A five year old girl, Zaynab, is brought to theatre from the Emergency Department for a second degree scalding burns (5% body surface area) on upper arms and chest. Her mother and her stepfather accompany her and the stepfather reports that Zaynab has spilled her body with a hot soup while playing close to the dining table during their lunch. The child’s mother seems withdrawn in the anaesthetic room and does not offer the child much comfort when she starts to cry. You have noticed also some deep scratches on Zaynab’s lower torso and bruising on the inner aspect of her upper thigh, but she is otherwise healthy.
With reference to current research and evidence based guidelines, discuss Zaynab’s likely perioperative care in relation to:
- From a Surgical or Anaesthetic or Recovery perspectives discuss the treatment of burns injury in children and young people (30%)
- The psychosocial care of children and young people in hospital, including their safe transfer to the care of others (40%)
- Legal and ethical issues
The treatment of traumatic injury in children
Should include: maintenance of airway and homeostasis (fluid balance, temperature etc), pain management, timing of surgical intervention, guidance from Royal Colleges and specific reference to the case study.
Legal and ethical issues:
Should include legal discussion of consent, parental responsibilities and rights, dealing with suspected abuse etc. and ethical obligations of the practitioner