Workshop Aims and Objectives
Nutrition support represents a critical component in the care of the acutely burned patient. Management of nutritional demands mandates attention to the unique hypermetabolic state that results from major burn injury; this pathophysiology results in loss of lean body mass, increased fat accretion and protein wasting, and impaired wound healing. Historically, failure to address these problems in victims of major burn injury often resulted in a fatal degree of inanition and death from infection and heart failure.
The aim of this workshop on nutrition support in burn patient is to ameliorate and hopefully optimize the deranged metabolism resulting from burn injury and permit successful closure of the burn wound and resolution of the hypermetabolic state.
Upon successful completion of this workshop, the candidate should
– To know the principles of fluid resuscitation in burn patients.
– To be familiar with requirements for macronutrients and micronutrients in burn patients.
– To know the methods of administering nutrition in burn patients
1. "Pathophysiology of burns, fluid loss and metabolic response", Dr. Shobha Chamania, Senior Surgeon; Chief Burn Unit CH&RC founder member Interburns.
2. "Fluid resuscitation in burns", Dr. Gittie, Burns Surgeon , Fellow Interburns, Tanzania
3. "Nutrition Support in Burn Patients: Energy requirement; Macro and Micro nutrient support", Mrs. Padmaja Joshi, Clinical Nutritionist , Jupiter Hospital, Thane Mumbai
4. "Nutritional Assessment and Monitoring: Equations used to estimate calorie, proteins and vitamin and mineral requirement in burns patients", Ms. Pratibha Sharma (Clinical Nutritionist, Burn Unit Choithram Hospital and Research Centre, Indore
5. "Parenteral nutrition in acutely burn patients", Dr. C.S Chamania (Chief of Surgery Department , Executive Committee member IAPEN)
Workshop Photos: http://www.flickr.com/photos/88360766@N02/sets/72157637110128656/
Participants and speakers and workshop overview
The advanced training workshop on nutrition support in burn patients was attended by 100 participants: 29 guests and 71 registered delegates. This one day workshop attended by the professional from different region of India. especially, who have special interest in Burn’s nutrition care.
The workshop was successfully conducted by highly experienced speakers in burn nutrition, Dr. Shobha Chamania (Chief of Burn Unit Choithram Hospital and Research Center, Indore, Founder member Interbunrs, Dr. Giiti Burn’s Suegeon. Interburns Fellow From Tanzania, Mrs. Padamaja Joshi, Incharge Dietician, Critical care division Jupiter Hospital Mumbai, Ms. Pratibha Sharma, Consultant Dietician Burn Unit Choithram Hospital And Research Center, Indore, Regional officer IAPEN Indore, Team Member Interburns, and Dr. C.S Chamania, Head of the Department, Surgery Department, Choithram Hospital And Research Center, Indore and Associate member of Executive Committee IAPEN, India.
The workshop sessions were chaired by four chairpersons, Dr. Ashwin Dash, Senior Plastic/ Burn surgeon, Choithram Hospital And Research Center, Indore), Dr. Neela Ojha, Senior General Surgeon, Choithram Hospital And Research Center, Indore, Dr. Rashmi Shrivastava, Chief Dietician , Geeta Bhawan Hospital Indore and Dr. Geetika Paliwal, Plastic Surgeon, Choithram Hospital And Research Center, Indore.
The Chief Guest of the workshop on Nutrition support in Burn Patients was Dr. Sunil Chandiwal, Director of Medical Services Choithram Hospital & Research Center, Indore M.P India and Dr. Shobha C, Founder Member, Interburns, India and Dr. Giiti, Burn’s Suegeon and Interburns Fellow, Tanzania represented Interburns and Dr. C.S. Chamania, Associate Member of the Executive Council, IAPEN and Dr. Pratibha Sharma, Regional Officer, IAPEN Indore Chapter, represented IAPEN.
Program were successfully coordinated and compeered by Mrs. Rashmi Joshi, Renowned Dietician, Indore and vote of thanks delivered by Mrs. Vibhooti Trivedi, Senior Dietician, Choithram Hospital & Research Center Indore.
The Workshop was scheduled over one days (12th October, 2013) and consisted of information sessions and group discussion time. The workshop started at 10 AM and ended at 4.00 PM with lunch break from 1.20 PM to 2.00 PM. On arrival and in the course of the Workshop, each participant was provided with a module on burn nutrition in English. Participants were also given pens, note pads and papers to present the results of case studies. Overall, the facilities were good with clean rooms and spacious surroundings. The necessary equipment (laptop, overhead projector with the screen) were available and worked well.
Venue: Interburns Training Center, Choithram Hospital and Research Center, Indore
About Interburns, UK
Interburns is an international network of expert burn care professionals seeking to transform the global provision of burn care in low and middle income countries (LMICs) through education, training, research and service delivery.
Interburns vision is a world where the enormous suffering, death and disability caused by global burn injuries have drastically decreased and every burns patient has access to the highest standards of burn care. We believe that all burns patients can receive good quality care despite limited resources. Our motto is ‘tomorrow is too late’, because urgent action is needed to address the terrible suffering burns cause to millions of people across the world.
Interburns Strategic Aims
Training and Education
Create and deliver a comprehensive training and education programme for professional burn care teams, carers and the general public, which will radically transform burn injury prevention, standards, and patient outcomes.
Build an international, multi-disciplinary network of highly motivated and expert medical volunteers to deliver high quality standards, research, training and education.
Research and Awareness
Develop a strong evidence base of research, data and literature on global burns injuries and existing burns care, in order to raise awareness of burns as a global health crisis at the local, national and international level.
Improving Burn Care Standards and Service Delivery
Set and implement the highest standards of burn care in low resource environments.
Organisational Growth and Development
Grow Interburns into a professional and effective non-profit organisation with the resources, strategy and operational capacity to transform global burns care.
Interburns Training Center (ITC), Choithram Hospital and Research Center, Indore
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. International achievement 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. More details about Interburns can be found at their website: http://www.interburns.org
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. We have recently started a skin bank with support from Dutch Burn Foundation and Interburns.' Interburns funded the flights of the personnel who visited the Dutch Burn Foundation to develop the skin bank, at the request of Dr Shobha Chamania.
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. Recent fellows at the ITC include burn care professionals from India, Nepal, and Uganda, with new fellows soon arriving from Tanzania and Afghanistan.