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Volume 37 Issue 10
Oct.  2021
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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2021  >  37(10): 921-928
Xun HY,Su XW,Hu FC,et al.Effects of advanced platelet-rich fibrin/chitosan thermosensitive hydrogel on full-thickness skin defect wound healing in diabetic rats[J].Chin J Burns Wounds,2024,40(5):451-460.DOI: 10.3760/cma.j.cn501225-20231020-00127.
Citation: Zhang YH,Tian PF,Zhang W,et al.The role of first-aid network construction in the early treatment of patients with critically severe hydrofluoric acid burns[J].Chin J Burns,2021,37(10):921-928.DOI: 10.3760/cma.j.cn501120-20210707-00237.
shu

The role of first-aid network construction in the early treatment of patients with critically severe hydrofluoric acid burns

doi: 10.3760/cma.j.cn501120-20210707-00237
  • 1.

    Department of Burns and Plastic Surgery, Zhejiang Quhua Hospital, Quzhou 324004, China

  • 2.

    Department of Burn and Wound Repair, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China

Funds:

National Key Research and Development Program of China 2018YFC0808600

Zhejiang Research Project of Commonweal Technology of China LGF18H150001

More Information
  • Corresponding author: Wang Xingang, Email: wangxingang8157@zju.edu.cn
  • Received Date: 2021-07-07
    Abstract
  •       Objective     To explore the role of first-aid network construction in the early treatment of patients with critically severe hydrofluoric acid burns.      Methods     Twenty-seven fluorine chemical enterprises distributed in Zhejiang province, Jiangxi Province, Fujian Province, and Inner Mongolia Autonomous Region and 22 hospitals with burn/plastic department or professional burn treatment group in Zhejiang province, including Zhejiang Quhua Hospital, and 5 hospitals outside Zhejiang province were involved in the first-aid network construction as member units. As the main unit, Zhejiang Quhua Hospital was responsible for the daily maintenance and technical guidance of the first-aid network. Zhejiang Quhua Hospital was assigned as the designated emergency hospital for 20 fluorine chemical enterprises, a near emergency hospital to the other 7 fluorine chemical enterprises was assigned as the designated hospital for them. Medical records of 56 patients (all males) with critically severe hydrofluoric acid burns who admitted to 5 first-aid network hospitals from January 2006 to June 2021, meeting the inclusion criteria, were involved in the retrospective cohort study. Based on whether the enterprise belonging to the first-aid network construction or not, the patients were divided into first-aid network group (27 cases, aged (41±9) years) and non first-aid network group (29 cases, aged (42±10) years). After the patients in the first-aid network group were injured, the enterprises and hospitals linked up immediately. The hospital where the patient was treated mobilize the treatment force, equipment, materials, and drugs in advance by the first-aid network, thereby realizing seamless joint between pre-hospital first-aid and in-hospital treatment. The hospital started the first-aid process and temporarily mobilized the rescue forces, equipment, materials, and drug after patients in non first-aid network group arrived at the department of emergency of the hospital. The time from injury to medical service,  the first detection time of serum calcium, the time staying in department of emergency, the duration of hypocalcemia and hypomagnesemia, and the treatment outcome of patients in the two groups were recorded. Data were statistically analyzed with chi-square test, Fisher's exact probability test, independent-sample t test, and Wilcoxon rank-sum test.      Results     The time from injury to medical service, the first detection time of serum calcium, and the time staying in department of emergency of patients in first-aid network group were 40.0 (30.0, 55.0), 23.0 (17.5, 37.5), and 42.0 (37.0, 53.0) min, which were significantly shorter than 180.0 (120.0, 240.0), 31.0 (22.5, 47.5), 61.0 (52.0, 65.5) min in non first-aid network group (Z=-6.17, -1.98, -4.15, P<0.05 or P<0.01). The duration of hypocalcemia and hypo- magnesemia of patients in first-aid network group were 1.2 (1.1, 1.6) and 1.9 (1.7, 2.1) h, which were significantly shorter than 4.6 (3.1, 6.2) and 3.2 (2.5, 4.6) h in non first-aid network group (Z=-5.80, -4.81, P<0.01). Three patients (11.1%) in first-aid network group died, among whom 2 patients died at 40 min after injury and 1 patient died 9.0 h after injury. Four patients (13.8%) died in non first-aid network group at 3.0, 3.0, 4.5, and 7.0 h after injury, respectively. The mortality rates of patients in the two groups were similar (P>0.05).      Conclusions     Critically severe hydrofluoric acid burn is an extremely urgent situation encountered in clinical practice. The construction of a first-aid network creates condition for on-site treatment of patients and improves the first-aid efficiency, thereby gaining time to save lives.

     

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    Created with Highcharts 5.0.7Chart context menuAccess Area Distribution其他: 2.9 %其他: 2.9 %其他: 1.1 %其他: 1.1 %China: 4.7 %China: 4.7 %Indonesia: 0.1 %Indonesia: 0.1 %United States: 0.3 %United States: 0.3 %[]: 0.1 %[]: 0.1 %三明: 0.4 %三明: 0.4 %上海: 2.6 %上海: 2.6 %上饶: 0.3 %上饶: 0.3 %东京都: 0.1 %东京都: 0.1 %东莞: 0.5 %东莞: 0.5 %乌海: 0.2 %乌海: 0.2 %乌鲁木齐: 0.2 %乌鲁木齐: 0.2 %乐山: 0.1 %乐山: 0.1 %九江: 0.2 %九江: 0.2 %佛山: 0.6 %佛山: 0.6 %佳木斯市向阳区: 0.1 %佳木斯市向阳区: 0.1 %保定: 0.1 %保定: 0.1 %兰州: 0.3 %兰州: 0.3 %内江: 0.6 %内江: 0.6 %凉山: 0.1 %凉山: 0.1 %包头: 0.1 %包头: 0.1 %北京: 2.1 %北京: 2.1 %北方邦: 0.1 %北方邦: 0.1 %南京: 1.9 %南京: 1.9 %南充: 0.1 %南充: 0.1 %南宁: 0.3 %南宁: 0.3 %南昌: 1.9 %南昌: 1.9 %南通: 0.6 %南通: 0.6 %台州: 0.5 %台州: 0.5 %合肥: 0.4 %合肥: 0.4 %吉林: 0.1 %吉林: 0.1 %呼和浩特: 0.4 %呼和浩特: 0.4 %咸阳: 0.4 %咸阳: 0.4 %哈尔滨: 0.3 %哈尔滨: 0.3 %哥伦布: 0.2 %哥伦布: 0.2 %嘉兴: 0.3 %嘉兴: 0.3 %墨尔本: 0.1 %墨尔本: 0.1 %天津: 0.6 %天津: 0.6 %太原: 3.7 %太原: 3.7 %宁波: 1.0 %宁波: 1.0 %岳阳: 0.1 %岳阳: 0.1 %巴音郭楞: 0.1 %巴音郭楞: 0.1 %常州: 0.1 %常州: 0.1 %平顶山: 0.3 %平顶山: 0.3 %广州: 1.6 %广州: 1.6 %张家口: 2.4 %张家口: 2.4 %徐州: 0.1 %徐州: 0.1 %德阳: 0.2 %德阳: 0.2 %成都: 2.1 %成都: 2.1 %拉贾斯坦邦: 0.3 %拉贾斯坦邦: 0.3 %新乡: 0.3 %新乡: 0.3 %新加坡: 0.1 %新加坡: 0.1 %无锡: 0.2 %无锡: 0.2 %日照: 0.1 %日照: 0.1 %昆明: 3.0 %昆明: 3.0 %晋城: 0.6 %晋城: 0.6 %曲靖: 0.1 %曲靖: 0.1 %朝阳: 0.3 %朝阳: 0.3 %杭州: 1.7 %杭州: 1.7 %柳州: 0.1 %柳州: 0.1 %榆林: 0.1 %榆林: 0.1 %武汉: 1.1 %武汉: 1.1 %沈阳: 0.5 %沈阳: 0.5 %洛阳: 0.1 %洛阳: 0.1 %济南: 1.8 %济南: 1.8 %海口: 0.4 %海口: 0.4 %海得拉巴: 0.3 %海得拉巴: 0.3 %淮安: 0.1 %淮安: 0.1 %深圳: 0.3 %深圳: 0.3 %温州: 0.9 %温州: 0.9 %湛江: 0.1 %湛江: 0.1 %滨州: 0.3 %滨州: 0.3 %漯河: 0.2 %漯河: 0.2 %漳州: 0.2 %漳州: 0.2 %潍坊: 0.6 %潍坊: 0.6 %玉林: 0.3 %玉林: 0.3 %石家庄: 0.7 %石家庄: 0.7 %福州: 0.9 %福州: 0.9 %肇庆: 0.2 %肇庆: 0.2 %芒廷维尤: 15.0 %芒廷维尤: 15.0 %芝加哥: 0.3 %芝加哥: 0.3 %苏州: 1.1 %苏州: 1.1 %荆门: 0.2 %荆门: 0.2 %莆田: 0.3 %莆田: 0.3 %菏泽: 0.3 %菏泽: 0.3 %葫芦岛: 0.2 %葫芦岛: 0.2 %衡水: 0.6 %衡水: 0.6 %襄阳: 0.2 %襄阳: 0.2 %西宁: 5.5 %西宁: 5.5 %西安: 1.5 %西安: 1.5 %西雅图: 0.1 %西雅图: 0.1 %许昌: 0.3 %许昌: 0.3 %贵阳: 2.0 %贵阳: 2.0 %赤峰: 0.1 %赤峰: 0.1 %达州: 0.1 %达州: 0.1 %运城: 0.1 %运城: 0.1 %遵义: 0.9 %遵义: 0.9 %重庆: 10.2 %重庆: 10.2 %铜仁: 0.1 %铜仁: 0.1 %锦州: 0.2 %锦州: 0.2 %长春: 1.0 %长春: 1.0 %长沙: 1.5 %长沙: 1.5 %长治: 0.3 %长治: 0.3 %阜阳: 0.4 %阜阳: 0.4 %阿克苏地区: 0.7 %阿克苏地区: 0.7 %随州: 0.1 %随州: 0.1 %青岛: 0.4 %青岛: 0.4 %韶关: 0.1 %韶关: 0.1 %马鞍山: 0.1 %马鞍山: 0.1 %驻马店: 0.5 %驻马店: 0.5 %黄冈: 0.6 %黄冈: 0.6 %齐齐哈尔: 0.1 %齐齐哈尔: 0.1 %其他其他ChinaIndonesiaUnited States[]三明上海上饶东京都东莞乌海乌鲁木齐乐山九江佛山佳木斯市向阳区保定兰州内江凉山包头北京北方邦南京南充南宁南昌南通台州合肥吉林呼和浩特咸阳哈尔滨哥伦布嘉兴墨尔本天津太原宁波岳阳巴音郭楞常州平顶山广州张家口徐州德阳成都拉贾斯坦邦新乡新加坡无锡日照昆明晋城曲靖朝阳杭州柳州榆林武汉沈阳洛阳济南海口海得拉巴淮安深圳温州湛江滨州漯河漳州潍坊玉林石家庄福州肇庆芒廷维尤芝加哥苏州荆门莆田菏泽葫芦岛衡水襄阳西宁西安西雅图许昌贵阳赤峰达州运城遵义重庆铜仁锦州长春长沙长治阜阳阿克苏地区随州青岛韶关马鞍山驻马店黄冈齐齐哈尔

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