Burn injury: Information for parents with a child staying at the hospitalBBurn injury: Information for parents with a child staying at the hospitalBurn injury: Information for parents with a child staying at the hospitalEnglishPlasticsChild (0-12 years);Teen (13-18 years)SkinSkinNon-drug treatmentCaregivers Adult (19+)NA2013-09-19T04:00:00ZCharis Kelly, RN(EC), MN6.0000000000000074.00000000000003079.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Advice for parents with a child who is staying at the hospital and being treated for a burn injury. </p><h2>Treatment by the Burn Team</h2> <p>Your child will be treated by the Burn Team. This includes doctors (plastic surgeons), nurses, a nurse practitioner specializing in burn care, a child life specialist, social workers, physiotherapists, occupational therapists and dietitians.</p> <p>This may seem like a lot of people to meet during your child's stay at the hospital. Keep in mind the burn team works closely together to provide you and your child the best care possible.</p> <p>Write down the name, job, and phone number of Burn Team members here:</p> <br> <br><h2>Key points</h2> <ul> <li>Depending on the size of the burn area and the depth of the burn your child may have to stay in hospital.</li> <li>Burns that take a long time to heal may need an operation called a skin graft. A skin graft operation involves taking healthy skin from your child and putting it on the burned area. Burn injuries may cause scarring. Scars can be minimized by massaging the scar and wearing pressure garments.</li> <li>Burns are painful. The Burn Team will do its best to limit your child's pain. Your child will be given morphine, acetaminophen and perhaps a "sleep medicine" during painful procedures.</li> <li>You can help your child's recovery by giving them high energy food, involving them in their regular activities and by taking good care of yourself too.</li> </ul><h2>Healing the burn wound</h2><h3>Early healing</h3><p>It is best to help the burn wound to heal within the first 21 days after the injury. This reduces scarring. Most of the superficial and partial thickness burns will heal within 14 to 21 days with no or minimal scarring.</p><p>If a deep burn heals after 21 days, the skin will have more scarring. At this point, the best decision is to do a skin graft. The operation will help cover any deep wounds that have not healed on their own within 21 days.</p> <span class="asset-image-title">How to care for your child’s healing skin after a burn</span> <div class="asset-video"> <iframe src="https://www.youtube.com/embed/IZP_9VIgcnw?rel=0" frameborder="0"></iframe> <br></div><h3>Skin graft healing<br></h3><p>Once a skin graft has been placed on the burn wound, it takes about a week for the graft to grow into the wound. Sometimes, when the dressing (the bandage) is taken off five to 10 days after the skin graft operation, the graft may look fragile and need some further dressings. The Burn Team will monitor the graft and how it heals.</p><h3>Donor site healing</h3><p>The donor site is where the skin is taken from to cover the burn wound. A slice of skin thinner than a piece of paper is used. The donor site usually heals within seven to 10 days. The skin colour may be a little lighter or darker than it was before, but it should not scar.</p><h2>Going home from the hospital</h2> <p>Home is the best place for a child. They sleep in their own bed, eat their own food and play with close family and friends.</p> <p>The Burn Team will send your child home only when they are ready. Usually this means:</p> <ul> <li>there is no fever</li> <li>they are eating and drinking</li> <li>swelling has decreased</li> <li>pain is well managed</li> <li>dressings can be managed at home</li> </ul> <p>Before your child goes home, you, as a parent must feel that you can provide any care your child needs. The Burn Team can help you learn any skills you may need to <a href="/Article?contentid=1176&language=English">care for your child's burn injury after discharge from the hospital</a>. When your child goes home, that is not necessarily the end of hospital care. The Burn Team will continue to follow up with you and your child in our Plastics Clinic for further burn management.</p><h2>Before surgery or other procedures: NPO</h2> <p>It is very important that no food or drink be in the stomach when a general anaesthetic is given. These medications relax the stomach. If there is food in the stomach, there is a risk it will come up during the procedure. This can be dangerous. For this reason, your child will be given an NPO order before any surgery or procedure. NPO means nothing to eat or drink. Your child needs to follow the NPO instructions in order to be safely put to sleep.</p> <h3>NPO means:</h3> <ul> <li>Your child must STOP EATING at midnight before the procedure. Your child cannot have solid food after MIDNIGHT. This includes gum and candy.</li> <li>Your child can continue to have milk (full fluids) until 2 a.m.</li> <li>If you are breastfeeding, you must stop breastfeeding by 4 a.m.</li> <li>Your child can continue to drink clear fluids such as water or apple juice until 5 a.m. Your child cannot have anything else to drink after 5 a.m. (NPO).</li> </ul> <p>Once the procedure is done and your child is awake and alert, they can resume drinking clear fluids or breastfeeding. Your nurse will let you know when it is okay for your child to start eating and drinking again.</p><h2>The Internet and other sources of information about your child's burn injury</h2><p>There are very good websites (like this one) to help you understand burn injuries. However, some websites can be confusing and wrong. Although there are many ways to treat burns, some of them may not be useful for your child's specific injury. Some sites may promote treatments that do not work. Images of burn injuries may be upsetting and misleading to parents.</p><p>Using the Burn Team as your main source of information is best. If you find treatment or other information on the Internet, bring it to the Burn Team. They can help explain it and let you know if it may help your child's case.</p> <span class="asset-image-title">Facts about Burn Healing</span> <div class="asset-video"> <iframe src="https://www.youtube.com/embed/Gkq3RsVemtM?rel=0" frameborder="0"></iframe> </div>
Brûlures : information destinée aux parents d’un enfant hospitaliséBBrûlures : information destinée aux parents d’un enfant hospitaliséBurn injury: Information for parents with a child staying at the hospitalFrenchPlasticsChild (0-12 years);Teen (13-18 years)SkinSkinNon-drug treatmentCaregivers Adult (19+)NA2013-09-19T04:00:00ZCharis Kelly, RN(EC), MN6.0000000000000074.00000000000003079.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Conseils aux parents d’un enfant hospitalisé pour le traitement de brûlures.</p><h2>Traitement par l’équipe des soins aux brûlés</h2><p>Votre enfant sera soigné par l’équipe des soins aux brûlés. Elle est composée de médecins (chirurgiens plasticiens), du personnel infirmier, d’un infirmier praticien spécialisé en soins aux brûlés, d’un éducateur en milieu pédiatrique, de travailleurs sociaux, de physiothérapeutes, d’ergothérapeutes et de diététistes.</p><p>Le nombre de personnes à rencontrer pendant que votre enfant séjourne à l’hôpital peut sembler exorbitant. N’oubliez pas que les membres de l’équipe des soins aux brûlés collaborent étroitement en vue de vous prodiguer, à vous et à votre enfant, les meilleurs soins qui soient.</p><p>Inscrivez le nom, le poste et le numéro de téléphone des membres de l’équipe des soins aux brûlés ici:<br></p> <br> <br><h2>À retenir </h2> <ul> <li>En fonction de la taille et de la profondeur de la brûlure, votre enfant pourrait avoir à rester à l’hôpital. </li> <li>Les brûlures qui mettent longtemps à guérir pourraient nécessiter une greffe de peau. Pour une greffe de peau, on prélève un peu de peau saine de votre enfant et on la place sur ses brûlures. </li> <li>Les brûlures peuvent laisser des cicatrices qui peuvent être minimisées par des massages de la zone en cicatrisation et en portant des vêtements compressifs. </li> <li>Les brûlures sont douloureuses. L’équipe de soins aux brûles fera tout son possible pour limiter la douleur de votre enfant. On lui donnera de la morphine, de l’acétaminophène et peut-être qu’il sera placé sous anesthésie générale pendant les procédures douloureuses. </li> <li>Vous pouvez contribuer à la guérison de votre enfant en lui donnant de la nourriture à haute teneur en énergie, en les impliquant dans des activités régulières et aussi en prenant bien soin de vous. </li></ul><h2>Cicatrisation de la blessure causée par une brûlure</h2><h3>Cicatrisation rapide</h3><p>Il est préférable que la blessure guérisse dans les 21 jours suivant la brûlure. Cela réduit les cicatrices. La plupart des brûlures du premier et du deuxième degré guérissent en 14 à 21 jours et les cicatrices sont minimes.</p><p>Si la guérison d’une brûlure profonde nécessite plus de 21 jours, la cicatrice sera plus importante. Dans cette situation, la meilleure décision consiste à procéder à une greffe de peau. L’intervention aidera à recouvrir une blessure profonde qui n’a pas guéri toute seule au cours des 21 premiers jours.</p> <span class="asset-image-title">Prendre soin de la peau de votre enfant après la cicatrisation d'une brûlure</span> <div class="asset-video"> <iframe src="https://www.youtube.com/embed/IZP_9VIgcnw?rel=0&hl=fr&cc_load_policy=1" frameborder="0"></iframe> </div> <h3>Cicatrisation de la greffe de peau</h3><p>Une fois que le greffon cutané est placé sur la zone brûlée, il faut environ une semaine pour qu’il croisse à l’intérieur de la blessure. Parfois, lorsque le pansement (le bandage) est retiré 5 à 10 jours après l’intervention, le greffon peut sembler fragile et nécessite d’autres pansements. L’équipe des soins aux brûlés surveillera le greffon et sa cicatrisation.</p><h3>Cicatrisation de la zone donneuse</h3><p>La zone donneuse est l’endroit où la peau est prélevée pour ensuite être déposer sur la zone brûlée. On se sert d’une couche de peau plus mince qu’une feuille de papier. Il faut habituellement entre 7 et 10 jours pour que la zone donneuse guérisse. Il se peut que la couleur de la peau soit un peu plus pâle qu’auparavant, mais le prélèvement ne devrait laisser aucune cicatrice.</p><h2>Congé de l’hôpital</h2> <p>La maison est le meilleur endroit pour un enfant. Il dort dans son propre lit, mange sa propre nourriture et s’amuse avec sa famille et ses amis proches.</p> <p>L’équipe des soins aux brûlés renverra votre enfant à la maison dès qu’il sera prêt, c'est-à-dire : </p> <ul> <li>s'il n'a pas de fièvre;</li> <li>s'il mange et boit;</li> <li>si l’enflure s’est résorbée;</li> <li>si la douleur est bien gérée;</li> <li>si les pansements peuvent être changés à domicile. </li> </ul> <p>Avant que l’enfant n'obtienne son congé, les parents doivent être prêts à lui prodiguer les soins dont il a besoin. L’équipe des soins aux brûlés peut vous enseigner toutes les techniques dont vous pourriez avoir besoin pour <a href="/Article?contentid=1176&language=French">soigner les brûlures de votre enfant après son congé de l’hôpital</a>. Lorsque l’enfant obtient son congé, cela ne signifie pas nécessairement la fin des soins à l’hôpital. L’équipe thérapeutique continuera d’assurer le suivi de votre enfant à notre clinique de chirurgie plastique pour des soins approfondis des brûlures. </p><h2>Avant la chirurgie ou d’autres interventions : rien par voie orale</h2> <p>Il est très important qu’il n’y ait aucun aliment ni boisson dans son estomac lors d’une anesthésie générale. Ces médicaments détendent l’estomac. Si l’estomac contient des aliments, ils pourraient remonter pendant l’intervention. Cela peut être dangereux. Pour cette raison, on ordonne à votre enfant de « ne rien recevoir par voie orale », ce qui signifie qu’il ne faut rien manger ni boire. ​Les enfants ne doivent RIEN manger ni boire pour qu’on les endorme en toute sécurité avant une intervention.</p> <h3>Voici ce que l’on veut dire par « rien par voie orale » :</h3> <ul> <li>votre enfant devra CESSER DE MANGER à minuit avant la procédure. Votre enfant ne peut ingérer aucun aliment solide après MINUIT. Cela comprend la gomme à mâcher et les friandises;</li> <li>votre enfant peut continuer à boire du lait (fluides complets) jusqu’à 2 h du matin;</li> <li>si vous allaitez votre enfant, vous devez arrêter au plus tard à 4 h du matin;</li> <li>votre enfant peut continuer à boire des liquides clairs, comme de l’eau ou du jus de pomme, jusqu’à 5 h. Il ne peut rien boire après 5 h (rien par voie orale). </li> </ul> <p>Une fois l’intervention terminée et l’enfant réveillé et alerte, il peut recommencer à boire des liquides clairs ou vous pouvez l’allaiter. Le personnel infirmier vous dira quand votre enfant pourra recommencer à boire et à manger. </p><h2>Internet et les autres sources d’information sur la brûlure de votre enfant</h2><p>Il existe de très bons sites Web (comme celui-ci) qui peuvent vous aider à mieux comprendre les blessures causées par des brûlures. Cependant, certains sites peuvent générer de la confusion et contenir des erreurs. Bien qu’il y ait de nombreuses façons de soigner les brûlures, certaines sont peut-être inutiles au traitement de la blessure de votre enfant. Certains sites peuvent faire la promotion de traitements qui ne fonctionnent pas. Les images de brûlures peuvent être choquantes et trompeuses pour les parents.</p><p>Il est préférable que ce soit l’équipe des soins aux brûlés qui soit votre principale source d’information. Si vous trouvez un traitement ou d’autres renseignements sur Internet, parlez-en aux membres de l’équipe. Ils peuvent vous donner des explications et confirmer si ces renseignements peuvent être utiles dans le cas de votre enfant.<br></p> <span class="asset-image-title">Vérités sur la icatrisation des brûlures</span> <div class="asset-video"> <iframe src="https://www.youtube.com/embed/Gkq3RsVemtM?rel=0&hl=fr&cc_load_policy=1" frameborder="0"></iframe> </div>

 

 

Burn injury: Information for parents with a child staying at the hospital1187.00000000000Burn injury: Information for parents with a child staying at the hospitalBurn injury: Information for parents with a child staying at the hospitalBEnglishPlasticsChild (0-12 years);Teen (13-18 years)SkinSkinNon-drug treatmentCaregivers Adult (19+)NA2013-09-19T04:00:00ZCharis Kelly, RN(EC), MN6.0000000000000074.00000000000003079.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Advice for parents with a child who is staying at the hospital and being treated for a burn injury. </p><h2>Treatment by the Burn Team</h2> <p>Your child will be treated by the Burn Team. This includes doctors (plastic surgeons), nurses, a nurse practitioner specializing in burn care, a child life specialist, social workers, physiotherapists, occupational therapists and dietitians.</p> <p>This may seem like a lot of people to meet during your child's stay at the hospital. Keep in mind the burn team works closely together to provide you and your child the best care possible.</p> <p>Write down the name, job, and phone number of Burn Team members here:</p> <br> <br><h2>Assessing the burn injury</h2><p>Your health-care team will give you specific information about your child's injury. The team will assess the size of the burn area and the depth of the burn.</p><h3>Size of the burn</h3><p>The size is the area the burn covers. It is measured as a percentage of the whole body. For example, the surface of a child's whole palm and fingers is about 1% of their body surface.</p> <figure> <span class="asset-image-title">Degrees of burn injury</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Burn_degrees_MED_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">The cross section of skin shows the depths of burn degrees. First degree burns involve the top layer of skin (epidermis). Second degree burns involve the deeper layers of skin (dermis). Third degree burns involve the whole depth of the skin and sometimes the tissues underneath.</figcaption> </figure> <h3>Depth of the burn</h3><p>Burns are described as superficial, partial-thickness and full-thickness injuries.</p><ul><li>Superficial burns (or first degree burns) affect only the outer or top layer of the skin. They heal in a few days and leave no scars. These types of burns rarely require a hospital stay.</li><li>Partial-thickness burns (or second degree burns) affect the deeper layers of the skin. Healing usually occurs by itself within a few weeks. Scars may develop. This is the most common type of burn that requires hospital admission.</li><li>Full-thickness burns (or third degree burns) involves the whole depth of the skin. These burns may also affect the tissues beneath the skin. Typically, these burns take a long time to heal. These injuries usually need an operation called a skin graft. A skin graft operation involves taking healthy skin from your child and putting it on the burned area. Skin grafts usually grow into the skin around the burn within the first week. Skin grafts always leave some form of scar. There are many methods used to minimize the scars. These are described in detail below.</li></ul><h2>Key points</h2> <ul> <li>Depending on the size of the burn area and the depth of the burn your child may have to stay in hospital.</li> <li>Burns that take a long time to heal may need an operation called a skin graft. A skin graft operation involves taking healthy skin from your child and putting it on the burned area. Burn injuries may cause scarring. Scars can be minimized by massaging the scar and wearing pressure garments.</li> <li>Burns are painful. The Burn Team will do its best to limit your child's pain. Your child will be given morphine, acetaminophen and perhaps a "sleep medicine" during painful procedures.</li> <li>You can help your child's recovery by giving them high energy food, involving them in their regular activities and by taking good care of yourself too.</li> </ul><h2>Holding and going out with your child</h2><p>Children love to be cuddled and held. If your child has a breathing tube in the ICU, you will only be able to hold their hand and touch them. Once out of ICU, feel free to cuddle them as much as you would like. If you are worried about any tubes or lines, ask your nurse to assist you. If your child does not need any special monitoring, you can stroll with them off the unit. It is a good idea for you and your child to get a change of scenery and pleasant distractions.</p><h2>Nutrition to help healing</h2><p>It is normal for a child's appetite to decrease for the first few days after a burn injury. At the same time, children need more energy in order to heal their injury. For this reason, it is very important to encourage your child to eat and drink during their recovery. Do not force them to eat or drink. Just encourage them to have as much as they can. <a href="/Article?contentid=1198&language=English">High-calorie</a> and high-protein foods are best to give them the extra calories they need to help healing. Milk and high-calorie fruit beverages are best. Talk to the Burn Team about specific foods your child should have.</p><p>If a burn is very large, children may need a feeding tube inserted through their nose into their stomach. This will give them the extra calories they need to heal. A dietitian will monitor your child's eating and weight, and make sure they are getting what they need.</p><h2>Itchy skin</h2><p>As skin heals it may become itchy. Your child may be given medications to help decrease the itchiness. These medications reduce itchiness but will not take it away. Also, the medications work best after seven or more days of taking them regularly. This information will be reviewed with you in more detail if the medications are prescribed.</p><p>Massaging the new, sensitive healed skin with a water-based moisturizer may also help relieve the itchiness. Your child may have to do this two to three times a day.</p><p>Extra baths and skin cream will also help make new skin less itchy. Keep your child's nails short and clean to help prevent scratching and opening the skin.</p><h2>Minimizing scars</h2><p>Scarring is often the biggest concern for parents. The Burn Team will do everything possible to <a href="/Article?contentid=1177&language=English">minimize the appearance of permanent burn scars</a>. Some burn injuries heal quickly and leave little trace of scarring. Deeper injuries take longer to heal, may require surgery and will leave scars. </p><p>No one can tell you what a scar will finally look like after many months. However, all scars become less noticeable with time due to natural healing. Feel free to ask about this and gain as much information as possible.</p><p>Any areas of the burn that were able to heal on their own between two to three weeks (14 to 21 days) should not scar. In some cases, there are areas of skin colour that are a shade lighter or darker than the rest of the skin.</p><p>If your child's burn was deep enough that they needed a skin graft, there will be scars. How much your child will scar depends on:</p><ul><li>how long the burn took to heal</li><li>if you or other family members scar easily</li><li>how many areas were grafted</li></ul><h2>Rehabilitation</h2><p>Physiotherapists and occupational therapists may be involved in your child's recovery. When burns heal, the skin may get tight. This is also true for skin grafts. Tight skin can affect range of motion, especially if a burn covers a joint. </p><p>Physiotherapists will assess your child and create a daily exercise plan. These exercises will stretch the skin to help it stay mobile as it heals. If mobility becomes a problem, occupational therapists can make plastic splints for your child. A splint is a firm piece of plastic molded to fit an area that needs to be stretched. A splint will help prevent tightening of the skin and maintain your child's range of motion. Splints may need to be worn during the day or night, or both. Generally, splints are used for a few weeks to a few months. How well splints work at preventing tightness depends on your child and the specifics of the injury. </p><h2>Skin cream and massage</h2> <figure> <span class="asset-image-title">Caring for healing skin</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Burns_massage_with_cream_EQUIP_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">Applying skin cream with gentle massage helps new skin from a burn injury to heal with less scarring. Massage the cream in gentle circles, pressing just firm enough so that the scar turns white under your fingertips.</figcaption> </figure> <p>Water-based moisturizing lotion is effective, cheap, readily available and works well to rehydrate and keep healing skin flexible. It is highly recommended.</p><p>Take a small amount of cream and massage the skin in small, gentle circles, pressing just firmly enough so the skin or scar turns white under your fingertips. Continue the massage until the cream is completely absorbed into the skin. This may take five minutes. Massaging three to four times a day will promote ease of movement, and help reduce itching.</p><p>After the first few weeks, some children find the new skin to be very sensitive to touch. It is very important that you keep touching the new skin. The more the area is touched, the less sensitive it will be.</p><p>Additionally, there are active ways to minimize scarring from a burn injury. The Burn Team will help support you and your child with this.</p><ul><li>Firmly massaging the scarred areas two to three times per day is one way to reduce scarring.</li><li>Pressure garments, which provide scarred areas with even pressure, also helps minimize scarring. Your child will be fitted for custom-made pressure garment to be worn 24 hours a day for about a year. Your child can take them off for bathing and massages. New garments will be made about every three months as your child grows. Your occupational therapist can provide more information on these garments.</li></ul><h2>Heat, cold and sunlight</h2><p>During the first three to six months following a burn injury, your child should stay out of the sun. <a href="/Article?contentid=308&language=English">Sunlight</a> can affect the colour of the new skin, making it either lighter or darker than the old skin. Any change in colour may be permanent. Keep your child out of direct sunlight and apply a waterproof sunblock with a sun protection factor (SPF) of at least 30. Reapply after swimming. Your child should wear light coloured, breathable cotton clothing during the hot, summer months which will allow them to stay cool in the heat. </p><p>Newly healed skin can be very sensitive to heat and cold. Ensure your child is dressed appropriately to protect these areas in extreme weather.</p><h2>General advice for parents</h2><p> <a href="/Article?contentid=1131&language=English">Coping with a burn injury</a> is very stressful. We understand this is a difficult time. All the members of the Burn Team are here to support and help you. If you have questions about your child's health, ask your nurse. Write down any questions as they occur to you and the Burn Team members will do their best to answer them. Bring in questions during your child's clinic appointments. Understanding your child's injury and treatment will help reduce anxiety and stress.</p><p>It is important for parents and caregivers to take breaks from the hospital. It is good for both you and your child. Many parents have trouble leaving their child's side and this is understandable. But by taking good care of yourself, you will be better able to support and care for your child.</p><p>Try to involve your child in activities that are similar to those you did at home. Watch a movie, play a game and allow them to eat foods they love. Take opportunities to get out of the room, go for a stroll or go to the playroom and discover some new toys.</p><h2>Healing the burn wound</h2><h3>Early healing</h3><p>It is best to help the burn wound to heal within the first 21 days after the injury. This reduces scarring. Most of the superficial and partial thickness burns will heal within 14 to 21 days with no or minimal scarring.</p><p>If a deep burn heals after 21 days, the skin will have more scarring. At this point, the best decision is to do a skin graft. The operation will help cover any deep wounds that have not healed on their own within 21 days.</p> <span class="asset-image-title">How to care for your child’s healing skin after a burn</span> <div class="asset-video"> <iframe src="https://www.youtube.com/embed/IZP_9VIgcnw?rel=0" frameborder="0"></iframe> <br></div><h3>Skin graft healing<br></h3><p>Once a skin graft has been placed on the burn wound, it takes about a week for the graft to grow into the wound. Sometimes, when the dressing (the bandage) is taken off five to 10 days after the skin graft operation, the graft may look fragile and need some further dressings. The Burn Team will monitor the graft and how it heals.</p><h3>Donor site healing</h3><p>The donor site is where the skin is taken from to cover the burn wound. A slice of skin thinner than a piece of paper is used. The donor site usually heals within seven to 10 days. The skin colour may be a little lighter or darker than it was before, but it should not scar.</p><h2>Intensive care unit (ICU)</h2><p>Major burn injuries may require a stay in the intensive care unit (ICU). Large burns (larger than 20% of body surface) and deep burns cause the body to swell for the first 24 to 48 hours (first one or two days) after the injury. If your child is in this situation, they will need to be intubated in the ICU. This means the team will place a tube in your child's throat. This tube will be connected to a ventilator, a machine that helps your child breath. The ventilator keeps your child's airways open and their breathing stable. Doctors can then give lots of pain medication and fluids to your child to treat the burn injury. When your child no longer requires large amounts of pain medication or sedatives to keep them comfortable, the ventilator will be removed. After that, your child will be moved from the ICU.</p><h2>Dressings</h2><p>Burns are covered with a dressing. These bandages keep your child comfortable and clean. Dressings stay in place for between three to seven days. Your child's nurse will check the dressing on a daily basis. If it becomes loose, is uncomfortable or is soiled it will be changed.</p><p>There are many types of wound dressings for burn injuries. The type chosen for your child will depend on:</p><ul><li>its ease of care, both in and out of the hospital</li><li>coverage of the burn wound to minimize pain</li><li>how to best keep the wound clean</li><li>allowing for the quickest possible healing</li></ul><p>If your child has a burn on the face, neck or any other areas which are not easy to cover with dressings, the area will be cleaned about three to four times a day and kept moist with an antibiotic ointment. Your nurse will teach you how to care for these areas.</p><p>If a child's burns are small, the Burn Team may teach a parent or caregiver how to do the dressing.</p><h2>Pain management for burn injuries</h2><p>Burn injuries are painful. Your child may experience some <a href="/article?contentid=1259&language=English">pain</a> due to their injury. Your nurse will assess your child for pain often to ensure it is managed. <a href="/Article?contentid=194&language=English">Morphine</a> and <a href="/Article?contentid=62&language=English">acetaminophen</a> are often given to help manage your child's pain. If you feel that your child is in pain, please feel free to call the nurse and let them know. After all, you know your child best.</p><h3>Dressing changes</h3><p>Cleaning and assessing the wound requires dressing changes. Removing these bandages and putting new ones on your child's burn is painful. The Burn Team will do everything it can to minimize the pain when dressing changes are needed.</p><p>Your child may be given a general anaesthetic for dressing changes. This means they are given a "sleep medicine" that will make them sleep during the procedure.</p><p>If your child needs to be awake during a dressing change, they will get pain and anxiety medications before the procedure. A child life specialist can also support your child by using non-medical pain relief techniques. These include deep breathing and distraction. For example, your child's pain can be reduced if your child is playing with bubbles or stickers, watching TV or movies, or listening to music. You can also help by bringing a blanket, stuffed animal or toy from home.</p><h2>Going home from the hospital</h2> <p>Home is the best place for a child. They sleep in their own bed, eat their own food and play with close family and friends.</p> <p>The Burn Team will send your child home only when they are ready. Usually this means:</p> <ul> <li>there is no fever</li> <li>they are eating and drinking</li> <li>swelling has decreased</li> <li>pain is well managed</li> <li>dressings can be managed at home</li> </ul> <p>Before your child goes home, you, as a parent must feel that you can provide any care your child needs. The Burn Team can help you learn any skills you may need to <a href="/Article?contentid=1176&language=English">care for your child's burn injury after discharge from the hospital</a>. When your child goes home, that is not necessarily the end of hospital care. The Burn Team will continue to follow up with you and your child in our Plastics Clinic for further burn management.</p><h2>Before surgery or other procedures: NPO</h2> <p>It is very important that no food or drink be in the stomach when a general anaesthetic is given. These medications relax the stomach. If there is food in the stomach, there is a risk it will come up during the procedure. This can be dangerous. For this reason, your child will be given an NPO order before any surgery or procedure. NPO means nothing to eat or drink. Your child needs to follow the NPO instructions in order to be safely put to sleep.</p> <h3>NPO means:</h3> <ul> <li>Your child must STOP EATING at midnight before the procedure. Your child cannot have solid food after MIDNIGHT. This includes gum and candy.</li> <li>Your child can continue to have milk (full fluids) until 2 a.m.</li> <li>If you are breastfeeding, you must stop breastfeeding by 4 a.m.</li> <li>Your child can continue to drink clear fluids such as water or apple juice until 5 a.m. Your child cannot have anything else to drink after 5 a.m. (NPO).</li> </ul> <p>Once the procedure is done and your child is awake and alert, they can resume drinking clear fluids or breastfeeding. Your nurse will let you know when it is okay for your child to start eating and drinking again.</p><h2>The Internet and other sources of information about your child's burn injury</h2><p>There are very good websites (like this one) to help you understand burn injuries. However, some websites can be confusing and wrong. Although there are many ways to treat burns, some of them may not be useful for your child's specific injury. Some sites may promote treatments that do not work. Images of burn injuries may be upsetting and misleading to parents.</p><p>Using the Burn Team as your main source of information is best. If you find treatment or other information on the Internet, bring it to the Burn Team. They can help explain it and let you know if it may help your child's case.</p> <span class="asset-image-title">Facts about Burn Healing</span> <div class="asset-video"> <iframe src="https://www.youtube.com/embed/Gkq3RsVemtM?rel=0" frameborder="0"></iframe> </div><img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/burn_injury_information_for_Parents_child_hospital.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/burn_injury_information_for_Parents_child_hospital.jpghttps://assets.aboutkidshealth.ca/AKHAssets/burn_injury_information_for_Parents_child_hospital.jpgBurn injury: Information for parents with a child staying at the hospital

Thank you to our sponsors

AboutKidsHealth is proud to partner with the following sponsors as they support our mission to improve the health and wellbeing of children in Canada and around the world by making accessible health care information available via the internet.