Indian Journal of Burns

KNOW YOUR BURN UNIT
Year
: 2019  |  Volume : 27  |  Issue : 1  |  Page : 5--7

Burn Unit at ABVIMS and Dr. Ram Manohar Lohia Hospital, New Delhi, India


Rakesh Kumar Srivastava, Vaddi Suman Babu, Mukesh Kumar Sharma 
 Department of Burns and Plastic Surgery, ABVIMS and Dr. Ram Manohar Lohia Hospital, New Delhi, India

Correspondence Address:
Dr. Rakesh Kumar Srivastava
Department of Burns and Plastic Surgery, ABVIMS and Dr. Ram Manohar Lohia Hospital, New Delhi
India




How to cite this article:
Srivastava RK, Babu VS, Sharma MK. Burn Unit at ABVIMS and Dr. Ram Manohar Lohia Hospital, New Delhi, India.Indian J Burns 2019;27:5-7


How to cite this URL:
Srivastava RK, Babu VS, Sharma MK. Burn Unit at ABVIMS and Dr. Ram Manohar Lohia Hospital, New Delhi, India. Indian J Burns [serial online] 2019 [cited 2020 Aug 10 ];27:5-7
Available from: http://www.ijburns.com/text.asp?2019/27/1/5/275908


Full Text



Dr. Ram Manohar Lohia Hospital, initially known as Willingdon Hospital, was established by the British Government for their staff with 54 beds. After independence, it was transferred to the Central Government of India in 1954. The hospital has expanded over the years with various modifications and development and presently having about 1447 beds. It is fully funded by the Government of India, Ministry of Health and Family Welfare (MOHFW).

The Burns Unit started working as part of General Surgery Department at Dr. RML Hospital way back in 1985–86 headed by Dr. S. P. Bajaj. Later on, the unit was upgraded as a separate department in 2002 under leadership of Dr. R. P. Narayan. The Burn Ward in the Department of Burns, Plastic and Maxillofacial Surgery was upgraded in 2011 with 22 beds, including four-bedded intensive care unit, minor operation theater (OT), and dressing room and also separate regular OT under general anesthesia. It got many modifications and renovations to the present state. At present, it has 28 beds dedicated to burn patients out of 40 beds available in the department. A total of 57,508 burn patients attended the department in the last 2 calendar years (2017 January–2018 December). Of which, 2175 were indoor patients.

 Burn Ward and Emergency



Burn Emergency is attached to the Burn Ward and it is situated in the ground floor, which allows easy accessibility for the patients [Figure 1] and [Figure 2]. It has a burn dressing room with two dressing tables and equipped with OT lights [Figure 3]. It also has a minor OT equipped with OT table, OT lights, and other necessary equipment such as electrocautery and suction machine, which facilitates dressing and minor procedures such as escharotomy and fasciotomies. Two trained dressers are available for the admitted patients.{Figure 1}{Figure 2}{Figure 3}

The ward has a total of 28 beds dedicated to burn patients. The entire ward is centrally air conditioned to maintain the ideal temperature for the burn patients. It has adequate medical, nursing, and paramedical staff to handle the burn patient's load. It has six fully functional modern fixed ventilators. Besides these, the unit has three portable ventilators. Six critical care beds are also equipped with bed side monitors which are connected to the central monitoring system available at the nursing station of the ward. These monitors make monitoring of critical patients easier. The beds have adequate space in-between and allow isolation of the patient with well-planned overhead curtain system. The ward is equipped with most of the necessary and sophisticated items such as air mattress, infusion pumps, deep vein thrombosis pumps, and cardiopulmonary resuscitation (CPR) machines. The unit has automatic integrated defibrillator and CPR equipment. The ward has adequate supply of sterile dressing material, silver ointment, and special dressing materials such as collagen and silver dressings throughout the year. Medications both oral and parental even higher antibiotics, albumin, immunoglobulins, and parenteral nutrition fluid are freely available for the patients. Two senior residents (M. Ch students) are available 24 × 7 in the burn ward to take care and attend the emergencies in the ward.

 Outpatient Department



The burn outpatient department (OPD) is in the main OPD building. It has a consultation room with attached minor OT and dedicated dressing room [Figure 4] and [Figure 5]. Ambulatory patients and patients with postburn deformities are being followed up in the OPD. A total of 54,793 burn patients were attended on OPD basis in the last 2 calendar years (2017 January–2018 December). Patients are provided with pressure garments, silicone gel sheets, laser therapy for scar modulation, and physiotherapy services in the OPD. The OPD is also well supported with rehabilitative services provided by physical medicine and rehabilitation department and psychosocial treatment provided by psychiatry department.{Figure 4}{Figure 5}

 Operation Theater Services



There is a dedicated burn OT offering round-the-clock services for all routine and emergency major and minor surgical procedures. In addition to that common surgical, emergency OT table is also available round the clock and can be utilized if patient load is more. Various procedures done for the patient include fasciotomy, esharotomy, tangential excision, skin grafting, postburn contracture releases, minor and major amputations, locoregional flaps, and free flaps. OT theater is well planned with modular design and modern equipment such as dermatome, skin graft mesher, electronic tourniquet, and modern operating microscope. The unit has Meek's dermatome too for micrografting.

 Burn Training and Prevention Programs



The department has seven regular faculty members with three professors and three associate professors and one assistant professor. M. Ch training program in burn and plastic surgery is started in 2014 with four seats per year. The department has regular teaching schedule for 4 days per week and guest lecture on Saturday. Ten junior residents are also posted in the department throughout the year. The department organized National Burns conference NABICON in 2017 and also organizes “National Programme for Prevention and Management of Burn Injuries” under the ages of MOHFW for surgeons from various parts of the country. It also organizes burn training programs for the nurses, paramedical staff, and pretrauma technicians every year. It is also involved in conducting burn prevention programs for the general public. The department is continuously active in the field of research in burns. At present, the department is involved in three burn research projects. The department is regularly involved in the formulation of policies related to the burn injuries, disaster prevention, and management under the MOHFW, Government of India. The unit is involved in the formulation of guidelines for burn injury management and prevention programs at national level, especially for acid burns.

This Burn Unit under the Department of Burns, Plastic and Maxillofacial Surgery not only provides services to burn patients but also covers all kind of reconstructive and microsurgery, maxillofacial surgery, hand surgery, cleft and craniofacial, cancer reconstruction, and esthetic surgery. The burn unit is part of one of the busiest hospitals situated in the center of national capital Delhi and provides the all modern state-of-the-art facilities and utmost care needed for burn-related injuries.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.