Care in patients with epidermal necrolysis in burn units. A nursing perspective
Stevens Johnson Syndrome (SJS), Toxic Epidermal Necrolysis (TEN) and SJS/TEN overlap, are severe cutaneous adverse reactions (SCAR) usually caused by drugs and characterized by fast progressing epidermal detachment and mucosal sloughing; they differ from each other in the extent of epidermal detachment [1 –4]. The term Epidermal Necrolysis (EN) has been recently proposed to group them all [5]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - July 10, 2018 Category: Cosmetic Surgery Authors: V. Lerma, M. Mac ías, R. Toro, A. Moscoso, Y. Alonso, O. Hernández, F.J. de Abajo Source Type: research

Tracheostomy and mortality in patients with severe burns: A nationwide observational study
Patents with burns often need prolonged mechanical ventilation because of massive fluid resuscitation, airway and facial swelling, respiratory injury, multiple skin surgeries, and multicycle septicemia [1]. Although tracheostomy has an significant role in airway management for ventilator-supported patients with severe burns [2], the most appropriate timing of tracheostomy and its effect on early mortality remain controversial [3,4]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - July 3, 2018 Category: Cosmetic Surgery Authors: Asuka Tsuchiya, Hayato Yamana, Takuya Kawahara, Yusuke Tsutsumi, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga Source Type: research

The development of a treatment pathway for dermal regenerative matrix (DRM)
Protocols designed for burn care by individual burn centres have played an important role in significantly improving outcomes of thermal injuries over the last decades [1 –6]. The process of standardising burn care and creating protocols within burn centres has, at its core, evidence-based practice principles combined with the clinical experiences of burn care specialists. Pathways and guidelines have led to better outcomes, in terms of reducing the overall mortali ty and morbidity, improving resuscitation, critical care, wound care and long-term functional and psychological outcomes [1,5,7]. (Source: Burns : Journal of ...
Source: Burns : Journal of the International Society for Burn Injuries - July 3, 2018 Category: Cosmetic Surgery Authors: Claudia Malic, Sarvesh Logsetty, Anthony Papp, Ali Izadpanah, Homan Cheng, Michael James Cooper, Ariane Bussi ères, Duncan Nickerson, Isabelle Perreault, Marc G. Jeschke, on behalf of the Canadian Burn Network Source Type: research

Assessment of quality-of-life in patients with face-and-neck burns: The Burn-Specific Health Scale for Face and Neck (BSHS-FN)
Every year, worldwide, burns and fires cause>300,000 deaths and nearly 11 million injuries [1]. Approximately 50% of burns involve the cervico-facial region [2], and about half of these involve the neck region [2,3,4], with frequent debilitating psycho-social repercussions. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - June 26, 2018 Category: Cosmetic Surgery Authors: S. Gandolfi, R. Carloni, N. Bertheuil, J.L. Grolleau, I. Auquit-Auckbur, B. Chaput Source Type: research

Preclinical assessment of safety and efficacy of intravenous delivery of autologous adipose-derived regenerative cells (ADRCs) in the treatment of severe thermal burns using a porcine model
Burns are traumatic acute wounds which can be life-threatening. Despite improvement in burn wound care, severe burns are associated with high morbidity and disability [1,2]. For partial thickness and full thickness burns, acute burn management involves multiple activities including protecting the wound from further injury, initial cleansing and debridement, and determination of dressings with or without a topical antimicrobial agent [3,4]. Fluid resuscitation, prevention of hypothermia and pain management are also critical aspects of burn care and management [2,5]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - June 26, 2018 Category: Cosmetic Surgery Authors: Philippe Foubert, Mike Liu, Samantha Anderson, Rohit Rajoria, Damian Gutierrez, Diana Zafra, Mayer Tenenhaus, John K. Fraser Source Type: research

A systematic review on the quality of measurement techniques for the assessment of burn wound depth or healing potential
Burn wounds are heterogeneous and continuously subject to change, which makes it difficult to determine the severity [1 –3]. Nevertheless, reliable and valid assessment of burn wound severity is fundamental to clinical decision-making. For example considering timing of surgery and choosing the right treatment protocol. In addition, adequate diagnosis may shorten the time to appropriate treatment, which is obviously beneficial for patients. A superficial burn wound will heal spontaneously whereas severe or deep wounds require surgery in the form of skin grafting. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - June 22, 2018 Category: Cosmetic Surgery Authors: Mari ëlle E.H. Jaspers, Ludo van Haasterecht, Paul P.M. van Zuijlen, Lidwine B. Mokkink Tags: Review Source Type: research

Editorial Board
(Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - June 19, 2018 Category: Cosmetic Surgery Source Type: research

Best of Reviewers for 2017
(Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - June 19, 2018 Category: Cosmetic Surgery Source Type: research

MRI compatibility of silver based wound dressings
The use of dressings containing long-acting silver has become routine in the care of burns and wounds. Used in dressings to cover burns, donor sites, and skin grafts, this class of dressings offers a simplification of in- and out-patient care regimens with decreased frequency of wound care and potential cost savings [1,2]. Use of silver-containing dressings has expanded beyond burn care with increasing utilization for the management of dermal ulcers, surgical wounds, and wounds within skin folds [3 –5]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - June 16, 2018 Category: Cosmetic Surgery Authors: J. Kevin Bailey, Steffen Sammet, Jason Overocker, Beretta Craft-Coffman, Cristina M. Acevedo, Martin E. Cowan, Heather M. Powell Source Type: research

Measuring gastric residual volumes in critically ill burn patients — A systematic review
The provision of robust nutritional support to severely burned patients is a tenet of modern burn care. Patients with extensive partial-thickness and full-thickness burns develop a hyperinflammatory response to injury that drastically elevates basal metabolic rates [1] (BMR) with subsequent protein catabolism, lipolysis, and glycogenolysis. Early, sustained enteral nutrition (EN) with calorically dense and protein rich formulations is proven to facilitate improved wound healing, strengthen the immune system, provide the requisite energy for supporting the catecholamine-derived stress response, and is entero-protective. (So...
Source: Burns : Journal of the International Society for Burn Injuries - June 15, 2018 Category: Cosmetic Surgery Authors: C.H. Pham, Z.J. Collier, W.L. Garner, C.M. Kuza, T.J. Gillenwater Tags: Review Source Type: research

Toxic epidermal necrolysis data from the CELESTE multinational registry. Part II: Specific systemic and local risk factors for the development of infectious complications
Toxic epidermal necrolysis (TEN) is a rare systemic disease, which arises from a type IV hypersensitivity reaction (DTH, delayed type of hypersensitivity) [1]. From the pathophysiological point of view, it is a large apoptosis of keratinocytes in the area of dermo-epidermal junction [2,3]. Presently, several mechanisms are described that lead to the induction of epidermal cell apoptosis in patients with TEN [4]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - June 11, 2018 Category: Cosmetic Surgery Authors: B. Lipov ý, J. Holoubek, M. Hanslianová, M. Cvanová, L. Klein, I. Grossová, R. Zajíček, P. Bukovčan, J. Koller, M. Baran, P. Lengyel, L. Eimer, M. Jandová, M. Košťál, P. Brychta, CELESTE Study Group Source Type: research

Revisiting extracorporeal membrane oxygenation for ARDS in burns: A case series and review of the literature
Recent reports have recommended against the use of extracorporeal membrane oxygenation (ECMO) in critically ill burn patients with acute respiratory distress syndrome (ARDS) [1,2]. Soussi et al. cited the high mortality rates associated with the use of ECMO in burn patients with severe ARDS to “suggest that the use of ECMO in this setting should not be advised until multicenter randomized controlled trials of ECMO versus conventional therapy are undertaken”. In support of this recommendation, they cited a 50% in-hospital mortality rate among 82 burn-injured patients with severe ARDS n ot treated with ECMO and a 91% in-...
Source: Burns : Journal of the International Society for Burn Injuries - June 11, 2018 Category: Cosmetic Surgery Authors: Craig R. Ainsworth, Jeffrey Dellavolpe, Kevin K. Chung, Leopoldo C. Cancio, Phillip Mason Source Type: research

Comparative study of Silver Sulfadiazine with other materials for healing and infection prevention in burns: A systematic review and meta-analysis
Burns are defined as organic tissue lesions resulting from some trauma of thermal, electrical, radioactive or chemical origin, promoting tissue destruction by protein denaturation and/or ionization of cell content [1]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - June 11, 2018 Category: Cosmetic Surgery Authors: Heloisa Helena N ímia, Viviane Fernandes Carvalho, Cesar Isaac, Francisley Ávila Souza, Rolf Gemperli, André Oliveira Paggiaro Tags: Review Source Type: research

Optimal skin regeneration after full thickness thermal burn injury in the spiny mouse, Acomys cahirinus
The hypertrophic scar which inevitably follows burn injury in mammals consists of a hairless, non-functional epidermis and a linear deposition of collagen in the dermis which lacks the flexibility of normal skin. This represents the greatest unmet challenge in burn recovery and in the human population produces severe problems of pain, stiffness, disabling joint contractures and poor quality of life [1,2]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - June 11, 2018 Category: Cosmetic Surgery Authors: Malcolm Maden Source Type: research

Burn wounds in the young versus the aged patient display differential immunological responses
The geriatric patient population currently comprises about 14% of the admissions to Burn Centers in the United States and Canada with expectations that this percentage of the populations is expected to grow considerably. This currently translates into over 40,000 burn admissions annually [1]. Burn injury in the elderly has long been associated with predictably higher mortality rate as evidenced by both the Baux and Revised Baux Scoring tool [2]. At present, the multi-focal causes for these differential responses are not fully understood. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - June 9, 2018 Category: Cosmetic Surgery Authors: Angel F. Farinas, Ravinder Bamba, Alonda C. Pollins, Nancy L. Cardwell, Lillian B. Nanney, Wesley P. Thayer Source Type: research