Suicide and Fire: A 20-Year Study of Self-Immolation Death in Sousse, Tunisia
This study confirmed the increasing frequency of self-immolation in Tunisia after the 2011 revolution and noted a change in the victims’ profiles. (Source: Journal of Burn Care and Research)
Source: Journal of Burn Care and Research - June 24, 2017 Category: Rehabilitation Tags: Original Articles Source Type: research
The Effect of Socioeconomic Status and Parental Demographics on Activation of Department of Child and Family Services in Pediatric Burn Injury
Burns resulting from child maltreatment are tragic causes of significant morbidity and mortality, most commonly affecting children under 3 years of age. More than one third of nonaccidental burns occur in single-parent homes or have parents with history of mental illness, substance abuse, incarceration, or Department of Children and Family Services (DCFS) involvement. The authors sought to profile pediatric burn injuries associated with DCFS investigations. They performed a retrospective chart review of pediatric burn patients, admitted between January 1, 2011 and December 31, 2014. They analyzed patient and household demo...
Source: Journal of Burn Care and Research - June 24, 2017 Category: Rehabilitation Tags: Original Articles Source Type: research
Basic Burns Management E-Learning: A New Teaching Tool
Burns teaching is organized only in a few medical schools in the United Kingdom. An e-learning tutorial was developed with the objective of incorporating burns teaching within the medical school curriculum. A 33-webpage e-learning was created, covering topics such as local and general response to burns, assessment of burns, first aid, primary and secondary survey, and referral guidelines. Medical student satisfaction was then evaluated using a 12-question feedback survey rated based on a Likert scale from 1 (very poor) to 5 (very good). The 12-question survey was completed by a total of 18 medical students ranging from sec...
Source: Journal of Burn Care and Research - June 24, 2017 Category: Rehabilitation Tags: Original Article Source Type: research
Improving Teamwork and Resiliency of Burn Center Nurses Through a Standardized Staff Development Program
For many acute care nursing units, such as the Burn Progressive Care Unit (BPCU) at the U.S. Army Burn center, staff stress and burnout is always a concern for leaders. Job stress not only contributes to nursing turnover, but can have a negative impact on patient care. The purpose of this project was to develop a training platform for nursing staff education and teambuilding with the intent of improving nurse satisfaction, increasing resiliency, building unit cohesion, enhancing morale, and increasing staff awareness of unit performance. All nursing staff were given an 8-hour training day, half of which was focused on educ...
Source: Journal of Burn Care and Research - June 24, 2017 Category: Rehabilitation Tags: Original Articles Source Type: research
Hydrofiber Dressing Saturated With Mafenide Acetate Extends the Duration of Antimicrobial Activity
Mafenide acetate is used in some burn wounds for its ability to penetrate eschar but requires frequent uncomfortable dressing changes for its application. The authors hypothesize that hydrofiber dressings will hold mafenide acetate solution for an extended period of time and maintain antimicrobial activity longer than traditional gauze, thus possibly obviating the need for frequent dressing changes. Four experimental arms included: 1) hydrofiber, stored on a dry well plate as control, 2) gauze saturated with 2.5% mafenide acetate, stored on nonsterile porcine skin, 3) hydrofiber saturated with mafenide acetate, stored on d...
Source: Journal of Burn Care and Research - June 24, 2017 Category: Rehabilitation Tags: Original Articles Source Type: research
Survey of the Statewide Impact of Payer Source on Referral of Small Burns to Burn Centers
It is generally agreed that patients with large burns will be referred to organized burn centers, however, the referral of patients with smaller burns is less certain. A two-part survey was conducted to identify referral patterns for burn patients that meet American Burn Association referral criteria, and any effect insurance type might have on the referral patterns. The emergency departments of our state hospital association’s member hospitals were contacted seeking a referral for a fictitious patient with a third-degree scald of the dominant hand. The referral sites were contacted twice, first stating that the patient ...
Source: Journal of Burn Care and Research - June 24, 2017 Category: Rehabilitation Tags: Original Articles Source Type: research
Revisiting Escharotomy in Patients With Burns in Extremities
This study aims to present a critical review of the literature about escharotomy in burns and to highlight a different strategy to perform escharotomy in patients with burned extremities. We conducted a critical review in Pubmed/MEDLINE using the keywords “escharotomy” and “burns.” In the present study, we included 22 articles published from 1955 to 2015 (60 years) that contain the aforementioned keywords. With respect to the extremities, most of the publications recommend that medial and lateral longitudinal incisions be performed and that care must be taken to avoid deep structures, particularly nerves. Moreover,...
Source: Journal of Burn Care and Research - June 24, 2017 Category: Rehabilitation Tags: Summary Article Source Type: research
Burn State of the Science: Fluid Resuscitation: Erratum
No abstract available (Source: Journal of Burn Care and Research)
Source: Journal of Burn Care and Research - June 24, 2017 Category: Rehabilitation Tags: Erratum Source Type: research
Patient Experience of Wearing Compression Garments Post Burn Injury: A Review of the Literature
This review was conducted to critically appraise the literature regarding the patient’s lived experience of, and adherence to, wearing compression garments post burn injury. Scholarly articles were identified from searches of the following databases: Pubmed, Cochrane Central, CINAHL, PsycINFO, and OT Seeker. Combinations of key words including compression therapy/garment, pressure therapy/garment, burn(s), adherence, and patient experience were utilized. Retrieved studies were included in the review if they were written in English, reported on adult burn populations, and the patient’s lived experience of wearing compre...
Source: Journal of Burn Care and Research - June 24, 2017 Category: Rehabilitation Tags: Original Articles Source Type: research
Intratracheal Instillation of Perfluorohexane Modulates the Pulmonary Immune Microenvironment by Attenuating Early Inflammatory Factors in Patients With Smoke Inhalation Injury: A Randomized Controlled Clinical Trial
Smoke inhalation injury (SII) is associated with significant morbidity and mortality in burn patients, and effective treatments are lacking. Perfluorocarbons (PFCs) have a protective effect against acute lung injury. We aimed to assess the therapeutic effects of perfluorohexane on burn patients with SII. Patients with burns complicated by moderately severe SII were randomly divided into control (n = 11) and PFC groups (n = 12). The control group received conventional treatment (anti-infection, nutritional support, antishock measures, and supportive treatment). The PFC group received endotracheal perfluorohexane instillatio...
Source: Journal of Burn Care and Research - June 24, 2017 Category: Rehabilitation Tags: Original Articles Source Type: research
Oxandrolone Coadministration Does Not Alter Plasma Propranolol Concentrations in Severely Burned Pediatric Patients
The systemic impact of severe burn injury results in a variety of disorders that require therapeutic intervention. Propranolol, a nonselective β1, β2-adrenergic receptor antagonist, reduces resting heart rate and cardiac work caused by elevated circulating catecholamines. Oxandrolone, a testosterone mimetic, promotes protein synthesis and anabolism to counter muscle wasting. Coadministration of these drugs is expected to synergistically improve patient outcomes. Testosterone administration is known to alter β-adrenergic receptor-mediated signaling. Here, we determined whether the coadministration of oxandrolone alters p...
Source: Journal of Burn Care and Research - June 24, 2017 Category: Rehabilitation Tags: Original Articles Source Type: research
Burn Patient Acuity Demographics, Scar Contractures, and Rehabilitation Treatment Time Related to Patient Outcomes: The ACT Study
In 2008, the U.S. Department of Defense funded a rehabilitation study through the American Burn Association titled “Burn patient acuity demographics, scar contractures, and rehabilitation treatment time related to patient outcomes,” commonly known at the ACT study. The ACT was a multi-institutional, prospective, observational, and quasirandomized investigation of the acute hospital course of 307 patients. The ACT specifically emphasized the capture of factors that may impact the physical outcome of patients with burn injury including burn severity, daily rehabilitation interventions such as mobility and splinting, and ...
Source: Journal of Burn Care and Research - June 24, 2017 Category: Rehabilitation Tags: Original Articles Source Type: research
Predictors of Participation in a Fire Department Community Canvassing Program
The objectives of this analysis were to identify environmental and programmatic predictors of 1) whether someone would be at home at the time of a visit, and 2) if at home, whether the resident would participate. A separate multilevel analysis was conducted to address each objective. The canvassing event served as the first level to account for variation in implementation of the program, with the census tract as the second level. All environmental and program characteristics were included as fixed effects in both models. Throughout 170 events, 8080 eligible residential addresses were visited, of which 3216 had someone at h...
Source: Journal of Burn Care and Research - June 24, 2017 Category: Rehabilitation Tags: Original Articles Source Type: research
The Unrecognized Epidemic of Electronic Cigarette Burns
This study was undertaken to explore e-cigarettes as a mechanism of burn injury. Referral records to three burn centers from January 2007 to July 2016 were searched to identify patients with injuries caused by e-cigarettes. Data were gathered from the electronic medical records (EMRs) of patients referred within the most recent 18 months. Thirty patients with burns resulting from e-cigarettes were identified. Twenty-nine were referred within the most recent 18 months. Only one was referred in the preceding 8 years. An explosion was identified by the patient as the inciting event in 26 of the 30 injuries (87%). Explosion of...
Source: Journal of Burn Care and Research - June 24, 2017 Category: Rehabilitation Tags: Original Articles Source Type: research
Exercise Treadmills: A Cause of Significant Hand Burns in Young Children
A pediatric nurse practitioner and an occupational therapist were impressed by the number and severity of treadmill-related hand burns encountered in their outpatient burn clinic. They observed that treadmill burns appeared to be deeper compared with other contact hand burns. Literature review revealed that research was inadequate in this area. A retrospective chart review was conducted, and a total of 384 patients were found to receive treatments at a regional level 1 pediatric burn center for treadmill and contact hand burns from 2010 to 2014. Age distribution, severity, and negative outcomes were compared between treadm...
Source: Journal of Burn Care and Research - June 24, 2017 Category: Rehabilitation Tags: Original Articles Source Type: research
