Pediatric Burns Treatment

The infants and toddlers less than 2 years of age are frequently burnt. Etiology An important factor leading to burns even in neonates is overcrowding in a small house, where a small area in the room serves as kitchen (with floor level cooking). Scald burns are the commonest type of thermal injury in children. They usually suffer scalds by pulling down or knocking hot liquids on to themselves. Immersion scalds can occur when a child steps into a tub of hot water or stumbles onto a container of hot milk or cooked food Other causes are playing with match boxes Fireworks during diwali Playing around Campfire during winters Electrical burns due to biting of electrical cords , introducing fingers or metallic objects into electric sockets.

First Aid

01

The burned area is cooled immediately with tap water to bring the burning skin to normal body temperature. Very cold water or ice should not be used as this can lead to hypothermia.

02

After cooling, remove the clothing from the burnt area. However, do not try to pull out clothing that is stuck to the skin. This may cause more harm.

03

Paracetamol or ibuprofen syrup may be given to decrease pain.

04

Rings, bracelet or watches, etc. should be removed from the affected area as they may cause tightness or constriction, when edema occurs.

05

Before going to hospital, cover the burned area with a clean sheet to prevent contamination and hypothermia.

06

No topical agent should be applied to the burnt area.

Management of Burns

Burns size and depth are estimated first Criteria for admission

Extent of the burn

Children with more than 10% burns.

Areas involved

Involvement of face, neck, both hands,both feet or perineum.

Types of burn

Children with electrical or chemical burns, third degree burns of greater than 5%.

Associated injuries

If burns are associated with soft tissue trauma or head injury, fractures etc.

Inhalation burns.

Inhalation burns can be silent but deadly—smoke and toxic fumes can damage airways before symptoms appear.

Social problems

If there is suspected child abuse or neglect, self-inflicted burns.

Treatment

Fluid management

Nutrition-very important in child (energy and protein)

Antibiotics to prevent infection

Dressings like collagen and paraffin gauze etc

Topical antimicrobials like silver sulfadiazine

Early excision and grafting in deep burns

Fasciotomy in case of circumferential full thickness burns and electrical burns

Burns in children leave lifelong scars which are enormous stressors for both the child and his parents as they affect their development not only physically but mentally as well.

FAQ

  • Abdominal etching is a high definition liposuction procedure that helps to sculpt and enhance the appearance of waistline and create six-pack abs. Instead of removing fat from your midsection with the simple goal of a slimmer appearance, abdominal etching removes fat deposits in an advanced and strategic way. This type of liposuction moulds and shapes the abdominal wall so that the ab muscles look more prominent and attractive.
  • The best candidates for abdominal etching are men and women in relatively good shape, with mild to moderate amount of abdominal fat. People with large amounts of abdominal fat aren’t suitable for 6 pack liposuction as it results in an unnatural appearance. The ideal candidate for abdominal etching is a healthy person who doesn’t smoke, has no life threatening health conditions, and doesn’t have obesity. Abdominal etching works best for people who are less than 30 percent over their ideal body weight, with healthy muscle and skin tone. Your age and your skin’s elasticity should also be considered when being realistic about the results of abdominal etching.
  • Abdominal etching is similar to traditional liposuction in that the preparation for surgery, recovery time, and requirements for the procedure are very similar,  but there’s one important distinction. It is considered a form of advanced or 3-D liposuction where the fat deposits that cover your abdominal muscles are carefully carved off your body, using small incisions usually based around your belly button deepening the natural grooves in your body and make your ab muscles appear much more prominent. Fat deposits may also be taken from the sides overlying your oblique abdominal muscles to narrow your midsection. When the swelling subsides and the area heals, you should see a visibly toned midsection. Abdominal etching only targets your waistline and midsection. Instead of artistically removing the fat between muscle prominences, the etching literally creates a fake 6 pack appearance by removing such a pattern from the fat over the muscles giving the appearance of a 6 pack where there is none. 
  • Common side effects after a liposuction procedure like abdominal etching include: nerve and blood vessel damage, skin discoloration, bumpy skin or irregular healing, swelling, fluid accumulation, anesthesia bruising or headaches. Almost all of them are temporary and settle down in few days.
  • After 4 to 5 months, you’ll be able to see the full results of your abdominal etching procedure. As swelling subsides and your skin begins to adhere to its new shape, you should be able to see your abs more visibly and a tighter, more toned-looking midsection.
  • Abdominal etching claims to produce permanent results, with some caveats. Weight gain and pregnancy can erase the results of this procedure. Also, the natural aging process of your body means that eventually your abs might not be as defined and visible as they are right after the procedure. So, maintenance in the form of strict healthy diet and exercise is the secret for long lasting results after abs etching surgery.
  • The incisions are very minute and will be placed in the natural creases, making them less noticeable and usually fade over a period of time.
  • Yes, this can be combined with gynaecomastia surgery in men and breast or buttock surgery in women. But, tummy tuck (abdominoplasty) can’t be combined with abdominal etcing because, it compromises the blood supply to the skin flaps resulting in skin necrosis.

 4D body contouring combines VASER liposuction and removes  unwanted fat throughout the torso and reveals the muscle tone beneath using specialized cannulae (fat removal instruments) that can reduce fat around the ab muscleswith greater precision, allowing us to better sculpt an attractive shape. 

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