The present work is based on the analyses of treatment of 512 patients (228 adults and 224 children) with severe, critical and subcritical thermal injuries in the period from 1998 till 2005. Significant increase of the prevalence of patients with severe and critical burns was revealed in the general structure of the burn traumatisms. There is suggestive decrease in lethality of such patients due to optimization of the intensive treatment methods. The key of successful outcome is the close collaboration of the burns intensive care specialists and surgeons. The treatment tactic of severely burned patients has to be based on the individual qualities of the particular patient. The use of the modern intensive care techniques allows not only to prolong the patients life-time, but also to increase the survival rate of patients with critical burns.
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