PubMed · 10270697
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1985. Fighting fire with compassion.. https://pubmed.ncbi.nlm.nih.gov/10270697/
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Analogous to a hospital survey in North America (the US and Canada) a survey in Europe was performed to determine the extent of psychological services offered in burn units. The questionnaire used to acquire this information was exactly the same in both continents. One hundred and seventy questionnaires and self-addressed stamped envelopes were sent to the medical manager of the European burn units with the request to pass the questionnaire to the person who provides psychological care to patients in the burn units. The questionnaire was translated into four other languages. Response was 103 (62.8%). The questions posed inquired after what percentage of patients received psychological testing, psychological therapy, displayed symptoms of depression and post-traumatic stress, what percentage is given referral and if emotional follow-up is arranged. Also questions about whether staff members of the burn unit displayed symptoms of depression and post-traumatic stress were enclosed. Results indicated that few burn units in Europe provide formal psychological testing for their patients and in half of the European hospitals, less than 20% of the patients receive psychological therapy or counselling during their stay in the hospital. Aftercare services are also capable of improvement. Compared with North America, Europe provided less psychological services. No statistical differences were found between countries within Europe.
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Until the middle of 20th century the burnt patients were treated on dermatological departments, and skin transplantations were performed after the regular conservative wound care too late and rarely. By reason of the medical experiences of the 2nd World War special departments were founded for the burn-injured patients, it happened likewise in our country in 1953 as well. The specialists recognized that the burn injury causes a general disease (multiple organ failure), moreover only an aggressive surgical tactics can product any good results. The author presents the progress and problems of Hungarian burn treatment since 1953. A significant part of the burnt patients has been treated firstly not in burn departments, and sometimes the first therapy is insufficient, because the national medical training for cure of burnt patients is deficient. For this reason the author gives a simple treatment guide for the first two postburn days, and finally he summarizes the conditions of advance.