Keywords
Burn Care
First Aid
Prevention
Outcomes
How to Cite
Abstract
Burns are some of the most devastating forms of trauma a human body may endure and disproportionately affect the most vulnerable members of our society. Burns cause soft tissue and multi-organ injuries through multiple complex mechanisms and are responsible for life-long physical, functional, social, and psychological impact on burn survivors' quality of lives. While prevention of burns and scalds is the ultimate goal, prevention of further harm once a burn injury has occurred is the next aspiration. Burns first aid consists of application of cool running water for at least 20 minutes within the first three hours of burn injury. Healthcare professionals hold the burden of responsibility to apply this evidence-based early intervention to improve healing and change the trajectory of outcome for patients. Efforts to improve public knowledge and awareness of the impact of early and appropriate burns first aid on burn survivors' quality of life outcomes have to begin close to home.
References
1. Jeschke MG, van Baar ME, Choudhry MA, Chung KK, Gibran NS, Logsetty S. Burn injury. Nat Rev Dis Primers. 2020;6(1):11. https://doi.org/10.1038/s41572-020-0145-5.
2. Yin X, Huang S, Zhu Z, Ma Q, Wang Y, Liu X, Shen T, Zhu F. The global, regional, and national burden of burns: An analysis of injury by fire, heat, and hot substances in the Global Burden of Disease Study 2019. Injury. 2025;56(1):111955. https://doi.org/10.1016/j.injury.2024.111955
3. World Health Organisation. Burns [Internet]. 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/burns. Accessed June 17, 2025.
4. Frear CC, Griffin B, Watt K, Kimble R. Barriers to adequate first aid for paediatric burns at the scene of the injury. Health Promot J Austr. 2018;29(2):160–166. https://doi.org/10.1002/hpja.184
5. Barrett LW, Fear VS, Waithman JC, Wood FM, Fear MW. Understanding acute burn injury as a chronic disease. Burns Trauma. 2019;7:23. https://doi.org/10.1186/s41038-019-0163-2
6. Kawalec A, Pawlas K. Home environment and burns in children. Burns Open. 2020;4(4):167–175. https://doi.org/10.1016/j.burnso.2020.05.006
7. NICE. Clinical Knowledge Summaries: Burns and scalds [Internet]. 2023. Available from: https://cks.nice.org.uk/topics/burns-scalds/background-information/prevalence/. Accessed June 17, 2025.
8. Gerstl JVE, Ehsan AN, Lassarén P, Yearley A, Raykar NP, Anderson GA, Smith TR, Sabapathy SR, Ranganathan K. The global macroeconomic burden of burn injuries. Plast Reconstr Surg. 2023;153(3):743–752. https://doi.org/10.1097/PRS.0000000000010595
9. Kelter BM, Holavanahalli R, Suman OE, Ryan CM, Schneider JC. Recognizing the long‑term sequelae of burns as a chronic medical condition. Burns. 2020;46(2):493–496. https://doi.org/10.1016/j.burns.2019.10.017
10. Fiona Wood Foundation. The burns journey [Internet]. Fiona Wood Foundation; [cited 2025 Jun 27]. Available from: https://www.fionawoodfoundation.org.au/what-we-do/the-burns-journey
11. Wood FM, Phillips M, Jovic T, Cassidy JT, Cameron P, Edgar DW; Steering Committee of the Burn Registry of Australia and New Zealand (BRANZ). Water first aid is beneficial in humans post‑burn: evidence from a bi‑national cohort study. PLoS One. 2016;11(1):e0147259. https://doi.org/10.1371/journal.pone.0147259
12. Griffin B, Cabilan CJ, Ayoub B, Xu HG, Palmieri T, Kimble R, Singer Y. The effect of 20 minutes of cool running water first aid within three hours of thermal burn injury on patient outcomes: a systematic review and meta-analysis. Australas Emerg Care. 2022;25(4):367–376. https://doi.org/10.1016/j.auec.2022.05.004
13. Harish V, Tiwari N, Fisher OM, Li Z, Maitz PKM. First aid improves clinical outcomes in burn injuries: evidence from a cohort study of 4918 patients. Burns. 2019;45(2):433–439. https://doi.org/10.1016/j.burns.2018.09.024
14. Frear CC, Griffin B, Kimble R. Adequacy of cool running water first aid by healthcare professionals in the treatment of paediatric burns: a cross-sectional study of 4537 children. Emerg Med Australas. 2021;33(4):615–622. https://doi.org/10.1111/1742-6723.13686
15. Wright EH, Tyler M, Vojnovic B, Pleat J, Harris A, Furniss D. Human model of burn injury that quantifies the benefit of cooling as a first aid measure. J Br Surg. 2019;106(11):1472–1479. https://doi.org/10.1002/bjs.11263
16. Bennett CV, Maguire S, Nuttall D, Lindberg DM, Moulton S, Bajaj L, Kemp AM, Mullen S. First aid for children’s burns in the US and UK: an urgent call to establish and promote international standards. Burns. 2019;45(2):440–449. https://doi.org/10.1016/j.burns.2018.09.003
17. Jane Goodall Institute of Canada. What we do [Internet]. Jane Goodall Institute of Canada; [cited 2025 Jun 27]. Available from: https://janegoodall.ca/what-we-do/
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