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

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https://read.qxmd.com/read/30990527/urban-frostbite-strategies-for-limb-salvage
#1
Deana S Shenaq, Maureen Beederman, Annemarie O'Connor, Megan Teele, Marla R Robinson, Lawrence J Gottlieb
INTRODUCTION: Under ideal circumstances, severely frostbitten extremities are rapidly rewarmed and treated with thrombolytic therapy within 6-24 hours. In an "inner city," urban environment, most patients who suffer frostbite injuries present in a delayed fashion, sustain repeated injuries further complicated by psychological issues or intoxication, and are rarely ideal candidates for thrombolytic therapy within the prescribed timeframe. We describe our experience with the treatment of urban frostbite injuries...
April 16, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30977800/heparin-induced-fever-a-case-report-and-literature-review
#2
Jake Laun, Katie Laun, Adeel Farooqi, David J Smith
Burn patients are often plagued by fever due to the inflammatory nature of their injuries as well as the normal post-operative Systemic Inflammatory Response Syndrome. One etiology for fever, often not initially considered, is drug-induced fever. A rare cause of drug-induced fever is heparin with only one documented case reported in the literature. We present a case of heparin-induced fever in a patient who experienced a 32% total body surface area friction burn after a motorcycle crash.
April 12, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30957154/neodermis-formation-in-full-thickness-wounds-using-an-esterified-hyaluronic-acid-matrix
#3
Ariel Aballay, Michel H E Hermans
The role of the dermis is essential for the proper orchestration of all phases of the normal wound healing process. Wounds with seriously damaged or even absent dermis consistently show seriously impaired wound healing and/or long-term complications such as hypertrophic scarring. Replacing a damaged dermis requires a dermal matrix that is compatible with, or even stimulates, the process of wound healing. Hyaluronic acid (HA), in an esterified form is among the many matrices that are available. HA has been used in a number of indications, such as ulcers (i...
April 8, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30957150/identifying-the-needs-of-family-members-in-burn-care-nurses-different-approaches
#4
Josefin Bäckström, Prof Mimmie Willebrand, Caisa Öster
The aim of this study was to explore how nurses in burn care identify family members' needs of support and what support the nurses offer. Family members are an important source of short- and long-term support for burn survivors. Being a family member in burn specific as well as general care can be challenging in several ways. Nurses are recognized as well as positioned in the team for assessing and providing such support; however, little is known about how this is done. This is an explorative study with a qualitative descriptive design...
April 8, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30953060/balloon-catheter-dilatation-for-treatment-of-a-patient-with-cricopharyngeal-dysfunction-after-thermal-burn-injury
#5
So Young Joo, Seung Yoel Lee, Yoon Soo Cho, Cheong Hoon Seo
Deglutition disorder is a clinical symptom that has been associated with inhalation and cutaneous thermal burn injuries. Deglutition disorder is present in approximately 11% of patients with burn injury and is known to persist for weeks to months postinjury. Here, we report a case of deglutition disorder associated with cricopharyngeal dysfunction(CPD) in a patient with thermal burn injury. Two patients presented with deglutition disorder lasting for several weeks after thermal injury. Clinically, it manifested as combined liquid and solid food dysphagia...
April 6, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30950500/outcomes-of-early-use-of-an-end-of-range-axilla-orthotic-in-children-following-burn-injury
#6
Rhianydd Thomas, Stephanie Wicks, Claire Toose, Verity Pacey
Scar contracture is a significant complication of burn injury. This study aimed to describe outcomes of early axilla orthotic use at end of range abduction in children, following a burn to the axilla region. A retrospective review of 76 children (mean age 3.9 years (SD 3.6)) treated at a tertiary children's hospital from 2006-2016 was conducted. No child developed axilla contracture for the duration of the 2-year study follow-up with no adverse events recorded. If orthotic use was ceased <60 days post burn it was considered not an essential intervention to maintain range of movement, leaving 49 children using the orthotic 60 days...
April 5, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30942875/what-happens-after-a-positive-screen-for-depression-and-post-traumatic-stress-disorder-in-the-outpatient-burn-clinic
#7
Melissa Carmean, Areg Grigorian, Julie Stefan, Natalya Godes, Kimberly Burton, Victor C Joe
Multiple reports have demonstrated a wide prevalence of both depression and post-traumatic stress disorder (PTSD) within one year of burn injury. The purpose of this study is to determine outcomes of burn patients after a positive outpatient screen for depression or PTSD at an American Burn Association (ABA)-verified burn center. All patients who screened positive were offered referral for psychologic and/or psychiatric counseling. Rescreening was performed with a goal of approximately 6 months. A total of 445 patients were enrolled with 91 (20...
April 3, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30941412/bacteriologic-profile-of-burn-wounds-at-a-tertiary-government-hospital-in-the-philippines-up-pgh-atr-burn-center
#8
Gerald Marion M Abesamis, Jose Joven V Cruz
BACKGROUND: Wound infection is a major cause of morbidity and mortality among burn patients. Recent changes in the epidemiology of burn wound infections were observed due to the steady rise of drug resistant bacteria. The objective of this study is to determine the most common burn wound pathogens isolated among patients admitted at the UP-PGH ATR Burn Center, describe their respective susceptibility patterns, and calculate incidence rates of burn wound colonization, local and invasive infection...
April 3, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30938441/delayed-presentation-of-a-vertex-epidural-hematoma-following-high-voltage-electrical-injury-to-the-head
#9
Lauren Steward, Anne Wagner, Robert Neumann, Arek Wiktor, Anne Wagner
We present the case of a man who suffered a high- voltage electrical injury followed by a delayed presentation of an epidural hematoma. Computed tomography (CT) of the brain demonstrated hyper dense material along the anterior and frontal region consistent with an epidural hematoma at the vertex. The patient underwent serial CT scans of his brain which demonstrated stability of the hematoma and no operative intervention was required. This appears to be the first case report of such an injury.
April 2, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30938433/homelessness-and-inpatient-burn-outcomes-in-the-united-states
#10
Harriet Kiwanuka, Zeshaan Maan, Danielle Rochlin, Catherine Curtin, Yvonne Karanas, Clifford C Sheckter
INTRODUCTION: Burn injuries are common in the homeless population. Little is known regarding whether homeless patients experience different outcomes when admitted for burns. We aim to 1) characterize the admitted homeless burn population, and 2) investigate differences in inpatient outcomes between the homeless and non-homeless populations. METHODS: A retrospective cohort study was performed utilizing the Nationwide Inpatient Sample. Adult patients with complete data for burn characteristics were extracted...
April 2, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30926991/mitochondrial-dna-induced-inflammatory-responses-and-lung-injury-in-thermal-injury-murine-model-protective-effect-of-cyclosporine-a
#11
Ruiqi Liu, Fei Xu, Siwei Bi, Xueshan Zhao, Bangsheng Jia, Ying Cen
Burn trauma is generally associated with profound inflammation and organ injuries, especially the lung. Damage-associated molecular patterns (DAMPs), such as mitochondrial DNA (mtDNA), released after tissue injuries, play a crucial role in the development of the inflammation. The aim of our study was to investigate the protective profiles of cyclosporine-A (CsA) in murine models with thermal injury. We studied 24 C57BL/6 mice which were randomly subjected to four groups: a sham-operation group (SO group, n = 6), an experiment group (a full-thickness thermal injury covered 30% of the TBSA, n = 6), a low-CsA group (injection of 2...
March 30, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30919903/goniometric-measurement-of-burn-scar-contracture-a-paradigm-shift-challenging-the-standard-authors
#12
Ingrid Parry, Reg Richard, James K Aden, Miranda Yelvington, Linda Ware, William Dewey, Keith Jacobson, Julie Caffrey, Soman Sen
Standard goniometry is the most commonly used method of assessing range of motion (ROM) in patients with burn scar contracture. However, standard goniometry was founded on arthrokinematic principles and doesn't consider the cutaneous biomechanical influence between adjacent joint positions and skin pliability to accommodate motion. Therefore, use of standard goniometry to measure burn scar contracture is called into question. This prospective, multi-center, comparative study investigated the difference between standard goniometry, based on arthrokinematics and a revised goniometry protocol, based on principles of cutaneokinematics and functional positions to measure ROM outcome in burn survivors...
March 28, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30919900/passing-the-baton-the-brooke-formula-colonel-basil-a-pruitt-and-the-isr-rule-of-ten
#13
James C Jeng
No abstract text is available yet for this article.
March 28, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30918949/fluid-management-as-a-risk-factor-for-intra-abdominal-compartment-syndrome-in-burn-patients-a-total-body-surface-area-tbsa-independent-multicenter-trial-part-i
#14
Dorothee Boehm, Christina Schröder, Denise Arras, Frank Siemers, Apostolos Siafliakis, Marcus Lehnhardt, Mehran Dadras, Bernd Hartmann, Simon Kuepper, Kay-Uwe Czaja, Ulrich Kneser, Christoph Hirche
Fluid management is one of the anticipated risk factors for intra-abdominal compartment syndrome (ACS). Since fluid requirements depend on the burned total body surface area (TBSA), an independent analysis is necessary to adapt resuscitation protocols and prevent this life-threatening complication. A retrospective multicenter study with matched-pair analysis was conducted in four German burn centers including 38 burn patients with ACS who underwent decompressive laparotomy. Potential risk factors were analyzed such as resuscitation volume, total fluid intake, mean fluid administration per day, fluid balance and blood transfusion...
March 28, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30918946/social-complexity-and-risk-for-paediatric-burn-injury-a-systematic-review
#15
Padalko A, Cristall N, Gawaziuk Jp, Logsetty S
INTRODUCTION: Social complexity in health outcomes has been attributed to greater risk of injury, adverse health consequences and early death in a variety of populations. To determine what social complexity factors (SCFs) associated with burn injury in children, a systematic review of the literature was performed. METHODS: Two different databases (PubMed and SCOPUS) were searched for articles related to environmental and social determinants of burn injury. Selected literature examined SCFs to establish the strength of evidence in relation to incidence of burn injury in children...
March 28, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30911755/rare-burn-cases-treated-traditionally-folk-medicine-review-of-8-cases
#16
Hakan Akelma, Ebru Tarıkçı Kılıç, Zeki Ayhan Karahan
The most common burn injuries in the Turkish population are scalding (traditional Turkish tea, hot milk, liquid food, etc.), electricity and chemical agents. However, many plants that are used as herbal medicine can also cause adverse effects such as allergic contact dermatitis and burns. Despite advances in medicine, there is a tendency to use alternative treatments as can be seen in every population, including the Turkish population. Plant-based medicines are the most common methods in folk medicine. Although modern treatment methods have been developed, traditional treatment methods are still common in low socio-economic regions...
March 25, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30899957/nursing-understanding-and-perceptions-of-delirium-assessing-current-knowledge-attitudes-and-beliefs-in-a-burn-icu
#17
T Powell, M Nolan, G Yang, M Tam, D Metter, N S Gibran, G J Carrougher, T N Pham
The number of delirium days in hospitalized patients directly correlates with mortality and long-term cognitive dysfunction. Burn patients are at greater risk for delirium due to prolonged mechanical ventilation, high sedative and analgesic medication requirements, and the common need for multiple operations. Limited research exists on nurses' understanding and comfort using delirium screening tools and preventive interventions. A process improvement project was developed in a single, regional burn intensive care unit (BICU) with the goal of increasing RN staff awareness of delirium, delirium assessment, and preventive interventions...
March 21, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30893433/the-effects-of-early-neuropathic-pain-control-with-gabapentin-on-long-term-chronic-pain-and-itch-in-burn-patients
#18
Cameron J Kneib, Stephen H Sibbett, Gretchen J Carrougher, Lara A Muffley, Nicole S Gibran, Samuel P Mandell
Gabapentin has analgesic efficacy for neuropathic pain and is increasingly used in burn care. This study investigated the effect of a neuropathic pain control protocol, as well as early gabapentin initiation (< 72 hours from injury) on total inpatient opioid use, chronic pain, and itch. This is a single-institution retrospective cohort study of patients over age 14 admitted between 2006 and 2016 with burns. We compared patients who did not receive gabapentin with those who had early gabapentin initiation vs...
March 20, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30893426/respiratory-management-in-smoke-inhalation-injury
#19
Ke-Yun Chao, Yu-Wen Lin, Chen-En Chiang, Chi-Wei Tseng
Smoke inhalation injury is a major morbidity and cause of mortality in patients with burns. Damage caused by inhalation of thermal or chemical irritants, including toxic fumes and chemicals, leads to respiratory cilia and epithelial cell injuries, which turn to severe bronchospasm and alveolar damage and results in acute respiratory distress syndrome. Respiratory management plays a vital role in the treatment of smoke inhalation injury. In this review, we provide an overview of smoke inhalation injury with emphasis on respiratory management, including aerosol therapy, bronchial hygiene therapy, advanced ventilation modes, and heated humidified high-flow nasal cannula...
March 20, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/30893424/clinical-utility-of-pna-fish-for-burn-wound-diagnostics-a-non-invasive-culture-independent-technique-for-rapid-identification-of-pathogenic-organisms-in-burn-wounds
#20
Alan J Weaver, Kenneth S Brandenburg, Fatemeh Sanjar, Adrienne R Wells, Trent J Peacock, Kai P Leung
Burn injury results in an immediate compromised skin state, which puts the affected patient at an immediate risk for infection, including sepsis. For burn patients that develop infections, it is critical to rapidly identify the etiology so that an appropriate treatment can be administered. Current clinical standards rely heavily on culture-based methods for local and systemic infection testing, which can often take days to complete. While more advanced methods (i.e. MALDI or NAAT) have improved turnaround times, they may still suffer from either the need for pure culture or sensitivity and specificity issues...
March 20, 2019: Journal of Burn Care & Research: Official Publication of the American Burn Association
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