EBA Prevention Survey

EBA Prevention Survey

Prevention of burns is the best way to reduce morbidity and mortality arising from burns. The EBA wishes to understand the cause of burns in your local population and together we can make people aware to reduce the incidence of burns. Please help us by completing the following survey which should not take more than 10 minutes of your time. Thank you.

GENERAL INFORMATION

Name of Hospital/Center:(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact(Required)

First Last

Email(Required)

SURVEY OF BURN INJURIES IN YOUR AREA

1. How many burn patients do you treat in your hospital on average every year?(Required)

Child (0-16/17 years)

Adult (17/18-65 years)

Elderly (+65 years)

2. What are the 3 most common causes of burn (e.g., hot drinks, house fire, contact with radiator/iron, BBQ etc) in patients attending your hospital?(Required)

Child (0-16/17 years)

Adult (17/18-65 years)

Elderly (+65 years)

3. What is the commonest place of burn injury (e.g., house, outdoors, workplace etc)?(Required)

Child (0-16/17 years)

Adult (17/18-65 years)

Elderly (+65 years)

4. In which months of the year do you see maximum burn injuries in(Required)

Child (0-16/17 years)

Adult (17/18-65 years)

Elderly (+65 years)

5. In the last 12 months, have you seen a new cause of burn (e.g. nitrous oxide gas/lithium batteries?)(Required)

Yes

You have answered YES, please describe below.(Required)

6. Do you have any local burn prevention activities?(Required)

Yes

You have answered YES, please describe below.(Required)

Please tell us which local or national campaign you thought was really good:(Required)

7. Would you like to join us in a Burns Awareness Campaign?(Required)

Yes

8. Please write your suggestions for campaigns to reduce burn injuries below:(Required)

9. What should be, according to you, the first topic to be addressed in a European Burn Awareness Day campaign?(Required)

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_wpfuuid	10 years
S	1 hour
s_fid	5 years
s_vi	2 years
YTC	10 minutes