Department Of BURN UNIT
Saga begins from the motivation and whole hearted support of Late Shri Thakurdas Pagarani, He shared the painful demise of his mother due to burns and wanted to dedicate to society better care for the burns in her fond memory.
This service was started in 1988 with the objective of providing holistic burn care for patients in the city and neighboring regions as there was a crying need for a BURN CARE FACILITY.
Our burn unit has 12 beds for managing acute burns. Patient requiring critical care are managed in ICCU and PICU. Until now we have treated to more than 4500 burn patient and 10,000 outpatients. There is a multidisciplinary team dedicated to continuously work towards improving outcome. We offer early surgery and wound closure supported by the whole team of Surgeons, Physicians, anesthetists, nurses, dietician, physiotherapist and psychologist and paramedical staff.
Community services for increasing awareness on burn prevention are part of every member’s responsibility. Burn support group and extended follow up service is provided for convalescent and discharged patient to look after the rehabilitation needs.
Our burn unit is the Interburns (international network for training education and research in burns) Training Center. This center is being developed as a model training hub for all the members of the burn team and will cater to the needs of the Low and middle income countries. In future, interburns would like to duplicate these efforts in other developing countries.
Interburns Training Center (ITC)
The Interburns Training Center was formally started in January 2011 at Choithram Hospital and Research Center, Indore, India. The Choithram Hospital is a Private Charitable Trust 350 bedded Hospital with a 12 bedded Burn Unit admitting >220 acute burns and treating 1000 outpatients per year. The 4th Skin Bank in India was opened at the Burn Unit in February 2011.
The Interburns Training Center has been strategically placed at Indore because:
1. India has the highest global incidence of deaths from burn injuries
2. The Burn Unit has been run by a renowned burn care practitioner, Dr. Shobha Chamania since 1995 and has built an excellent burn care team and burncare model despite working within limited resources.
3. Burn training in the throughout the developing world is very limited. Until now most Trainees will visit the West for training and learn a large number of approaches and techniques not appropriate or possible for their local context. At the ITC comprehensive burn care can be taught and modelled which is relevant to the majority of contexts in Low Income Countries - and at a fraction of the cost.
The ITC offers a one year Burn Surgery Fellowship. The goal of the program is to provide the Trainee with in-depth experience in the management of the entire spectrum of burn care in the setting of a postgraduate teaching hospital. This includes: resuscitation, operative treatment, basic critical care, rehabilitation, and burn scar reconstruction, prevention, basic science and clinical research, quality improvement, outcome measurement, cost effectiveness, multidiscipline team working and managing a burn unit. If interested in the Fellowship please contact Interburns with your CV. Currently the only Fellowship available is for applicants who are doing or have completed a Plastic or General Surgery Residence.
The ITC is also involved in a number of Research projects and local burn injury prevention schemes such as public awareness programs in schools, colleges, rural and tribal adolescent girls training centers and with all patient relatives and families visiting.
We have recently started a skin bank with support from Dutch Burn Foundation which is a great help in salvaging the life of a major burn victim. The skin bank is extremely indebted to the support of the social groups committed to raise awareness on organ donation. Muskan group and MK international eye bank need special mention here for their contribution and continued support.
This center has started a fellowship program from January 2011. The fellowship will be for one year which will give a good experience on managing all aspects of burns along with hands on training. The candidate will learn additional stuff on team management, designing a unit, infection control, community outreach and education on safety and first aid. He/she will be responsible for doing a research project and submitting the report at the end.
Fellowship is also offered to the medical students wanting to do their electives in burns. This is for one month. This offers clinical experience and doing a small research project.
Training & Education
Essential Burn care course, copyright of Interburns, is a well designed course for the grass root workers in LMICs. WHO and Dutch Burn foundation is planning to organize training on a large scale to increase the trained personnel. We are participating in that activity.
This unit has been active in various clinical and lab research projects with the objective of striving to do better for the suffering patients. The research has even been extended to the community as prevention interventions and their evaluation.
Madhya Pradesh needed a proper burn care facility, which is appropriate for the needs of the burned victims who are general from the low income strata. Present facility was started in 1988 as a 6 bed unit which has now expanded to 12 bed centre. Annual inpatients are 220-270 moderate to major burns and 750 out patients. There is facility for isolating clean patient from contaminated an infected patient.
This centre is one of the pioneers in India to practice modern by the international network for training, education & research (interburns) as the training centre for burn professionals. We have trained doctors, nurses visiting from various centre from India & abroad.
Patients are treated by biological dressing (kollagen) within 24 hrs of admission, if the injury is superficial with excellent results.
If the injury is deep dermal or full thickness it is excised generally after 2 days of admission and skin grafted. Early excision and skin grafting has been practiced now for last 20 years, which has helped in making the treatment cost effective, reducing hospitalization and sending then back to work much earlier, saving national Mondays loss. The outcomes are better – mortality is reduced and functional plus aesthetic outcomes are for better than the conventional treatment.
The centre is dedicated to holistic care. Emphasis is on prevention activities all rounds the year by educating masses & school children. This is for reducing incidence.
Better care has helped in preventing deformities that can be life changing milestones in patient’s lives.
We offer reconstructive surgery and a proper rehabilitation with the support of specialists in the field so that the deformed individuals are able to return to society as a useful citizen. We have formed a burn survivors support grow now.
The Burn team is very sensitive to the emotional social and pain relief needs of the patients and that humane touch makes team special amongst their patients.
Recently we have started a skin bank with the support of some NGOs of Indore city who have help in encouraging family members to donate skin after death. Cadaver skin can be preserved for 2 years and is an excellent, saving lives of major burn victims burn tem is indebted to the donors of skin for these patients.
This centre is also been keenly involved with research to contain the cost of treatment so that it remains within the reach of the people who need it. Banana leaf dressings Community education on prevention followed by providing interventions that have succeeded in preventing injuries are some of the hallmarks.
We have hosted national Burns conference twice and have conducted several essential burn care courses under the aegis of NABI & interburns for training & education of Burn professionals. We are activity involved in international outreach especially in the developing world. Form has been Bangladesh and Africa, Who share similar challenges.