Administration of Burns First Aid Treatment to Aboriginal and Torres Strait Islander children in community settings

IF 2.9 3区医学 Q2 CRITICAL CARE MEDICINE Burns Pub Date : 2024-12-01 Epub Date: 2024-07-23 DOI:10.1016/j.burns.2024.07.023

Julieann Coombes , Holger Möeller , Sarah Fraser , Hayley Williams , Kate Hunter , Rebecca Ivers , Andrew JA Holland , Tamara Mackean , Patrick Sharpe , Courtney Ryder

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Abstract

Objective

This paper investigates Burn First Aid Treatment (BFAT) provided to Aboriginal and Torres Strait Islander children in Australia at the scene of injury using data from a population-based cohort study.

Study Design

The participants were 208 Aboriginal and Torres Strait Islander children aged < 16 years who sustained a burns injury between 2015–2018, and their carers. The primary outcome measure was gold standard BFAT, (defined as at least 20 min of cool, running water within 3 h of the injury); additional measures included type of first aid, length of first aid provided, and carer's knowledge of first aid.

Results

Of the 208 caregivers, 168 provided open-ended responses that indicated first aid was applied to their child; however, only 34 received gold standard BFAT at the scene of the injury, 110 did not receive correct BFAT, and 24 were unsure what first aid was applied.

Conclusion

This study highlights an important need for communities to have access to appropriate evidence-based and co-designed BFAT education and training.

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在社区环境中对土著居民和托雷斯海峡岛民儿童进行烧伤急救治疗

目的利用基于人群的队列研究数据，调查澳大利亚原住民和托雷斯海峡岛民儿童受伤现场的烧伤急救治疗情况。研究设计参与者为208名年龄在<；在2015-2018年期间遭受烧伤的16人，以及他们的护理人员。主要结局指标是金标准BFAT（定义为在损伤后3小时内至少20分钟的凉水）；其他措施包括急救类型、提供急救的时间长短以及护理者的急救知识。结果在208名护理人员中，168名提供了开放式回答，表示对其孩子进行了急救；然而，只有34人在受伤现场接受了金标准BFAT， 110人没有接受正确的BFAT， 24人不确定采取了什么急救措施。本研究强调了社区获得适当的循证和共同设计的BFAT教育和培训的重要需求。

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来源期刊

Burns 医学-皮肤病学

CiteScore

4.50

自引率

18.50%

发文量

304

审稿时长

72 days

期刊介绍： Burns aims to foster the exchange of information among all engaged in preventing and treating the effects of burns. The journal focuses on clinical, scientific and social aspects of these injuries and covers the prevention of the injury, the epidemiology of such injuries and all aspects of treatment including development of new techniques and technologies and verification of existing ones. Regular features include clinical and scientific papers, state of the art reviews and descriptions of burn-care in practice. Topics covered by Burns include: the effects of smoke on man and animals, their tissues and cells; the responses to and treatment of patients and animals with chemical injuries to the skin; the biological and clinical effects of cold injuries; surgical techniques which are, or may be relevant to the treatment of burned patients during the acute or reconstructive phase following injury; well controlled laboratory studies of the effectiveness of anti-microbial agents on infection and new materials on scarring and healing; inflammatory responses to injury, effectiveness of related agents and other compounds used to modify the physiological and cellular responses to the injury; experimental studies of burns and the outcome of burn wound healing; regenerative medicine concerning the skin.