Knowledge on emergency management for burn and mass burn injuries amongst physicians working in emergency and trauma departments

Lam, N. N.; Huong, H. T. X.; Tuan, C. A.

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Knowledge on emergency management for burn and mass burn injuries amongst physicians working in emergency and trauma departments
Citation	Lam NN, Huong HTX, Tuan CA. Ann. Burns Fire Disasters 2018; 31(2): 138-143.
Affiliation	National Institute of Burns, Hanoi, Vietnam.
Copyright	(Copyright © 2018, Mediterranean Council for Burns and Fire Disasters)
DOI	unavailable
PMID	30374267
Abstract	A survey was conducted on 397 physicians working in Emergency and Trauma Departments of district and provincial hospitals in Vietnam. The contents of the survey were emergency care for burn and mass burn injuries. RESULTS showed that only 39.8% of participants gave more than 50% correct answers. In the case of mass burn injuries, only 10.3% of participants gave correct answers for triage, and 71.8% of participants considered oral fluid resuscitation to be an appropriate method. In addition, intubation for suspected inhalational injury was indicated by 51.9% of doctors. Bivariate analysis showed that working experience did not remarkably affect knowledge level. A significantly higher knowledge level was recorded among doctors working at provincial hospitals compared to those working at district hospitals (47.9 ± 13.5% correct answers vs. 42.2 ± 14.8% respectively, p =.0001). Moreover, physicians who had attended training courses in the past had a significantly higher knowledge level compared to the others (53.1 ± 13.6% vs. 44.5 ± 14.2% respectively; p =.0003). Multivariate logistic analysis indicated that both these variables were independent factors that affect the knowledge of healthcare providers with p <.01. Further continuing medical education on burn management and mass burn injury response needs to be conducted for physicians, especially doctors working at primary hospitals. Language: en Une étude a été réalisée auprès de 397 médecins travaillant dans des services d'urgence et de traumatologie vietnamiens, concernant leurs connaissances de la prise en charge en urgence des brûlés, isolément ou en cas de catastrophe. Seuls 39,8% auraient eu la moyenne s'ils avaient été notés. En cas de catastrophe, seuls 10,3% des réponses concernant le triage étaient bonnes et 71,8% des participants considéraient que la voie orale était utile pour l'hydratation initiale. L'indication d'intubation en cas d'inhalation de fumées était posée par 51,9% des répondants. En analyse univariée, l'expérience n'améliorait pas fondamentalement les connaissances. Les connaissances étaient meilleures chez ceux travaillant dans des hôpitaux régionaux (47,9 +/- 13,5% de bonnes réponses) que dans des hôpitaux locaux (42,2 +/- 14,8%), p=0,0001. Les médecins ayant reçu par le passé une formation à ces sujets avaient un niveau de connaissances supérieur (53,1 +/- 13,6% VS 44,5 +/- 14,2%; p=0,0003). En analyse multivariée, ces variables étaient indépendantes. De ce fait, la formation continue de ces praticiens doit comprendre la prise en charge des brûlés et des catastrophes. Language: fr
Keywords	emergency burn management; mass burn injuries; physician knowledge