| CASE REPORT |
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| Year : 2004 | Volume
: 12
| Issue : 1 | Page : 67-69 |
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Comprehensive management of grossly malnourished child with old infected critical thermal burns- a case report
MF Shaikh, T Ayyappan, Nischal Naik, NK Deepu, Vishal Patel
Department of Burns and Plastic Surgery, B J Medical College and Civil Hospital, Ahmedabad, India
Correspondence Address:
M F Shaikh
Professor and Head of the Department, Department of Burns and Plastic Surgery, B J Medical College and Civil Hospital, Ahmedabad, Gujarat
India
 Source of Support: None, Conflict of Interest: None  | Check |
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This article emphasizes the need of perseverance and the role of team approach in management of old chronic burns. It is a team effort consisting of burns surgeon, trained staff nurse, hospital administration, dietician, physiotherapist and last but not the least the relatives of patient. This article also emphasizes the state of burns management outside major institutes and especially in peripheral centers and villages.
In this case an 8 year old child came to our department in a critical manner after being treated for a month and half outside at a peripheral centre.
Management of patient with old infected burns starts with arrival of patient to the burns department. Starting of right antibiotics, resuscitation if required, correction of metabolic parameters and correction of biochemical parameters take the front seat. Then comes various modalities of supportive measures like coverage of raw areas initially with homograft or xenograft, taking patient to positive metabolic balance and other modalities like hormonal therapy like growth hormone, correction of existing contractures with splintage and supportive medicines. Finally comes covering the patient with his own skin and rehabilitation of the patient both physically and mentally.
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