Burns are considered the fourth most common type of traumatic injury worldwide with significant morbidity and mortality. The aim of this study is to disclose the incidence, etiological factors, treatment, and outcome of pediatric burns in Sudan. This is a retrospective hospital-based study, conducted during 2016- 2019. Patients who presented with burn injuries, managed in the hospital were included in the study. Flowchart sheets were used to collect the data. Then it was entered and analyzed using SPSS version 21 statistical software (IBM Corporation, Chicago, IL). The total number of patients who fulfill our criteria is 85 with a median age of 4 years (7 months -15 years). Sixty-five percent of them were under 5 years with male predominance (55 %). Most patients' burns occurred at home. The median percentage of burn is 18 % (2 -90 %) which is caused by scalding burn among 55.3% followed by the flame burn in 41.2% of patients. Regarding fluid management, 60 % received fluid. Open dressing for burn wounds was done for 75 % and close dressing among 15 % of patients. More than 80 % of the patients in this study were treated and discharged in a good condition while the mortality was 5.9%. This study showed the significant burden of pediatric burns management on general surgery units in a referral hospital. So, equipping the hospital and founding these specialties will decrease this load and will improve the outcome.

Background: Gunshot injuries are considered a health burden as well as one of the intricate emergencies in civilian medical practice. In this study, we aim to determine the pattern of presentation and management outcome in a general hospital setting in a sub-Saharan African country.Methods: This is a retrospective, hospital-based study conducted between January 2015 and December 2019 in a general teaching hospital to review the clinical presentation and management outcome of gunshot injuries. All patients’ records were reviewed during the study period.Results: The total number of patients involved in the study was 157 with 83% male predominant. About 50% were from the age group 20–29 years that were most affected. The commonest anatomical site affected in the study was the lower limb (41.4%) and upper limb (22.9%), and most of the patients had been diagnosed with limb fractures (49.7%) and soft tissue injuries (28.7%). Wound debridement is the commonest procedure performed for 91 (58.0%) patients. The site of the pullet has a significant relation to the management outcome with a P-value of 0.002. Additionally, about 45% (72 patients) have stayed more than 20 days and it was affected significantly by the types of treatment provided, which has a significant relation to a hospital stay with a P-value of 0.00.Conclusion: Most of the patients in this study were young males. Upper and lower limb fractures were the most common presentations. Wound debridement, bone fixation, and laparotomy were the most common treatments with significant success rates, despite prolonged hospital stays.

Background Gunshot injuries are considered a burden as well as one of the intricate emergencies in civilian medical practice. In this study, we aim to determine the pattern of presentation and management outcome in a general hospital in a sub-Saharan country.Methods This is a retrospective, descriptive, hospital-based study conducted between January 2015- December 2019 in a general teaching hospital, to review the clinical presentation and management outcome of gunshot injuries. All patients’ records were reviewed during the study period.Results One hundred fifty-seven patients were included in the study, with male predominant 83%. 40% are between 19-30 years of age, with patients under 18 years of age comprising 17% of the population. The common cause of gunshot injuries was personal enmity in 49%. The anatomical sites most affected by gunshot were the lower limb (41.4%) and upper limb (22.9%), and the least impacted site is the perineum (1.9%). The most common diagnoses among the patients in this study were limb fractures (49.7%) and soft tissue injuries (28.7%). Specific treatment in this study is wound debridement, which was done for 91 (58.0 %) patients. Bone fixation, laparotomy, and chest tube insertion were done for the rest of the patients. More than 120 (75%) of patients were treated and discharge in a good condition and 27 (17.2%). The in-hospital mortality rate in this study group was 3.2 %.Conclusion Most of the patients in this study were young males. Upper and lower limb fractures are the most common presentations. Wound debridement, bone fixation, and laparotomy are the most common treatments with significant success rates, despite prolonged hospital stay.

BackgroundGunshot injuries are considered a burden as well as one of the intricate emergencies in civilian medical practice. In this study we aim to determine the pattern of presentation and management outcome in a general hospital in a sub-Saharan country.MethodsThis is a retrospective, hospital-based study conducted between January 2015- December 2019 in a general teaching hospital, to review the clinical presentation and management outcome of gunshot injuries. All patients’ records were reviewed during the study period.ResultsOne hundred fifty-seven patients were included in the study, with male predominant 83%. 40% are between 19-30 years of age, with patients under 18 years of age comprising 17% of the population. The anatomical sites most commonly affected by gunshot were the lower limb (41.4%) and upper limb (22.9%), and the least impacted site is the perineum (1.9%). The most common diagnoses among the patients in this study were limb fractures (49.7%) and soft tissue injuries (28.7%). Specific treatment in this study is wound debridement, which was done for 91 (58.0 %) patients. Bone fixation, laparotomy and chest tube insertion were done for the rest of the patients. More than 120 (75%) of patients were treated and discharge in a good condition and 27 (17.2%). The mortality rate in this study group was 15.3 %.Conclusion Most of the patient in this study were young males. Upper and lower limb fractures are the most common presentations. Wound debridement, bone fixation and laparotomy are the most common treatments with significant success rates, despite prolonged hospital stay.

BackgroundGunshot injuries are considered a burden as well as one of the intricate emergencies in civilian medical practice. In this study we aim to determine the pattern of presentation and management outcome in a general hospital in a sub-Saharan country.MethodsThis is a retrospective, hospital-based study conducted between January 2015- December 2019 in a general teaching hospital, to review the clinical presentation and management outcome of gunshot injuries. All patients’ records were reviewed during the study period.ResultsOne hundred fifty-seven patients were included in the study, with male predominant 83%. 40% are between 19-30 years of age, with patients under 18 years of age comprising 17% of the population. The anatomical sites most commonly affected by gunshot were the lower limb (41.4%) and upper limb (22.9%), and the least impacted site is the perineum (1.9%). The most common diagnoses among the patients in this study were limb fractures (49.7%) and soft tissue injuries (28.7%). Specific treatment in this study is wound debridement, which was done for 91 (58.0 %) patients. Bone fixation, laparotomy and chest tube insertion were done for the rest of the patients. More than 120 (75%) of patients were treated and discharge in a good condition and 27 (17.2%). The mortality rate in this study group was 15.3 %.Conclusion Most of the patient in this study were young males. Upper and lower limb fractures are the most common presentations. Wound debridement, bone fixation and laparotomy are the most common treatments with significant success rates, despite prolonged hospital stay.