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응급실 화상환자의 화상범위 측정 비교와 수액요법에 관한 고찰

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Author(s)
전덕호최대해최우익
Keimyung Author(s)
Choi, Woo Ik
Department
Dept. of Emergency Medicine (응급의학)
Journal Title
대한응급의학회지
Issued Date
2004
Volume
15
Issue
6
Abstract
Purpose: Assessment of the burn size in the Accident and Emergency Department is one of the most important aspects in the initial care of a burn victims. The purpose of this study was to examine in the Emergency Department the accuracy of burn size estimates and the adequacy of burn-patient fluid resuscitation in relationship to the Parkland formula.
METHODS: A retrospective study was conducted of 52 adult burn patients who visited the Emergency Department of Keimyung University Dongsan Medical Center during 2003 year. A substratification of the data was undertaken to compare total burn surface area as estimated by the Emergency-Department staff with that determined by the Burn-Care-Unit staff.
RESULTS: The average length of stay in the Emergency Department was 394.04 minutes (range: 150~1055 minutes). The average total body surface area evaluated by the Emergency-Department staff was 33.31% compared with the Burn-Care-Unit staff's average of 29.77%, and the difference was statistically significant (p<0.05). During their stays in the Emergency Department, burn patients were underresuscitated based on the fluid volume calculated by using the Parkland formula.
CONCLUSION: Early communication with the Burn-Care-Unit staff in the Emergency Department and better education of Emergency-Department physicians will markedly improve the overall care of burn patients.
Alternative Title
Burn Size Estimation and Fluid Resuscitation In the Emergency Department
Keimyung Author(s)(Kor)
최우익
Publisher
School of Medicine
Citation
전덕호 et al. (2004). 응급실 화상환자의 화상범위 측정 비교와 수액요법에 관한 고찰. 대한응급의학회지, 15(6), 561–566.
Type
Article
ISSN
1226-4334
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38265
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학)
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