Born Unit In KCH

Burn Unit in Kanti Children’s Hospital

Burn is a major issue in both adults and pediatric population. Unlike adults, accidental burns are more common in children than suicidal attempts. It is basically the result of lack of knowledge about preventive aspects and negligence in part of parents/guardians.

Pediatric burn unit in Kanti Children’s Hospital (KCH) is the only pediatric burn center in the country and is the only tertiary referral center for the pediatric burn patients from valley and all over the country.

The burn unit was established in KCH as part of the surgical ward in the early days with very few beds within the surgical ward. It was established as a separate burn unit in 1952 B.S. Since then the burn unit has struggled and flourished in every aspect.

At present, there are 22 beds which includes –

General ward                          – 11 beds

Post-operative ward                – 6 beds and

High dependency ward          – 6 beds

Play room                                – 1

Dressing room                         – 1

It is under the supervision of pediatric general surgeons due to lack of pediatric plastic / burn surgeon.

The data of burn unit of the year 067/068 is as follows:

Total no. of patients – 23

The Existing staff in burn unit:

                Total staff               – 7

                Total Attendants     – 5

                Sweeper /Cleaner    – 4

Constraints and limitations:

  1. Lack of dedicated Burn or Plastic Pediatric Surgeon.
  2. Less man power particularly nursing staff and sweepers.
  3. Inability to use the dressing room due to leakage of water from ceiling since two years.
  4. Lack of attention to burn unit in regular hospital affairs.
  5. Lack of proper toilet facilities for the patients.
  6. Lack of ICU and ventilators for the burn patients.

Our Recommendations:

  1. Training for pediatric surgeons in burns and plastic surgery.
  2. More attention towards burn ward renovation from hospital authorities especially the dressing room and toilet.
  3. Addition of manpower.
  4. Provision of ICU and ventilators for burn patients.
  5. Awareness about preventive aspects.

Recent advances:

  1. Regular training to doctors and nurses in the country and abroad.
  2. Quick turnover of the patients.
  3. Early debridement and skin grafting.
  4. Early splinting and physiotherapy.

Despite limitations, we are trying our best to provide total care to the patients. We are receiving constant help from the Physiotherapy, Orthopedics and Medial department of KCH and Plastic Surgery department of TUTH.

We are happy to inform that we have plastic surgeons and team from U.K. visiting us regularly since last 2 years. They are providing us with the fund for Burn Unit, training to doctors and nurses, upgrading us with the new and advanced technologies. Mostly, they are helping us improve our burn care.

We are also proud to inform that BSF (Burn Survivors Foundation), Nepal is also working with us from recent past particularly for nutritional and recreational improvement of our burn patients.

Lastly, we hope that our hospital and concerned authorities would pay attention to our limitations and requirements and do the needful for the best care of the pediatric burn patients.

 Dr. Ramana Rajkarnikar and Burn team.