I started my day with an informative grand rounds at the burn center ( pediatric ward ).
What caught my interest was a newly admitted burn case of a 5 year-old female patient. She was sitting silently on a bed in the treatment room with teary red eyes waiting for her injured foot to be washed and cleaned.
After finishing the round I couldn’t resist my curiosity, followed the chief resident inside the treatment room and asked him to explain what happened.
He said that yesterday night while the child was riding on a motorcycle with her uncle she came into contact with a hot surface ( the motorcycle exhaust ) and burnt her left foot.
Burn injuries are often talked about in terms of degrees.
According to my resident this case is a mix of 3rd and 4th degree injuries and to estimate the size of a burn we can use the “rule of nines”. Here it’s about 2% TBSA ( total body surface area ).
1) Debridement ( the dead tissue in the burned area shall be removed surgically )
2) A skin graft is necessary
#Take home message: FOR GOD’S SAKE, 5 y/o children should not be allowed to ride as passengers on motorcycles.