Abordaje inicial del paciente quemado en pediatría.

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Bibliographic Details
Title:	Abordaje inicial del paciente quemado en pediatría.
Alternate Title:	Initial Approach to the Pediatric Burn Patient.
Authors:	Flórez, Lizeth Gómez¹, Sandoval, David² sandoval.david@correounivalle.edu.co
Source:	Revista Gastrohnup. may-ago2026, Vol. 28 Issue 2, p49-55. 7p.
Subjects:	Burns & scalds, Pediatric physiology
Abstract (English):	Pediatric burns are a significant cause of accidental morbidity and mortality, with the highest incidence in chil- dren under 2 years old and a predominance of scalds from hot liquids. Injuries involving more than 15.0-20.0% of the total body surface area trigger a systemic response characterized by hypovolemia, shock, a hypermetabolic state, and the risk of respiratory, renal, and metabolic complications. The anatomy and physiology of children-- including thinner skin, narrower airways, and reliance on tachycardia to maintain cardiac output--increase vulnerability and accelerate deterioration. Clinical evaluation should consider depth, extent, etiology, location, and context, and timely, protocolized initial management is essential to improve survival and minimize long-term functional, aesthetic, and metabolic sequelae. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Las quemaduras pediátricas constituyen una causa importante de morbimortalidad accidental, con mayor incidencia en niños menores de 2 años y predominio de escaldaduras por líquidos calientes. Las lesiones que comprometen más del 15,0-20,0% de la superficie corporal total desencadenan una respuesta sistémica caracterizada por hipovolemia, choque, estado hipermetabólico y riesgo de complicaciones respiratorias, renales y metabólicas. La anatomía y fisiología infantil--piel más delgada, vía aérea estrecha y dependencia de taquicardia para mantener gasto cardíaco--aumentan la vulnerabilidad y aceleran el deterioro. La evaluación clínica debe considerar profundidad, extensión, etiología, localización y contexto, y un manejo inicial oportuno y protocolizado es fundamental para mejorar la supervivencia y minimizar secuelas funcionales, estéticas y metabólicas a largo plazo. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Pediatric burns are a significant cause of accidental morbidity and mortality, with the highest incidence in chil- dren under 2 years old and a predominance of scalds from hot liquids. Injuries involving more than 15.0-20.0% of the total body surface area trigger a systemic response characterized by hypovolemia, shock, a hypermetabolic state, and the risk of respiratory, renal, and metabolic complications. The anatomy and physiology of children-- including thinner skin, narrower airways, and reliance on tachycardia to maintain cardiac output--increase vulnerability and accelerate deterioration. Clinical evaluation should consider depth, extent, etiology, location, and context, and timely, protocolized initial management is essential to improve survival and minimize long-term functional, aesthetic, and metabolic sequelae. [ABSTRACT FROM AUTHOR]
ISSN:	01243691