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Pediatric Burns (fire/flame)

Date Last Search Run: Feb 01, 2022
Table last updated: May 02, 2021
Data last added: Jul 15, 2021

Recommendation RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION   SUPPORTIVE (Green) NEUTRAL (Yellow) AGAINST (Red) NOT YET GRADED (White)
1 (strong evidence exists)    
2 (fair evidence exists)    
3 (weak evidence exists)    


Interventions

Analgesia (narcotic)
Level Direction Primary Outcome Patient/Process Setting Reference
I Supportive (Green) Analgesia Patient ED-MD Borland M., Jacobs I., King B., O'Brien D. A RCT comparing intranasal fentanyl to intravenous morphine for managing acute pain in children in the ED. Ann Emerg Med 2007; 49:335-40. Medline

Crystalloid Fluid
Level Direction Primary Outcome Patient/Process Setting Reference

Dry Dressing
Level Direction Primary Outcome Patient/Process Setting Reference

IV access
Level Direction Primary Outcome Patient/Process Setting Reference

Methoxyflurane (Penthrox)
Level Direction Primary Outcome Patient/Process Setting Reference
III Neutral (Yellow) methoxyfluorane for burn care in paediatrics Patient In-Patient Wellbeloved MA, Parkhurst R, Keeling KH. Efficacy of inhaled methoxyflurane for procedural analgesia in paediatric burns: A pilot study. Southern African J of Anaesthesia and Analgesia 2020; 26(5):235-9. Medline

Nitrous Oxide
Level Direction Primary Outcome Patient/Process Setting Reference
II Supportive (Green) Analgesia Patient PH-Paramedic McKinnon KDL. Prehospital analgesia with nitrous oxide/oxygen. CMA Journal 1981; 125:836-40. Medline
III Supportive (Green) Depth of sedation Process ED-MD Babl FE., et al. High-concentration nitrous oxide for procedural sedation in children: adverse events and depth of sedation. Pediatrics 2007:121-e528-32. Pediatrics

Oxygen
Level Direction Primary Outcome Patient/Process Setting Reference


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