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International Journal of Burns and Trauma

Behnam Sobouti, Mahnoush Momeni, Niusha Masalegooyan, Iman Ansari, Hossein Rahbar
This is a relative rare case of 0.5% TBSA (total body surface area) burn wound infection caused by Herpes Simplex Virus (HSV). A 1-year-old male infant had deep second degree burn of the left fourth finger with 0.5% TBSA after exposure to a hot object. Blisters and vesicles surrounded by erythema were obvious in the examination of the burned area. The polymerase chain reaction (PCR) and gene sequencing analyses addressed contamination of the burn wound with HSV. Three days after the administration of antibiotics, the wound was relatively healed and finally, the patient was discharged in good general health, and no signs of relapse were observed in the 3-month follow-up...
2018: International Journal of Burns and Trauma
Dana A Obeid, Abdulaziz K Alhujayri, Salah Aldekhayel
BACKGROUND: Mortality in major burns is caused mainly by multisystem organ failure. Brain lesions in burn patients are rare and predominantly traumatic in nature. Here, we present an unusual case of burn-induced glioma causing rapid neurological deterioration and death. CASE PRESENTATION: A 33-year-old male, with 85% total body surface area (TBSA) flame burns, presented initially with inhalation injury and acute compartment syndrome with no other associated injuries...
2018: International Journal of Burns and Trauma
Nissar Shaikh, Zia Mahmood, Syed Imran Ghuori, Arshad Chanda, Adel Ganaw, Qazi Zeeshan, Moad Ehfeda, Ali O Mohamed Belkhair, Muhammad Zubair, Sayed Tarique Kazi, Umaiz Momin
BACKGROUND: Fat embolism syndrome (FES) is a multi-organ dysfunction caused by the fat emboli. The diagnostic of FES remains a challenge for clinicians. The clinical criteria including those of Gurd's and Wilson's although universally used for its diagnosis are not specific. Different methods of imaging are increasingly performed in the patients with presumed FES. The objective of this study is to determine whether there is a correlation between the clinical parameters and the imaging findings in confirming the FES diagnosis...
2018: International Journal of Burns and Trauma
General Leung, Dragos Duta, Julie Perry, Lorenzo Leonardi, Joel Fish, Karen Cross
Burns are a frequent cause of traumatic injury, accounting for an average of 1,230 visits to the emergency department every day in the United States. While many of these injuries will heal spontaneously, nearly 1 in 10 are severe enough to require hospitalization or transfer to a specialized burn center. The early surgical management of a severe burn is critical to patient outcome, but few tools exist for triaging viable and non-viable tissue at early time-points post-injury. Without a validated outcome measure, even experienced burn surgeons diagnose tissue viability with an accuracy of only 50-70%, with significant consequences for patient morbidity, mortality and cost to the healthcare system...
2018: International Journal of Burns and Trauma
Shaban Mehrvarz, Shahab Shahabi, Rastin Mohammadi Mofrad, Erfan Sheikhbahaei, Masoud Moslehi
BACKGROUND: The most prevalent method of treating splenic injury is by splenectomy. This method is followed by postoperative complications. Therefore, less invasive procedures such as splenic angioembolization are introduced. This technique needs appropriate training, a high-tech setting and could be followed by complications. Thus, not all surgeons agree to do this procedure. Splenic hilar ligation of main vessels is a non-invasive procedure which has similarities to a splenectomy with unknown results...
2018: International Journal of Burns and Trauma
Roman K Romansky, Evgeni V Sharkov, Stefan H Komitski
The present article focuses on a relatively rare condition of a partial necrosis of free microvascular flap in a patient with severe postburn contracture of the neck region, subjected to reconstructive microsurgery. Reconstructive microsurgical staged procedure was undertaken to correct the scar contracture and restore the aesthetic unit. Substantial partial flap necrosis, requiring secondary surgery, was observed in the early postoperative period. Surprisingly only the distal 1/3 of the skin island of the parascapular flap survived...
2018: International Journal of Burns and Trauma
Zhicai Feng, Qiyu Tang, Junqing Lin, Quanyong He, Cheng Peng
BACKGROUND: Nonpharmacological management remains one of the central pain interventional therapies in the burn unit. VR and other distraction treatments for adults have achieved great advantages in pain relief. METHODS: A within-subject study was conducted to evaluate 54 participants aged from 3 to 7. In the control group, a standard analgesic, ibuprofen, was used over the period of dressing change, whereas animated cartoons were played simultaneously in the intervention-group condition...
2018: International Journal of Burns and Trauma
Shankar Srinivasan, Jovita Saldanha, Suhas Abhyankar, Aakansha Patil, Arvind M Vartak
This study aims to assess the change in the antibiotic sensitivity pattern of Pseudomonas species with time. Microbiological data of 2399 patients admitted to the burns unit of the Bai Jerbai Wadia Hospital for Children, Mumbai over a period of 21 years (1994-2014) was reviewed. The age group of patients admitted to our facility ranged from one month to fifteen years. A total of 11,402 burn wound swabs were cultured and 17507 isolates were tested for their antibiotic sensitivity. Pseudomonas was found to be 31...
2018: International Journal of Burns and Trauma
Bahman Mirzaei, Somayeh Etemadian, Hamid Reza Goli, Sara Bahonar, Sanaz Amir Gholami, Parisima Karami, Mojgan Farhadi, Rahmatollah Tavakoli
Developing a strategy for making the alginate base hydrogel components against burned wound infections could be promising for healing the mentioned wounds followed by elimination of the biofilm forming bacteria colonization. Construction of an alginate based hydrogel and evaluating healing activities of the mentioned component as local ointment were the main objectives of the current study. Following the collection of the honey from three different provinces of Iran, the components and structures of the collected materials were analyzed taking advantage of INSO-92 procedure subsequently, antibacterial effect of diluted three different kinds of honey against wild-type bacterial species got evaluated via agar well diffusion method...
2018: International Journal of Burns and Trauma
Laura Kearney, Eamon C Francis, Anthony Jp Clover
There have been truly incredible strides in the standard of burn care. The mortality from burn injuries has more than halved since the 1950s, making it hugely unique among major diseases of the developed world. There can be no doubt technology and technological advances have driven this process, dramatically improved every aspect of burn care, from the intensive care management, the surgical management, management of the healing wound to the post burn sequelae, specifically scar management. This review aims to identify key technological advances in burns, in both the developed and developing world, and evaluate their influence in the continued strategy to improve the standards of global burn care...
2018: International Journal of Burns and Trauma
Anne H Outwater, Abel Thobias, Peter M Shirima, Notikela Nyamle, Greyson Mtavangu, Mwanahawa Ismail, Lusajo Bujile, Mary Justin-Temu
The present study describes initial burn injury care in Tanzania-materials applied, sources of information, reasons for applying the materials, and time to a health centre-in order to suggest ways to optimize initial care. Eight small studies were conducted in which burn-injured patients were interviewed who had been admitted to referral hospitals in four regions in Tanzania. Most burn injuries in Tanzania occur in the home cooking area, and it was found that the first responders were family members, friends, and neighbours...
2018: International Journal of Burns and Trauma
Ela J Hyland, Rachel D'Cruz, Seema Menon, John G Harvey, Erik La Hei, Torey Lawrence, Kelly Waddell, Mitchell Nash, Andrew Ja Holland
OBJECTIVES: The management of pediatric mid-dermal burns is challenging. Anecdotal evidence suggests Biobrane™ (UDL Laboratories, Inc., Sugar Land, TX) may expedite epithelization, reducing the requirement for skin grafting. Our standard management for burns of this depth is Acticoat™ (Smith and Nephew, St. Petersburg, Fl, USA). No publications are known to compare Biobrane™ to Acticoat™ for treatment of mid-dermal burns. METHODS: A prospective, randomised controlled pilot study was conducted, comparing Biobrane™ to Acticoat™ for mid-dermal burns affecting ≥ 1% Total Body Surface Area (TBSA) in children...
2018: International Journal of Burns and Trauma
Nayef A Louri, Nigamananda Dey, Fatima K Ebrahim, Jincy Jose, Siji Susan Philip, Thambiraj Shanmugasundaram, Suresh Rengasamy
Burn injuries are one of the most common causes of morbidity and mortality in the world. We undertook a retrospective study to analyze the epidemiology and etiology of burn injuries at the burn unit of Bahrain Defence Force-Royal Medical Services from 2015 to 2016. The epidemiological and medical information were retrieved from the burn unit's (burn ward and burn intensive care unit (BICU)) medical records. The data were analyzed in Microsoft Excel. We observed that civilians were most affected by burn injuries and men were more affected than women...
2018: International Journal of Burns and Trauma
C Michael Dunham, Rema J Malik, Gregory S Huang, Chander M Kohli, Brian P Brocker, Kene T Ugokwe
Although hypertonic saline (HTS) decreases intracranial pressure (ICP) with traumatic brain injury (TBI), its effects on survival and post-discharge neurologic function are less certain. We assessed the impact of HTS administration on TBI outcomes and hypothesized that favorable outcomes would be associated with larger amounts of 3% saline. This is a retrospective study of consecutive-patients with the following criteria: blunt trauma, age 18-70 years, intracranial hemorrhage, Glasgow Coma Scale score (GCS) 3-12, and mechanical ventilation ≥ 5 days...
2018: International Journal of Burns and Trauma
Zengbing Liu, Kai Ma, Dong Huang
OBJECTIVE: To investigate the clinical effect of treating mallet finger deformity using a modified palmaris longus tendon graft through a bone tunnel. METHODS: Altogether, 21 patients with mallet finger deformity (16 men, 5 women; average age 31 years, range 19-47 years) were treated with a modified palmaris longus tendon graft through a bone tunnel during 18 months (2014-2016). Four index fingers, seven middle fingers, eight ring fingers, and two little fingers were treated for four cutting injuries, eleven finger sprains, four crush injuries, and two twist injuries (7 open and 14 closed injuries)...
2018: International Journal of Burns and Trauma
Jorge L Medina, Andrea B Fourcaudot, Eliza A Sebastian, Ravi Shankar, Ammon W Brown, Kai P Leung
Mouse burn models are used to understand the wound healing process and having a reproducible model is important. The different protocols used by researchers can lead to differences in depth of partial-thickness burn wounds. Additionally, standardizing a protocol for mouse burns in the laboratory for one strain may result in substantially different results in other strains. In our current study we describe the model development of a deep partial-thickness burn in C57BL/6 mice using hot water scalding as the source of thermal injury...
2018: International Journal of Burns and Trauma
Zhaoqiang Zhang, Mohamed Ibrahim, Yang Fu, Xujia Wu, Fei Ren, Lei Chen
Three-dimensional (3D) printing is a new developing technology for printing individualized materials swiftly and precisely in the field of biological medicine (especially tissue-engineered materials). Prior to printing, it is necessary to scan the structure of the natural biological tissue, then construct the 3D printing digital model through optimizing the scanned data. By searching the literatures, magazines at home and abroad, this article reviewed the current status, main processes and matters needing attention of confocal laser scanning microscope (LSCM) in the application of soft tissue fine structure 3D scanning, empathizing the significance of LSCM in this field...
2018: International Journal of Burns and Trauma
Racheal A Devine, Zachary Diltz, Mark W Hall, Rajan K Thakkar
BACKGROUND: The immune response to critical injury, including thermal injury, can heavily influence the recovery and long term prognosis for patients suffering such insults. A growing body of evidence supports that a suppressed immunologic state following critical injury can lead to adverse outcomes for adult and pediatric patients. METHODS: A Pubmed literature search was conducted to review areas of the immune system that are impaired after thermal injury and identify key immune players that are potential targets for therapeutic intervention...
2018: International Journal of Burns and Trauma
Ziad A Bataineh, Thekraiat M Al Quran, Hamzeh Al Balas, Muhmammad R Khammash
To the best of our knowledge, pattern of burn injury was not reported yet at our region, our hospital considered the only tertiary referral center with the only burn unit at the region since 2001 till date, a retrospective analysis of our computerized filing system recorded 527 burn patients between 2001-2016, mean age was 26 years; 1.27:1 was the male to female ratio, 79 patients were found to have major burns, 46% of admissions were below 20 years' age, 92% was at domestic site of affection and 65% due to flame burn followed by scald burn in about 23%...
2018: International Journal of Burns and Trauma
Alan Chuong Q Pham, Erik La Hei, John G Harvey, Andrew Ja Holland
OBJECTIVE: The aim of this study was to investigate the potential confounding effects of four different types of ambient lighting on the results of Laser Doppler Imaging (LDI) of a standardized cutaneous injury model. METHODS: After applying a mechanical stimulus to the anterior forearm of a healthy volunteer and inducing a wheal and arteriolar flare (the Triple response), we used a Laser Doppler Line Scanner (LDLS) to image the forearm under four different types of ambient lighting: light-emitting-diode (LED), compact fluorescent lighting (CFL), halogen, daylight, and darkness as a control...
2017: International Journal of Burns and Trauma
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