Basra Baljeet Kumar, Suri Manav P, Patil Nilesh, Atha Ravish, Patel Natvar, Sachde Jayesh P, Shaikh M F
Department of Burns and Plastic Surgery, India.
Department of Burns and Plastic Surgery, India.
Burns. 2014 Aug;40(5):1019-23. doi: 10.1016/j.burns.2013.10.004. Epub 2013 Dec 20.
Rescuer burn is a relatively newer terminology introduced to define the burns sustained by a person attempting to rescue a primary burn victim. Few studies have been published thus far on this peculiar type of burns. Due to the general neglect of the rescuer burns victim and discontinuation of treatment in most cases, once the primary victim dies, the rescuer often ends up in badly infected wounds and has a delayed return to work. A prospective study was conducted at the B J Medical College and Civil Hospital, Ahmedabad from January 2009 to December 2012 on the rescuer burns patients treated in its burns and plastic surgery department. 3074 patients of burns received treatment during the period of study. Of these, 48 patients gave the history of sustaining burns while trying to rescue a burns victim. Male to female ratio of rescuers was approximately 7:1. It was significantly higher as compared to the ratio of 1:0.8 of females to male burn victims observed at our centre (p≤0.01). Average age of the rescuers was higher in males as compared to females but the difference was not significant (p≥0.05). Of the 45 cases of female primary burns victims, male rescuer was husband of the primary victim in 41/45 cases (91.1%), mother was rescuer in three cases (6.6% cases) and sister was rescuer in one case. Though multiple people came to rescue a burns victim, in all cases, it was seen that it was the first rescuer who sustained burns himself or herself. None of the rescuers had any knowledge of the techniques and precautions to be taken while performing a rescue operation irrespective of their education status, indirectly pointing to the lack of any teaching on burns rescue in the school education curriculum.
救援者烧伤是一个相对较新的术语,用于定义试图救助烧伤患者的人所遭受的烧伤。到目前为止,关于这种特殊类型烧伤的研究很少。由于对救援者烧伤受害者普遍忽视,且在大多数情况下治疗中断,一旦主要受害者死亡,救援者往往最终伤口严重感染,工作恢复延迟。2009年1月至2012年12月,在艾哈迈达巴德的BJ医学院和市民医院对其烧伤与整形外科治疗的救援者烧伤患者进行了一项前瞻性研究。在研究期间,有3074名烧伤患者接受了治疗。其中,48名患者有在试图救助烧伤受害者时烧伤的病史。救援者的男女比例约为7:1。与我们中心观察到的女性烧伤受害者与男性的比例1:0.8相比,这一比例显著更高(p≤0.01)。男性救援者的平均年龄高于女性,但差异不显著(p≥0.05)。在45例女性原发性烧伤受害者中,41/45例(91.1%)的男性救援者是原发性受害者的丈夫,3例(6.6%)的救援者是母亲,1例的救援者是姐妹。尽管有多人前来救助烧伤受害者,但在所有案例中,都是第一个救援者自己被烧伤。无论教育程度如何,所有救援者在进行救援行动时都不了解相关技术和应采取的预防措施,这间接表明学校教育课程中缺乏关于烧伤救援的教学内容。