Annals of the MBC - vol. 2 - n' 4 - December 1989

The Symposium took place at Leon, Castille on Ilth and 12th October 1989, and was organized by Dr D.J. Blanco Tunon.
The MBC was officially invited, being represented by the Secretary General, who also took part in the scientific proceedings. In the presence of a wide audience of physicians, nurses and technicians, m .
Amerous aspects of the problem of burns were tapkled, giving rise to a lively debate on the various sAjects presented.
After the inauguration by C. Casaelo Perez, President of the Symposium, the following speakers presented a series of extremely detailed papers: Dr Garcia Torres on "The Epidemiology and Physiopathology of Burns", Dr E. Bomilla on "First Aid and the Burn Patient", Dr Santos Heredero on "Evacuation and Transport of the Burn Patient", Dr Marterllo Villar on "Special Burns: Electrical and Chemical", Dr F.J. Gabilondo on "Burns in Children", Dr E. Rodriguez on "Burn sequelae", Dr L. Noval on "Prevention of Bums in Mines", Dr. Tafalla-Pena on "Research on Burns: skin culture", Dr. M.T. Gomez Isquierolo on "Free radicals and burns", and Dr. M. Masellis on "The prevention of bums".
Participation in the Meeting was very numerous and the scientific contribution considerable. The Symposium preceded the XX National Congress of the Spanish Society of Plastic and Aesthetic Surgery. The foundations were laid for the constitution of the Spanish Society of Burns.

The MBC was officially invited to this Meeting, and the President S.A.W. Gunn was among the participants. At the end of the proceedings the following document was approved:

The delegates to the International Conference on Emergency Health Care Development, out of concern for the increasing worldwide human and economic loss due to trauma and other medical emergencies, have reached the following understandings:
Emergency health care (EHQ consists of the timely provision of those preventive and curative interventions which can relieve pain or prevent disability or death.
Emergency health care involves the management of injury (codes E800-E999 of the International Classification of Diseases), acute medical illness, and acute emotional illness.
Emergency health care is a basic need for all people. Injury is responsible for increasing morbidity and mortality in countries of all levels of economic development, and frequently has a much more severe effect on children and the working age population. Many injuries are preventable through health promotion and simple modifications in the home, school, and work environments.
Recent advances in health care organization and medical technology have made it possible to significantly decrease the adverse effects of health emergencies.
When an injury or sudden illness occurs, the first response is usually provided by family members or bystanders. Community education can improve this response.
The majority of medical and traumatic injuries typically present to the primary care system.
When disasters occur, the first medical response is provided by local providers of routine emergency health care.
Based on these observations, we call for the following actions:
All authorities concerned with health at national, regional, and local levels should recognize emergency health care as an integral part of the primary health care system, and should ensure that their primary health care systems are capable of responding to emergencies.
All authorities concerned with health should make optimal use of local personnel and the community at large by employing improved management techniques and training.
All authorities concerned with health should integrate into existing and future public education activities curricula on injury prevention and response to emergencies and disasters.

• The health care community should make its contribution to the "International Decade for Natural Disaster Reduction" by:

a) Strengthening local capabilities for responding to multiple casualty incidents using local personnel;

b) Ensuring that national committees for the decade are fully aware of the potential of emergency health care services in effectively reducing the impact of disasters; and

c) Adopting prevention and preparedness measures likely to reduce the number of casualties in a disaster.

• Additional research in emergency health care is needed. Funding agencies should support research on emergency health care delivery systems, intervention effectiveness, and training methodologies.
• World health authorities should collaborate in their efforts to bring to the attention of policy makers the public health consequences of health emergencies, and the need to improve local urgent health response capabilities.
• International health agencies and development organizations should collaborate in funding and assisting emergency health care development as a primary health care infrastructure improvement program.
• National and international disaster preparedness offices and agencies should work carefully with local emergency health care directors to coordinate plans for response to potential large scale events.

This resolution was developed by an Ad-Hoe Committee of the Conference. It was discussed, amended, and approved by the full Conference on 18 August 1989.

Le Congrès s'est tenu à Metz du 28 au 30 septembre 1989.
L'MBC a été représenté par son secrétaire général.
A la présence d'un groupe nombreux de partécipants français et étrangers - entre médecins spécialistes, infirmiers et techniciens intéressés au problème des brûlures - les travaux du Congrès se sont divisés en tables rondes, petits déjeuners de travail, posters et communications sur quatre thèmes principaux: la main brûlée, l'organisation des soins, la douleur du brûlé, la rééducation de l'enfant brûlé.
Dans deux tables rondes, des experts qualifiés comme M. Parmier, C. Dhennin, S. Baux, M. Convenant, M. Costagliola, R. Ley, M. Merle et P.
Pellerin ont discuté de l'épidémiologie des brûlures de la main, des incisions de décharge et des syndromes des loges, des excisions-greffes précoces et des traitements conventionnels, des atteintes tendineuses primitives, des problèmes de la rééducation, et de l'analyse et du traitement des séquelles. Un groupe d'infirmiers hautement compétents, dans une autre table ronde, a abordé le problème de l'organisation des soins. P. Feldman a parlé de l'organisation des premiers soins, 0. Masson de l'étude de poste, F. Bernaras du dossier de soins et de l'implantation de la demande de soins, M. Xaro du dossier de soins, P. Pornon de la balnéothérapie, P. Petrelli del l'organisation journalière des soins et de la balnéothérapie, P. Petrelli de la surveillance et de la prévention de l'infection chez le grand brûlé, F. Bernaras de l'alimentation entérale - charge de travail et organisation des soins, V. Briand de la journée du grand brûlé dans un service de rééducation fonctionelle - organisation des soins, D. Marino de l'organisation des soins aux brûlés dans un service de rééducation fonctionelle pour adultes et de ses difficultés, et enfin J. Jolivet de la régression à plus ou moins long terme des problèmes infectieux locaux et de leur disparition progressive. Un groupe expert d'an e sthésio 1 ogistes, de réanimateurs et de psychologues, dans une autre table ronde, ont discuté du problème de la douleur du brûlé. Les divers aspects de la question ont été abordés, de la physiopathologie de la douleur - rappel - données récentes, par J. Latarjet, à l'évaluation de la douleur chez l'adulte et chez l'enfant, respectivement par J. F. Boureau et par M.N. Mayer.
Troisième session, trois groupes de communications ont été présentés sur trois aspects fondamentaux: "Guider la cicatrisation et la cicatrice", "Conserver ou restaurer la fonction" et "Réinsérer l'enfant dans son milieu de vie". Le premier aspect a été amplement illustré dans les communications de C. Romana et al., de M. Guillot et al., de J.F. Ronzier et al., de H. Descamp et el., et de J. Roquebert et al. Le deuxième aspect a été traité dans une commuiication de C. Marchal et al., et le troisième dans les communications de N. Lecuyer et al., de J.-L. Chiron et al., et de C. Vidailhet. Les conclusions ont été tirées par J. Prévot.
Le Congrès a été très intéressant pour ce qui concerne le contenu scientifique. La participation aux travaux et à la discussion a été très intense, en témoignage de la grande vitalité de la SFETB, qui a aujourd'hui presque 400 membres. L'organisation digne d'éloges a été soignée par M. Meley, F. Leroy, J.P. Fidanza et E. Dantzer.

M. MASELLIS M.D.