journal
Journals Journal of Burn Care & Researc...

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

https://read.qxmd.com/read/38180502/the-use-of-intraosseous-infusion-in-the-early-resuscitation-of-patients-with-extremely-severe-burns
#61
JOURNAL ARTICLE
Yuwei Wang, Shuaishuai Zhou, Lizhu Wang, Jue Fang, Yukun Zhang, Lili Shi, Gaoxing Lin, Mangwei Zhang, Sa Wang
According to research, shock, the most common complication of extremely severe burns, is also the leading cause of mortality among patients with such burns. The case fatality rate reaches 83.45% when the total burn area exceeds 90%. The American Heart Association in 2020 recommended the intraosseous route after the peripheral route and prior to the central venous route when venous cannulation is either difficult or delayed. The use and experience with intraosseous infusion (IO) in extremely severe burns are still limited...
January 5, 2024: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38180248/social-distancing-or-socially-dividing-a-greater-proportion-of-vulnerable-patients-admitted-to-a-metropolitan-burn-center-during-the-covid-19-pandemic
#62
JOURNAL ARTICLE
Deborah Choe, Paul Won, Eloise Stanton, Joshua Abu-Ghazaleh, Zachary Collier, Daniel Panhassi, Haig A Yenikomshian, Justin Gillenwater
Due to stay-at-home mandates and social distancing, we hypothesized the coronavirus disease 2019 global pandemic altered the epidemiology of burn injuries that presented to a single-institution, metropolitan burn center. A retrospective review of adult and pediatric patients admitted to the center during a three-year period: 3/20/19-3/19/20 (Pre-Pandemic Year), 3/20/20-3/19/21 (Pandemic Year 1), and 3/20/21-3/19/22 (Pandemic Year 2). Variables included patient demographics, burn injury, and hospitalization characteristics...
January 5, 2024: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/37797268/a-review-and-quality-assessment-of-tiktok-videos-for-burn-education
#63
REVIEW
Sara Sheikh-Oleslami, Young Ji Tuen, Rebecca Courtemanche, Sally Hynes
Social media platforms can serve as a readily accessible tool for burn education, potentially reducing the incidence and severity of burn injuries. Previous studies have investigated the quality of online burn education videos on platforms such as YouTube. Here, we review the quality of such videos on TikTok, a newer and rapidly growing platform. TikTok was searched for English videos using 29 keywords (hashtags) such as #burn, #education, #prevention, and #management. The first 30 videos per hashtag were screened...
January 5, 2024: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38165669/subhypnotic-intravenous-ketamine-improves-patient-satisfaction-with-burn-wound-care-a-quality-improvement-project
#64
JOURNAL ARTICLE
Albert Pedroza, Zachary Fleishhacker, Alba Aguillon Paulsen, Jia Ern Ong, Nicolas Ronkar, Isaac Weigel, Trinity Janecek, Colette Galet, Lucy Wibbenmeyer
Despite advancements in pain management for burn injuries, analgesia often fails to meet our patients' needs. We hypothesized that low doses of intravenous ketamine as an adjunct to our current protocol would be safe, improving both nurse and patient satisfaction with analgesia during hydrotherapy. Burn patients admitted who underwent hydrotherapy from 6-1-2021 to 6-30-2023 were surveyed. Ketamine was administered with the standard opioid-midazolam regimen. Demographics, oral morphine equivalents (OME), midazolam, ketamine doses and time of administration, and adverse events were collected...
January 2, 2024: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38165005/utilization-of-topical-polysporin-and-triamcinolone-for-the-treatment-of-hypergranulation-tissue
#65
JOURNAL ARTICLE
Kimberly Maynell, William West Iii, Jenna Marek, Benjamin Wright, Michael Bodnar, Nicole Kim-Ahn Le, Kristen Whalen, Loryn Taylor, Jared Troy, David Smith, Jake Laun
Hypergranulation is the abnormal accumulation of granulation tissue in a wound and is commonly seen in burns. It impairs wound healing and can predispose patients to infection. There is no gold standard treatment for hypergranulation tissue, but some options include surgical debridement, chemical cautery with silver nitrate, and topical steroids. Silver nitrate treatment is painful and can lead to scarring, so topical steroid use is on the rise. A retrospective review, between January 1, 2017 and August 30, 2021, at a tertiary burn center was performed to analyze outcomes of hypergranulation tissue after treatment with a topical 50/50 mixture of triamcinolone (Perrigo, Dublin, Ireland) and Polysporin (Johnson & Johnson, New Brunswick, NJ)...
January 2, 2024: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38158891/preventing-and-managing-operating-room-fires-in-plastic-surgery-a-review-of-incidence-risk-factors-and-recommendations-with-case-experiences
#66
JOURNAL ARTICLE
Hatan Mortada, Rakan Abu Alqam, Taif Fawaz AlNojaidi, Abdulmohsen Jameel Alshammari, Maya Khider, Maha Albarrak, Saad Alrobaiea, Rayan Alalola
Fires in operating rooms are rare yet devastating incidents. There are guidelines for the prevention and management of surgical fires; however, these recommendations are based on expert opinion and case reports. Almost all surgical procedures have an oxidizer (oxygen, nitrous oxide), an ignition source (such as a laser or "Bovie"), and a fuel, which together make up the three elements of an operating room fire. Our review analyzes each fire component to decide on the most effective clinical approach for reducing the risk of fire...
December 30, 2023: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38141261/expression-and-correlation-her2-p53-vegf-in-marjolin-s-ulcer
#67
JOURNAL ARTICLE
Chen Xia, Zhigang Chu, Yiqi Wu
Marjolin's ulcer is described as malignant lesions developed in the injured skin, which can cause several kinds of malignancies. Our results showed that no HER2 but p53 was detected in Majorlin's ulcer samples. Meanwhile, by statistical analysis we found that the positive rate of p53 in Majorlin's ulcer samples was associated with the pathological type of ulcer canceration and degree of tumor differentiation. The positive expression rate of VEGF was 62.5% in poorly differentiated SCC, 39.4% in moderately differentiated SCC, and 66...
December 23, 2023: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38141257/severe-high-voltage-electrical-injury-a-rare-case-report
#68
JOURNAL ARTICLE
Yanjun Wu, Jia Luo, Yimei Luo, Gaoxing Luo, Wei Qian
High-voltage electrical injury usually causes severe tissue damage and serious secondary complications. We report a case of treatment of severe High-voltage electrical injury. A series of personalized and effective treatment plans were created through repeated discussions, we successfully handled a series of acute and critical conditions, including severe limb damage, a very large area of full-thickness abdominal wall defect, abdominal viscera (stomach and liver) necrosis, abdominal infection, renal insufficiency, myocardial damage, and malignant arrhythmia (atrial fibrillation)...
December 23, 2023: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38141248/vitamin-d-deficiency-is-associated-with-increased-length-of-stay-after-acute-burn-injury-a-multicenter-analysis
#69
JOURNAL ARTICLE
Sarah Zavala, Kate O Pape, Todd A Walroth, Melissa Reger, Brittany Hoyte, Wendy Thomas, Beatrice Adams, David M Hill
In burn patients, vitamin D deficiency has been associated with increased incidence of sepsis and infectious complications. The objective of this study was to assess the impact of vitamin D deficiency in adult burn patients on hospital length of stay (LOS). This was a multi-center retrospective study of adult patients at 7 burn centers admitted over a 3.5 year period, who had a 25-hydroxyvitamin D concentration drawn within the first 7 days of injury. Of 1,147 patients screened, 412 were included. Fifty-seven percent were vitamin D deficient...
December 23, 2023: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38126967/-skin-sharing-augmentation-mastopexy-for-reconstruction-of-an-adult-female-breast-after-severe-childhood-scalds-a-case-report
#70
JOURNAL ARTICLE
Maximilian Mahrhofer, Laurenz Weitgasser, Thomas Schoeller
This case report describes our treatment of a 37 year-old female, Caucasian patient with a severe unilateral breast deformity after childhood scald trauma. Thermal injuries of the breast in female children pose a challenge for breast reconstruction after puberty, since they impede normal development and can to lead to psychological trauma. To achieve satisfactory results, a combination of different reconstructive techniques and a multi stage approach is required. The patient was initially treated with an augmentation mastopexy of the left breast and a reverse abdominoplasty to correct the asymmetry and replace resected scar tissue...
December 21, 2023: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38126888/mindfulness-social-support-and-psychological-distress-among-jordanian-burn-patients
#71
JOURNAL ARTICLE
Suhair Hussni Al-Ghabeesh, Mohannad Mahmoud, Ahmad Rayan, Mohammad Alnaeem, Abdullah Algunmeeyn
Burn is associated with psychological distress, anxiety, and depression. Social support and mindfulness considered a strength source for post burn survivors to resume their daily living activities. There is a lack of literature supported the direct impact of mindfulness on social support and psychological distress among burn survivors. The aim of this study is to examine the impact of mindfulness and social support in enhancing psychological wellbeing of burn survivors in Jordan. A cross-sectional descriptive design and convenience sampling technique were utilized to meet the study goal...
December 21, 2023: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38126807/using-computer-vision-and-artificial-intelligence-to-track-the-healing-of-severe-burns
#72
JOURNAL ARTICLE
Olivier Ethier, Hannah O Chan, Mahla Abdolahnejad, Alexander Morzycki, Arsene Fansi Tchango, Rakesh Joshi, Joshua N Wong, Collin Hong
Burn care management includes assessing the severity of burns accurately, especially distinguishing superficial partial thickness (SPT) burns from deep partial thickness (DPT) burns, in the context of providing definitive, downstream treatment. Moreover, the healing of the wound in the sub-acute care setting requires continuous tracking to avoid complications. Artificial intelligence (AI) and computer vision (CV) provide a unique opportunity to build low-cost and accessible tools to classify burn severity and track changes of wound parameters, both in the clinic by physicians and nurses, and asynchronously in the remote setting by the patient themselves...
December 21, 2023: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38113522/filter-lifespan-treatment-effect-and-influencing-factors-of-continuous-renal-replacement-therapy-for-severe-burn-patients
#73
JOURNAL ARTICLE
Qian Yue, Hong Wu, Maomao Xi, Feng Li, Tiantian Li, Yinyin Li
Continuous renal replacement therapy (CRRT) is often disrupted due to various factors, such as patient-related issues, vascular access complications, treatment plans, and medical staff factors. This unexpected interruption is referred to as non-selective filter stoppage and can result in additional treatment expenses. This study retrospectively analyzed 501 CRRT filters used in 62 patients with severe burns, lifespan and therapeutic effect of all filters were mainly analyzed, used logistic regression analysis was performed to identify risk factors associated with non-selective cessation filter...
December 19, 2023: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38108413/grill-related-burn-injuries-a-matched-cohort-study
#74
JOURNAL ARTICLE
Deborah Choe, Michael Cooper, Miki Roberts, Justin Gillenwater, Haig A Yenikomshian
Barbequing can result in devastating burn injuries with unsafe practices. This study aims to characterize the demographics, injury characteristics, and outcomes of grill-related burns and identify ways of burn prevention. A retrospective review of patients admitted to a single-institution, metropolitan burn center from 1/1/17 - 7/1/23. Data included demographics, burn injury characteristics, and outcomes. Each Grill Cohort patient was matched to three non-grill controls by mBaux score and burn location. Out of 2,355 patients, 69 (2...
December 18, 2023: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38085950/treatment-of-necrotizing-fasciitis-with-novosorb%C3%A2-biodegradable-temporizing-matrix%C3%A2-and-recell%C3%A2-autologous-skin-cell-suspension-a-case-series
#75
JOURNAL ARTICLE
Cindy L Austin, Oluwafolaranmi E Sodade, Brody Harrison, Krisi Causa
This case series reviews the management of two patients who developed a rare, aggressive soft tissue infection, Necrotizing Fasciitis treated with a synthetic polyurethane dermal regenerative template, Biodegradable Temporizing Matrix (NovoSorb® BTM) in conjunction with an off-label use of RECELL® device applying autologous skin cell suspension and a split-thickness skin graft for reconstruction. The clinical relevance describes a non-traditional patient's course of treatment and clinical outcome using BTM® and RECELL® for Necrotizing Fasciitis...
December 12, 2023: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38079377/96th-hour-impact-of-scalding-burns-on-end-organ-damage-systemic-oxidative-stress-and-wound-healing-in-rats-treated-with-three-different-types-of-dressings
#76
JOURNAL ARTICLE
Mehmet Aslan, Mehmet Gül, Nuray Üremiş, Sami Akbulut, Semra Gürünlüoğlu, Eda Nur Özsoy, Yusuf Türköz, Hasan Ateş, Necmettin Akpinar, Semir Gül, Kubilay Gürünlüoğlu, Mehmet Demircan
In this study, we investigated the effects of three different burn dressing treatments, including experimental, silver, and modern dressing materials, on systemic oxidative stress in rats with severe scald burns within the first 96 h. The rats were divided into five groups: a burn group (n = 10), a polylactic membrane (PLM) group (n = 10), a silver sulfadiazine (SSD) group (n = 10), a curcumin group (n = 10), and a control group (n = 10), consisting of equal numbers of female and male rats. In the first four groups, 30% of the rats' total body surface area was scalded at 95°C...
December 11, 2023: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38051821/american-burn-association-clinical-practice-guidelines-on-burn-shock-resuscitation
#77
JOURNAL ARTICLE
Robert Cartotto, Laura S Johnson, Alisa Savetamal, David Greenhalgh, John C Kubasiak, Tam N Pham, Julie A Rizzo, Soman Sen, Emilia Main
This Clinical Practice Guideline (CPG) addresses the topic of acute fluid resuscitation during the first 48 hours following a burn injury for adults with burns ≥20% of the total body surface area (%TBSA). The listed authors formed an investigation panel and developed clinically relevant PICO (Population, Intervention, Comparator, Outcome) questions. A systematic literature search returned 5978 titles related to this topic and after 3 levels of screening, 24 studies met criteria to address the PICO questions and were critically reviewed...
December 5, 2023: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38050330/utility-of-a-pediatric-psychosocial-screener-in-an-outpatient-burn-clinic
#78
JOURNAL ARTICLE
Desireé N Williford, Carrie B Jackson, Kristine Durkin, Ariana Langholz, Ariel Aballay, Christina L Duncan
Psychosocial concerns are common among youth who sustained a burn injury. Detecting psychosocial distress early is essential to ensure appropriate treatment and referrals. Thus far, research has focused largely on long-term outcomes of pediatric burn survivors. The current quality improvement initiative details the implementation and outcomes of brief, pragmatic screening to assess psychosocial concerns among pediatric burn survivors in an outpatient setting. A primary caregiver completed an age-appropriate psychosocial screener for youth ages 4-10 years (n=69), while patients aged 11-17 years (n=72) completed a self-report screener...
December 5, 2023: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38015462/utilizing-a-quality-improvement-approach-to-improve-positioning-of-acute-burn-patients
#79
JOURNAL ARTICLE
Catherine E Freeman, Junhwi Yoo, Julia C Slater
Patient positioning, using "anti-deformity positioning," is a standard practice in burn rehabilitation to assist with edema management, scar contracture prevention, and wound healing. Consistently providing proper positioning requires the combined effort of the multidisciplinary burn team. Our primary goal was to increase the frequency that patients were correctly positioned to over 90%. At a medium-sized, academic burn unit, random audits were conducted by burn lead therapists on the compliance of proper patient positioning over six months...
November 28, 2023: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38006581/suspected-burn-from-a-9-voltage-battery
#80
JOURNAL ARTICLE
Courtney Whitelock, Scott Echternacht, Adeel Ahmad, Matthew Habina, Michael Kia
Advancements in technology allow for the utilization of low-voltage battery powered devices for patients admitted to the hospital. There have been rare cases of burns due to leakage of the internal contents from low voltage batteries, but to date no reports on electrical burns caused by low voltage batteries. We present the case of an 89-year-old female who presented to the general surgery service with a suspected electrical burn from lying on a 9-volt battery. The patient underwent operative debridement with no evidence of deeper injury...
November 25, 2023: Journal of Burn Care & Research: Official Publication of the American Burn Association
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