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Journal of Burn Care & Research: Official Publication of the American Burn Association

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https://www.readbyqxmd.com/read/29771374/our-inner-city-children-inflicted-with-burns-a-retrospective-analysis-of-pediatric-burn-admissions-at-harlem-hospital-ny
#1
Anant Dinesh, Thais Polanco, Khurram Khan, Alexius Ramcharan, Ryan Engdahl
Pediatric burns in the urban environment present special problems. Inner-city communities may be unique with hardships due to various socioeconomic factors. There is lack of literature analyzing pediatric burns in the inner-city, and there has been no report to date reviewing Harlem New York City, one of the most challenged areas in the nation. The aim of this study is to understand the pre-hospital circumstances, socioeconomic factors and management of pediatric burns admitted to our hospital. A retrospective review was performed including all patients aged 0-18 years admitted to the burn care unit from January 2006-May 2017...
May 16, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29771369/building-the-burn-physician-workforce-for-the-21st-century-report-from-february-2014-burns-workforce-conference
#2
Amalia Cochran, David G Greenhalgh
American Burn Association Past President Palmer Q. Bessey, MD, orchestrated a Burn Workforce Conference in Washington, DC in February, 2014, with the goal of evaluating the workforce needs for doctors, nurses and occupational/physical therapists. This report summarizes the issues related to the need for training future surgeons to manage burn patients. General surgery and plastic surgery residents currently have minimal requirements for burn experience during their training. The respective Boards, however, do require knowledge in the management of burn care...
May 16, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29771356/versatility-of-dorsal-metacarpal-artery-flaps-for-hand-burns
#3
Jennel M Carreras, Catherine McGee, Faisal Al-Mufarrej
Burns to the hands can be devastating injuries and early debridement and coverage can prevent these chronic problems. Reconstructive options for these defects include skin grafts, local, regional and distant flaps as well as free flaps. In this series we set out to demonstrate the versatility, durability and effectiveness of dorsal metacarpal artery flaps for primary soft tissue coverage This study involves a review of all consecutive patients who underwent acute soft tissue coverage using dorsal metacarpal artery flaps at our institution from December 2014 to December 2017...
May 16, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29771353/predictors-for-identifying-burn-sepsis-and-performance-versus-existing-criteria
#4
David M Hill, Matthew D Percy, Sai R Velamuri, Julio Lanfranco, Ivan Romero Legro, Scott E Sinclair, William L Hickerson
Sepsis is the largest cause of mortality in thermally injured patients. Traditional SIRS criteria do not aid diagnosis of sepsis in burn centers. Studies have attempted identification of the best indicators of sepsis in the thermal injured patient, but predictive variables are inconsistent across the various studies. Currently, consensus guidelines lack evidential support as to which patients will benefit most from prompt antimicrobial therapy. The purpose of our study was to evaluate novel diagnostic parameters for thermal injured patients with known sepsis and compare these parameters with existing diagnostic criteria...
May 16, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29771351/burn-surgeon-and-palliative-care-physician-attitudes-regarding-goals-of-care-delineation-for-burned-geriatric-patients
#5
Holly B Cunningham, Shannon A Scielzo, Paul A Nakonezny, Brandon R Bruns, Karen J Brasel, Kenji Inaba, Scott C Brakenridge, Jeffrey D Kerby, Bellal A Joseph, M J Mohler, Joseph Cuschieri, Mary E Paulk, Akpofure P Ekeh, Tarik D Madni, Luis R Taveras, Jonathan B Imran, Steven E Wolf, Herb A Phelan
Objective: Palliative care specialists and burn surgeons were surveyed regarding: 1) importance of goals of care conversations for burned seniors; 2) confidence in their own specialty's ability to conduct these conversations; and 3) confidence in the ability of the other specialty to do so. Methods: A 13-item survey was developed by the steering committee of a multi-center consortium dedicated to palliative care in the injured geriatric patient and beta-tested by burn surgeons and palliative care specialists unaffiliated with the consortium...
May 16, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29767734/electrical-burns-and-late-spontaneous-artery-ruptures-about-three-cases
#6
C Reinbold, K Serror, M Mimoun, M Chaouat, O Marco, D Boccara
Electrical burns are responsible for arterial and venous thrombosis, as well as weakening of the arteries. Immediate or delayed arterial occlusions, secondary to the aggression of the intima, or aneurysms, secondary to the aggression of the media, sometimes lead to artery ruptures without any warning signs. Such ruptures may trigger a hemorrhagic shock whose period of onset is variable and unpredictable. We are presenting here three cases treated in our department for electrical burns, whose complications were marked by hemorrhagic shock, secondary to late artery ruptures, sometimes occurring several months following the event...
May 15, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29757442/effect-of-intravenous-fluid-volumes-on-the-adrenal-glucocorticoid-response-after-burn-injury-in-swine
#7
Belinda I Gómez, Celestine He, Tony Chao, Michael A Dubick, David M Burmeister
Objective: Severe thermal injury induces metabolic and physiological stress, prompting a disruption in the hypothalamic-pituitary-adrenal axis. The objective of this study was to evaluate potential confounding effects of Lactated Ringer's (LR) resuscitation on adrenal damage and cortisol production following burn. Methods: Anesthetized swine were instrumented with jugular catheters and sustained 40% TBSA burns from brass probes heated to 100ºC. Animals recovered to consciousness and received IV fluid resuscitation with LR at two different volumes: 15 mL/kg/day (Limited Volume; LV, n=6) or 2 mL/kg/%TBSA/day (Modified Brooke; MB, n=6)...
May 11, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29757441/the-safety-and-efficacy-of-propranolol-in-reducing-the-hypermetabolic-response-in-the-pediatric-burn-population
#8
Sylvia Ojeda, Emily Blumenthal, Pamela Stevens, Clark R Andersen, Lucy Robles, David N Herndon, Walter J Meyer
Pediatric burn patients often have hypertension and tachycardia for several years post-injury. Propranolol has shown to be effective in treating the hypermetabolic state secondary to a major burn injury. This study was conducted to document a safe and effective dosing regimen for three different age groups. One hundred four burn-injured children with a 30% to 92% total body surface area burn were treated for 1 to 2 years with propranolol in the outpatient setting. Guardians of the patients were instructed on how to take and monitor the systolic blood pressure and heart rate, and document their vital signs several times a day...
May 11, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29757438/the-krampus-and-the-old-dark-christmas-full-thickness-contact-alkali-burn-with-soot-milking-grease-and-baby-oil
#9
Petra Brinskelle, Christian Smolle, Eva-Christina Prandl, Stephan Spendel, Marlene Leoni, Walter Goessler, Tara Arif, Lars-Peter Kamolz, David Benjamin Lumenta
A chemical alkali burn caused by ash and soot is quite rare, resulting from its high pH-value, and underestimated in its potential to cause injury. In folkloric medicine ash was purportedly used to relieve pain. We present an unusual case of a 27-year-old man who used a self-mixed cream of soot of wooden pellets, milking grease and baby oil to blacken his face and hands for a traditional Krampus procession.
May 11, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29757400/predicting-the-ability-of-wounds-to-heal-given-any-burn-size-and-fluid-volume-an-analytical-approach
#10
Nehemiah T Liu, Julie A Rizzo, Beth A Shields, Maria L Serio-Melvin, Robert J Christy, José Salinas
Introduction: The intrinsic relationship between fluid volume and open wound size (%) has not been previously examined. Therefore, we conducted this study to 1) investigate whether open wound size can be predicted from fluid volume plus other significant factors over time and 2) evaluate how machine learning may perform in predicting open wound size. Methods: This retrospective study involved patients with at least 20% TBSA burned. Various predictive models were developed and compared using goodness-of-fit statistics (R2, error [MAE, RMSE])...
May 11, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29733365/the-associations-of-gender-with-social-participation-of-burn-survivors-a-life-impact-burn-recovery-evaluation-profile-study
#11
Benjamin Levi, Casey T Kraft, Gabriel D Shapiro, Nhi-Ha T Trinh, Emily C Dore, James Jeng, Austin F Lee, Amy Acton, Molly Marino, Alan Jette, Elizabeth A Armstrong, Jeffrey C Schneider, Lewis E Kazis, Colleen M Ryan
Burn injury can be debilitating and affect survivors' quality of life in a profound fashion. Burn injury may also lead to serious psychosocial challenges that have not been adequately studied and addressed. Specifically, there has been limited research into the associations of burn injury on community reintegration based on gender. This work analyzed data from 601 burn survivors who completed field testing of a new measure of social participation for burn survivors, the Life Impact Burn Recovery Evaluation (LIBRE) Profile...
May 4, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29718376/assessment-of-ablative-fractional-co2-laser-and-er-yag-laser-to-treat-hypertrophic-scars-in-a-red-duroc-pig-model
#12
Luis Rodriguez-Menocal, Stephen S Davis, Sandra Becerra, Marcela Salgado, Joel Gill, Jose Valdes, Ambar Candanedo, Shanmugasundaram Natesan, Michael Solis, Wellington Guzman, Alex Higa, Carl I Schulman, Robert J Christy, Jill Waibel, Evangelos V Badiavas
Hypertrophic scarring is a fibroproliferative process that occurs following a third-degree dermal burn injury, producing significant morbidity due to persistent pain, itching, cosmetic disfigurement, and loss of function due to contractures. Ablative fractional lasers have emerged clinically as a fundamental or standard therapeutic modality for hypertrophic burn scars. Yet the examination of their histopathological and biochemical mechanisms of tissue remodeling and comparison among different laser types has been lacking...
April 28, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29668999/patterns-of-burn-injuries-in-manitoba-a-population-health-study
#13
Japandeep Sethi, Justin P Gawaziuk, Nora Cristall, Sarvesh Logsetty
Burns continue to be a common cause of morbidity around the world, and socioeconomic status has been linked to high burn risk in developed and developing countries. The purpose of this study was to define in Winnipeg, Manitoba, Canada: 1) demographics of adult patients with severe burns; 2) the relationship between household income and burn incidence; 3) specific geographic areas that may benefit from targeted burn prevention strategies. We conducted a retrospective study of adult (>18 years) patients in Winnipeg, with burns severe enough to require at least one day of hospitalization between 2006 to 2016...
April 16, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29668985/efficacy-of-a-gel-containing-polihexanide-and-betaine-in-deep-partial-and-full-thickness-burns-requiring-split-thickness-skin-grafts-a-non-comparative-clinical-study
#14
Jurij Kiefer, Kamran Harati, Wibke Müller-Seubert, Sebastian Fischer, Benjamin Ziegler, Björn Behr, Jochen Gille, Ulrich Kneser, Marcus Lehnhardt, Adrien Daigeler, Adrian Dragu
Background: Despite overall advances in burn therapy, wound infection remains one of the leading causes of morbidity and mortality in patients with severe burn injuries. This prospective, multicenter, non-comparative clinical trial was conducted to assess the efficacy and safety of Prontosan® Wound Gel X (PWX), a gel containing polihexanide and betaine, for moistening and cleansing in deep tissue burn wounds requiring split-thickness skin grafting. Methods: Patients with deep partial or full thickness burn wounds requiring split-thickness skin grafting were treated with the gel to evaluate its tolerability and safety as well as graft take and the healing of the skin graft...
April 14, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29635631/trend-analysis-of-current-modalities-for-monitoring-fluid-therapy-in-patients-with-large-burns-echoing-the-call-for-better-resuscitation-indices
#15
Nehemiah T Liu, Leopoldo C Cancio, Maria L Serio-Melvin, José Salinas
Introduction: The aim of this study was to investigate whether current standards at our institution have effectively monitored resuscitations of severely burned patients during the first 48 hours post burn. Methods: Demographics, injuries assessed by total body surface area and full thickness (TBSA, FT), and resuscitation volumes (lactated Ringer's [LR]) were compared for all patients and those who died or survived. Means and standard deviations of hourly indices (urinary output [UOP], lactate [LAC], base excess [BE]) versus LR were analyzed...
April 7, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29659854/prospective-evaluation-of-operating-room-inefficiency
#16
Tarik D Madni, Jonathan B Imran, Audra T Clark, Holly B Cunningham, Luis Taveras, Brett D Arnoldo, Herb A Phelan, Steven E Wolf
Introduction: Previously, we identified that 60% of our facility's total operative time is nonoperative. We performed a review of our operating room to determine where inefficiencies exist in nonoperative time. Methods: Live video of operations performed in a burn operating room from 6/23/17 to 8/16/17 were prospectively reviewed. Preparation (end of induction to procedure start) and turnover (patient out of room to next patient in room) were divided into the following activities: 1) Preparation: remove dressing, position patient, clean patient, drape patient, and 2) Turnover: clean operating room, scrub tray set-up, anesthesia set-up...
April 6, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29635377/a-soft-casting-technique-for-managing-pediatric-hand-and-foot-burns
#17
Young Mee Choi, Cindy Nederveld, Kristen Campbell, Steven Moulton
Hand and foot burns in children are difficult to dress. The authors have developed a soft casting technique to manage burns to these areas. The aim of this study is to report the outcomes using weekly dressing changes with a soft casting technique to manage pediatric hand and foot burns in the outpatient setting. A retrospective chart review was performed on children with burns to the hands or feet, who underwent dressing changes with a soft casting technique at the Children's Hospital Colorado Burn Center...
April 4, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29618093/burn-survivor-quality-of-life-and-barriers-to-support-program-participation
#18
Stephanie Baldwin, Haimao Yuan, Junlin Liao, Brian Grieve, Jason Heard, Lucy A Wibbenmeyer
After a serious burn, re-entry into family life, society, and work can be incredibly difficult. Support services such as professional counseling and peer support play a key role for recovering survivors. Herein, we sought to identify support service participation rates, barriers to participation, and quality of life (QOL) among burn survivors treated at a regional burn center. A survey of burn survivors over 18 years old treated for a burn for 5 days or greater between 2006 and 2016 were invited to participate in a survey...
March 29, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29579311/strength-and-cardiorespiratory-exercise-rehabilitation-for-severely-burned-patients-during-intensive-care-units-a-survey-of-practice
#19
Janos Cambiaso-Daniel, Ingrid Parry, Eric Rivas, Jennifer Kemp-Offenberg, Soman Sen, Julie A Rizzo, Michael A Serghiou, Karen Kowalske, Steven E Wolf, David N Herndon, Oscar E Suman
Minimizing the deconditioning of burn injury through early rehabilitation programs (RP) in the intensive care unit (ICU) is of importance for improving the recovery time. The aim of this study was to assess current standard of care (SOC) for early ICU exercise programs in major burn centers. We designed a survey investigating exercise RP on the ICU for burn patients with >30% total burned surface area. The survey was composed of 23 questions and submitted electronically via SurveyMonkey® to six major (pediatric and adult) burn centers in Texas and California...
March 22, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29579268/an-overview-of-the-use-of-bromelain-based-enzymatic-debridement-nexobrid%C3%A2-in-deep-partial-full-thickness-burns-appraising-the-evidence
#20
Yew L Loo, Benjamin K L Goh, S Jeffery
Aim: Recent introduction of rapid bromelain-based enzymatic debridement has been increasingly popular in its use in non-surgical debridement in deep partial and full thickness burns. We designed this study to evaluate the evidence suggested by current studies on the perceived benefits of using Nexobrid® as compared to traditional surgical standard of care (SOC) in burns wound debridement. Method: A comprehensive search on electronic databases Pubmed, Embase and Web of Science was done to identify studies published between 1986 to 2017 involving the use of Nexobrid in deep partial and full thickness burns...
March 22, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
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