First aid improves clinical outcomes in burn injuries: Evidence from a cohort study of 4918 patients

•Treating a burn wound with cool, running water for 20min up to 3h post injury improves clinical outcomes.•Benefits are seen in reduction in wound depth, faster re-epithelialisation, and decreased skin grafting requirements.•First study to conclusively prove advantages offered by first aid and the f...

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Bibliographic Details
Published in:Burns 2019-03, Vol.45 (2), p.433-439
Main Authors: Harish, Varun, Tiwari, Neha, Fisher, Oliver M., Li, Zhe, Maitz, Peter K.M.
Format: Article
Language:English
Subjects:
Adult
Burn wound
Burns - therapy
Cohort Studies
Cooling
Female
First aid
First Aid - methods
Humans
Jackson burn wound model
Logistic Models
Male
Middle Aged
Multivariate Analysis
Re-Epithelialization
Retrospective Studies
Skin Transplantation - statistics & numerical data
Time Factors
Water
Young Adult
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Summary:•Treating a burn wound with cool, running water for 20min up to 3h post injury improves clinical outcomes.•Benefits are seen in reduction in wound depth, faster re-epithelialisation, and decreased skin grafting requirements.•First study to conclusively prove advantages offered by first aid and the first to corroborate experimental evidence. Animal studies indicate treating burn injuries with running water (first aid) for 20min up to 3h post-burn reduces healing time and scarring. There is a lack of human data to support such a recommendation. The purpose of this cohort study was to assess the effect of first aid on clinical outcomes. Data was prospectively collected for patients with
ISSN:0305-4179
1879-1409
DOI:10.1016/j.burns.2018.09.024