Department of General Surgery, Ascension Saint Agnes Hospital, Baltimore, MD, USA.
National Health Service of Ukraine, Lviv Region, Lviv, Ukraine.
J Burn Care Res. 2023 Nov 2;44(6):1323-1326. doi: 10.1093/jbcr/irad124.
Burn injury accounts for a large proportion of surgically treatable disease. It is estimated that over 180 000 flame burn deaths occur annually across the globe, with roughly 95% occurring in low- or middle-income countries (LMIC). Within these countries, children account for a disproportionately high number of burn injuries. As such, the WHO has identified burn prevention as a topic of interest, with an increased need in LMIC. Here, we describe the creation and implementation of a burn prevention program in Ukraine. We instituted a 5-step burn prevention initiative consisting of; data gathering, program design, implementation, outcome evaluation, program maintenance, and expansion. The burn prevention initiative has been adopted nationally leading to policy change. Active education and an information campaign were used to target pediatric scald injuries and improve first-aid care. The authors have successfully implemented a targeted multifaceted, national, burn prevention program within Ukraine. The described approach may be used as a guide and adapted to create similar prevention programs within other countries or regions. At this time, the Russo-Ukrainian War has caused an abrupt hold on our role in the prevention program and left the healthcare system in havoc. Moving forward, our team is prepared to re-evaluate the impact of the war on social life and the medical system and aid in redesigning the prevention program when appropriate.
烧伤占可通过手术治疗的疾病的很大比例。据估计,全球每年有超过 18 万人死于火焰烧伤,其中约 95%发生在低收入和中等收入国家(LMIC)。在这些国家中,儿童占烧伤受伤人数的比例过高。因此,世界卫生组织已将烧伤预防确定为一个关注的话题,在 LMIC 地区的需求增加。在这里,我们描述了在乌克兰创建和实施烧伤预防计划的情况。我们制定了一个包含 5 个步骤的烧伤预防计划,包括:数据收集、方案设计、实施、结果评估、方案维护和扩展。该烧伤预防计划已在全国范围内采用,导致政策发生变化。通过开展积极的教育和宣传活动,针对小儿烫伤伤害,并改善急救护理。作者已成功在乌克兰实施了有针对性的多方面的全国性烧伤预防计划。所描述的方法可以用作指导,并适用于在其他国家或地区创建类似的预防计划。目前,俄乌战争已导致我们在预防计划中的作用突然停止,医疗系统陷入混乱。展望未来,我们的团队准备重新评估战争对社会生活和医疗系统的影响,并在适当的时候协助重新设计预防计划。