Children with burn injuries

BackgroundThermal injuries are among the most common accidental injuries in childhood and can cause significant permanent functional and esthetic impairments.AimIn this review article the current recommendations for the treatment of thermal injuries in children are summarized. The special requirements and challenges in preclinical and inpatient treatment of children with thermal injuries are highlighted.Material and methodIn the context of the current literature clinical experiences are outlined to introduce treatment recommendations for children with thermal injuries. Contemporary treatment principles and special aspects are presented and discussed.ResultsThe treatment of thermal injuries in children poses special challenges as it requires adifferentiated approach adapted to the anatomy and physiology of the child. Acute preclinical treatment of thermal injuries is demanding, as ahigh standard has to be met even though the experience in pediatric emergencies is often limited. In the specialized clinic or center for children with severe burns, the treatment has to be adjusted to the severity of the burn or scald. In particular, special aspects of pediatric intensive care and surgical treatment have to be in focus to achieve satisfactory long-term functional and cosmetic results and decrease restrictions to aminimum.ConclusionThe treatment of (severely) burnt children requires close interdisciplinary cooperation, starting from preclinical care through inpatient treatment and follow-up to long-term care.