Plastic Surgery Department, Stoke Mandeville Hospital, United Kingdom.
Plastic Surgery Department, Stoke Mandeville Hospital, United Kingdom.
Burns. 2020 May;46(3):514-519. doi: 10.1016/j.burns.2019.03.018. Epub 2019 Jun 20.
A rise in the current trend of corrosive substance attacks have been reported in the UK, causing devastating effects on victims. The optimal management of these patients requires the specialist skills of the burn multidisciplinary team (MDT) to address the resulting physical and psychological trauma experienced. However, burn care must commence in the pre-hospital setting. The public and first responders are invaluable resources in helping to limit the adverse effects of burns. Challenges of burn care outside the Burns Unit are not limited to the treatment of the injured patient and the rehabilitation of survivors. These challenges also encompass better education of the public and allied health professionals, as well as planning strategies to reduce the incidence of acid attacks. Prevention is always better than cure. This paper discusses the broadening of the MDT to improve outcomes in acid attacks by exploring the wider roles of the public, media, emergency services, police, legislation and better education.
在英国,腐蚀性物质袭击的当前趋势有所上升,给受害者造成了毁灭性的影响。为了应对这些患者所经历的身体和心理创伤,需要烧伤多学科团队(MDT)的专业技能来对这些患者进行最佳管理。然而,烧伤护理必须在院前环境中开始。公众和急救人员是帮助减轻烧伤不良影响的宝贵资源。烧伤病房外的烧伤护理面临的挑战不仅限于对受伤患者的治疗和幸存者的康复。这些挑战还包括对公众和相关健康专业人员进行更好的教育,以及制定策略来降低酸袭击的发生率。预防总是胜于治疗。本文通过探讨公众、媒体、紧急服务、警察、立法和更好的教育等方面的更广泛角色,讨论扩大 MDT 以改善酸袭击的结果。