Each year thousands of persons suffer Burn related accidents. In 2002, recognizing the lack of medical expertise in the burn care field, Patel Hospital established Pakistan’s first separate 50 beds Burns Unit dedicated to provide expert services to burn patients. The Burns Unit is equipped with state of the art equipments and is staffed by foreign qualified professionals. Patel Hospital treat patients with acute, fresh burns, patients requiring plastic reconstructive or restorative surgery as a result of healed burns; patients with severe scarring, resulting in contractures or interference with proper movement of the limbs; and patients with scarring and deformity of the face. The Burn Unit provides excellent medial care to severely burned patients. As a result, the hospital is saving the lives of people with very little hope of living. This impressive survival rate has been achieved through improved surgical procedures, medical technology and the coordinated efforts of many hospital staff members.

Burns Team

As burns are a multisystem disorder a team of doctors is required to look after a patient with major burns. Our burn team consists of the following:

• Consultant Plastic Surgeon

• Consultant Anaesthetist

• Consultant Intensivist

• Critical Care Technicians

• Physiotherapist

• Nutritionist and Dietician

• Consultant Radiologist

• Consultant Microbiologist

• Infection Control Team

• Consultant Physician, Chest Physician, Nephrologist, General Surgeon and Orthopaedics Surgeon are available on request.

Criteria for admission to the Burns Unit ICU

• 15% Burns in an adult

• 10% burn in a child

• Electrical Burn

• Facial Burns

• Burns complicated by inhalation injury

• Burns associate with trauma

• Perineal Burns

• Hand Burns in children

• Extremes of age

Burn ICU

Burn injury is a specific form of trauma in which the largest organ in the body, the skin, is damaged. In addition major burns cause severe metabolic, cardiovascular and respiratory disorders that makes a burn patient a critically ill patient.

A critically ill burn patient can only be looked after by a team of doctors in an intensive care unit. Patel hospital has a 17 bedded purpose built ICU. These beds have been divided into 8 critical care beds, 4 cubicles for isolation. All beds have top of the range monitoring equipment to monitor non-intensive blood pressure. Most of the patients are looked after by a dedicated nurse who monitors minute to minute changes in patient’s haemodynamics and provides basic nursing care as well.

Latest ICU Ventilators

80% of fire related deaths result not from burn injury but from inhalation of the toxic products of combustion that leads to respiratory distress and eventually respiratory failure. Patel Hospital has the facility to provide respiratory support to these patients.

Burns Operation Theatre

We have a dedicated operation theater to carry out procedure like change of dressings, debridements, fasciotomies and skin graftings adjacent to the ICU. Our Burns OT is located adjacent to the ICU so the transfer of the patient from ICU to burns OT becomes easy and less hazardous. In our unit ‘Early excision and grafting’ of the deep burn is practiced. Burns OT is fully equipped to provide general anaesthesia to critically ill patients.

Washing Area

Adjacent to the burns operation theater we have a dedicated washing area for burns patients. This area is equipped with a specially designed tub, which is utilized to bath the patients with major burns hygienically.

24-Hour laboratory & X-Ray facility

Including arterial blood gas analysis and microbiology and computerized imaging.

Resident Doctors

RMO is available 24-hours in the ICU to deal with acute emergencies as they arise and also keep the consultants informed about the patient’s progress.

Trained Dietician

Major Burns is associated with hypermetabolism and a dramatic increase in caloric requirements. We have the facility to cope with this increased metabolic requirement in the form of infusion pump for continuous enteral feeding and to provide total parenteral nutrition if needed.

Trained Physiotherapist

Regular rounds by the physiotherapist are needed to reduce the disability and avoid respiratory complication.

General Ward, Semi-Private Ward and Private Rooms

We have about 33 beds to care for patients with less serious burns and patients discharged from the burn ICU.

First Aid for Burns Victims

“Fire is almost always the result of carelessness”

• Avoid using candles near generators or in underground tanks Make sure all the stoves are turned off after cooking

• Do not leave children playing near a source of heat (match sticks, boiling water, household chemical used for cleaning purposes)

• Burns can also result from hot water or steam (scalds), electrical current and chemicals

• When you see a person burning, first make an attempt to stop the burning process or remove the victim away from the heat source

• Try to remove the clothes as they are a source of continuing heat to the body

• Any fabric that has melted and is adhered to the burn wound should be left in place

• Wash the wound with plenty of running tap water (3 – 5 minutes)

• Do not immerse the person in cold water as this may cause the body temperature to fall dangerously low

• Do not use ice as this may convert a superficial burn into a deep burn

• In case of acid burn in the same manner as other burns i.e. with running tap water

• Superficial burns are pink and painful, deep burns are leathery and painless

• Blisters are an indication of superficial burn and wash of wound with water should not be avoided for fear of blister formation

• After the initial care cover the affected part with clean cloth (e.g. bad sheet) and take the patient to a burn unit

• Outstretched hand of the effected person is roughly equal to 1% body surface area (BSA)

• 10% BSA in children and 15% in adult is an indication for admission preferably in a burn unit

Prevention is better than cure!