Abstract
Paediatric burns are different from adult injuries: body surface is larger in relation to weight, the amount of fluids in the extracellular space is lower, major losses develop in similar conditions and there is little tolerance to fluid shifts. Hypermetabolism is remarcably increased with decreased tolerance to hypothermia.
Immunological response and psychological status are immature. Skin in children is more soft and thin with less resistance to thermal agent, but with an advantage of better regeneration.
These factors influence the development and course of burn shock including analgosedation, securing ventilation, surgical approach and physiotherapy performed.