Muhammad Ashraf Ganatra ( Department of Plastic, Reconstructive and Micro Surgery, Dow University of Health Sciences, Karachi. )
June 2007, Volume 57, Issue 6
Letter to the Editor
Now this is a major mistake and if reviewed by an expert Plastic Surgeon, should have not been missed.
It is a universal teaching that all bum wounds in children up to the age of 12 years should be calculated by using "Lund and Browder chart" which are freely available at every burn center. This is because children have more body surface area involving head and neck. So a child of one year who has sustained burn involving head and neck will be calculated as having 17% bum rather then 9% in adults. This wrong calculation of TBSA will lead to inappropriate fluid calculations and in turn affect the overall outcome. This was a major mistake and should have been corrected.
Few minor mistakes
I. Systemic antibiotics from very first day in bum patients are generally not recommended in burn centers.
2. In a series where bulk of the patients had bums less then 20% TBSA, mean 11 to 20%; mortality of29.7% is quite high.
Furthermore authors have not cited a single reference from any study from Pakistan. Where excellent research monographs and articles has been published.1,2,3,4
References
1. Marsh D,Sheikh A,Khalil A eta!. Epidemiology of adults hospitalized with
burns in Karachi,Pakistan.Burns 1996; 22: 225-9.
2. Durrani KM, Kakalia G: Therapeutic potentialities of topical Gentamycin
sulfate in moderately extensive acute bum wound. Pak Med Forum 1970;
5:51.
3. Durrani.KM: Bum prevention. J Pak Med Assoc 1972; 12: 331.
4. Dnmml KM: Incidence, prevention and therapy of burns. Dow Medical
College 1978.
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