I was on
duty yesterday…Sunday….
And the
morning rounds was a sad one….
We had 3
children with burns over the last 48 hours.
RR, a 3
year old boy was the first to come. It is quite common in rural India for
households to cook on the floor. There is no elevated portion within the
kitchen to keep the fire. Usually, there is no kitchen… A portion or corner of
the house or many a times the outdoors is used for cooking.
RR’s mother
was cooking rice for breakfast on a improvised stove outside the house when RR
happened to tip over the boiling pot of rice and fell on it. RR ended up with about
20% burns. I could have been worse if the boiling water had fallen over him
while the pot tipped over.
The second
patient was RK, another 3 year old who had a history very similar t RR. This
time the offending item was boiling milk rather than rice. RK’s father owned a
tea shop in front of his shop.
The third
patient was KK, a 7 year old girl whose case was a very bad one. KK’s mother
was in the kitchen cooking when someone called her outside to the shop which
adjoined their home. KK’s mother went to attend the customer and returned back
to the kitchen. She lighted the match for the stove and the next thing she
knows is that there was a big blast and the bed on which her daughter was sleeping
nearby was on fire.
The blast
brought her other family members rushing to the scene. Somehow, they pulled out
KK from within the debris. Luckily, KK’s mother was not hurt.
The whole
house along with the shop was completely gutted… We calculated that 90% of her
body was burnt with areas of deep burns including her face, neck and genital
regions.
KK’s family
was into a major tragedy. They are quite well off. But, within the flash of an
eye, they are in a major quandary. It was so sad to see KK’s father sitting
beside KK within this head buried deep in his hands and bursting into tears on
and off.
We offered
them a referral which the family readily accepted. Meanwhile, I took RD to the
theatre and did a thorough cleaning up and dressing. He had a circumferential
burn of his right hand which needed fasciotomy.
Kindly
remember all three children in your prayers.
Meanwhile,
do note that all three episodes of burns could have been prevented. In fact, we've had similar episodes before too.
- I remember during one of the conferences which I had attended on burns, there was a solution provided by one of the participants on putting up barriers made of mud or bricks in households where the cooking was done on the floor. Something which would go a long way in preventing small children from wandering into the fire.
- It is quite common to see teashops and small hotels function from within houses. The womenfolk also help out in the chores in these eateries. And many a time, children end up wandering into the areas where the food is cooked and end up with accidents including burns. Parents of both RK and KK ran such shops.
I happened
to glance through the folder of 20th National Conference of National
Academy of Burns (NABICON 2012) in New Delhi. There is a message in the last
cover page which goes – Best Treatment of Burns in Prevention. Of course, we
are in the process of putting up a burns unit. I pray that we would be
ultimately able to play a key role in interventions which would prevent the
occurrence of burns within our communities.
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