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Safe burn excision prior to military repatriation: an achievable goal?
  1. Ojas Pujji1 and
  2. S L A Jeffery2
  1. 1 College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
  2. 2 RCDM, Burns and Plastic Surgery, The Queen Elizabeth Hospital, Birmingham, UK
  1. Correspondence to Mr Ojas Pujji, College of Medical and Dental Sciences, University of Birmingham, Birmingham B15 2TT, UK; Oxp225{at}bham.ac.uk

Abstract

Burn excision is the gold standard treatment for full thickness and some deep partial thickness burns. Early burn excision (24–96 hours) has been shown to improve patient outcomes. However, in the military setting, transporting the patient to a centre which can provide this procedure can be delayed. Especially as control of airspace in the future may be hampered due to the political landscape. For this reason, focus on how to achieve safer burn excision prior to repatriation should be addressed. This paper considers the barriers to early burn excision in the military setting and offers potential solutions for the future.

  • burn
  • burn surgery
  • organisational development

https://doi.org/10.1136/jramc-2018-000941

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    Footnotes

    • Contributors SLAJ was involved in the conception, interpretation and analysis and revised the paper critically. OJSP was involved in data acquisition and writing of the final manuscript. Both authors approved the final version submitted for publication.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Not applicable.

    • Provenance and peer review Not commissioned; internally peer reviewed.

    • Correction notice Since this article was first published online the author name S Jeffrey has been updated to SLA Jeffrey.