Burns first aid treatment in remote Northern Australia

Read, David; Tan, Swee Chin; Ward, Linda; McDermott, Kathleen

doi:10.1016/j.burns.2017.07.013

Cited by 10 publications

(12 citation statements)

References 17 publications

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“…These transport services are impacted by availability, weather conditions and other factors. Additionally, decreased capacity to access appropriate burns first aid treatment has been reported in remote Australia (Read et al 2018 ). In these settings access to clean cool running water can be limited by inadequate community infrastructure.…”

Section: Discussionmentioning

confidence: 99%

“…Issues of remoteness may be further compounded by community and cultural obligations. For example, Aboriginal and Torres Strait Islander families may travel away from home or to remote locations for sorry business, 3 visiting communities or camping where running water may not exist (Read et al 2018 ). We found that flame burns increased hospital LOS for Aboriginal and Torres Strait Islander children.…”

Section: Discussionmentioning

confidence: 99%

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Factors contributing to longer length of stay in Aboriginal and Torres Strait Islander children hospitalised for burn injury

et al. 2020

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Background Aboriginal and Torres Strait Islander children have higher incidence, severity and hospital length of stay for their acute burn injuries than other Australian children. We examined factors contributing to longer length of stay for Aboriginal and Torres Strait Islander children with an acute burn injury. Methods Burns Registry of Australia and New Zealand admissions of children < 16 years of age between October 2009 and July 2018 were analysed. Descriptive statistics explored patient and injury characteristics; Cox-regression models estimated characteristics associated with longer length of stay. Knowledge Interface methodology and Indigenous research methods were used throughout. Results A total of 723 children were identified as Aboriginal and Torres Strait Islander and 6257 as other Australian. The median hospital length of stay for Aboriginal and Torres Strait Islander children (5 days [CI 5–6]) was 4 days longer than other Australian children (1 day [CI 1–2]). Remoteness, flame burns, high percentage total body surface area (%TBSA) and full thickness burns were factors associated with longer length of stay for Aboriginal and Torres Strait Islander children. Similar prognostic factors were identified for other Australian children along with Streptococcus sp. and Staphylococcus sp. infection. Conclusion Remoteness, flame burns, %TBSA, and full thickness burns are prognostic factors contributing to extended hospital length of stay for all Australian children. These factors are more prevalent in Aboriginal and Torres Strait Islander children, impacting length of stay. Treatment programs, clinical guidelines, and burns policies should engage with the unique circumstances of Aboriginal and Torres Strait Islander children to mitigate inequities in health.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors contributing to longer length of stay in Aboriginal and Torres Strait Islander children hospitalised for burn injury

et al. 2020

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“…Multinomial logistic regression, rather than ordinal logistic regression, was used as the proportional odds assumption underlying the ordinal outcome model was not met 35 . An unadjusted model containing only geographic remoteness was run first, followed by a model that adjusted for potential confounding factors including those identified through previous research 24,25 and those identified in the current study. The potential confounding factors included were age, the primary cause of the burn injury, the place of injury, injury intent, %TBSA burned, and burn depth.…”

Section: Methodsmentioning

confidence: 99%

“…In their analysis of data submitted to the Burns Registry of Australia and New Zealand (BRANZ) between July 2009 and March 2012, Wood et al 12 reported that only 46% of some 3000 patients received gold standard first aid. Similarly, just 41% of the 310 patients with sufficient data on burn wound cooling presenting to the Royal Darwin Hospital Burns Service in 2014 received gold standard first aid following their injury 24 . Data from a specialist burn service in New South Wales show that only 58% of almost 5000 patients with <10% total body surface area (TBSA) burns and just 36% of nearly 400 patients with a burn equal to or greater than 20% TBSA received adequate first aid 7,8 .…”

Section: Introductionmentioning

confidence: 99%

“…There is limited literature on barriers to providing appropriate first aid following burn injury, 25 but one potential barrier relates to geographic remoteness. Read et al 24 reported that patients living in remote and very remote regions were less likely to receive adequate or partially adequate first aid following burn injury compared to patients living in less remote regions. Similarly, Frear et al 25 reported that living in rural or remote areas was associated with receiving inadequate first aid.…”

Section: Introductionmentioning

confidence: 99%

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Poorer first aid after burn is associated with remoteness in Australia: Where to from here?

Gong

Tracy

Edgar

et al. 2021

Australian J Rural Health

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ObjectiveEarly intervention with appropriate first aid following burn injury improves clinical outcomes. Previous evidence suggests geographic remoteness may be a barrier to receiving appropriate burns first aid. This study investigated the prevalence of gold standard first aid in patients managed in Australian burn services and whether geographic remoteness was associated with receiving gold standard first aid.DesignRegistry‐based cohort study.SettingBinational clinical quality registry.ParticipantsBurn‐injured patients admitted to a specialist Australian burn service.Main outcome measuresReceiving gold standard first aid following a burn injury.ResultsApproximately two‐thirds of patients received gold standard first aid. Patients whose burns were sustained in very remote regions had a greater risk of receiving no first aid, compared to gold standard first aid, relative to patients who sustained their burn injuries in major cities.ConclusionsNearly two‐thirds of patients received gold standard burns first aid following injury. However, patients who were injured in the most remote regions of Australia were at an increased risk of not receiving gold standard first aid treatment within 3 hours of injury. Further examination of factors contributing to poorer first aid standards in remote areas is required.

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Burn injury as a result of interpersonal violence in the Northern Territory Top End

Murphy

Read

Brennan

et al. 2019

Burns

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Burns first aid treatment in remote Northern Australia

Cited by 10 publications

References 17 publications

Factors contributing to longer length of stay in Aboriginal and Torres Strait Islander children hospitalised for burn injury

Factors contributing to longer length of stay in Aboriginal and Torres Strait Islander children hospitalised for burn injury

Poorer first aid after burn is associated with remoteness in Australia: Where to from here?

Burn injury as a result of interpersonal violence in the Northern Territory Top End

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