BEST EVIDENCE TOPIC REPORTS
BET 1: ASSESSING THE SIZE OF BURNS: WHICH METHOD WORKS BEST?
Manchester Royal Infirmary, Manchester, UK
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Report by: Saiqa Hussain, Medical Student
Search checked by: Craig Ferguson, SpR Emergency Medicine
Institution: Manchester Royal Infirmary, Manchester, UK
A short-cut review was carried out to establish whether there is one assessment method that is the most accurate at estimating the surface area of a burn. Over 1500 papers were found using the reported searches, of which five presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are shown in table 1. It is concluded that there is no evidence to show benefit of one form of estimation over another in clinical practice.
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View this table: Table 1 Relevant papers
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A 30-year-old woman is brought to the emergency department with extensive burns after having been trapped in a burning car. After initial resuscitation of the patient you attempt to
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