Thermal injuries from exploding electronic cigarettes
Electronic cigarettes (ECs), or “e-cigarettes,” are devices capable of vaporizing nicotine-containing solutions that when exhaled resembles tobacco smoke. The devices are referred to by many different names, including “personal vaporizers,” “e-cig,” “vapes,” “vape pens,” “e-hookahs” and “tank systems.” Most designs consist of a liquid containing cartridge, a heating element, a flow sensor, and a lithium-ion battery to vaporize the solution without a combustion element. As of 2014 an estimated 90% of the worlds’ ECs are produced in mainland China where they were first invented and released in 2...
Source: Burns : Journal of the International Society for Burn Injuries - March 1, 2018 Category: Cosmetic Surgery Authors: Sean Hickey, Jeremy Goverman, Jonathan Friedstat, Robert Sheridan, John Schulz Source Type: research

Extracorporeal membrane oxygenation in severe respiratory failure resulting from burns and smoke inhalation injury
We report a retrospective analysis of our experience with veno-venous (VV) ECMO in burn patients. All five patients, three male and two female (age: 28 –37 years) had flame type burns and smoke inhalation injury. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - February 27, 2018 Category: Cosmetic Surgery Authors: Lajos Szentgyorgyi, Chloe Shepherd, Ken W. Dunn, Peter Fawcett, Julian M. Barker, Paul Exton, Marc O. Maybauer Source Type: research

Rethinking burns for low & middle-income countries: Differing patterns of burn epidemiology, care seeking behavior, and outcomes across four countries
Globally, burns are responsible for an estimated 11 million injuries each year and rank fourth in injury-related health burden behind road traffic accidents, falls, and violence [1]. The incidence of significant burn injury in low- and middle-income countries (LMICs) is nearly ten-times greater than that in high-income countries (HICs) (1.3 per 100,000 people compared to 0.14 per 100,000 people); further, LMICs harbor 90% of all burns globally [1,2]. Despite this large burden of disease, health systems in LMICs are not well equipped to prevent, treat or rehabilitate burn injuries [3]. (Source: Burns : Journal of the Intern...
Source: Burns : Journal of the International Society for Burn Injuries - February 20, 2018 Category: Cosmetic Surgery Authors: Dattesh R. Dav é, Neeraja Nagarjan, Joseph K. Canner, Adam L. Kushner, Barclay T. Stewart, On behalf of the SOSAS4 Research Group Source Type: research

From skin allograft coverage to allograft –micrograft sandwich method: A retrospective review of severe burn patients who received conjunctive application of cultured epithelial autografts
Treating severe and extensive burn injuries is still considered a challenge despite significant advances in wound management, critical care, burn resuscitation and nutritional management in the past 40 years [1]. Early massive excision of extensive and severe burn injuries along with prompt coverage to restore the barrier function of the skin have been reported to reduce mortality significantly [2 –4]. At the Singapore General Hospital (SGH) Burns Centre, the establishment of a skin allograft bank in 1998 enabled the practice of early massive excision of severe burn wounds where skin homografts are readily available. (So...
Source: Burns : Journal of the International Society for Burn Injuries - February 20, 2018 Category: Cosmetic Surgery Authors: Alvin Wen Choong Chua, Yik Cheong Khoo, Thi Thu Ha Truong, Evan Woo, Bien Keem Tan, Si Jack Chong Source Type: research

Validation of the burn intervention score in a National Burn Centre
The implementation of a computerised registry and therapeutic intervention scoring system adapted specifically for burn care has been described by many authors [1 –3]. The scoring systems designed for general intensive care do not reflect burn care accurately [4], however, and the management of the wound in particular is specific to the care of burns, and must be incorporated into the measurement of the workload [3,5–7]. In 2000 we published the intervent ion scoring system (burn score) used in our centre, [1] which was designed to include burn-specific items in a widely-used score [8], and was validated against the Th...
Source: Burns : Journal of the International Society for Burn Injuries - February 20, 2018 Category: Cosmetic Surgery Authors: Islam Abdelrahman, Moustafa Elmasry, Mats Fredrikson, Ingrid Steinvall Source Type: research

Rethinking burns for low & middle-income countries: Differing patterns of burn epidemiology, care seeking behavior, and outcomes across four countries
Globally, burns are responsible for an estimated 11 million injuries each year and rank fourth in injury-related health burden behind road traffic accidents, falls, and violence [1]. The incidence of significant burn injury in low- and middle-income countries (LMICs) is nearly ten-times greater than that in high-income countries (HICs) (1.3 per 100,000 people compared to 0.14 per 100,000 people); further, LMICs harbor 90% of all burns globally [1,2]. Despite this large burden of disease, health systems in LMICs are not well equipped to prevent, treat or rehabilitate burn injuries [3]. (Source: Burns : Journal of the Intern...
Source: Burns : Journal of the International Society for Burn Injuries - February 20, 2018 Category: Cosmetic Surgery Authors: Dattesh R. Dav é, Neeraja Nagarjan, Joseph K. Canner, Adam L. Kushner, Barclay T. Stewart, On behalf of the SOSAS4 Research Group Source Type: research

From skin allograft coverage to allograft –micrograft sandwich method: A retrospective review of severe burn patients who received conjunctive application of cultured epithelial autografts
Treating severe and extensive burn injuries is still considered a challenge despite significant advances in wound management, critical care, burn resuscitation and nutritional management in the past 40 years [1]. Early massive excision of extensive and severe burn injuries along with prompt coverage to restore the barrier function of the skin have been reported to reduce mortality significantly [2 –4]. At the Singapore General Hospital (SGH) Burns Centre, the establishment of a skin allograft bank in 1998 enabled the practice of early massive excision of severe burn wounds where skin homografts are readily available. (So...
Source: Burns : Journal of the International Society for Burn Injuries - February 20, 2018 Category: Cosmetic Surgery Authors: Alvin Wen Choong Chua, Yik Cheong Khoo, Thi Thu Ha Truong, Evan Woo, Bien Keem Tan, Si Jack Chong Source Type: research

Validation of the burn intervention score in a National Burn Centre
The implementation of a computerised registry and therapeutic intervention scoring system adapted specifically for burn care has been described by many authors [1 –3]. The scoring systems designed for general intensive care do not reflect burn care accurately [4], however, and the management of the wound in particular is specific to the care of burns, and must be incorporated into the measurement of the workload [3,5–7]. In 2000 we published the intervent ion scoring system (burn score) used in our centre, [1] which was designed to include burn-specific items in a widely-used score [8], and was validated against the Th...
Source: Burns : Journal of the International Society for Burn Injuries - February 20, 2018 Category: Cosmetic Surgery Authors: Islam Abdelrahman, Moustafa Elmasry, Mats Fredrikson, Ingrid Steinvall Source Type: research

Effect of primary admission to burn centers on the outcomes of severely burned patients
Burns represent a special form of severe trauma which can negatively affect nearly every organ system [1]. Despite considerable advances regarding intensive care at burn centers, severe burns remain associated with high long-term morbidity- and mortality rates [2,3]. On a global scale, current estimates indicate that annually about 6 million patients worldwide need medical treatment for various extends of burns [4]. Depending on the local circumstances, the majority of burn victims receive initial care at local hospitals prior to transfer to a burn center or are entirely treated at non-specialized peripheral hospitals [4 ...
Source: Burns : Journal of the International Society for Burn Injuries - February 17, 2018 Category: Cosmetic Surgery Authors: Denis Ehrl, Paul I. Heidekrueger, Milomir Ninkovic, P. Niclas Broer Source Type: research

ArF excimer laser debrides burns without destruction of viable tissue: A pilot study
Burns are the most common cause of significant cutaneous tissue loss, with approximately 486,000 civilians seeking medical attention in the United States, claiming the lives of at least 3000 [1,2]. Approximately 10% of burn injuries, or 40,000, undergo acute hospitalization, 60% of which were admitted to 128 burn centers across the country [1,3]. Between 2002 –2011, 72% of patients had injury to less than 10% total body surface area (TBSA) [4]. Mortality was higher among patients with greater than 40% TBSA, reaching as high as 56.8% for patients with 70–79.9% TBSA [4]. (Source: Burns : Journal of the International Soci...
Source: Burns : Journal of the International Society for Burn Injuries - February 15, 2018 Category: Cosmetic Surgery Authors: Atulya Prasad, Katarzyna M. Sawicka, Kelly B. Pablo, Lauren K. Macri, Jerome Felsenstein, James J. Wynne, Richard A.F. Clark Source Type: research

Time to start putting down the knife: A systematic review of burns excision tools of randomised and non-randomised trials
There are no current gold standards for the choice of tool used in acute burn wound excision. It is generally accepted that the method of burn wound excision and overall approach will vary depending on the receiving burn department, lead clinician preference and available resources. The UK ’s National Burn Care Standards from 2013 advocate improving patient safety, experience and outcome at all times [1]. With the knowledge that an evidence-based approach will facilitate improved quality and safety, long-standing techniques should continually be re-evaluated and compared to newer st rategies [2]. (Source: Burns : Journal...
Source: Burns : Journal of the International Society for Burn Injuries - February 15, 2018 Category: Cosmetic Surgery Authors: Sarah-Jayne Edmondson, Irfan Ali Jumabhoy, Alexandra Murray Tags: Review Source Type: research

ArF excimer laser debrides burns without destruction of viable tissue: A pilot study
Burns are the most common cause of significant cutaneous tissue loss, with approximately 486,000 civilians seeking medical attention in the United States, claiming the lives of at least 3000 [1,2]. Approximately 10% of burn injuries, or 40,000, undergo acute hospitalization, 60% of which were admitted to 128 burn centers across the country [1,3]. Between 2002 –2011, 72% of patients had injury to less than 10% total body surface area (TBSA) [4]. Mortality was higher among patients with greater than 40% TBSA, reaching as high as 56.8% for patients with 70–79.9% TBSA [4]. (Source: Burns : Journal of the International Soci...
Source: Burns : Journal of the International Society for Burn Injuries - February 15, 2018 Category: Cosmetic Surgery Authors: Atulya Prasad, Katarzyna M. Sawicka, Kelly B. Pablo, Lauren K. Macri, Jerome Felsenstein, James J. Wynne, Richard A.F. Clark Source Type: research

Time to start putting down the knife: A systematic review of burns excision tools of randomised and non-randomised trials
There are no current gold standards for the choice of tool used in acute burn wound excision. It is generally accepted that the method of burn wound excision and overall approach will vary depending on the receiving burn department, lead clinician preference and available resources. The UK ’s National Burn Care Standards from 2013 advocate improving patient safety, experience and outcome at all times [1]. With the knowledge that an evidence-based approach will facilitate improved quality and safety, long-standing techniques should continually be re-evaluated and compared to newer st rategies [2]. (Source: Burns : Journal...
Source: Burns : Journal of the International Society for Burn Injuries - February 15, 2018 Category: Cosmetic Surgery Authors: Sarah-Jayne Edmondson, Irfan Ali Jumabhoy, Alexandra Murray Tags: Review Source Type: research