Kajal Mehta, MD, MPH
Nominated From: University of Washington
Research Site: Nepal Cleft and Burn Center
Research Area: Burn, Trauma, Critical and Injury Prevention
Primary Mentor: Barclay Stewart
Feasibility and Implementation of an Enteral Resuscitation Bundle for Moderate-sized Burn Injuries to Prevent Shock in Nepal
Ninety percent of the 9 million people burned each year live in LMICs and lack access to centers that routinely perform burn resuscitations. As a result, burn injured patients frequently suffer preventable death or disability that could be reduced through implementation of a simple enteral resuscitation bundle. We propose to examine the effectiveness and set the stage for a larger implementation study of an enteral resuscitation bundle using a protocol adapted to the unique conditions of resource limited settings.
Burns disproportionately affect individuals in LMIC, and the morbidity and mortality rate of burn injuries is vastly higher than in HIC. Examining methods and feasibility of alternate means of resuscitation (enteral resuscitation), may allow for earlier initiation of resuscitation. By studying the implementation of a bundle that acknowledges the unique pre-conditions of resource limited settings, we hope to provide a playbook for dissemination of this life-saving technique in a variety of contexts (e.g., LMICs, combat casualty care, mass casualty incidents, rural health centers in countries of all income levels).