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paediatric burns

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https://www.readbyqxmd.com/read/27846837/prevalence-aetiology-treatment-and-outcomes-of-shock-in-children-admitted-to-kenyan-hospitals
#1
George Mbevi, Philip Ayieko, Grace Irimu, Samuel Akech, Mike English
BACKGROUND: Shock may complicate several acute childhood illnesses in hospitals within low-income countries and has a high case fatality. Hypovolemic shock secondary to diarrhoea/dehydration and septic shock are thought to be common, but there are few reliable data on prevalence or treatment that differ for the two major forms of shock. Examining prevalence and treatment practices has become important since reports suggest high risks from liberal use of fluid boluses in African children...
November 16, 2016: BMC Medicine
https://www.readbyqxmd.com/read/27842635/the-hospital-costs-associated-with-acute-paediatric-burn-injuries
#2
E W Ter Meulen, M J Poley, M Van Dijk, A D Rogers, H Rode
BACKGROUND: Ongoing rationing of healthcare threatens services that are well established, and cripples others that desperately require investment. Burn, for one, remains a neglected epidemic in South Africa (SA), despite the magnitude of the problem. OBJECTIVE: To identify the prominent components contributing to the cost of hospital admission with paediatric burn injury. Determining the true costs of specialist services is important, so that resources can be allocated appropriately to achieve the greatest possible impact...
November 2, 2016: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/27842634/a-review-of-the-peri-operative-management-of-paediatric-burns-identifying-adverse-events
#3
H Rode, C Brink, K Bester, M P Coleman, T Baisey, R Martinez
BACKGROUND: Burn injuries are common in poverty-stricken countries. The majority of patients with large and complex burns are referred to burn centres. Of the children who qualify for admission, according to burn admission criteria, about half require some kind of surgical procedure to obtain skin cover. These range from massive full-thickness fire burns to skin grafts for small, residual unhealed wounds. Burn anaesthetic procedures are of the most difficult to perform and are known for high complication rates...
November 2, 2016: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/27816410/a-10-year-epidemiological-study-of-paediatric-burns-at-the-welsh-centre-for-burns-and-plastic-surgery
#4
Leigh Sanyaolu, Muhammad Umair Javed, Micheal Eales, Sarah Hemington-Gorse
Paediatric burns make up a significant proportion of burn injured patients seen within the hospital setting and worldwide account for a significant proportion of unintentional deaths. Currently there is limited data on severe paediatric burns requiring intensive care support. Our study aimed primarily to describe the epidemiology of severe burns admitted to the intensive care unit at our centre receiving fluid resuscitation over a 10 year period. A secondary aim was to describe the referrals patterns in general over the same time period...
November 2, 2016: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/27777545/childhood-burns-an-analysis-of-124-admissions-in-the-gaza-strip
#5
A Elsous, M Salah, M Ouda
Burns are a serious public health problem among paediatrics. Little is known about the epidemiological profile and outcomes of hospitalized paediatric burns in the Gaza Strip. A cross-sectional retrospective review was conducted of medical records of patients aged 15 years and below, admitted to the Al Alamy burn centre in the Al Shifa Medical Complex from 30 June, 2013 to 01 July, 2014. There were 189 admissions; 124 (65.6%) of them were below 15 years, their mean age ± SD being 4.02 ± 2.85 years. 72 of these cases (58...
December 31, 2015: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/27713782/endoscopic-therapy-of-oesophageal-strictures-in-children-a-multicentre-study
#6
Stanisław Pieczarkowski, Marek Woynarowski, Piotr Landowski, Robert Wilk, Adam Daukszewicz, Ewa Toporowska-Kowalska, Piotr Albrecht, Iwona Ignys, Elżbieta Czkwianianc, Elżbieta Jarocka-Cyrta, Bartosz Korczowski
INTRODUCTION: Oesophageal strictures are rare in children but may require endoscopic dilation. AIM: To gather information on centres performing endoscopic oesophageal dilation in Poland. MATERIAL AND METHODS: The data were obtained from questionnaires concerning the relevant data mailed to 22 paediatric endoscopy centres. Completed questionnaires were received from 11 centres. RESULTS: In 2010 the 11 Polish paediatric endoscopy centres performed a total of 10,650 endoscopic procedures...
2016: Przegla̜d Gastroenterologiczny
https://www.readbyqxmd.com/read/27707643/outpatient-workload-in-the-nhs-a-new-challenge-for-the-burn-services
#7
Giordano Perin, Rosanna C Ching, Mohammad U Anwar
The aim of this study was to evaluate the impact of outpatient care on activities at the Adults' Regional Burns Centre and the Children's Regional Burns Unit, Mid Yorkshire Hospitals NHS Trust UK, where outpatient and inpatient responsibilities are shared between the nursing staff. Data for all inpatient and outpatient interactions (all care related activities with the presence of a Registered Nurse (RN)) was collected prospectively by the attending RN for two consecutive months (October and November 2014)...
October 1, 2016: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/27707637/healing-time-and-incidence-of-hypertrophic-scarring-in-paediatric-scalds
#8
Sarah Lonie, Paul Baker, Rodrigo P Teixeira
INTRODUCTION: Scald burns, which heal in less than 14 days, are seen to be at low risk of hypertrophic scar (HTS) formation. Consequently surgery is usually reserved for scalds likely to take more than 14 days to heal. With the use of silver based dressings over the past few years, anecdotally, we have observed a tendency to improved healing of scalds with conservative management and reduced need for surgical intervention. We aimed to investigate the effect of overall healing time of paediatric scalds on HTS formation over a five-year period (2011-15)...
October 1, 2016: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/27644139/paediatric-burn-unit-in-portugal-beds-needed-using-a-bed-day-approach
#9
João V Santos, João Viana, José Amarante, Alberto Freitas
INTRODUCTION: Despite the high burden of children with burns, there is not a paediatric burn unit (PBU) in Portugal. We aimed to estimate the Portuguese health care providing needs on paediatric burns. METHODS: We performed a nation-wide retrospective study, between 2009 and 2013, among less than 16 years-old inpatients with burns that met the transfer criteria to a burn unit in Portugal. A bed-day approach was used, targeting an occupancy rate of 70-75%, and possible locations were studied...
September 16, 2016: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/27597983/paediatric-burns-secondary-to-nail-adhesives-a-case-series
#10
Claire Coles, Muhammad Umair Javed, Sarah Hemington Gorse, Dai Nguyen
BACKGROUND: Nail adhesives are widely available beauty products that are used in the cosmetic industry and households to attach false nails. Nail adhesive burns are uncommon, and it is crucial that healthcare providers and the public are aware of its potential to cause chemical burn. CASE PRESENTATION: Case series of accidental burns secondary to cyanoacrylate nail glue treated at the Welsh Centre for Burns and Plastic Surgery (WCBPS) in Swansea, United Kingdom...
2016: Burns and trauma
https://www.readbyqxmd.com/read/27597639/variations-in-guideline-use-and-practice-relating-to-diagnosis-and-management-of-infection-in-paediatric-burns-services-in-england-and-wales-a-national-survey
#11
Anna Davies, Francesca Spickett-Jones, Paula Brock, Karen Coy, Amber Young
BACKGROUND: Wound infection causes morbidity and mortality in burns. UK National Burns Care Standards state that guidance should be used to diagnose and treat burn wound infection. However, surveys of senior staff about standard operating procedures or guidance in UK burns services indicate that they are infrequently available (Papini et al., 1995; Lymperopoulos et al., 2015). Staff may have differing views and experiences of guidance use according to their role. This survey investigated the extent to which guidance is available, and current practices used for diagnosis and treatment of burn wound infection, both within and between paediatric burns services...
September 2, 2016: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/27576932/the-hand-burn-severity-habs-score-a-simple-tool-for-stratifying-severity-of-hand-burns
#12
Sarah E Bache, Edmund Fitzgerald O'Connor, Evgenia Theodorakopoulou, Quentin Frew, Bruce Philp, Peter Dziewulski
Hand burns represent a unique challenge to the burns team due to the intricate structure and unrivalled functional importance of the hand. The initial assessment and prognosis relies on consideration of the specific site involved as well as depth of the burn. We created a simple severity score that could be used by referring non-specialists and researchers alike. The Hand Burn Severity (HABS) score stratifies hand burns according to severity with a numerical value of between 0 (no burn) and 18 (most severe) per hand...
August 27, 2016: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/27575678/telehealth-for-paediatric-burn-patients-in-rural-areas-a-retrospective-audit-of-activity-and-cost-savings
#13
Tania McWilliams, Joyce Hendricks, Di Twigg, Fiona Wood, Margaret Giles
INTRODUCTION: Since 2005, the Western Australian paediatric burn unit has provided a state-wide clinical consultancy and support service for the assessment and management of acute and rehabilitative burn patients via its telehealth service. Since then, the use of this telehealth service has steadily increased as it has become imbedded in the model of care for paediatric burn patients. Primarily, the service involves acute and long term patient reviews conducted by the metropolitan-located burn unit in contact with health practitioners, advising patients and their families who reside outside the metropolitan area thereby avoiding unnecessary transfers and inpatient bed days...
November 2016: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/27540221/development-of-a-once-daily-gentamicin-regimen-for-paediatric-surgery-patients
#14
Sumayya Kasuji, Prady Gadaria
AIM: Intravenous gentamicin is given as a 5 day course to paediatric patients who have undergone abdominal surgery. There was an impression that the multiple daily dosing regimen in use at the time (2.5 mg/kg three times a day) did not provide therapeutic levels in this patient cohort therefore the aim was to develop a dosing regimen that did. METHOD: A retrospective audit of pre- and post-dose gentamicin levels in patients on a multiple daily dose regimen was undertaken...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27536711/mass-spectrometry-based-data-of-the-blister-fluid-proteome-of-paediatric-burn-patients
#15
Tuo Zang, Daniel A Broszczak, Leila Cuttle, James A Broadbent, Catherine Tanzer, Tony J Parker
The data presented here are associated with the article "The blister fluid proteome of paediatric burns" (Zang et al., 2016) [1]. Burn injury is a highly traumatic event for children. The degree of burn severity (superficial-, deep-, or full-thickness injury) often dictates the extent of later scar formation which may require long term surgical operation or skin grafting. The data were obtained by fractionating paediatric burn blister fluid samples, which were pooled according to burn depth and then analysed using data dependent acquisition LC-MS/MS...
September 2016: Data in Brief
https://www.readbyqxmd.com/read/27345418/the-blister-fluid-proteome-of-paediatric-burns
#16
Tuo Zang, Daniel A Broszczak, Leila Cuttle, James A Broadbent, Catherine Tanzer, Tony J Parker
UNLABELLED: Burn injury is highly traumatic for paediatric patients, with the severity of the burn often dictating the extent of scar formation. The diagnosis of burn wound severity is largely determined by the attending clinician's experience. Thus, a greater understanding of the biochemistry at burn wound site environment and the biology of burns of different severities at an earlier stage may reduce the reliance on subjective diagnoses. In this study, blister fluid was collected from superficial thickness, deep-partial thickness, and full-thickness paediatric burn wounds...
September 2, 2016: Journal of Proteomics
https://www.readbyqxmd.com/read/27338180/increased-admissions-for-diabetes-mellitus-after-burn
#17
Janine M Duke, Sean M Randall, Mark W Fear, James H Boyd, Emily O'Halloran, Suzanne Rea, Fiona M Wood
BACKGROUND: Currently, limited long-term data on hyperglycaemia and insulin sensitivity in burn patients are available and the data that do exist are primarily related to paediatric severe burns. The aim of this study was to assess if burn is associated with increased post-burn admissions for diabetes mellitus. METHODS: A population-based longitudinal study using linked hospital morbidity and death data from Western Australia was undertaken of all persons hospitalized for a first burn (n=30,997) in 1980-2012 and a frequency matched non-injury comparison cohort, randomly selected from Western Australia's birth registrations and electoral roll (n=123,399)...
June 20, 2016: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/27325218/parent-knowledge-on-paediatric-burn-prevention-related-to-the-home-environment
#18
Sharon G Cox, Abdus Burahee, Rene Albertyn, Jahelihle Makahabane, Heinz Rode
INTRODUCTION: Burns amongst children in South Africa are common and usually occur in the immediate home environment. In surveys many parents have requested ongoing educational burn prevention programs. This exploratory thematic parent orientation study assessed the level of parental knowledge on burn prevention strategies in the home. METHODS: Study populations included: Parent with a burned child admitted to hospital, parents of non-burnt hospital attenders and hospital naive parents unbiased by previous exposure to burns...
June 17, 2016: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/27283733/smoke-inhalation-increases-intensive-care-requirements-and-morbidity-in-paediatric-burns
#19
Alethea Tan, Sarah Smailes, Thessa Friebel, Ashish Magdum, Quentin Frew, Naguib El-Muttardi, Peter Dziewulski
Burn survival has improved with advancements in fluid resuscitation, surgical wound management, wound dressings, access to antibiotics and nutritional support for burn patients. Despite these advancements, the presence of smoke inhalation injury in addition to a cutaneous burn still significantly increases morbidity and mortality. The pathophysiology of smoke inhalation has been well studied in animal models. Translation of this knowledge into effectiveness of clinical management and correlation with patient outcomes including the paediatric population, is still limited...
August 2016: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/27268009/steam-vaporizers-a-danger-for-paediatric-burns
#20
Sarah Lonie, Paul Baker, Rodrigo Teixeira
BACKGROUND: Steam vaporizers are used to humidify air in dry environments. They are marketed to moisten children's airway secretions and thus to help relieve symptoms associated with upper respiratory tract infections. Unfortunately the steam emitted from the unit can also pose a significant risk of burns to children. Our study aimed to ascertain patterns of injury and treatment outcomes from steam burns resulting from these devices. Potential preventative measures are discussed. METHODS: Children who had sustained vaporizer scald burns were identified at the outpatient burns clinic over a 10-month period (November 2014-August 2015)...
June 3, 2016: Burns: Journal of the International Society for Burn Injuries
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