1731: Burn Care in a Mixed Pediatric-Adult Icu: A One-Year Case Series

Introduction: Burns in young children require time-sensitive, specialized care. In mixed adult-pediatric ICUs, pediatric intensivists are critical for early stabilization, while burn surgeons manage long-term recovery. This one-year case series outlines pediatric burn management in a mixed ICU, highlighting patient outcomes and interdisciplinary collaboration Methods: A retrospective review of 14 pediatric burn patients admitted to a mixed ICU from June 2024 to June 2025 was conducted. Variables included age, sex, nationality, TBSA, burn depth, etiology, high-risk area involvement, transfer status, prehospital resuscitation adequacy, antibiotic use, surgical intervention, and length of stay. All cases were assessed by pediatric intensivists and co-managed with burn surgeons Results: Patients aged 7 months to 4 years; 8 were male. Nationalities included Syria (4), UAE (7), Morocco (1), Egypt (1), Iraq (1). Burn mechanisms: 12 scalds, 1 flame, 1 electrical. TBSA ranged from 4% to 30%. Six patients had perineal or other high-risk area involvement. Nine patients were transfers. All arrived within 8 hours of injury, but prehospital fluid resuscitation was inadequate in all. Six patients required grafting; no escharotomies. All patients hospitalized >5 days required antibiotics. Mean hospital stay was 9 days, rising to 20 days in cases with TBSA ≥10% or perineal burns. All patients survived to discharge. Conclusions: Early involvement of pediatric intensivists was essential for stabilization. Inadequate prehospital resuscitation remains a system-wide challenge. Higher TBSA and burns in high-risk areas were associated with longer stays and surgical needs. Multidisciplinary collaboration between ICU and burn teams was critical to outcomes. Training in pediatric-specific protocols is vital in mixed units