Objectives: Enzymatic debridement (ED) has become a reliable tool for eschar removal. Fortunately, ED application is simple. However, wound bed evaluation and therapy decision post-intervention are prone to subjectivity and failure. The objective was to analyse interrater reliability (IR) and impact of experience in post-intervention wound bed evaluation and therapy decision. The authors introduce video assessment as a valuable tool for post-ED decision-making and education. Methods: A video-based survey was conducted among physicians with various experiences in ED. The survey contained multiple-choice and 5-point Likert scale questions about professional status, experience in ED, confidence in post-ED wound bed evaluation and therapy decision. 15 videos of mixed pattern to full-thickness burns after removal of the enzyme complex were shown. Participants were asked to evaluate each burn wound, including bleeding pattern and consequent therapy decision. IR ≥ 80% was considered as a consensus. Responses were stratified according to participants' experience in applying ED (<10, 10-19, 20-49, and ≥50 applications). IR was assessed by chi-square test (raw agreement [RA]; ≥80% was considered as a consensus). Participants were asked for their opinion on video as an assessment tool for post-ED wound bed evaluation, decision-making, and training. Results: 31 physicians from 11 burn centers participated in the survey. The overall consensus (raw agreement [RA] ≥ 80%) in post-ED wound bed evaluation and therapy decision was achieved in 20 and 40%. Subgroup analysis disclosed that physicians with high experience in ED achieved significantly more consensus in post-intervention wound bed evaluation and therapy decision compared with physicians with moderate experience (60% vs 13.3%; P = .02 and 86.7% vs 33.3%; P = .04). Video analysis was considered a feasible (90.3%) and beneficial (93.5%) tool for post-intervention wound bed evaluation and therapy decision as well as useful for training purposes (100%). Conclusion: Reliability of wound bed evaluation and therapy decision is related to experience with ED application. Video analysis is deemed to be a valuable tool for ED evaluation, decision-making, and user training.

P.030 Enzymatic debridement for burn wound care: interrater reliability and impact of experience in post-intervention therapy decision

Dear friends and colleagues,

We will be pleased to welcome you in Turin (Italy) for the 19th European Burns Association´s Congress in 2022. Italy is honored to hold the meeting of the European Burns Association for the second time, after Verona in 1995. Turin is easily reachable from everywhere in Europe, either travelling by car, train or choosing flight connections. During the meeting, held in the renewed industrial center of the main Italian historical automotive factory (i.e. Lingotto-FIAT), we will meet international burn specialists, focusing on standards of care, progresses in burn treatment, strategies to face disaster situations, with a special attention to education of younger colleagues. However, in your spare time, you might enjoy the sweet days of Italian late summer, simply wandering in the green parks and gardens along the two rivers which cross the city, or you might decide to discover the numerous art galleries, churches, palaces, libraries, walking across elegant squares and large boulevards, passing through centuries of art and history; finally, you may choose to immerse yourself in some of the most exciting museum experiences, such as the Cinema Museum and the Turin’s Egyptian museum.

Looking forward to seeing you all in Turin for the 19th European Association´s Congress in 2022!
Maurizio Stella, Congress President, Turin Burn Centre