traditional practice in the management of burn	Health education on burn prevention		Accurate Total Body Surface Area (TBSA) estimation Adequate analgesia to facilitate assessment and patient comfort IV fluid resuscitation Check peripheral perfusion and need for escharotomy Prevention of hypothermia Dressings depending on the type of burn Burn wound management depending on the type of burn Intramuscular tetanus toxoid for burns Blood and blood product transfusion Nutritional support including therapeutic feeding for thermal and chemical injuries Surgical interventions: trauma management, debridement, basic skin grafting, escharotomy fasciotomy-myectomy
Referral Facility: Specialist
Sensitization of parents, teachers and care givers on home hazards, burns	Health education on burn prevention		Accurate Total Body Surface Area (TBSA) estimation Adequate analgesia to facilitate assessment and patient comfort IV fluid resuscitation Check peripheral perfusion and need for escharotomy Prevention of hypothermia Dressings depending on the type of burn Burn wound management depending on the type of burn Intramuscular tetanus toxoid for burns Blood and blood product transfusion Nutritional support including therapeutic feeding for thermal and chemical injuries Surgical interventions: trauma management, debridement, basic skin grafting, escharotomy fasciotomy-myectomy

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community awareness on safe environment Community awareness on how to identify and modify hazards that might lead to in indoor and outdoor environment Discourage harmful traditional practice in the management of burn	Counselling for prevention of burns Media campaigns for burn prevention		Decontamination Home wound care Oral fluids Early recognition of the need for referral of thermal and chemical injuries
Primary Care
Community awareness on safe environment Community awareness on how to identify and modify hazards that might lead to in indoor and outdoor environment Discourage harmful traditional practice in the management of burn	Counselling for prevention of burns		Clinical assessment of burns Decontamination Outpatient wound care Adequate analgesics and hypothermia prevention Intravenous fluids resuscitation Early recognition of the need for referral of thermal and chemical injuries
Referral Facility: General
Community awareness on safe environment Community awareness on how to identify and modify hazards that might lead to in indoor and outdoor environment Sensitization of parents, teachers and care givers on home hazards, burns Community awareness on responsible parenting Discourage harmful traditional practice in the management of burn	Health education on burn prevention		Accurate Total Body Surface Area (TBSA) estimation Adequate analgesia to facilitate assessment and patient comfort IV fluid resuscitation Check peripheral perfusion and need for escharotomy Prevention of hypothermia Dressings depending on the type of burn Burn wound management depending on the type of burn Intramuscular tetanus toxoid for burns Blood and blood product transfusion Nutritional support including therapeutic feeding for thermal and chemical injuries Surgical interventions: trauma management, debridement, basic skin grafting, escharotomy fasciotomy-myectomy
Referral Facility: Specialist
Sensitization of parents, teachers and care givers on home hazards, burns	Health education on burn prevention		Accurate Total Body Surface Area (TBSA) estimation Adequate analgesia to facilitate assessment and patient comfort IV fluid resuscitation Check peripheral perfusion and need for escharotomy Prevention of hypothermia Dressings depending on the type of burn Burn wound management depending on the type of burn Intramuscular tetanus toxoid for burns Blood and blood product transfusion Nutritional support including therapeutic feeding for thermal and chemical injuries Surgical interventions: trauma management, debridement, basic skin grafting, escharotomy fasciotomy-myectomy

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community awareness on safe environment Community awareness on how to identify and modify hazards that might lead to in indoor and outdoor environment Discourage harmful traditional practice in the management of burn	Counselling for prevention of burns Media campaigns for burn prevention		Decontamination Home wound care Oral fluids Early recognition of the need for referral of thermal and chemical injuries
Primary Care
Community awareness on safe environment Community awareness on how to identify and modify hazards that might lead to in indoor and outdoor environment Discourage harmful traditional practice in the management of burn	Counselling for prevention of burns		Clinical assessment of burns Decontamination Outpatient wound care Adequate analgesics and hypothermia prevention Intravenous fluids resuscitation Early recognition of the need for referral of thermal and chemical injuries
Referral Facility: General
Community awareness on safe environment Community awareness on how to identify and modify hazards that might lead to in indoor and outdoor environment Sensitization of parents, teachers and care givers on home hazards, burns Community awareness on responsible parenting Discourage harmful traditional practice in the management of burn	Health education on burn prevention		Accurate Total Body Surface Area (TBSA) estimation Adequate analgesia to facilitate assessment and patient comfort IV fluid resuscitation Check peripheral perfusion and need for escharotomy Prevention of hypothermia Dressings depending on the type of burn Burn wound management depending on the type of burn Intramuscular tetanus toxoid for burns Blood and blood product transfusion Nutritional support including therapeutic feeding for thermal and chemical injuries Surgical interventions: trauma management, debridement, basic skin grafting, escharotomy fasciotomy-myectomy
Referral Facility: Specialist
Sensitization of parents, teachers and care givers on home hazards, burns	Health education on burn prevention		Accurate Total Body Surface Area (TBSA) estimation Adequate analgesia to facilitate assessment and patient comfort IV fluid resuscitation Check peripheral perfusion and need for escharotomy Prevention of hypothermia Dressings depending on the type of burn Burn wound management depending on the type of burn Intramuscular tetanus toxoid for burns Blood and blood product transfusion Nutritional support including therapeutic feeding for thermal and chemical injuries Surgical interventions: trauma management, debridement, basic skin grafting, escharotomy fasciotomy-myectomy