IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-9-6-25562 Original Research Paper A STUDY TO EVALUATE THE SPECTRUM OF BURN INJURIES IN HILLY AREA OF NORTH INDIA Laxmi Agnihotri Dr. Dr Vikas Singh Dr. June 2020 9 6 01 02 ABSTRACT

The World Health Organization (WHO) broadly defines a burn as an injury caused by heat (hot objects, gases or flames), chemicals, electricity, and lightning, friction or radiation1.Annually, burns result in more than 7.1 million injuries, the loss of almost 18 million disability–adjusted life years (DALYs) and more than 250,000 deaths worldwide. More than 90% of the burden of burn injury isborne by low– and middle income countries (LMICs). Burn injuries are a significant cause of morbidity and mortality throughout the world. Burns occur in all age groups and may range in severity from minor requiring no treatment to extremely severe requiring the highest level of intensive treatment. Burn injuries are more common in developing countries like India due to various socio–cultural factors namely illiteracy, poor living and housing conditions, poverty, poor substandard electrical wiring and malpractices like dowry. There is lack of awareness and ignorance regarding burn injuries coupled with the difficulty in accessing health–care services2. Himachal Pradesh (HP) is a mountainous place where many parts are not linked by transportation resulting in many burn victims from these regions never making into the hospital, and even if they make to the hospital, they are presented very late complicating the treatment. In HP, a limited number of burn center and trained physician make it difficult for burn victims to get proper treatment immediately after the injury. The present study was conducted to measure the pattern (depth and types), mode of burn injuries and clinical profile of burn patients. It may help us gauge the extent of the problem in this part of the country and plan strategies to prevent burns and strategy to minimize its morbidity, disability, and mortality and disability–adjusted life years (DALYs). AIMS AND OBJECTIVES: 1.To study the percentage and degree of burns. 2.To study various modes of burn. 3.To study associated co–morbidities leading to burn. 4.To plan strategies to reduce the morbidity and mortality of burn patients. MATERIALS AND METHODS: Study site: This study was conducted in the Department of General Surgery in Medical college of hilly region of North India. Study period and Sample size: This was a three and a half years retrospective and prospective study and included all patients of burn injuries who were admitted in the hospital from 1st January 2014 to 30th June 2016 and patients who either reported to the Casualty OPD or were admitted in the wards from 1st July 2016 to 30th June 2017. Result: We observed that most of the patients in this study who sustained burn injuries are male labourer with low socioeconomic status. They sustained injuries more during winter season which are mostly accidental & 2nd degree. CONCLUSION: It should be recognized that burns are a separate complex medical entity requiring multimodal care and rehabilitation. Separate burns centre is the need of the hour in care of these patients as it is a major cause of morbidity and mortality