Mortality from thermal injuries at the University Hospital of the West Indies (1972-1976)

Mortality data in 170 patients admitted to the University Hospital of the West Indies with thermal injuries during a five-year period (1972 - 1976) have been reviewed. Sixteen deaths were recorded, giving a mortality rate of 9.4 percent which is higher than those reported in other series. Hypovolaemia and sepsis accounted for over two-thirds of the deaths. Mortality can be reduced by prompt and adequate fluid therapy and by nursing patients with burns in a special isolated unit. It is still important to recognize the futility of over-zealous treatment in certain patients with massive burns in whom 100 percent mortality is expected. (AU)