Part 1: Pre-hospital Burns with Krissie Stiles

In this conversation, we will explore the key aspects of burn
care, beginning with the prevalence, causes, and classification
of burn severities. We'll dive into understanding the
physiological responses to burns and the potential complications
that can arise, ranging from infections to organ failure.
Emphasising evidence-based management, we will discuss the
critical priorities in burn care, including initial assessment,
fluid resuscitation, airway management, pain control, and
cooling, followed by safe transportation to specialised
facilities.


As we move forward, we'll examine the potential complications
that burn patients face, such as shock, infections, and long-term
scarring. We'll also highlight prevention strategies to reduce
the occurrence of burns and the importance of coordinated care
with burn centres. The psychological impacts on patients and
their families, which can be profound and long-lasting, will also
be a focus, as well as the continuum of care that extends from
the acute phase to rehabilitation and reintegration into daily
life.


Additionally, we'll discuss the training requirements for
healthcare providers in burn care, and the ongoing quality
improvement processes in this field, and reflect on memorable or
particularly challenging cases that our guest, Kristina Stiles,
has encountered in her extensive career.


Kristina Stiles, who joins us for this conversation, is a highly
experienced nurse specialising in burns and plastic surgery since
2003, with an MSc in Burn Care attained in 2019. Kristina has
played a pivotal role in developing Clinical Practice Guidelines
and patient information initiatives aimed at improving the
quality of care. She is the founder of the British Burn
Association’s Pre-Hospital Special Interest Group, where she has
worked collaboratively across various specialities to enhance
pre-hospital burn care practices.


Her contributions to the field are noteworthy, including
award-winning projects such as "The Burns Game" and the "Saving
Lives is Not Enough" report, both of which have had a significant
impact on burn care practices and patient outcomes. Kristina is a
staunch advocate for patient voices in healthcare and has
received numerous accolades, including awards for "Outstanding
Patient Care," "Innovation in Care," and "Effective Burn Care."
In addition to her professional achievements, Kristina serves as
an Ambassador of the Children's Burns Trust, further
demonstrating her commitment to improving the lives of burn
patients and their families.


Through this discussion, we aim to provide a comprehensive
overview of pre-hospital burn care, from initial management
strategies to long-term outcomes, while also highlighting best
practices, recent advancements, and real-world experiences that
shape the field today.





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