Pressure related injuries: A burning issue? Case report and literature review
Burns present as a challenging and potentially distracting diagnosis amongst healthcare practitioners. Due to their perceived complexity, burns may often divert attention from other medical problems which can be detrimental or even life threatening. In rare instances, pressure related injuries can present with full thickness skin involvement and can easily be mistaken for a full thickness burn (Fig. 1).
This article describes details of each stage of the mission and includes a discussion of key aspects of logistics and patient care posed by such evacuations. PMID: 31977424 [PubMed - in process]
Abstract A landmark report highlights clinician burnout and offers recommendations. PMID: 31977407 [PubMed - in process]
This study evaluated the association of concentrations of plasma penKid with death and risk of acute kidney injury (AKI) in severely ill burn patients.MethodsA prospective observational study in two centers with severely ill adult burn patients was conducted. The inclusion criteria were total body surface area (TBSA) burns>15%, with burn injury occurring
This study shows tunnel protected with calcium silicate board results in higher temperature and heat fluxes compare to non-protected tunnel and tunnel protected with magnesium oxides/Cement based spray. This indicates that passive fire protection system can alter the thermal conditions inside the tunnel in case of fire.
Patients with significant burn injuries likely have palliative care needs. We performed a systematic review of existing evidence concerning the palliative care needs of burn patients.
The term “moral injury” was first used in the context of war to describe soldiers' response to “perpetrating, failing to prevent, bearing witness to, or learning about acts that transgress deeply held moral beliefs and expectations.”1 Recently the concept of moral injury has been applied to healthcar e.2 Unlike burn out, moral injury does not connote feelings of cynicism, exhaustion or decreased productivity. Rather, healthcare providers feel deep-seated distress over situations or actions that, while seemingly appropriate, betray their sense of responsibility to patients.
Withdrawal of life-sustaining treatment (WLST) is a critically important time in the life of a patient and family and presents unique emotional pressure to all involved. The decision to redirect goals of inpatient care to focus on comfort is best supported by clear, evidence-based treatment. Use of an order set in the electronic health record (EHR) can facilitate best care for the dying patient.
Our aim was to develop a method to prospectively target a population that is likely to benefit from goals of care discussions by first conducting a retrospective analysis of those dying in a large urban hospital system following recurrent admissions and escalating healthcare utilization.
Authors: Cafferkey J, O'Connor M, Doyle D, Skally M, Fitzpatrick M, Burns K, O'Connell K, Fitzpatrick F, Smyth E, Humphreys H PMID: 31971872 [PubMed - as supplied by publisher]
Presidential historian Doris Kearns Goodwin will be the keynote speaker at the AONL 2020. Goodwin has served as a consultant and has been interviewed extensively for documentaries on presidents Lyndon Johnson, Franklin Roosevelt and Abraham Lincoln, and the Kennedy family, and on Ken Burns ’ The History of Baseball and The Roosevelts: An Intimate History. A graduate of Colby College, she earned a doctorate in government from Harvard University, where she later taught. She has explored leadership through the presidencies of Lincoln, Johnson, Theodore Roosevelt and Franklin Roosevelt in her recent book, Leadership in Turbulent Times.