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Annals of Burns and Fire Disasters

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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
R Alvo, K Serror, R Bern, M Chaouat, M Mimoun, D Boccara
The hands are the most commonly affected area in burn injuries and are involved approximately 80% of the time. Because of the thinness of the skin and superficial location of critical structures, the dorsum of the hand needs an optimal coverage to preserve maximum articular mobility and range of motion. The aim of this article is to detail the therapeutic alternatives to skin graft in cases of very deep burns on the dorsum of the hand, and to specify the indications. We reviewed all articles referenced on PubMed, and included all the original articles related to the management of acute burned hands and their different coverage techniques (dermal substitutes and flaps)...
December 31, 2017: Annals of Burns and Fire Disasters
S Siah, M Aissa
We report the case of a severe burn patient who presented an asystole during a dermo-epidermal graft of the two upper limbs. Perioperative bleeding, hypovolemia and hypothermia are at the origin of this incident. We review the management of cardiopulmonary arrest in the operating theatre during burns surgery.
December 31, 2017: Annals of Burns and Fire Disasters
J L Fortin, L Bodson, M Fontaine, A Depil-Duval, P Paulin, M P Bitar, F Ravat, J M Macher, A Hall
Polyamphoteric washing solutions (PWS) have been used for several years, mainly in industries, for cases of chemical ocular or cutaneous splashes by acid or alkali. We collected 37 cases reporting the use of PWS for ocular and cutaneous chemical splashes from several centres. Among the 37 cases, 55.26% resulted from occupational exposure. Among ocular exposures, initial clinical symptoms included pain (20 cases), blepharospasm (4 cases), hyperaemia (15 cases), palpebral oedema (2 cases) and blurred vision (7 cases)...
December 31, 2017: Annals of Burns and Fire Disasters
E F Zampar, E H T Anami, G Kerbauy, L F T Queiroz, C M D M Carrilho, L T Q Cardoso, C M C Grion
The objective of this study was to analyze the incidence of hospital acquired infections (HAIs) in burn patients, and to determine the principle infection sites and the sensitivity profile of the microorganisms to antimicrobials. This is a retrospective cohort study, conducted in a specialized centre for the treatment of burns from January 2009 to December 2013. The sample consisted of 404 patients, divided into two groups: the first group comprised 142 patients without infection, and the second group was made up of 262 patients who had acquired HAIs...
December 31, 2017: Annals of Burns and Fire Disasters
S Siah, I Nakkabi
White phosphorus injuries are considered both thermal and chemical burns. They should be well known, especially in military and terrorism contexts. This type of burn causes a life-threatening systemic toxicity from hypocalcemia, cardiac arrhythmia and respiratory complications by inhalation of phosphoric acid vapours. We report a case of a non-cardiogenic pulmonary edema complicating a white phosphorus burn in a young serviceman.
December 31, 2017: Annals of Burns and Fire Disasters
T Kaneko, H Tanaka, S Yamada, M Kitada, T Sakurai, M Harada, F Kimura, T Takahashi, S Kasaoka
Inhalation burn injury (IBI) is a risk factor for mortality in burn patients. However, it is difficult to diagnose IBI using traditional physical examination alone, especially in prehospital settings. Therefore, facial burn patients are usually treated for suspected IBI. In the present study, we investigated whether fire site information could predict IBI as an alternative to traditional physical examination. This retrospective single-centre analysis involved 27 facial burn patients with suspected IBI who were admitted between 2014 and 2016...
December 31, 2017: Annals of Burns and Fire Disasters
M Ejjiyar, M D El Amrani, Y Benchamkha, S Ettalbi
Burns to the upper limb caused by contact with a hot press are associated with a compression trauma of variable severity. These burns are rare, and they mostly occur in the context of accidents at work due to mishandling. They can cause severe multi-tissue injuries requiring urgent multidisciplinary care. Their psycho-social repercussions are considerable, especially as they affect a young population.
December 31, 2017: Annals of Burns and Fire Disasters
C Brandão, M Vaz, I M Brito, B Ferreira, R Meireles, S Ramos, L Cabral
Although electrical burns have a rather low incidence, they are considered one of the most devastating injuries. The aim of this retrospective study was to analyse specific aspects of electrical injuries and to delineate a prevention strategy. A retrospective analysis of medical records of all the patients admitted to our Unit with electrical burns over a 10-year period (2006/01/01-2015/12/31) was undertaken. Demographic data, mechanism of injury and electric current voltage, total burn surface area (TBSA), location and depth of burns, acute complications, surgical interventions and length of hospital stay (LOS) were analysed...
December 31, 2017: Annals of Burns and Fire Disasters
L Bensaida, S Sabur, S Baya, S Mazouz, N Gharib, A Abbassi
The traditional brazier remains a means of cooking and warming for thousands of families in isolated rural areas in Morocco. From simple burns due to accidental contact to limb carbonizations, these burns are all the more serious when they are secondary to epileptic seizures or carbon monoxide poisoning. The sequelae are important in the associated forms, mainly because of delay in management and non-adherence to therapeutic protocols by patients of low socioeconomic status.
December 31, 2017: Annals of Burns and Fire Disasters
A Bazine, M Fetohi, T Namad, J El Benaye, M A Ennouhi, T Mahfoud, M Ichou
Vinorelbine is an anticancer agent with high clinical efficacy for the treatment of metastatic breast cancer. Toxic epidermal necrolysis is a rare but serious cutaneous adverse reaction associated with drug therapy. We hereby present a case report of a patient with metastatic breast cancer, treated with vinorelbine, who developed toxic epidermal necrolysis. To the best of our knowledge, ours is the second case report describing this exceptional dermatologic emergency associated with vinorelbine. In June 2014, a 33-year-old female was treated for localized breast cancer...
December 31, 2017: Annals of Burns and Fire Disasters
R Chukwu-Lobelu, A Appukuttan, D S Edwards, H D L Patel
In July 2005, four suicide bombers detonated explosive improvised high explosive devices (IEDs) in three separate underground carriages and a double decker bus in London, resulting in 56 deaths and 775 injured. This study aims to understand the mechanisms and patterns of burn injuries from high explosives, and the related factors that determine mortality. The types and patterns of burn injuries in survivors and fatalities in the confined underground train carriages and the bus were analysed, evaluating injury severity score and the victims' relative position from the detonation point...
December 31, 2017: Annals of Burns and Fire Disasters
Z Zvizdic, K Bećirović, S Salihagić, E Milisic, A Jonuzi, A Karamustafic
We first aimed to investigate the epidemiological characteristics and clinical pattern of hospitalized paediatric burn patients in Sarajevo Canton. Second, we aimed to determine the targets for the paediatric burn prevention program. This descriptive retrospective study was carried out to analyse the demographic, etiologic and clinical data of 73 hospitalized paediatric burn patients in Sarajevo Canton over a 5-year period from January 1, 2012 to December 31, 2016. The differences between various groups were evaluated using the chisquare test...
December 31, 2017: Annals of Burns and Fire Disasters
O G Oseni, K D Olamoyegun, P B Olaitan
Burn injuries are often seen among the paediatric population. Mortality from burn injuries is high in developing countries. Poor facilities and poverty contribute to this. A look at the epidemiology of burn injuries among children from this part of the world will therefore serve as a means for developing programs for burn injury prevention. A retrospective review of burn injuries among the paediatric population was conducted. The aim was to outline common aetiologies, sex predisposition and sites of injury with a view to recommending possible ways of preventing these injuries...
December 31, 2017: Annals of Burns and Fire Disasters
M A R Stokes, W D Johnson
Burns continue to present a significant public health problem, resulting in scores of preventable deaths and disability everyyear. The burden of burns disproportionately falls to the world's poor residing in low and middle-income countries (LMICs). Those who are burnt require timely access to acute burns management, including definitive surgical care. The current lack of access to safe and affordable surgical care with anaesthesia worldwide means that some 5 billion people do not have access to acute burns management, including definitive surgical care for burns, when needed most...
December 31, 2017: Annals of Burns and Fire Disasters
(no author information available yet)
No abstract text is available yet for this article.
September 30, 2017: Annals of Burns and Fire Disasters
R Le Floch
The main topic of the 2017 SFB congress was « burn and infections ». It took place on Thursday, 8th June. Twenty presentations were given, and this article illustrates each of them. The authors are listed above and the title of each paragraph is the title of their presentation.
September 30, 2017: Annals of Burns and Fire Disasters
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