|Year : 2016 | Volume
| Issue : 1 | Page : 1-2
Ekla Chalo Re… (Walk alone…)
Editor-in-Chief Indian Journal of Burns, Prof. & Head, Department of Plastic, Reconstructive Surgery and Burns, Seth G.S. Medical College and KEM Hospital, Mumbai 400 012, India
|Date of Web Publication||12-Dec-2016|
Editor-in-Chief Indian Journal of Burns, Prof. & Head, Department of Plastic, Reconstructive Surgery and Burns, Seth G.S. Medical College and KEM Hospital, Mumbai 400 012
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Puri V. Ekla Chalo Re… (Walk alone…). Indian J Burns 2016;24:1-2
In the Bengali classic song “Eka” written by revered Gurudev Rabindranath Tagore in 1905, the words “Ekla Chalo Re” inspire and urge one to tread fearlessly on one's path and one-mindedly pursue it alone even if others do not heed your call to join in.
Season's greetings to all, dear colleagues and seniors. It is a great pleasure to write this editorial again and help showcase the best burn work of our country.
More than half a century back, it was proved and accepted beyond doubt that early excision of the burn wound is the standard of care in burn injuries. It has been shown to be one of the few interventions which can have an impact on mortality statistics. The advent of newer modalities of treatment and advanced wound care products has helped reduce the number of dressing changes or the pain associated with dressing. However, none of them has been shown to reduce mortality rates. However, this practice of burn wound excision finds few followers in burn units in our country. Among many of the reasons often cited for failing to do so, one of them is nonconsent for surgery by the relatives of the patient. Economic reasons apart, most patient caretakers see burn injury as a major physical trauma. Adding the insult of surgery to this injury seems unacceptable to them which brings to the fore the age-old ethical and moral dilemma of whether the burn surgeon can take matters in his or her hand and enforce that decision on the relatives, knowing that it can improve the chances of survival. A dilemma between doing what is best for the patient and doing what is right by consent… “Consent” makes for an interesting topic to read on.,,
It was heartening to see a tendency to enforce an eco-friendly Diwali this year by the various social media and infomercial agencies on television and radio. The call was to reduce the bursting of firecrackers and choose to light lamps instead to reduce noise and smoke pollution. Unfortunately, the burn aspect of the problem which occurs regardless of the type of fire that is lit remains, and emphasis on safety should be paramount. Many burn units across the country ran their own safe Diwali campaigns in schools and society at large. Hopefully, some decrease was noted in cracker burn incidence in burn units across the country.
Recently, the International Society of Burn Injuries (ISBI) published the ISBI Practice Guidelines for Burn Care. This was initiated by and completed in the tenure of the immediate past President of ISBI, Dr. Rajeev Ahuja. It is a commendable academic work with inputs from burn care specialists from across the world. Michael Peck MD coordinated this gargantuan task, with inputs and ideas flowing freely and it was an enjoyable and great learning experience for all the authors involved in the project (yours truly being one of them)! These guidelines, though applicable for all settings, are focused on burn care in resource-limited settings and recognize the current best and most cost-effective methods of treatment. The practice guidelines focus on a wide variety of topics ranging from organization and delivery of burn care to antibiotic stewardship to rehabilitation and quality improvement. I urge all our readers to read the guidelines themselves and also forward the link to their colleagues, team members, juniors, and seniors involved in burn care. The article has open access and is available as a quick link on the ISBI website http://www.worldburn.org
The current edition of our journal brings you a variety of interesting and academically stimulating articles. Be it the Guru Speak section written by Dr. Arvind Vartak about his experiences in managing the burn wound over the years or epidemiological studies tackling the various aspects of burn care from different burn units across the country. Interesting case reports of high-voltage electric burns to the perineum and managing burns in a child with G6PD deficiency also feature in this journal. The burn unit featured in this edition is the SOA burn unit from Odisha. A number of other original studies in this journal after being peer reviewed and scrutinized show a definite trend toward improving standards and quality of burn care in the respective burn units.
Burn care is a challenging field and should stimulate the young minds of emerging plastic and general surgeons, for where else in the field of surgery occurs such an amalgamation of complex wound care, use of advanced wound care technologies, excision surgery, microsurgery, and esthetics for the postburn scars.
So here is to continuing our quest for excellence and knowledge and constantly striving to better our own efforts and standards. Let us spread the message “excise to excel” to burn units all over the country and hope that many take up the cause, until then for the few who practice it, it may well be “Ekla Chalo Re…”
| References|| |
Anderson OA, Wearne IM. Informed consent for elective surgery – What is best practice? J R Soc Med 2007;100:97-100.
Wheeler R. Consent in surgery. Ann R Coll Surg Engl 2006;88:261-4.
Geffroy M, Vernaglia LW. But are you really sure? Requiring psychiatric proof of patients' informed consent prior to elective surgery. Med Health R I 2001;84:142-3.
ISBI Practice Guidelines Committee; Steering Subcommittee; Advisory Subcommittee. ISBI practice guidelines for burn care. Burns 2016;42:953-1021.