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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/30202971/contemplating-a-career-in-burn-surgery-data-from-the-2016-burn-physician-survey
#1
L S Johnson, M H Jordan, J W Shupp
There is a paucity of information in the peer-reviewed literature characterizing the current burn surgeon workforce and compensation potential, and, in a parallel topic, training opportunities and recruitment methods. What does exist documents minimal exposure to the field and surgeon shortages. A comprehensive survey was created to address 1) the demographics of current burn surgeons in practice, and 2) the structure of burn centers training models. Finally, three questions were asked regarding job satisfaction...
September 7, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/30189043/acute-kidney-injury-after-burn-a-cohort-study-from-the-parkland-burn-intensive-care-unit
#2
Audra T Clark, Xilong Li, Rohan Kulangara, Beverley Adams-Huet, Sarah C Huen, Tarik D Madni, Jonathan B Imran, Herb A Phelan, Brett D Arnoldo, Orson W Moe, Steven E Wolf, Javier A Neyra
Rationale & Objective: Acute kidney injury (AKI) is a common and morbid complication in patients with severe burn. The reported incidence of AKI and mortality in this population vary widely due to inconsistent and changing definitions. We aimed to examine the incidence, severity, and hospital mortality of AKI patients after burn using consensus criteria. Study Design: Retrospective cohort study of adults with thermal injury admitted to the Parkland burn intensive care unit (ICU) from 2008 to 2015...
September 5, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/30189005/pigmentation-diathesis-of-hypertrophic-scar-an-examination-of-known-signaling-pathways-to-elucidate-the-molecular-pathophysiology-of-injury-related-dyschromia
#3
Bonnie C Carney, Jason H Chen, Jenna N Luker, Abdulnaser Alkhalil, Daniel Y Jo, Taryn E Travis, Lauren T Moffatt, Cynthia M Simbulan-Rosenthal, Dean S Rosenthal, Jeffrey W Shupp
Hypertrophic scar (HTS) occurs frequently after burn injury. Treatments for some aspects of scar morbidity exist, however, dyspigmentation treatments are lacking due to limited knowledge about why scars display dyschromic phenotypes. Full thickness wounds were created on duroc pigs that healed to form dyschromic HTS. HTS biopsies and primary cell cultures were then used to study pigmentation signaling. Biopsies of areas of both pigment types were taken for analysis. At the end of the experiment, melanocyte-keratinocyte co-cultures were established from areas of differential pigmentation...
September 5, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/30189001/intravenous-ketamine-as-an-adjunct-to-procedural-sedation-during-burn-wound-care-and-dressing-changes
#4
Phillip G Brennan, James K Landry, M Victoria P Miles, Alicia C Lintner, Kaitlin A McGinn, Steven A Kahn
Little has been published regarding intravenous (IV) ketamine for burn wound care in adult patients. Ketamine may serve as a safe alternative to provide conscious sedation and limit opioid administration to patients. The purpose of this study was to characterize IV ketamine use during burn wound care and establish its potential role as a safe adjunct to opioid and benzodiazepine medications. This is a retrospective review of adult patients admitted to a regional burn center who received IV ketamine for burn wound care...
September 5, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/30165665/a-successful-limb-salvage-of-an-electrical-burned-patient-with-extensive-soft-tissue-and-femoral-bone-necrosis
#5
Hui Chen, Zhong Chen, Jie Wang, Peng Tian, Yu-Ming Shen, Lei Huang, Xiao-Hua Hu
Severe electrical injury presents a formidable therapeutic challenge for surgeons because of the requirement for complex soft tissue and bony reconstruction to restore functionality of the injured area. The authors report on the limb salvage procedure for a patient with extensive soft tissue and femoral bone necrosis from a high-voltage electrical burn. The right thigh and knee were burned, resulting in large areas of muscle necrosis and a long segment of distal femur exposure and necrosis. Complete debridement of the area resulted in a 20 × 35 cm soft tissue defect and an 18-cm long distal femoral bone defect...
August 28, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/30137429/development-of-pseudomonas-aeruginosa-biofilms-in-partial-thickness-burn-wounds-using-a-sprague-dawley-rat-model
#6
Kenneth S Brandenburg, Alan J Weaver, Liwu Qian, Tao You, Ping Chen, S L Rajasekhar Karna, Andrea B Fourcaudot, Eliza A Sebastian, Johnathan J Abercrombie, Uzziel Pineda, Jinson Hong, Nathan A Wienandt, Kai P Leung
We used a modified Walker-Mason scald burn rat model to demonstrate that Pseudomonas aeruginosa, a common opportunistic pathogen in the burn ward and notable biofilm former, establishes biofilms within deep partial-thickness burn wounds in rats.Deep partial-thickness burn wounds, ~10% of the TBSA, were created in anesthetized male Sprague-Dawley rats (350-450 g; n = 84). Immediately post-burn, 100 µl of P. aeruginosa in phosphate-buffered saline at 1 × 103, 1 × 104, or 1 × 105 cells/wound was spread over the burn surface ...
August 20, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/30107518/multiregional-utilization-of-a-mobile-device-app-for-triage-and-transfer-of-burn-patients
#7
Arek J Wiktor, Laura Madsen, Heather Carmichael, Tyler Smith, Shana Zanyk, Hamed Amani, Anne Lambert Wagner
Technology and telehealth have the potential to optimize burn care in areas limited by lack of expertise and geographic distance from a Burn Center. This study reports a multicenter, multiregional experience using a mobile phone app to facilitate triage of patients by allowing referring providers to send encrypted photos, thus enhancing the telephone consultation process. A retrospective review was conducted on referrals from August 2016 to July 2017 at three regional Burn Centers that utilize the same mobile phone app...
August 10, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/30053013/comment-on-n-terminal-brain-natriuretic-peptide-first-week-after-burn-injury
#8
W M T Janssen, S Meulenberg, S M H J Scholten-Jaegers, M K Nieuwenhuis, G I J M Beerthuizen
No abstract text is available yet for this article.
July 20, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/30032292/examining-the-rates-of-anxiety-depression-and-burnout-among-providers-at-a-regional-burn-center
#9
Nathan Markiewitz, Carrie Cox, Kelly Krout, Michael McColl, Julie A Caffrey
Burnout, defined by feelings of inefficacy, cynicism, and emotional exhaustion, affects the performance and wellbeing of health care providers. Burn care exposes providers to factors known to cause or worsen burnout, but no research has presented prevalence rates of burnout in this population. We estimate the rates of anxiety, depression, and burnout among non-physician providers in a regional burn center and compare those rates to a reference population of critical care nurses. In our sample of 22 providers, 64% screened positive for anxiety; 32% for depression; 82% for emotional exhaustion; 18% for personal achievement burnout; and 54% for depersonalization...
July 19, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/30032307/firefighter-fatalities-crude-mortality-rates-and-risk-factors-for-line-of-duty-injury-and-death
#10
Steven A Kahn, Clint Leonard, Carlos Siordia
Background: The United States Fire Administration (USFA) provides high-quality data for firefighter deaths (FFDs), but until now this data has not been analyzed for temporal trends. This analysis explores FFDs between 1990-2016 to determine high risk groups for outreach and training. Methods: Mortality rates were calculated using USFA information compared against the total number of deaths per-year. Rates were compared between 1990-2009 (early period) and 2010-2016 (recent period)...
July 18, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/30020458/examining-the-impact-of-psychological-factors-on-hospital-length-of-stay-for-burn-survivors-a-systematic-review
#11
Kyle H O'Brien, Victor Lushin
Recovery of burn patients may be impeded by mental health problems. By gaining a better understanding of the impact that psychological factors may have on hospital length of stay, providers may be better informed to address the complex needs of burn survivors through effective and efficient practices. This systematic review summarizes existing data on the adverse psychological factors for the length of burn patients' hospitalization, and assesses the methodological quality of the extant literature on mental health conditions of burn survivors...
July 18, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/30016442/social-interactions-and-social-activities-after-burn-injury-a-life-impact-burn-recovery-evaluation-libre-study
#12
Emily A Ohrtman, Gabriel D Shapiro, Laura C Simko, Emily Dore, Mary D Slavin, Cayla Saret, Flor Amaya, J Lomelin-Gascon, Ni Pengsheng, Amy Acton, Molly Marino, Lewis E Kazis, Colleen M Ryan, Jeffrey C Schneider
Social interactions and activities are key components of social recovery following burn injuries. The objective of this study is to determine the predictors of these areas of social recovery.This study provides a secondary analysis of a cross-sectional survey of adult burn survivors. The Life Impact Burn Recovery Evaluation-192 was administered to 601 burn survivors for the field-testing of the Life Impact Burn Recovery Evaluation Profile. Survivors aged 18 years and older with injuries ≥5% total body surface area or burns to critical areas (hands, feet, face, or genitals) were eligible to participate...
July 16, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/30010999/the-long-term-impact-of-severe-burn-trauma-on-musculoskeletal-health
#13
Efstathia Polychronopoulou, David N Herndon, Craig Porter
Severe burn injury causes a profound stress response that leads to muscle and bone cachexia. Evidence suggests that these deficits persist for several months or even years after injury and are associated with growth delay, increased incidence of fractures, and increased hospital admissions for musculoskeletal disorders. Thus, there is an overwhelming need to determine the optimal acute and rehabilitative strategies to mitigate these deficits and improve quality of life for burn survivors. To date, there is limited research on the long-term impact of cachexia on functional performance and overall health, as well as on the lasting impact of pharmacological, nutritional, and exercise interventions...
July 13, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29945257/a-new-injury-prevention-target-summer-hair-braids
#14
Jesus I Ramirez, Debi M Thomas, Donald J Neal, Pirko Maguina
Scald injuries caused by hair braiding have become increasingly common in our pediatric burn center's African-American population. This injury mechanism has received little attention in the medical literature. To guide prevention, the present study aims to characterize this novel mechanism of injury and identify patterns underlying its frequency. A retrospective cohort analysis was performed on all cases of scald injury due to hair braiding in African-American girls treated at our burn center from 2000 to 2016...
June 25, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29939259/epidemiologic-investigation-of-chemical-burns-in-southwestern-china-from-2005-to-2016
#15
Yangping Wang, Xunzhou Yu, Wei Qian, Daijun Zhou, Tao Yang, Song Wang, Weifeng He, Gaoxing Luo
Objective: The epidemiological characteristics of chemical burns varies in different regions of the world. This study aims to survey the epidemiology, outcomes and costs of chemical burns in southwest China, to determine associated risk factors and to obtain data for developing an effective approach to prevent and treat chemical burns. Methods: This retrospective study includes 410 cases with chemical burns admitted to the Institute of Burn Research of Southwest Hospital from 2005 to 2016...
June 25, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/30137450/corrigendum
#16
(no author information available yet)
No abstract text is available yet for this article.
August 17, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29931369/frostbite-in-the-united-states-an-examination-of-the-national-burn-repository-and-national-trauma-data-bank
#17
Rachel M Nygaard, Frederick W Endorf
Frostbite is a form of thermal injury that can have devastating consequences for patients, including digit amputations and sometimes more proximal amputations. To the best of the authors' knowledge, no one has determined national characteristics of frostbite patients, nor the prevalence of these diagnostic and therapeutic modalities. This is the first look at nationwide trends in the treatment of frostbite in the United States. Patients with frostbite injury were identified in the National Trauma Data Bank (NTDB) and National Burn Repository (NBR)...
August 17, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29931347/burn-nurse-competencies-developing-consensus-using-e-delphi-methodology
#18
Gretchen J Carrougher, Kathleen A Hollowed, Jill L Sproul, Bradley J Wiggins, Elizabeth Mann-Salinas
Competency standards for nurses who specialize in the care of burn-injured patients are lacking. Currently, there are no nationally agreed on standards that define safe and competent burn nursing practice. In 2014, nurse members of the American Burn Association proposed the Burn Nurse Competency Initiative (BNCI) with the intent of establishing a core set of competency standards for burn nursing. The BNCI used the Delphi technique of consensus building with input from up to 178 registered nurse burn care experts...
August 17, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29931339/a-surfactant-based-dressing-to-treat-and-prevent-acinetobacter-baumannii-biofilms
#19
Qingping Yang, Gregory S Schultz, Daniel J Gibson
Previous work has demonstrated that a surfactant-based dressing was capable of eliminating any evidence of pre-existing biofilms from an ex vivo porcine skin wound model. Herein, the authors test both the surfactant's ability to prevent biofilm formation and its ability to eliminate Acinetobacter baumannii biofilms. To test biofilm formation inhibition, porcine skin explants were inoculated and incubated for 4 hours before treatment. The explants were then dressed with test or control materials. To test biofilm elimination, mature 3-day biofilms were established and then treated and wiped daily...
August 17, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29931326/n-terminal-brain-natriuretic-peptide-first-week-after-burn-injury
#20
Ilmari Rakkolainen, Moustafa Elmasry, Ingrid Steinvall, Jyrki Vuola
B-type natriuretic peptide has shown promising results as a biomarker for acute kidney injury in general intensive care patients. It may also indirectly reflect fluid balance of the circulation. Among burn patients, it has been observed to indicate excessive fluid resuscitation and organ dysfunction, although its clinical use to indicate acute kidney injury or guide fluid resuscitation has not been validated. The aim of this study was to evaluate whether the N-terminal pro-brain natriuretic peptide values are related to the amount of fluids given after severe burn injury and whether it can act as a novel biomarker for acute kidney injury in these patients...
August 17, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
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