The ABA publishes guidelines for each area in its journal ( Journal of Burn Care and Research), and the guidelines are listed on the journal’s website as the “Practice Guidelines Collection”. 3, 4 However, these guidelines are intended for low- and middle-income countries where adequate medical resources are not available, and many of the contents are not applicable to high-income countries, including Japan, where adequate medical resources are available. Internationally, the International Societies of Burn Injuries (ISBI) published the “ISBI Practice Guidelines for Burn Care” in 20. 2 The purpose of the first and second editions of the Guidelines was to present the results (evidence) of clinical research that has been conducted to date on the treatment of burns in order to provide a direction for future clinical research and a basis for the standardization of initial treatment. In addition, the guidelines were revised in March 2015, as planned, to include items such as wound dressings and nutrition that could not be included in the first edition and were published as the “Clinical Practice Guidelines for Management of Burn Care (2nd Edition)”. The “Clinical Practice Guidelines for Management of Burn Care,” published under such circumstances, has created a stir in the field of burn care and its academic discipline and is a major step toward the standardization of burn care in Japan.Ībout 5 years have passed since the first edition was published, and new findings have been added. However, the ABA guidelines are different from those in Japan, and there are some items that are difficult to apply directly. ![]() Until then, there were no guidelines for burn care in Japan, and the American Burn Association (ABA) guidelines were released internationally in 1998. ![]() The Japanese Society for Burn Injuries (JSBI), led by its Scientific Committee, published the “Clinical Practice Guidelines for Management of Burn Care” 1 in March 2009. ![]() In addition, some diagnosis and treatment methods that have been standardized for a long time have insufficient scientific basis. Therefore, it is often difficult to conduct clinical research on this subject with a high level of scientific evidence, and treatment policies vary considerably from one institution to another. Burn injuries are highly diverse, with severe burns, in particular, presenting a long and complex pathology.
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