User:Jose amarante

Unit/Center for the treatment of Severe Burned Patients

It is a hospital or an area own a hospital, specifically for the treatment of patients burned, featuring a space by integrating in a single unit with isolated rooms enabling intensive care treatments in particular with airway support, meeting rooms of local treatment/bath therapy available 24.00 h and exclusively for the treatment of patients burned and support areas (location for storage of materials, meeting room, dress room, etc.). Must have the appropriate equipment for surgery, anesthesia, intensive care and nursing and will have in a change dress room with specifically dress of the unit for all to use compulsory whenever entering the unit.

The passage should be well defined for both clean and dirty materials for both employees and visitors of patients, preferably with atmospheric pressures and different laminar flow, with individual filters per room, operating room, dressing room/ bath therapy, corridors and cloakrooms.

The Unit/Center must have medical staff specializing in burn treatment Plastic surgeons//General/ Pediatric Anesthesiologists/Intensivist, Nurses and Auxiliary staff), allocated to the unit and with specific training in burned.

The unit must be installed or attached to a multidisciplinary hospital, central, and have support from the pharmacy, analysis, blood, nephrology, pulmonology, nutrition, physiotherapy, psychology, psychiatry and trauma (brain, skull vertebra-spinal cord, maxillofacial, orthopedic and traumatology), etc.

The Center/Burn Unit should have an own direction and management and data records of all patients treated there. It should also actively participate in pre-and postgraduate education and research related to burned with regularity. The Center/Unit should give account of pedagogical and research activities (1.2).

Patients transfer to a burn unit must meet the referral criteria of the European Burns Association (3) or of the American Burns Association (4)

Burn center development in North America began in the mid-1940s, surged in the 1970s, and had reached virtually every distinct medical market by 1985. (5) and in Europe the first created in 1965 for adults were in Germany in the city Bochum and for children, in the year of 1977, in Zurich in Switzerland. (6)

References:

1- http://euroburn.org/- European Burns Association (EBA)

2- http://ameriburn.org/- American Burn Association (ABA)

3-- http://ameriburn.org/public-resources/burn-center-referral-criteria/ http://euroburn.org/wp

4- 2-content/uploads/2016/04/EBA-Guidelines-Version-3-2015.pdf ;pg18 -20

5- The development of burn centers in North America. J Burn Care Rehab. 1993 Mar-Apr; 14 (2 Pt 2): 284-99. Dimick AIR 1 Brigham PASheehy In

6- Epidemiological investigation of hospitalized children with burn injuries in a hospital of Fuzhou]. Zhonghua Shao Shang Za Zhi. 2016 Jun; 32 (6): 351-5. doi: 10.3760/cma j. issn. 1009-2587.2016.06.010.