First aid is associated with improved outcomes in large body surface area burns

Publication date: Available online 10 October 2019Source: BurnsAuthor(s): Varun Harish, Zhe Li, Peter K.M. MaitzAbstractBackgroundAnimal studies indicate treating burn injuries with running water (first aid) for 20 min up to 3 h after burn reduces healing time and scarring. We have previously demonstrated the benefits of first aid in minor burn injuries with respect to a reduction in wound depth, faster healing, and decreased skin grafting utilisation. The purpose of this cohort study was to assess the effect of first aid on clinical outcomes in large body surface area burn injuries (≥20%).MethodsData was prospectively collected for patients with ≥20% TBSA burns from 2004– 2018. Multivariate regression analysis was used to determine the association of adequate first aid with 8 outcomes – mortality, total length of stay, total body surface area (TBSA), percentage/proportion of TBSA that was full thickness [PFTI], TBSA grafted, number of re-grafting sessions, intensive care admission, and intensive care length of stay. Adequate first aid was defined as the application of 20 min of cool, running tap water up to 3 h following the burn injury.Findings390 patients were identified. Adequate first aid was received in 35.6% (139) of patients. There was a trend towards a reduction in mortality (OR 0.37; 95% CI 0.12–1.13; P = 0.08). Patients who received adequate first aid had a statistically significant 9.8% reduction in...
Source: Burns - Category: Dermatology Source Type: research

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Publication date: Available online 18 January 2020Source: Wound MedicineAuthor(s): Joseph M. Abdo, Nikolai A. Sopko, Stephen M. MilnerABSTRACTAutologous keratinocyte cultures and combinations of scaffolds, different cell types, solutions of macromolecules, or growth factors have contributed to the resurfacing of burns and large wounds. There are, however, significant limitations with these therapies. No tissue-engineered substitute can fully replace the split-thickness skin graft for permanent coverage of full-thickness skin loss in one step, and none contain a functional vascular plexus. Current research characterizes ski...
Source: Wound Medicine - Category: General Medicine Source Type: research
Publication date: Available online 16 January 2020Source: BurnsAuthor(s): Ernest A. Azzopardi, Robert T. Duncan, Mollie Kearns, Francesco Marangoni, Nader Ibrahim, Ernest A.F. Azzopardi, Dean Boyce, Matteo Tretti, Maxwell S.C. MursionAbstractThermal disease presents a major burden to individual patient morbidity, healthcare cost as well as to over all economy. Burns also also represent a significant per-patient utlilisation of finite healthcare resources. Secondary complications in these patients, such as multiple drug resistant organisms, may have a devastating effect.Laser surgery has recently come of age as an optimal t...
Source: Burns - Category: Dermatology Source Type: research
Conclusions A triangular fossa composite graft restores and preserves the philtral dimple and corrects the obvious visible deformity of a featureless upper lip. Addition of tissue loosens the lip transversely, and the cartilage component provides a consistent and predictable upper lip position. This results in improved projection, a concave shape to the upper lip, and a better relationship with the lower lip. Restoration of this anatomic landmark creates a more normal-appearing upper lip and helps to minimize the negative impact of other abnormalities in this vitally important area. The overall improvement in total facia...
Source: Annals of Plastic Surgery - Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research
ConclusionWe introduce an alternative for low-morbidity neovaginoplasty based on the experience of plastic surgery in burned grafts. The procedure described offers an alternative option to develop an anatomic neovagina with tissue similar to mucosa tissue by a simple, low-morbidity minimally invasive procedure.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Abstract Existing epidermal transplantation procedures applied in burn surgery or wound treatment, such as mesh grafting or the Meek method, do not lead to a restoration of all the skin layers. Dermal skin layers are indispensable in ensuring the quality and function of the transplanted skin as a frictional surface and a carrier of skin appendages such as hair, sweat glands, and sebaceous glands, as well as nerve receptors for detecting pressure, vibration, and temperature. Because of the restricted skin surface area that can be provided by the donor, full-skin transplants cannot be transplanted over a large area....
Source: Annals of Anatomy - Category: Anatomy Authors: Tags: Ann Anat Source Type: research
CONCLUSIONS: Burns by e-cigarette lithium batteries explosion have a double mechanism (thermal and chemical). Carrying cigarettes in a pocket close to the body is a significant risk factor to which the male population is particularly exposed. Early debridement is recommended when possible while initial cooling does not seem helpful and is sometimes painful. PMID: 31892442 [PubMed - as supplied by publisher]
Source: Annales de Chirurgie Plastique et Esthetique - Category: Cosmetic Surgery Authors: Tags: Ann Chir Plast Esthet Source Type: research
Conclusions: The 6-week protocol was not associated with improved remobilization outcomes (reduced rates of dehiscence or surgical revisions), and the 4-week protocol resulted in a significantly shorter time to remobilization to sitting for 2 h as well as a shorter length of stay. We did not identify any subgroup of patients that benefited from the longer protocol. PMID: 31859608 [PubMed - as supplied by publisher]
Source: Journal of Spinal Cord Medicine - Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research
ConclusionsThe Flir One Thermal Imager® is an inexpensive, non-invasive, and easy-to-use device. It measures indirectly but with an excellent specificity the dermis perfusion reflecting the burns depth in children. However its low sensitivity calls for additional research to allow skin grafts earlier in common practice and decrease the length of stay.
Source: Burns - Category: Dermatology Source Type: research
Publication date: Available online 16 December 2019Source: BurnsAuthor(s): R. Martinez, H. Rode
Source: Burns - Category: Dermatology Source Type: research
ConclusionWe introduce an alternative for low morbidity neovaginoplasty based on the experience of plastic surgery in burned grafts. The procedure described offered an alternative option of an anatomic neovagina similar to mucosa tissue, by a means of a simple, low morbidity and minimally invasive procedure.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
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