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Abstract
Abstract published with permission.
Correct initial management of thermal burns is key in promoting patient
outcomes. Cooling burns with cool running water (CRW) for 20 minutes
has been shown to accelerate the wound healing process, improve cosmetic
outcomes and prevent burn progression. This literature review aims to increase
understanding of this simple first aid (FA) intervention, help inform paramedic
practice, and determine areas for further research. Three themes came to light
following systematic searching of the available literature. As a result of a paucity
in evidence, a wide range of topics relating to cooling burns have been explored.
The topics look at how patients and carers may approach FA in burns, how prehospital practitioners currently manage burns patients, and the best methods
to use for cooling burns. Findings suggest that there is need for improved
education for the lay public and pre-hospital providers in order to improve burn
outcomes through FA interventions. While CRW is supported as a beneficial
intervention, further research is required into alternative cooling methods to
enhance care and evidence-based practice.