Review of Recent Large-Scale Burn Disasters Worldwide in Comparison to Preparedness Guidelines
We reported the number of actual casualties for each incident, and estimated the number of burn beds theoretically available if the “50 [burn-injury] cases per million people” directive were to be applied to metropolitan areas outside the United States. Seven hundred fifty-two burn disaster incidents met our inclusion criteria. The majority of burn disasters occurred in Asia/Middle East. The incidence of major burn disasters from structural fires and industrial blasts remains constant in high-income and resource-restricted countries during this study period. The incidence of terrorist attacks increased 20-fold from 200...
Source: Journal of Burn Care and Research - December 23, 2016 Category: Rehabilitation Tags: Original Articles: 2016 ABA Papers Source Type: research
Elastin Is Differentially Regulated by Pressure Therapy in a Porcine Model of Hypertrophic Scar
This study evaluated elastin and its contribution to scar pliability. The relationship between changes in Vancouver Scar Scale (VSS) scores of pressure-treated scars and differential regulation of elastin was assessed. Hypertrophic scars were created and assessed weekly using VSS and biopsy procurement. Pressure treatment began on day 70 postinjury. Treated scars were compared with untreated shams. Treatment lasted 2 weeks, through day 84, and scars were assessed weekly through day 126. Transcript and protein levels of elastin were quantified. Pressure treatment resulted in lower VSS scores compared with sham-treated scars...
Source: Journal of Burn Care and Research - December 23, 2016 Category: Rehabilitation Tags: Original Articles: 2016 ABA Papers Source Type: research
The Utility and Versatility of Perforator-Based Propeller Flaps in Burn Care
We describe our experience with perforator-based propeller flaps in the acute and reconstructive phases of burn care. We reviewed demographics, indications, operative details, and outcomes for patients whose burn care included the use of a perforator-based propeller flap at our institution from May 2007 to April 2015. Details of the surgical technique and individual cases are also discussed. Twenty-one perforator-based propeller flaps were used in the care of 17 burn patients. Six flaps (29%) were used in the acute phase for coverage of exposed joints, tendons, cartilage, and bone; coverage of open wounds; and preservation...
Source: Journal of Burn Care and Research - December 23, 2016 Category: Rehabilitation Tags: Original Articles: 2016 ABA Papers Source Type: research
Exercise Altered the Skeletal Muscle MicroRNAs and Gene Expression Profiles in Burn Rats With Hindlimb Unloading
This study investigated microRNA and target gene profiles under different conditions of burn, bed rest, and exercise training. Male Sprague-Dawley rats (n = 48) were assigned to sham ambulatory, sham hindlimb unloading, burn ambulatory, or burn plus hindlimb unloading groups. Rats received a 40% TBSA scald burn or sham treatments and were ambulatory or hindlimb unloaded. Rats were further assigned to exercise or no exercise. Plantaris tissues were harvested on day 14 and pooled to analyze for microRNA and gene expression profiles. Compared with the sham ambulatory–no exercise group, 73, 79, and 80 microRNAs were altered ...
Source: Journal of Burn Care and Research - December 23, 2016 Category: Rehabilitation Tags: Original Articles: 2016 ABA Papers Source Type: research
The Effects of Adipose-Derived Stem Cell–Differentiated Adipocytes on Skin Burn Wound Healing in Rats
Both adipose-derived stem cells (ADSCs) and fat grafting promote burn wound healing, but whether adipogen-derived cells using various inducers such as 3-isobutyl-1-methylxanthine (IBMX) and insulin affect wound healing is unknown. Herein, ADSC-differentiated adipogenic lineages were used in rat burn wounds to evaluate wound healing potential. ADSCs were cultivated using six different adipogenic differentiation conditions (IBMX ± insulin, IBMX for 5 days, high and low Dulbecco’s modified Eagle’s medium) and in vitro morphological changes and cell proliferations during adipogenic differentiation were recorded. Intermedi...
Source: Journal of Burn Care and Research - December 23, 2016 Category: Rehabilitation Tags: 2016 Robert B. Lindberg Award Source Type: research
Burns and Jazz
No abstract available (Source: Journal of Burn Care and Research)
Source: Journal of Burn Care and Research - November 1, 2016 Category: Rehabilitation Tags: Letter to the Editor Source Type: research
Free Transfer of a Paralyzed Contralateral Little Finger for Total Thumb Reconstruction in an Electrical Burn Patient: A Case Report and Literature Review
The authors report the case of a 30-year-old male with 52% TBSA high-voltage electrical injury of the upper half of the body. Injuries included a cervical burn with associated alteration of the left brachial plexus as well as extensive soft tissue burn of the right hand. Three months later, he developed osteomyelitis of the right thumb metacarpal bone requiring amputation proximal to the metacarpophalangeal joint. Following initial management, the patient had a permanent distal left upper extremity paralysis with nonfunctional but relatively undamaged ipsilateral hand digits. The right hand remained functional with four in...
Source: Journal of Burn Care and Research - November 1, 2016 Category: Rehabilitation Tags: Case Reports Source Type: research
Methyl Iodide Exposure Presenting as Severe Chemical Burn Injury with Neurological Complications and Prolonged Respiratory Insufficiency
Methyl iodide (iodomethane) is a monohalomethane that is mainly used as an intermediate in the manufacturing of different pharmaceuticals and pesticides. Until now, only 13 cases of methyl iodide poisoning have been described in the literature. The authors present the first case of severe chemical burn injury due to methyl iodide exposure in a 36-year-old Caucasian man who suffered superficial to partial-thickness burn injuries over 75% of his BSA and developed neurological malfunctions and prolonged respiratory insufficiency. Human poisoning with methyl iodide is very rare. In addition to the already described neurologica...
Source: Journal of Burn Care and Research - November 1, 2016 Category: Rehabilitation Tags: Case Reports Source Type: research
Treatment of Children With Scalds by Xenografts: Report From a Swedish Burn Centre
Scalds are the most common type of burn in children, and one way to treat them is with xenografts with no topical antimicrobials in line with the recommendations of a recent review. However, this treatment has not been examined in detail. Our aim was to describe the treatment of such children when biological dressings (xenografts) were used without local antimicrobials. We reviewed the medical records of all children admitted to a Swedish National Burn Centre during the period 2010–2012 with scalds who were treated with xenografts. Percentage TBSA injured, age, length of hospital stay, number of operations, antibiotics g...
Source: Journal of Burn Care and Research - November 1, 2016 Category: Rehabilitation Tags: Original Articles Source Type: research
Pediatric Burns: A Single Institution Retrospective Review of Incidence, Etiology, and Outcomes in 2273 Burn Patients (1995–2013)
This study assesses all pediatric burn admissions to a State wide Certified Burn Treatment Center to evaluate trends in demographics, burn incidence, and cause across different age groups. Demographic and clinical data were collected on 2273 pediatric burn patients during an 18-year period (1995–2013). Pediatric patients were stratified by age into “age 0 to 6,” “age 7 to 12,” and “age 13 to 18.” Data were obtained from National Trauma Registry of the American College of Surgeons and analyzed using standard statistical methodology. A total of 2273 burn patients under age 18 were treated between 1995 and 2013....
Source: Journal of Burn Care and Research - November 1, 2016 Category: Rehabilitation Tags: Original Articles Source Type: research
Development of a Conceptual Framework to Measure the Social Impact of Burns
Measuring community reintegration following burn injury is important to assess the efficacy of therapies designed to optimize recovery. This project aims to develop and validate a conceptual framework for understanding the social impact of burn injuries in adults. The framework is critical for developing the item banks used for a computerized adaptive test. We performed a comprehensive literature review and consulted with clinical experts and burn survivors about social life areas impacted by burn injury. Focus groups with burn survivors and clinicians were conducted to inform and validate the framework. Transcripts were c...
Source: Journal of Burn Care and Research - November 1, 2016 Category: Rehabilitation Tags: Original Articles Source Type: research
Active Dynamic Thermography is a Sensitive Method for Distinguishing Burn Wound Conversion
Burn conversion is a contributor to morbidity that currently has no quantitative measurement system. Active dynamic thermography (ADT) has recently been characterized for the early assessment of burn wounds and resolves the three-dimensional structure of materials by heat transfer analysis. As conversion is a product of physiological changes in three-dimensional structure, with subsequent modification of heat transfer properties, the authors hypothesize that ADT can specifically identify the process of burn conversion and serve as an important tool for burn care. A heated comb was used to create four contact burns separate...
Source: Journal of Burn Care and Research - November 1, 2016 Category: Rehabilitation Tags: Original Articles Source Type: research
Practice Guidelines for Cardiovascular Fitness and Strengthening Exercise Prescription After Burn Injury
The objective of this review was to systematically evaluate the available clinical evidence for the prescription of strength training and cardiovascular endurance exercise programs for pediatric and adult burn survivors so that practice guidelines could be proposed. This review provides evidence-based recommendations specifically for rehabilitation professionals who are responsible for burn survivor rehabilitation. Summary recommendations were made after the literature was retrieved by systematic review, was critically appraised by multiple authors and the level of evidence determined in accordance with the Oxford Centre f...
Source: Journal of Burn Care and Research - November 1, 2016 Category: Rehabilitation Tags: Original Articles Source Type: research
Video-Enhanced Telemedicine Improves the Care of Acutely Injured Burn Patients in a Rural State
This study reports the successful implementation of video-enhanced telemedicine pilot project in a rural state. Video-enhanced telemedicine using a store and forward process improved burn size estimation and facilitated management changes. Although not quantitatively assessed, the low cost of the system coupled with the changes in transportation and disposition strongly suggests a decrease in healthcare costs associated with the addition of video to a telephone-only transfer program. (Source: Journal of Burn Care and Research)
Source: Journal of Burn Care and Research - November 1, 2016 Category: Rehabilitation Tags: Original Articles Source Type: research
The Impact of a Universal Decolonization Protocol on Hospital-Acquired Methicillin-Resistant Staphylococcus aureus in a Burn Population
Hospital-acquired (HA) methicillin-resistant Staphylococcus aureus (MRSA) is a leading cause of HA infections and a significant concern for burn centers. The use of 2% chlorhexidine-impregnated wipes and nasal mupirocin significantly decreases the rate of HA-MRSA in adult intensive care units. The aim of this study was to examine the impact of universal decolonization on the rate of MRSA conversion in an American Burn Association verified adult and pediatric burn center. Universal decolonization protocol consisting of daily chlorhexidine baths and a 5-day course of nasal mupirocin was implemented in the burn unit. MRSA scr...
Source: Journal of Burn Care and Research - November 1, 2016 Category: Rehabilitation Tags: Original Articles Source Type: research
