Bridging burn care education with modern technology, an integration with high fidelity human patient simulation
Severe burns present as a complex cascade of injuries with the potential to quickly overwhelm unprepared medical teams and result in poor outcomes. Often, burns are accompanied by polytraumas such as fractures, traumatic brain injuries, and inhalation injuries. The care provided in the first 24h after injury may impact long-term outcome; during the initial response to burned patients, health care providers in the field and in emergency departments must be well-equipped to provide comprehensive treatment prior to transfer to a regional burn center [1]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - March 10, 2018 Category: Cosmetic Surgery Authors: Patrick T. Reeves, Matthew A. Borgman, Nicole W. Caldwell, Leela Patel, James Aden, John P. Duggan, Maria L. Serio-Melvin, Elizabeth A. Mann-Salinas Source Type: research

Hand burns surface area: A rule of thumb
Burns to the hand are common, vary in size, depth and complexity, and may result in functional deficit despite optimal treatment. At present, there is no standardised method for assessing the surface area of a burn to the hand. The hand burn severity score [1] has been proposed to predict the necessity for surgery based on burn depth within three distinct zones of the hand, however the size of the hand burn is not quantified. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - March 10, 2018 Category: Cosmetic Surgery Authors: Dallan Dargan, Anirban Mandal, Kayvan Shokrollahi Source Type: research

Effects of structured home-based exercise program on depression status and quality of life in burn patients
Severe burns are injuries that cause lifelong disability and dysfunction, resulting in suboptimal recovery associated with psychosocial and physical dysfunction [1]. These can cause numerous challenges to patients even when emergency treatment is successful. The most common problems are hypertrophic scars, joint contractures, motor dysfunctions (such as diminished muscle strength, limited joint movements, loss of coordination, and diminished walking ability), sensory disturbances (such as hypersensitivity, pain, itching, and sensory loss), obstacles to activities of daily living, social problems, and psychological disturba...
Source: Burns : Journal of the International Society for Burn Injuries - March 10, 2018 Category: Cosmetic Surgery Authors: Saadet Ufuk Yurdalan, Beg üm Ünlü, Mine Seyyah, Batuhan Şenyıldız, Yunus Kubilay Çetin, Menekşe Çimen Source Type: research

The efficacy of excision followed by intralesional 5-fluorouracil and triamcinolone acetonide versus excision followed by radiotherapy in the treatment of ear keloids: A randomized control trial
Ear keloid is a challenging problem [1]. Despite the availability of different treatment options still there is a significant number of treatment failures and variable final outcome [1 –3]. Surgical excision has found a good place among its treatment options, but alone it results in 45–100% recurrence rates [2]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - March 10, 2018 Category: Cosmetic Surgery Authors: Farrukh Aslam Khalid, Usman Khalid Farooq, Muhammad Saleem, Jibran Rabbani, Muhammad Amin, Kamal Uddin Khan, Younas Mehrose, Moazzam N. Tarar Source Type: research

Efficient isolation and high yield of epidermal cells from foreskin biopsies by dynamic trypsinization
Skin is an essential barrier that protects organisms from the environment and is composed of epidermis, dermis and subcutaneous tissue [1]. Most cells in the epidermis are keratinocytes, which constitute 90% of the cell population in this layer [2]. Keratinocyte progenitor cells at the epidermal-dermal junction are essential for regenerating and maintaining the normal structure and function of the epidermis. Frequently, epidermal cells must be isolated and cultivated for scientific studies or clinical applications for wound care. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - March 8, 2018 Category: Cosmetic Surgery Authors: Xin Wang, Chuanan Shen, Zhe Li, Shengbo Xu, Dawei Li Source Type: research

High numbers of firework related injury referrals to the London Burns Service during the recent ‘Bonfire night’ period, is it time for new regulations?
During the recent ‘Bonfire night’ period, the London Burn Service received a high number of firework related burn injuries. This has led us to reflect on the referred cases in the context of national legislation and public health awareness. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - March 7, 2018 Category: Cosmetic Surgery Authors: P. Macneal, J. Torres-Grau, J. Atkins, G. Williams Tags: Letter to the Editor Source Type: research

Screening of HLA sensitization during acute burn care
Major trauma to the face and extremities secondary to extensive burns frequently leaves massive soft and bony tissue defects that are not amenable to conventional reconstruction. Vascularized composite allotransplantation (VCA) has meanwhile become a viable therapeutic option for reconstruction of those defects aiming at highest functional and aesthetic outcomes [1,2]. Of the known 142 VCA cases to date, at least 30 were performed for burn reconstruction [1]. Since the inception of clinical VCA over a decade ago, burn victims have been identified as immunologically complex patients for these procedures owing to preformed h...
Source: Burns : Journal of the International Society for Burn Injuries - March 7, 2018 Category: Cosmetic Surgery Authors: Holger J. Klein, Fabienne Lehner, Riccardo Schweizer, Barbara R üsi-Elsener, Jakob Nilsson, Jan A. Plock Source Type: research

Positive cumulative fluid balance at 72h is associated with adverse outcomes following acute pediatric thermal injury
Fluid resuscitation remains the cornerstone of treatment following thermal injury. However, fluid resuscitation often exceeds consensus formula estimates and has been associated with adverse outcomes. The term “fluid creep” has been used to describe the phenomenon of fluid resuscitation well beyond that which was predicted in the first 24h following thermal injury [1]. Multifactorial in nature, fluid creep has been attributed to a reluctance to use colloid, hesitation to reduce intravenous fluid rates in the face of adequate urine output, pursuit of goal directed therapies, use of continuous opiate infusions, and the i...
Source: Burns : Journal of the International Society for Burn Injuries - March 7, 2018 Category: Cosmetic Surgery Authors: Ashish Nagpal, Melissa-Moore Clingenpeel, Rajan K. Thakkar, Renata Fabia, Jeffrey Lutmer Source Type: research

Poverty, population density, and the epidemiology of burns in young children from Mexico treated at a U.S. pediatric burn facility
Childhood burns can cause severe physical and psychological complications [1]. Burn injuries continue to pose a serious threat to young children in both developing and developed countries [2,3]. In the United States, the Centers for Disease Control and Prevention (CDC) reports that five percent of unintentional injury deaths of children between the ages of 0 –19 were attributed to burns. The CDC reported that children in the 1–4 years old age group had higher rates of death due to flame injuries than other age groups [4]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - March 7, 2018 Category: Cosmetic Surgery Authors: Dipen D. Patel, Marta Rosenberg, Laura Rosenberg, Guillermo Foncerrada, Clark R. Andersen, Karel D. Capek, Jesus Leal, Jong O. Lee, Carlos Jimenez, Ludwik Branski, Walter J. Meyer, David N. Herndon Source Type: research

Feelings of guilt and embitterment in parents of children with burns and its associations with depression
The aim was to examine guilt and embitterment in mothers and fathers of children with burns and its associations with depression and burn severity. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - March 7, 2018 Category: Cosmetic Surgery Authors: Josefin Sveen, Mimmie Willebrand Source Type: research

Response to Letter to the Editor: ‘Experience with NexoBrid® in enzymatic debridement of facial burns’
The authors appreciate the very important and valuable comments of Dr. Jose Manuel Sampietro de Luis regarding the manuscript entitled “Enzymatic debridement of deeply burned faces: healing and early scarring based on tissue preservation compared to traditional surgical debridement” [1]. We would like to respond to “Experiencia con NexoBrid para el desbridamiento enzimatico de quemaduras facials seguido de tratamiento conserv ador con MediHoney [2]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - March 7, 2018 Category: Cosmetic Surgery Authors: A. Schulz, P.C. Fuchs, I. Rothermundt, A. Hoffmann, L. Rosenberg, Y. Shoham, H. Oberl änder, J. Schiefer Tags: Letter to the Editor Source Type: research

Comments on “Diabetes mellitus after injury in burn and non-burned patients: A population based retrospective cohort study”
We read the article by Duke and colleagues with great interest [1]. The study was conducted to compare hospitalisations for diabetes mellitus (DM) after injury experienced by burn patients, non-burn trauma patients and people with no record of injury admission, adjusting for socio-demographic, health and injury factors. It was concluded that burn and non-burn trauma patients experienced elevated rates of DM admissions after injury compared to the non-injured cohort. It is obvious that an interesting study has been conducted but some methodological issues need to be considered. (Source: Burns : Journal of the International ...
Source: Burns : Journal of the International Society for Burn Injuries - March 7, 2018 Category: Cosmetic Surgery Authors: Saeid Safiri, Ahad Ashrafi-Asgarabad Tags: Letter to the Editor Source Type: research

A quality improvement project incorporating preoperative warming to prevent perioperative hypothermia in major burns
Burn remains a prominent global health burden, with over 11 million burn injuries requiring medical attention annually, and is a leading cause of traumatic mortality and morbidity [1]. For full thickness and deep partial thickness burns, the widely-accepted practice, after initial critical care assessment and fluid resuscitation, is early excision and autografting [2 –11]. While outcomes are undoubtedly improved because of this approach, early aggressive debridement exposes susceptible patients to the sequelae of hypothermia in the perioperative period [12–14]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - March 7, 2018 Category: Cosmetic Surgery Authors: A.D. Rogers, M. Saggaf, N. Ziolkowski Source Type: research

High numbers of firework related injury referrals to the London Burns Service during the recent ‘Bonfire night’ period, is it time for new regulations?
During the recent ‘Bonfire night’ period, the London Burn Service received a high number of firework related burn injuries. This has led us to reflect on the referred cases in the context of national legislation and public health awareness. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - March 7, 2018 Category: Cosmetic Surgery Authors: P. Macneal, J. Torres-Grau, J. Atkins, G. Williams Tags: Letter to the Editor Source Type: research