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Annals of Burns and Fire Disasters

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March 31, 2018: Annals of Burns and Fire Disasters
R Machado-Rivera, E Mezones-Holguín
No abstract text is available yet for this article.
March 31, 2018: Annals of Burns and Fire Disasters
A Wardhana, R F M Lumbuun, D Kurniasari
Management of burn patients is challenging, and requires a lot of knowledge and experience gained through research. However, experimental study on humans is not morally and ethically accepted. Porcine is the most frequently used experimental model because pig skin is anatomically and physiologically similar to human skin. We included systematic reviews, meta analyses, and experimental studies of burns using porcine models. We excluded studies conducted more than 10 years ago and which included only thermal injuries...
March 31, 2018: Annals of Burns and Fire Disasters
F Seif, M Momeni, R Hobbenaghi, F Seif, O Mahboubi, R Babajani
Burn injury is considered a global health issue. Third degree burn wounds do not heal spontaneously and require skin grafts. Some factors could contribute to wound healing. In this study we assessed the effect of non-fatty omental cells in burn wound healing. Similar third degree burn wounds were induced on the back of 192 rats. Forty-eight of these rats were put in a control group that did not receive any treatment. The rest of the rats were put in 3 groups, each receiving a different treatment regime. Rats in group 2 had a daily application of silver sulfadiazine; group 3 rats were injected with omental cells, and group 4 rats were injected with phosphate buffer saline (PBS) once, followed by daily application of Vaseline to the burned region...
March 31, 2018: Annals of Burns and Fire Disasters
F Ravat, M Fontaine, J C Poupelin, J Payre, R Aimard, C Lalloue, R Viard, P Gir, D Voulliaume
At the end of 2013, we proposed the possibility of obtaining specialized burn advice 24/7 via pictures transmitted through a dedicated email address, to healthcare professionals. This simple tool is now a success, and we received one request for advice per day in 2015, resulting in an exchange of numerous emails. This simple process offers a number of benefits: it allows burn centres to regulate patient flows all year long, gives healthcare professionals access to a burn care specialist when and as quickly as they need, ensures each patient receives dedicated care, and allows national authorities to provide the best public health service and gain financial profits...
March 31, 2018: Annals of Burns and Fire Disasters
A Fourati, I Ghorbel, A Karra, K Ennouri
Tissue expansion in burn sequelae has been associated with high complication rates. A critical analysis of 8 years (2008-2015) of experience with 45 expanders placed in 31 consecutive burns sequelae was performed to identify those factors that predispose to complications. Major and minor complications occurred in 33.4% of procedures. The factor associated with a statistically significant increase in complications was limbs localization. In addition, complications were significantly more likely to occur within the second stage...
March 31, 2018: Annals of Burns and Fire Disasters
N Henry, B G Baker, S Iyer
Frey's syndrome occurs as a result of damage to the auriculotemporal nerve, which causes inappropriate regeneration of damaged parasympathetic fibres to salivary glands to innervate the sympathetic receptors of sweat glands in the face. The symptoms are pathological flushing and sweating with gustatory stimuli. It most commonly occurs following parotid surgery and has not previously been reported following burn injury. We present a 50-year-old man who sustained 1% TBSA full thickness burn to the right side of his face as a child...
March 31, 2018: Annals of Burns and Fire Disasters
I Tocco-Tussardi, B Presman, Z Sleem, F Huss
Post-burn infections still stand as the most common/serious complication of burn injuries: sepsis accounts for 50-60% of deaths in burn patients despite improvements in antimicrobial therapies. Among the many potential complications of sepsis/septic shock are hemodynamic instability and perfusion failure. We report the case of a patient developing massive soft tissue necrosis after an episode of acute post-burn septic shock, with possible explanation of an overdosage of vasopressors due to significant body weight increase as an effect of the burn resuscitation...
March 31, 2018: Annals of Burns and Fire Disasters
Y Moutaouakkil, S Siah, A Bennana, Y Tadlaoui, S Makram, Y Cherrah, Y Bousliman, J Lamsaouri
Bacterial resistance is a major concern and the proper use of antibiotics is a global public health priority. Inappropriate use of antibiotic therapy can have serious ecological and pharmaco-economic consequences. The objective of our work was to study the reevaluation of probabilistic antibiotherapy in the burns intensive care unit. A prospective study concerning the clinical-biological reassessment of antibiotic therapy was set up in the burns intensive care unit at the Military Hospital Instruction Mohammed V of Rabat...
March 31, 2018: Annals of Burns and Fire Disasters
A Di Castri, L Quarta, I Mataro, F Riccardi, G Pezone, L Giordano, Y Shoham, L Rosenberg, E Caleffi
Hand burns are present in >60% of all burn cases and in fire mass casualty incidents even up to 100%. Most trauma and especially burns may be detrimental to the complex and delicate structures of the hand by direct injury, indirect BICS (Burn Induced Compartment Syndrome and interstitial high pressure) or by delayed or faulty treatment. BICS represents a special threat as the increasing swelling and oedema of the small diameter hand and forearm will exert pressure on the capillary/venous system, eventually ending in irreversible damage to the skin, nerves, muscle and vascular bed...
March 31, 2018: Annals of Burns and Fire Disasters
A Di Lonardo, V Nardini, M De Rosa, C Pascone, A Graziano, A M Criscuoli, S Ciappi
Enzymatic escharolysis is an innovative, non-surgical treatment method for severe burn patients as it allows very early, nontraumatic removal of necrotic tissue even on patients whose overall clinical conditions would mandate delaying traditional surgical escharectomy. The aim of this work was to examine aspects related to the "quality" of enzymatic debridement, which is inherently different from surgical debridement. To this end, biopsies harvested from partial thickness burn wounds, before and after enzymatic treatment, were histologically assessed...
March 31, 2018: Annals of Burns and Fire Disasters
S Krauss, D Bender, J Rothenberger, J Daigeler, M Held
Selective enzymatic debridement is increasingly being used in cases of burn wounds. However, until now the use of Nexobrid has been limited to 15% of total body surface area (TBSA) and immediate use on admission day. A 61-year-old Caucasian male suffered a severe burn injury that affected 95% TBSA. After surgical escharotomy and tracheotomy on admission day, we successfully performed a fractional enzymatic debridement of 54% of the TBSA in three different sessions within four days. This case report reveals that a delayed and fractional application of Nexobrid to more than 15% TBSA is possible...
March 31, 2018: Annals of Burns and Fire Disasters
J N Luker, M Vigiola Cruz, B C Carney, A Day, L T Moffatt, L S Johnson, J W Shupp
Limited information exists regarding endothelial dysfunction following burn injury. This project aims to evaluate whether thermal injury results in shedding of the endothelial glycocalyx in a manner quantitatively proportional to injury severity, and whether theloss of intact glycocalyx is measurable in end organs. C57BL/6 mice were grouped as uninjured controls, 10% or 25% Total Body Surface Area (TBSA) scald burns. Blood and tissue sampling was performed over a specific time course. Plasma levels of shed syndecan-1, a marker of glycocalyx damage, were quantified by ELISA...
March 31, 2018: Annals of Burns and Fire Disasters
M Nizamoglu, Q Frew, A Tan, H Band, B Band, D Barnes, N El-Muttardi, P Dziewulski
Fireworks are used worldwide to celebrate national, religious, cultural festivals and holidays. However the use of fireworks is associated with preventable injuries. We aim to review cases of burns and trauma caused by fireworks presenting to a regional burns and plastic surgery unit in the United Kingdom. We hope our findings will help to guide future firework-related safety practices in the UK. A retrospective review was performed of all patients presenting to our tertiary burns and plastic surgery unit with burns and/or trauma sustained from fireworks over a ten-year period from October 2004 to October 2014...
March 31, 2018: Annals of Burns and Fire Disasters
N N Lam, T D Hung, D K Hung
Our aim was to investigate risk factors and outcome of Acute Respiratory Distress Syndrome (ARDS) in severe burn patients. A descriptive study was carried out on 159 adult burn patients with burn extent ≥ 20% total body surface area, treated at the Burn Intensive Care Unit, National Institute of Burns. ARDS was defined according to the 2012 Berlin definition. Risk factors for developing ARDS and outcome were recorded and analyzed. Results showed that 45 patients developed ARDS (28.3%). Severe ARDS was recorded in 30 of these patients, accounting for 66...
March 31, 2018: Annals of Burns and Fire Disasters
S Levy, M Chaouat, N Malca, K Serror, M Mimoun, D Boccara
Chemical burns raise diagnostic and treatment issues because they have specific appearances and evolution. Our objective was to study the characteristics of chemical burns and to assess the quality of our treatment. This retrospective observational study examined the records of all patients admitted for chemical burns to the burn treatment center of Saint Louis Hospital in Paris from January 1, 1990, through December 31, 2015. During this period, 162 patients came to our center for chemical burn treatment. Most of them were men (67%)...
March 31, 2018: Annals of Burns and Fire Disasters
(no author information available yet)
No abstract text is available yet for this article.
December 31, 2017: Annals of Burns and Fire Disasters
I Mataro, G Delli Santi, P Palombo, R D'Alessio, M Vestita
Scarring after a burn injury remains the greatest unmet challenge in the treatment of functional and psychosocial sequelae of burns. The hypertrophic scar represents the most common type of cicatrix after burns, and it has a prevalence of up to 70%. We present a case of upper and lower extremity partial-thickness burns in a female patient treated in two different modalities. Superficial seconddegree burns on the upper extremities were treated with conservative dressing with fairly early wound closure but they developed hypertrophic scars...
December 31, 2017: Annals of Burns and Fire Disasters
V Andreu-Sola, J Aguilera-Sáez, D Rivas-Nicolls, P Bosacoma Roura, J P Barret
Soft tissue defects in the postero-inferior aspect of the leg are still challenging, especially when they affect the Achilles tendon due to its important functional involvement in the normal movement of the ankle. Dorsiflexion and flexion may be affected if proper reconstruction is not achieved, thus limiting daily activities such as walking, climbing stairs or running. Several techniques, including local or regional flaps, combinations of tendon substitutes with free muscular or fasciocutaneous flaps, and free composite flaps with tendon have been described for the reconstruction of complex defects caused by burn sequelae, tumors, trauma, chronic ulcers, etc...
December 31, 2017: Annals of Burns and Fire Disasters
J Bakhach, O Abou Ghanem, D Bakhach, E Zgheib
Modern warfare has seen advances in both weaponry and personnel protective material, thus allowing for better survival of injured individuals. As a result, the medical system is faced with an increasing number and diversity of non-life threatening wounds, to the extremities especially, sustained by multiple mechanisms. These wounds have a thermal injury component regardless of the mechanism, and there is often a delay in them being definitively treated, thus affecting final cosmetic and functional outcomes...
December 31, 2017: Annals of Burns and Fire Disasters
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