The Treatment Challenges and Limitation in High-Voltage Pediatric Electrical Burn at Rural Area

NCT04772573 | Completed

• 1 other identifier: SKL002
• Study Type: observational
• Target: 1
• Locations: 1 country
• Sites: 1

Brief Summary

A case of high-voltage pediatric electrical burn involving a fully conscious 13-year old boy who was admitted to the emergency room after being electrocuted by high-voltage power cable, with superficial partial thickness burn over right arm, trunk, and left leg (26% of total body surface area) with cardiac abnormality e.g. tachycardia and non-specific ST depression. Treatments were based on Australian New Zealand Burns Association algorithm with several modifications, i.e. administering lower concentration of oxygen with nasal cannula instead of non-rebreathing mask and intravenous Ketorolac and Metamizole as analgesic instead of morphine due to limitation in infrastructure and knowledge. The patient underwent surgical debridement and strict observation with no signs of abnormality found during hospital stay. Wound dressing consisted of silver sulfadiazine, Sofra-tulle® and dry sterile gauze were used until epithelialization. After the wound healed, the patient resumed wearing elastic bandage and moisturizer on the wound area. The patient was observed daily through 7 days of hospitalization and followed-up for 1 year, achieving normal physiologic function of the affected area but unsatisfactory esthetic result. This case report showed that there is still a lack of burn prevention programs in the rural area, resulted in inadequate first aid application for electrical burn. There is a need for acknowledging and maximizing the implementation of available standardized guidelines e.g. Australian New Zealand Burns Association by giving homogenized training to personnel as well as providing feasible equipment, and then followed by strict monitoring for the patient. The focus of the burn program should also include burn rehabilitation, psychosocial needs and any complaints needing expert opinion in an outpatient setting in addition to adequate burn management for life saving and good wound healing.

Conditions

Burns; Electrical Burn; Burn Degree Second; Burn Scar

Outcome Measures

Primary Outcomes (1)

• Wound healing

  The healing rate of burn wound

  1 month

Secondary Outcomes (1)

• Burn Scar

  1 year

Eligibility Criteria

• Sex: male
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patient with acute electrical burn wound

You may qualify if:

• patient with acute electrical burn wound

You may not qualify if:

• patient does not want to participate

Sponsors & Collaborators

• S.K. Lerik General Hospital: lead

Study Sites (1)

S.K.Lerik General Hospital

Kupang, East Nusa Tenggara, Indonesia

Location

MeSH Terms

Conditions

Burns; Burns, Electric

Condition Hierarchy (Ancestors)

Wounds and Injuries; Electric Injuries

Study Officials

• Adi Basuki, MD

  S.K.Lerik Public Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD

Study Record Dates

• First Submitted: February 24, 2021
• First Posted: February 26, 2021
• Study Start: August 7, 2017
• Primary Completion: August 10, 2018
• Study Completion: August 10, 2018
• Last Updated: March 1, 2021

Record last verified: 2021-02

Locations

ID (1)