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Annals of Burns and Fire Disasters

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https://www.readbyqxmd.com/read/28149256/extensive-burn-injury-caused-by-fundamental-electronic-cigarette-design-flaw
#1
S Bohr, F Almarzouqi, N Pallua
Currently, electronic cigarette (EC) devices are widely used as an alternative to conventional smoking. The underlying technical principle is an electric coil-based vaporizer unit, which vaporizes various solutions for inhalation purposes with a rechargeable lithium battery unit as power source. We report a case of extensive burn injury resulting from the thermal explosion of a battery unit within an EC device. Though internal thermal instabilities of lithium ion batteries are a known safety issue, the unique feature here is a pronounced amplification of the extent of burn injury due to an additional scalding burn mechanism that resulted from heating of the liquid reservoir adjacent to the battery...
September 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149255/treatment-of-an-acute-deep-hand-burn-in-a-lowincome-country-with-no-available-microsurgery-a-case-report
#2
K S Amouzou, A El Harti, T E Kouevi-Koko, A Abalo, A Dossim
Deep hand burns usually lead to joint and tendon exposure. A simple skin graft is insufficient to achieve healing. Soft tissue reconstruction represents a surgical challenge that ranges from the simplest to the most complex flaps. In some areas, microsurgery is not technically possible. Choice is then limited to pedicled distant flaps such as the abdominal wall flap-graft. We report a case of an acute burned hand with exposure of metacarpophalangeal joints from the second to the fourth radius as well as proximal inter phalangeal joints from the second to the fifth radius and extensor tendons, treated in the burns and wound care unit of the Sylvanus Olympio Teaching Hospital in Lomé...
September 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149254/assessing-burn-depth-in-tattooed-burn-lesions-with-lasca-imaging
#3
N Krezdorn, A Limbourg, F J Paprottka, Könneker, R Ipaktchi, P M Vogt
Tattoos are on the rise, and so are patients with tattooed burn lesions. A proper assessment with regard to burn depth is often impeded by the tattoo dye. Laser speckle contrast analysis (LASCA) is a technique that evaluates burn lesions via relative perfusion analysis. We assessed the effect of tattoo skin pigmentation on LASCA perfusion imaging in a multicolour tattooed patient. Depth of burn lesions in multi-coloured tattooed and untattooed skin was assessed using LASCA. Relative perfusion was measured in perfusion units (PU) and compared to various pigment colours, then correlated with the clinical evaluation of the lesion...
September 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149253/contamination-of-burn-wounds-by-achromobacter-xylosoxidans-followed-by-severe-infection-10-year-analysis-of-a-burn-unit-population
#4
A Schulz, W Perbix, P C Fuchs, H Seyhan, J L Schiefer
Gram-negative infections predominate in burn surgery. Until recently, Achromobacter species were described as sepsis-causing bacteria in immunocompromised patients only. Severe infections associated with Achromobacter species in burn patients have been rarely reported. We retrospectively analyzed all burn patients in our database, who were treated at the Intensive Care Burn Unit (ICBU) of the Cologne Merheim Burn Centre from January 2006 to December 2015, focusing on contamination and infection by Achromobacter species...
September 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149252/supraclavicular-artery-perforator-flap-in-management-of-post-burn-neck-reconstruction-clinical-experience
#5
H Ismail, A Elshobaky
Anterior cervical contractures of the neck represent a great challenge for plastic and reconstructive surgeons. Necks can be reconstructed with a wide range of surgical techniques, including chimeric flaps, supercharged flap, pre-expanded flaps, "superthin" flaps and perforator flaps. The supraclavicular flap is easy to harvest without the need for free tissue transfer. It provides a relatively large flap for neck resurfacing with tissue very similar to that of the neck. Between January 2013 and March 2015, 20 patients suffering from postburn neck contracture underwent reconstruction with 20 unilateral supraclavicular artery perforator flaps...
September 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149251/a-major-burn-injury-in-a-liver-transplant-patient
#6
I Delikonstantinou, B Philp, D Kamel, D Barnes, P Dziewulski
Immunosuppressive therapy may aggravate the clinical course of a burned patient, primarily affecting wound healing and thus complicating permanent wound coverage. We hereby present the successful management of a 48-year-old female liver transplant recipient with a major burn injury, aiming to elucidate the effects of the patient's immunosuppression on surgical treatment. After admission to the Burns ITU, the patient underwent serial debridement of the burn and coverage with cryopreserved allografts. Despite immunosuppression, no prolonged survival of the allo-epidermis was documented...
September 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149250/the-modified-use-of-surfasoft%C3%A2-in-skin-grafts-case-series
#7
A Salibi, M Chasapi, A Farroha
Surfasoft® is a monofilament woven polyamide thread. Its use over skin grafts has always been combined with other occlusive dressings. Its rapid application and transparent property makes it an ideal primary dressing in the absence of any occlusive layers after the first two days following skin graft application. We describe this modified use in our case series. We modified the use of Surfasoft® in four different burns patients and one skin cancer case. Surfasoft® was predominantly used on difficult sites and secured with either staples or sutures...
September 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149249/temporary-coverage-of-burns-with-a-xenograft-and-sequential-excision-compared-with-total-early-excision-and-autograft
#8
M Elmasry, I Steinvall, J Thorfinn, P Olofsson, A H Abbas, I Abdelrahman, O A Adly, F Sjoberg
During the 80s and 90s, early and total excision of full thickness burns followed by immediate autograft was the most common treatment, with repeated excision and grafting, mostly for failed grafts. It was hypothesized, therefore, that delayed coverage with an autograft preceded by a temporary xenograft after early and sequential smaller excisions would lead to a better wound bed with fewer failed grafts, a smaller donor site, and possibly also a shorter duration of stay in hospital. We carried out a case control study with retrospective analysis from our National Burn Centre registry for the period 1997-2011...
September 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149248/late-complications-of-high-voltage-electrical-injury-might-involve-multiple-systems-and-be-related-to-current-path
#9
B Azzena, I Tocco-Tussardi, A Pontini, B Presman, F Huss
Delayed complications of electrical burns are mostly unexpected, and the link between the injury and the symptoms often goes unrecognized. A possible relation between source-ground sites and late clinical manifestations was recently emphasized. We report a unique case of combined intestinal-spinal delayed complications following a high-voltage electrical injury, a possible explanation being a greater current flow through the right hemisoma. The potential for late complications is an additional feature that physicians must consider in managing electrical injuries...
September 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149247/blast-pulmonaire-primaire-chez-le-br%C3%A3-l%C3%A3-a-propos-d%C3%A2-un-cas-et-revue-de-la-litt%C3%A3-rature
#10
S Siah, A Emane, M Bertin-Maghit
Blasts can cause specific lesions requiring specialized care. After an explosion, primary blast injury (due to the shock wave), secondary blast injury (due to shrapnel) or tertiary blast injury (due to the victim being displaced by the blast) can occur. Secondary and tertiary blasts are much more frequent than primary blasts and can lead to polytrauma. Burns occur in 5% of cases and are termed quaternary blast lesions, which include lesions not due to the above-mentioned mechanisms. Care of secondary and tertiary blasts does not differ to that for any polytrauma...
September 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149246/acute-kidney-injury-in-critically-burned-patients-resuscitated-with-a-protocol-that-includes-low-doses-of-hydroxyethyl-starch
#11
M Sánchez-Sánchez, A Garcia-de-Lorenzo, L Cachafeiro, E Herrero, M J Asensio, A Agrifoglio, E Flores, B Estebanez, P Extremera, C Iglesias, J R Martinez
Acute kidney injury (AKI) is an important complication in burn patients. Recently, it has been recommended that hydroxyethyl starch (HES) be avoided in burn patients because it increases the incidence of AKI. Our purpose was to study incidence of AKI in critically ill burn patients resuscitated with Ringer's solution and supplements of HES. We conducted an observational study of 165 patients admitted to the critical care burn unit (with 30 ± 15% TBSA burned). The main outcome measures were incidence of AKI, contributions of colloids and crystalloids, various severity scores, comorbidities, complications and mortality...
September 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149245/acute-respiratory-distress-syndrome-in-burn-patients-incidence-and-risk-factor-analysis
#12
L Silva, L Garcia, B Oliveira, M Tanita, J Festti, L Cardoso, L Lavado, C Grion
After a burn lesion, Acute Respiratory Distress Syndrome (ARDS) may occur via direct lung injury due to inhaled smoke and fumes or mediated by the inflammatory response associated with the burn or its infectious complications. The aim of the present study is to assess the epidemiologic profile of ARDS in adult burn patients admitted to intensive care in a burn unit at a university hospital. A prospective cohort study was performed from January to December 2012. Demographic and diagnostic data, prognostic scores, etiology and data on the extent and depth of burns were collected...
September 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149244/monitoring-and-treatment-of-coagulation-abnormalities-in-burn-patients-an-international-survey-on-current-practices
#13
A Lavrentieva, N Depetris, E Kaimakamis, M Berardino, M Stella
The magnitude of coagulation abnormalities, and the definition and treatment of coagulopathy in burn patients are inadequately understood and continue to be discussed in the literature. We aimed to analyse physicians' views on monitoring and treating coagulation abnormalities in burn patients. A total of 350 questionnaires were distributed electronically to burn ICU physicians. Participation was voluntary and anonymous. Responses were analysed electronically and comparisons were made according to the region of the ICU or the specialty of the physician...
September 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149243/statistical-and-clinical-analysis-of-alterations-in-glucose-values-after-burns
#14
M K Belba, E Petrela, A Belba, V Mano, G Belba
The purpose of this study was to evaluate independent factors (mainly critical hyperglycaemic values on admission) with an impact on outcome in burn patients (sepsis and mortality) and analyse prevalence of critical hyperglycaemia on admission and during burn disease in adult and elderly patients with severe burns. This was an observational retrospective cohort study involving burn patients (≥ 20 years old) hospitalized in the ICU of the Burn Facility in Albania during 2010-2014. Patients were categorized as having euglycaemia, moderate or critical hyperglycaemia...
September 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149242/mbc-news
#15
(no author information available yet)
No abstract text is available yet for this article.
June 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149241/compte-rendu-de-la-table-ronde-du-35%C3%A3-me-congr%C3%A3-s-de-la-sfetb-%C3%A3-metz-10-12-juin-2015-concernant-les-br%C3%A3-lures-p%C3%A3-ribuccales
#16
P Perrot
The round table on perioral burns was divided into two sessions: "Acute care" and "Sequelae", the latter with open-exchange case reports. Here is the review, written after viewing the video of the meeting, which the author attended.
June 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149240/vuln%C3%A3-rologie-un-n%C3%A3-ologisme-pour-magnifier-le-concept-%C3%A2-plaies-et-cicatrisation%C3%A2
#17
M Costagliola, B Atiyeh
Wound healing, though probably the most critical aspect of essential medical and surgical care, has been neglected for a long time. With the tremendous surge over the last two decades in basic research and in new techniques, wound healing is emerging more and more as a well-defined medical entity transcending existing specialties and subdivisions. Specialists working on the same subject must be known by a common name. There is a need to fill the gap in our current medical nomenclature in order to define all those interested in this subject...
June 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149239/the-instructional-value-of-international-surgical-volunteerism-from-a-resident-s-perspective
#18
I Tocco-Tussardi, S Boccella, F Bassetto
The aim of this article is to document the experience of the author who volunteered as a resident for 6 months at a districtlevel hospital in central Kenya. Peculiarities emerging from the report are: specificity of the experience to plastic reconstructive surgery; highly complex reconstructive procedures performed under direct supervision of a qualified mentor; exposure to diverse approaches through collaboration with different volunteer plastic surgeons; enhancement of long-term surveillance; and opportunity to expand surgical knowledge outside one's field of specialty...
June 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149238/beware-flammable-fingernails-case-report-synthetic-fingernails-result-in-full-thickness-burn-and-terminalisation
#19
A Arnaout, J Cubitt, D Nguyen
Having long artificial (acrylic) nails is a current fashion trend, and they are becoming an increasingly popular cosmetic enhancement. We believe that they can be a potential burn hazard to their unknowing users. We present the first reported case in medical literature of a woman whose acrylic nail ignited from a cigarette butt a short distance from the nail while she was taking the final puffs. She sustained a full thickness burn to her dominant left thumb, resulting in terminalisation. Acrylic nails are very flammable and, once ignited, they burn to completion, with the source of flame removed...
June 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28149237/scald-management-protocols-outcome-differences-in-two-different-time-periods-using-different-treatment-strategies
#20
M Elmasry, I Steinvall, J Thorfinn, A H Abbas, O A Adly, I Abdelrahman, M A Nagi, F Sjoberg
Over the years the treatment of scalds in our centre has changed, moving more towards the use of biological dressings (xenografts). Management of scalds with mid dermal or deep dermal injuries differs among centers using different types of dressings, and recently biological membrane dressings were recommended for this type of injury. Here we describe differences in treatment outcome in different periods of time. All patients with scalds who presented to the Linkoping Burn Centre during two periods, early (1997-98) and later (2010-12) were included...
June 30, 2016: Annals of Burns and Fire Disasters
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