Incidence of vomiting in burns and implications for mass burn casualty management
When faced with large numbers of burn patients and limited resources such as in war or disaster, oral fluids may be used as an alternative to intravenous resuscitation. Vomiting during the first 48 h can limit the usefulness of this method; yet its incidence has not been documented. This study aimed...
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| Veröffentlicht in: | Burns 2003-03, Vol.29 (2), p.159-162 |
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| creator | Brown, Tim La H Hernon, C Owens, B |
| description | When faced with large numbers of burn patients and limited resources such as in war or disaster, oral fluids may be used as an alternative to intravenous resuscitation. Vomiting during the first 48
h can limit the usefulness of this method; yet its incidence has not been documented. This study aimed to identify those patients at risk of vomiting following burn injury and who therefore might be suitable for oral resuscitation.
A retrospective review of case notes from burn patients between 1990 and 2001 was undertaken. Burns requiring intravenous resuscitation (>10% total body surface area (TBSA) in children, >15% TBSA in adults) were included (
n=110). Documentation of vomiting during the first 48
h following burn injury to an extent that prevented commencement of feeding was regarded as significant. Patients that vomited were significantly older (28.3 years compared with 18.5 years,
P=0.03), and had sustained significantly larger burns (29.8% compared with 22.9%,
P=0.047). Administration of opiates and anti-emetics was similar in both groups and not significant.
Although the number of patients in this study excludes a logistic regression analysis, it would seem reasonable to attempt oral resuscitation in patients under 25 years of age and with burns up to 25% TBSA given limited resources. |
| doi_str_mv | 10.1016/S0305-4179(02)00211-5 |
| format | Article |
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h can limit the usefulness of this method; yet its incidence has not been documented. This study aimed to identify those patients at risk of vomiting following burn injury and who therefore might be suitable for oral resuscitation.
A retrospective review of case notes from burn patients between 1990 and 2001 was undertaken. Burns requiring intravenous resuscitation (>10% total body surface area (TBSA) in children, >15% TBSA in adults) were included (
n=110). Documentation of vomiting during the first 48
h following burn injury to an extent that prevented commencement of feeding was regarded as significant. Patients that vomited were significantly older (28.3 years compared with 18.5 years,
P=0.03), and had sustained significantly larger burns (29.8% compared with 22.9%,
P=0.047). Administration of opiates and anti-emetics was similar in both groups and not significant.
Although the number of patients in this study excludes a logistic regression analysis, it would seem reasonable to attempt oral resuscitation in patients under 25 years of age and with burns up to 25% TBSA given limited resources.</description><identifier>ISSN: 0305-4179</identifier><identifier>EISSN: 1879-1409</identifier><identifier>DOI: 10.1016/S0305-4179(02)00211-5</identifier><identifier>PMID: 12615463</identifier><identifier>CODEN: BURND8</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Body Surface Area ; Burns ; Burns - complications ; Burns - therapy ; Casualty management ; Child ; Disasters ; Drinking ; Emergency and intensive care: burns ; Emergency Medicine - methods ; Female ; Fluid Therapy - methods ; Humans ; Intensive care medicine ; Male ; Mass burns ; Medical sciences ; Middle Aged ; Retrospective Studies ; Risk Factors ; Traumas. Diseases due to physical agents ; Vomiting ; Vomiting - etiology ; Vomiting - therapy</subject><ispartof>Burns, 2003-03, Vol.29 (2), p.159-162</ispartof><rights>2003 Elsevier Science Ltd and ISBI</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-bee3e85e44cb944cd943df0ef2e00ea586877676bd78b470dd8a899c25e4f6573</citedby><cites>FETCH-LOGICAL-c391t-bee3e85e44cb944cd943df0ef2e00ea586877676bd78b470dd8a899c25e4f6573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0305-4179(02)00211-5$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3538,27906,27907,45977</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14560311$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12615463$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brown, Tim La H</creatorcontrib><creatorcontrib>Hernon, C</creatorcontrib><creatorcontrib>Owens, B</creatorcontrib><title>Incidence of vomiting in burns and implications for mass burn casualty management</title><title>Burns</title><addtitle>Burns</addtitle><description>When faced with large numbers of burn patients and limited resources such as in war or disaster, oral fluids may be used as an alternative to intravenous resuscitation. Vomiting during the first 48
h can limit the usefulness of this method; yet its incidence has not been documented. This study aimed to identify those patients at risk of vomiting following burn injury and who therefore might be suitable for oral resuscitation.
A retrospective review of case notes from burn patients between 1990 and 2001 was undertaken. Burns requiring intravenous resuscitation (>10% total body surface area (TBSA) in children, >15% TBSA in adults) were included (
n=110). Documentation of vomiting during the first 48
h following burn injury to an extent that prevented commencement of feeding was regarded as significant. Patients that vomited were significantly older (28.3 years compared with 18.5 years,
P=0.03), and had sustained significantly larger burns (29.8% compared with 22.9%,
P=0.047). Administration of opiates and anti-emetics was similar in both groups and not significant.
Although the number of patients in this study excludes a logistic regression analysis, it would seem reasonable to attempt oral resuscitation in patients under 25 years of age and with burns up to 25% TBSA given limited resources.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Body Surface Area</subject><subject>Burns</subject><subject>Burns - complications</subject><subject>Burns - therapy</subject><subject>Casualty management</subject><subject>Child</subject><subject>Disasters</subject><subject>Drinking</subject><subject>Emergency and intensive care: burns</subject><subject>Emergency Medicine - methods</subject><subject>Female</subject><subject>Fluid Therapy - methods</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Mass burns</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Vomiting</subject><subject>Vomiting - etiology</subject><subject>Vomiting - therapy</subject><issn>0305-4179</issn><issn>1879-1409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtr3DAURkVIaSaT_oQUb1LShZMrWw9rFUroIxAIIe1ayNL1oGDLU8kOzL-v5kFmWS0kuDqfdO8h5JLCDQUqbl-gBl4yKtU1VF8BKkpLfkIWtJGqpAzUKVm8I2fkPKVXyIs38JGc0UpQzkS9IM8PwXqHwWIxdsXbOPjJh1XhQ9HOMaTCBFf4Yd17ayY_5kI3xmIwKe3uC2vSbPppk0vBrHDAMF2QD53pE346nEvy58f33_e_ysennw_33x5LWys6lS1ijQ1Hxmyr8uYUq10H2FUIgIY3opFSSNE62bRMgnONaZSyVY50gst6Sb7s313H8e-MadKDTxb73gQc56RlHp4pUWWQ70Ebx5Qidnod_WDiRlPQW5d651JvRWmo9M6l5jn3-fDB3A7ojqmDvAxcHQCTrOm7aLLLdOQYF1BTmrm7PYdZx5vHqJP1W-XOR7STdqP_Tyv_AHRvkMc</recordid><startdate>20030301</startdate><enddate>20030301</enddate><creator>Brown, Tim La H</creator><creator>Hernon, C</creator><creator>Owens, B</creator><general>Elsevier Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030301</creationdate><title>Incidence of vomiting in burns and implications for mass burn casualty management</title><author>Brown, Tim La H ; Hernon, C ; Owens, B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-bee3e85e44cb944cd943df0ef2e00ea586877676bd78b470dd8a899c25e4f6573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Body Surface Area</topic><topic>Burns</topic><topic>Burns - complications</topic><topic>Burns - therapy</topic><topic>Casualty management</topic><topic>Child</topic><topic>Disasters</topic><topic>Drinking</topic><topic>Emergency and intensive care: burns</topic><topic>Emergency Medicine - methods</topic><topic>Female</topic><topic>Fluid Therapy - methods</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Mass burns</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Vomiting</topic><topic>Vomiting - etiology</topic><topic>Vomiting - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brown, Tim La H</creatorcontrib><creatorcontrib>Hernon, C</creatorcontrib><creatorcontrib>Owens, B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Burns</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brown, Tim La H</au><au>Hernon, C</au><au>Owens, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence of vomiting in burns and implications for mass burn casualty management</atitle><jtitle>Burns</jtitle><addtitle>Burns</addtitle><date>2003-03-01</date><risdate>2003</risdate><volume>29</volume><issue>2</issue><spage>159</spage><epage>162</epage><pages>159-162</pages><issn>0305-4179</issn><eissn>1879-1409</eissn><coden>BURND8</coden><abstract>When faced with large numbers of burn patients and limited resources such as in war or disaster, oral fluids may be used as an alternative to intravenous resuscitation. Vomiting during the first 48
h can limit the usefulness of this method; yet its incidence has not been documented. This study aimed to identify those patients at risk of vomiting following burn injury and who therefore might be suitable for oral resuscitation.
A retrospective review of case notes from burn patients between 1990 and 2001 was undertaken. Burns requiring intravenous resuscitation (>10% total body surface area (TBSA) in children, >15% TBSA in adults) were included (
n=110). Documentation of vomiting during the first 48
h following burn injury to an extent that prevented commencement of feeding was regarded as significant. Patients that vomited were significantly older (28.3 years compared with 18.5 years,
P=0.03), and had sustained significantly larger burns (29.8% compared with 22.9%,
P=0.047). Administration of opiates and anti-emetics was similar in both groups and not significant.
Although the number of patients in this study excludes a logistic regression analysis, it would seem reasonable to attempt oral resuscitation in patients under 25 years of age and with burns up to 25% TBSA given limited resources.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>12615463</pmid><doi>10.1016/S0305-4179(02)00211-5</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Aged Aged, 80 and over Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Body Surface Area Burns Burns - complications Burns - therapy Casualty management Child Disasters Drinking Emergency and intensive care: burns Emergency Medicine - methods Female Fluid Therapy - methods Humans Intensive care medicine Male Mass burns Medical sciences Middle Aged Retrospective Studies Risk Factors Traumas. Diseases due to physical agents Vomiting Vomiting - etiology Vomiting - therapy |
| title | Incidence of vomiting in burns and implications for mass burn casualty management |
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