![]() ![]() These patients are at risk of higher morbidity and mortality than the summation of expected morbidity and mortality of their individual injuries ( 1). Polytrauma (multi-trauma) is a short verbal equivalent to describe (mainly) blunt trauma patients whose injuries involve multiple body regions or cavities, compromise the patients’ physiology and potentially cause dysfunction of uninjured organs. Received: Accepted: Published: 05 June 2018. Keywords: Burns children hypermetabolism resting energy expenditure (REE) total burned surface area (TBSA) When enteral nutrition is contraindicated or not feasible, parenteral nutrition is used. Enteral nutrition is the first line of nutritional support in the burned patient, and enteral feeding should be administered as soon as possible. As regards micronutrients intake, children suffering from major burns should receive vitamin supplementation in the form of a multivitamin, in addition to vitamin C, vitamin A and zinc sulfate to ensure adequate wound healing. Carbohydrate intake should be 55–60% of total energy intake (TEI), whereas lipids should be lower than 35% of TEI. Protein need in burned children is generally agreed to be higher than recommended dietary allowance and intake thereof should range around 1.5–3.0 g/kg/die. Resting energy expenditure (REE) has a curvilinear increasing trend according to the total burned surface area (TBSA), and indirect calorimetry is considered the most accurate method to evaluate the energy output of burned patients. For these patients, the nutritional support has been acknowledged as one of the most significant aspect of the medical burns treatment in terms of mere nutrition, because of a marked hypermetabolism immediately or early after burn and protection from infections. Policy of Dealing with Allegations of Research MisconductĪbstract: Among children, burns are a serious injury and one of the main reasons of trauma, especially during the first 5 years of life.Policy of Screening for Plagiarism Process. ![]() Ask for pediatric surgical resident on-call. We are here to support you.īurn and Trauma nurse practitioners can be reached at: Throughout your child's healing process, please contact the Burn Team if you have any immediate questions or concerns.
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