Estimation of blood loss during adult burn surgery
Burn surgery is highly hemorrhagic [1]. In order to improve blood sparing strategies in burn surgery [2], we evaluated blood loss in the burn intensive care unit of Saint Joseph Saint Luc hospital (Lyon-France). (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - May 22, 2018 Category: Cosmetic Surgery Authors: B. Farny, M. Fontaine, J. Latarjet, J.C. Poupelin, D. Voulliaume, F. Ravat Source Type: research

The effects of platelet rich plasma on healing of full thickness burns in swine
Platelet-rich plasma (PRP) is the plasma fraction of autologous blood in which the platelet concentration is considerably higher than in whole blood due to processing and concentration [1]. Activated platelets release key wound healing factors including platelet-derived growth factor (PDGF), transforming growth factor beta (TGF- β), vascular endothelial growth factor (VEGF), insulin-like growth factor (IGF), and epidermal growth factor [1,2]. By delivering supra-physiological concentrations of a variety of growth factors and cytokines these preparations are used to enhance wound healing in bone and soft tissue injuries. (...
Source: Burns : Journal of the International Society for Burn Injuries - May 21, 2018 Category: Cosmetic Surgery Authors: Adam J. Singer, Jimmy Toussaint, Won Taek Chung, Steve McClain, Vivek Raut, Lior Rosenberg Source Type: research

Life expectancy in elderly patients following burns injury
Burn injuries commonly occur in vulnerable age and social groups [1]. In the elderly loss of physiological reserve and co-morbidities may increase risks associated with burn injury [2]. Current burns outcome prediction tools utilise age and total burn surface area as two major factors contributing to mortality risk [3 –5]. However previous studies suggest that frailty may represent a more important marker of adverse outcome and mortality in healthcare rather than chronological age [6,7]. As the population shows increasing longevity and a higher proportion of people are living with more complex healthcare needs [7–10], ...
Source: Burns : Journal of the International Society for Burn Injuries - May 18, 2018 Category: Cosmetic Surgery Authors: Sarvnaz Sepehripour, Sirisha Duggineni, Somaya Shahsavari, Baljit Dheansa Source Type: research

Case series investigating the cortical silent period after burns using transcranial magnetic stimulation
It is known that the brain ’s functional anatomy is able to reorganise itself in response to injury to the peripheral nerve field. What is yet to be described is how the brain will reorganise itself in response to a burn injury, which intrinsically involves a peripheral nerve field injury. This is among the first studies to investigate the cortical response to a burn injury. The secondary purpose of this study was to establish if transcranial magnetic stimulation (TMS) is a sensitive method of measuring the cortical response to a burn injury. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - May 18, 2018 Category: Cosmetic Surgery Authors: Tessa Garside, Fiona M. Wood, Ann-Maree Vallence Source Type: research

Social participation, social support, and body image in the first year of rehabilitation in burn survivors: A longitudinal, three-wave cross-lagged panel analysis using structural equation modeling
Burns are the second leading cause of death after motor vehicle accidents. Annually, more than 11 million people worldwide undergo burns that require treatment interventions such as hospitalization and 300 thousand people die of fire-related burn injuries [1]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - May 15, 2018 Category: Cosmetic Surgery Authors: Fardin Ajoudani, Madineh Jasemi, Mojgan Lotfi Source Type: research

Acceptability and functionality of the “Kettle Strap”: An attempt to decrease kettle related burns in children
Advances in burn care have resulted in improved outcomes in patients with burns. Unfortunately, children in low and middle-income countries (LMIC) are still disproportionally affected. As much as in any other area of healthcare the presence of a non-enabling environment with low socio-economic status of the families, lower literacy rates, informal housing, overcrowding, and mass migration, all contribute to the high incidence of childhood burns in the developing world. Programs directed to improvements in safety measures, legislation and education had limited successes, as they fall within the public health domain and are ...
Source: Burns : Journal of the International Society for Burn Injuries - May 15, 2018 Category: Cosmetic Surgery Authors: Obakeng Makhubalo, Dorothy Schulman, Heinz Rode, Sharon Cox Source Type: research

Vitamin D in burn-injured patients
Vitamin D is an important hormone traditionally associated with bone mineralization and calcium homeostasis. In recent years, many studies have demonstrated its pleotropic effects, including immune modulation and cardiovascular system activity. Sufficient vitamin D concentrations and supplementation of vitamin D may be of benefit in burn-injured patients. The focus of this review is to summarize literature surrounding vitamin D as it relates to burn-injured patients, including vitamin D homeostasis, serum concentrations and literature evaluating supplementation in both adult and pediatric patient population. (Source: Burns...
Source: Burns : Journal of the International Society for Burn Injuries - May 15, 2018 Category: Cosmetic Surgery Authors: Megan A. Rech, Daniel Colon Hidalgo, Jennifer Larson, Sarah Zavala, Michael Mosier 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 - May 12, 2018 Category: Cosmetic Surgery Source Type: research

Lethal area 50 percent (LA50) or standardized mortality ratio (SMR): Which one is more conclusive?
Burn injury, which is the most destructive injury to the skin and other tissues, is caused by radiation, cold, chemicals, friction, heat, steam, or electricity [1]. This injury occurs at different degrees, and the prognosis depends on the extent of affected skin, anatomical site, penetration, the patient ’s age, and the presence of coexisting disorders [2]. The complications of burn injury are scarring, infection, breathing problems, low blood volume, dangerously low body temperature, bone, and joint problems [3–7]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - May 10, 2018 Category: Cosmetic Surgery Authors: Ali Ahmadabadi, Majid Khadem-Rezaiyan, Alireza Sedaghat, Seyed Hasan Tavousi, Nastaran Khorrampazhouh, Atiyeh Mohsenpour, Zeinab Goudarzi, Masoumeh Hassanpour Source Type: research

Response to ‘Presenting hypertension, burn injury, and mortality in combat casualties: Methodological issues’
We thank Safiri and Ayubi for their letter to the Editor discussing the methodology of our manuscript [1]. The authors raise 2 primary methodological considerations warranting further discussion. First, the authors argue that the non-linearity of mean arterial pressure (MAP) using the full range of MAP with restricted cubic splines is preferred to the three distinct categories of MAP we used based on the U-shaped probability of death between mortality and MAP. While no explicit rationale is given for the preference of restricted cubic splines over categorization, there are several well written publications highlighting the...
Source: Burns : Journal of the International Society for Burn Injuries - May 9, 2018 Category: Cosmetic Surgery Authors: Jud C. Janak, Anders J. Davidson, Jonathan A. Sosnovc, Ian J. Stewart, Jeffrey T. Howard Tags: Letter to the Editor Source Type: research

Exploring the acceptability of using low-friction bedding for patients with burns: Qualitative results from the SILKIE study
Skin grafts are required to ensure healing after burns that are deep or take longer than 21days to heal. Each year, approximately 1000 skin grafts are undertaken in England and Wales; 75% in adults and 25% in children [1]. Approximately 20% will fail completely or partially, with some wounds needing re-grafting [2]. Further surgery, taking skin from another part of the body, longer hospital stays, and increased scarring are all consequences that can be distressing for patients and expensive for the NHS [3,4]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - May 9, 2018 Category: Cosmetic Surgery Authors: K. Whale, J.C. Ingram, S. George, F. Spickett-Jones, A. Sack, A.E. Young Source Type: research

Response of a local hospital to a burn disaster: Contributory factors leading to zero mortality outcomes
A response to a burn mass casualty incident (BMCI) is challenging, as an organized response is necessary to maintain the standard of care. While the International Federation of the Red Cross and Red Crescent Societies define a disaster as an event that causes more than 10 deaths, affects more than 100 people, or leads to an appeal for assistance by those affected, the Pan American Health Organization and World Health Organization defines a mass casualty incident as any event resulting in a number of victims large enough to disrupt the normal course of emergency and health care services. (Source: Burns : Journal of the Inte...
Source: Burns : Journal of the International Society for Burn Injuries - May 9, 2018 Category: Cosmetic Surgery Authors: Eng-Kean Yeong, Ciaran P. O ’Boyle, Hui-Fu Huang, Hao-Chih Tai, Yen-Chun Hsu, Shu-Yang Chuang, Yu-Feng Wu, Che-Wei Chang, Tom J. Liu, Hong-Shiee Lai Source Type: research

Perioperative Research into Memory (PRiMe): Cognitive impairment following a severe burn injury and critical care admission, part 1
The survival rates of patients requiring intensive care unit (ICU) admission following severe burns injuries continue to improve with advances in critical care medicine and burns management [1 –5]. Admission to ICU is associated with physical, psychological and cognitive sequelae, which are in turn associated with a multi-faceted reduction in Quality of Life (QoL). This spans physical, mental and social domains, with many severe burns patients being unable to return to work within a yea r of discharge [6–8]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - May 8, 2018 Category: Cosmetic Surgery Authors: Edward J.R. Watson, Klar á Nenadlová, Olivia H. Clancy, Mena Farag, Naz A. Nordin, Agnes Nilsen, Ashley R.T. Mehmet, Ahmed Al-Hindawi, Sundhiya Mandalia, Lisa M. Williams, Trudi L. Edginton, Marcela P. Vizcaychipi Source Type: research

How does blood loss relate to the extent of surgical wound excision?
Quantification of intraoperative blood loss based on visual estimates, gravimetric methods (weighing sponges) or measurement of hemoglobin concentrations is known to be inaccurate [1 –3]. While hemoglobin values can help quantify blood loss in normovolemic patients, these values can be confounded by changes in blood volume during and after surgical procedures. Anesthetic agents, fluid administration, insensible losses, temperature and other factors affect the blood volume and consequently the ability of the hemoglobin concentration to reflect the extent of surgical blood loss [4,5]. (Source: Burns : Journal of the Intern...
Source: Burns : Journal of the International Society for Burn Injuries - May 8, 2018 Category: Cosmetic Surgery Authors: Jose Muniz Castro, Kimberly Burton, Robert L. Thurer, Nicole P. Bernal Source Type: research

A relationship between multidisciplinary critical care and burn patients survival: A propensity-matched national cohort analysis: A French point of view
We read with interest the manuscript entitled “A Relationship between multidisciplinary critical care and burn patients survival: A propensity-matched national cohort analysis” published by Win et al. in Burns in February 2018 [1]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - May 8, 2018 Category: Cosmetic Surgery Authors: David Boccara, Kevin Serror, Marie Charlotte Dutot, Marc Chaouat, Maurice Mimoun Tags: Letter to the Editor Source Type: research