First aid improves clinical outcomes in burn injuries: Evidence from a cohort study of 4918 patients
Adequate first aid with 20min of running water is associated with improved outcomes. Benefits are seen in a reduction in wound depth, faster healing, and decreased grafting requirements. This has significant patient and health system benefits, and calls for promotion of 20min of running water globally in burns care. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 15, 2018 Category: Cosmetic Surgery Authors: Varun Harish, Neha Tiwari, Oliver M. Fisher, Zhe Li, Peter K.M. Maitz Source Type: research

Tissue burns due to contact between a skin surface and highly conducting metallic media in the presence of inter-tissue boiling
Skin burns are a very common form of thermal injury which occur ubiquitously around the globe. Typical causes of thermal burns include contact with hot liquids (scald burns), direct contact with heated solid materials (contact burns), radiant heating, or direct contact with flames or hot gases. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 13, 2018 Category: Cosmetic Surgery Authors: John P. Abraham, John Stark, John Gorman, Ephraim Sparrow, W.J. Minkowycz Source Type: research

Anticoagulation in burn patients requiring neuromuscular blockade
Recently, we cared for a 26 year-old man with 60% TBSA flame burns and inhalation injury requiring mechanical ventilation. He developed intra-abdominal hypertension (IAH) on post-burn day three as a result of his fluid resuscitation. In response to the IAH, neuromuscular blockade (NMB) was initiated. His bladder pressures remained elevated but stable without evidence of end-organ dysfunction, so NMB was maintained. He was started on prophylactic dosing of subcutaneous unfractionated heparin on the day of admission and was treated with this for the duration of his hospital course. (Source: Burns : Journal of the Internation...
Source: Burns : Journal of the International Society for Burn Injuries - October 13, 2018 Category: Cosmetic Surgery Authors: C.H. Pham, Z.J. Collier, T.J. Gillenwater Tags: Letter to the Editor Source Type: research

Hypertonic saline resuscitation protects against kidney injury induced by severe burns in rats
This study compared the effectiveness of resuscitation with 400mEq/L hypertonic saline (HS) and sodium lactate Ringer ’s solution (LR) in rats with kidney injury caused by burn trauma. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 13, 2018 Category: Cosmetic Surgery Authors: Chun-Yu Yuan, Qin-Cheng Wang, Xu-Lin Chen, Qiang Wang, Cong-Song Sun, Ye-Xiang Sun, Chun-Hua Wang, Ming-Xing Su, Hai-Ying Wang, Xue-Sheng Wu Source Type: research

Thrombin generation in patients with severe thermal injury
In patients with severe burn, changes in hemostasis result from trauma itself (e.g. tissue hypoperfusion, hypothermia, altered platelet function, systemic inflammatory response) and from therapeutic interventions (e.g. hemodilution, blood loss due to wound excision) [1 –4]. Results of conventional coagulation assays measured in daily clinical practice [e.g. prolonged prothrombin time (PT) and activated partial thromboplastin time (aPTT), low platelet count] are often interpreted as coagulopathy implying a bleeding tendency [5]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 13, 2018 Category: Cosmetic Surgery Authors: Marion Wiegele, Eva Schaden, Stefan Koch, Daniel Bauer, Christoph Krall, Dieter Adelmann Source Type: research

Properties of an ideal burn dressing: A survey of burn survivors and front-line burn healthcare providers
The skin is the largest organ in the body and aids in maintenance of body temperature and fluid balance, as well as protecting the body from environmental dangers [1]. When an individual is injured beyond the epidermis, the integumentary system may no longer fulfill these functions and dressings are indicated until the skin heals. Historically the ideal burn dressing has been described as having 3 main functions [2]; to provide comfort, to reduce fluid loss and to protect from the environment. How to achieve these functions is open to interpretation. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 13, 2018 Category: Cosmetic Surgery Authors: T. Carta, J.P. Gawaziuk, J. Diaz-Abele, S. Liu, M. Jeschke, S. Logsetty Source Type: research

Evaluating clinical observation versus Spatial Frequency Domain Imaging (SFDI), Laser Speckle Imaging (LSI) and thermal imaging for the assessment of burn depth
There are as many as 11 million cases worldwide annually of people with medical attention due to burn injuries [1]. Burn wounds and the subsequent scarring that can result from these injuries are damaging both cosmetically and functionally, necessitating the search for better and more efficient treatments. One immediate way to both improve treatment/outcomes and reduce overall costs related to patient care is to make accurate diagnoses earlier. Delays decision making related to excision and grafting enables burn wound progression [2] and increases length of hospital stay. (Source: Burns : Journal of the International Socie...
Source: Burns : Journal of the International Society for Burn Injuries - October 13, 2018 Category: Cosmetic Surgery Authors: Adrien Ponticorvo, Rebecca Rowland, Melissa Baldado, David M. Burmeister, Robert J. Christy, Nicole P. Bernal, Anthony J. Durkin Source Type: research

TEMPORARY REMOVAL: Management of calciphylaxis in a burn center: A case series and review of the literature
The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated.The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 12, 2018 Category: Cosmetic Surgery Authors: David N. Dado, Benjamin Huang, Daniel V. Foster, Jamison S. Nielsen, Jennifer M. Gurney, Benjamin D. Morrow, Kumar Sharma, Kevin K. Chung, Craig R. Ainsworth Source Type: research

Management of calciphylaxis in a burn center: A case series and review of the literature
Calciphylaxis or calcific uremic arteriolopathy (CUA) is a rare and life-threatening necrotizing skin disorder that is typically seen in patients with end stage renal disease (ESRD) on dialysis. Most studies report an incidence between 1 and 4% in patients with ESRD [1 –5]. Mortality associated with calciphylaxis is around 30% at 3 months, 50% at 6 months and as high as 80% at one year [6,7]. The cause of death is usually sepsis from wound infection [6,8]. Patients classically present with painful, reddish nodules or plaques that often progress to ulceration wit h blackened eschar. (Source: Burns : Journal of the Interna...
Source: Burns : Journal of the International Society for Burn Injuries - October 12, 2018 Category: Cosmetic Surgery Authors: David N. Dado, Benjamin Huang, Daniel V. Foster, Jamison S. Nielsen, Jennifer M. Gurney, Benjamin D. Morrow, Kumar Sharma, Kevin K. Chung, Craig R. Ainsworth Source Type: research

Evaluation of leap motion control for hand rehabilitation in burn patients: An experience in the dust explosion disaster in Formosa Fun Coast
In this study, we hypothesized that LMC would improve burned hand function.Sixteen participants were allocated to either the LMC group or the control group. The LMC group played 20min identical leap motion video games after 40min traditional occupational therapy (OT). The control group received traditional OT for 60min. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 12, 2018 Category: Cosmetic Surgery Authors: Yah-Ting Wu, Kuo-Hu Chen, Shiun-Lei Ban, Kwang-Yi Tung, Li-Ru Chen Source Type: research

Prediction of major adverse kidney events in critically ill burn patients
Severely burn patients carry a high risk of acute kidney injury (AKI) and poor outcome even in specialized burn centers. The prevalence of acute AKI was reported to be as high as 53%. Contributing risk factors of AKI are thought to be the intensive systemic inflammatory response to burn injury, hypovolemic shock, cardiac dysfunction [1,2]. The role of fluid resuscitation has been much debated with an increased risk of AKI with under-resuscitation contrasting with a risk of adverse events with over-resuscitation [1]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 12, 2018 Category: Cosmetic Surgery Authors: Fran çois Dépret, Louis Boutin, Jiří Jarkovský, Maité Chaussard, Sabri Soussi, Aurélien Bataille, Haikel Oueslati, Nabila Moreno, Christian de Tymowski, Jiří Parenica, Klára Benešová, Thomas Vauchel, Axelle Ferry, Mourad Benyamina, Alexandru C Source Type: research

Application of hydrosurgery for burn wound debridement: An 8-year cohort analysis
In the last decade, hydrosurgery has become available in burn surgery as an alternative technique for tangential excision alongside the golden standard of conventional tangential excision by guarded knives. The hydrosurgical device used in the treatment of burns is usually known as the Versajet ™. The Versajet™ hydrosurgery system (Smith and Nephew, St. Petersburg, FL, USA) was developed in 1997 for soft tissue debridement in various types of wounds. The Versajet™ hydrosurgery system works by producing a high-pressure jet of water across an aperture in an angled hand piece. (Source: Burns : Journal of the Internation...
Source: Burns : Journal of the International Society for Burn Injuries - October 12, 2018 Category: Cosmetic Surgery Authors: C.M. Legemate, H. Goei, O.F.E. Gostelie, T.H.J. Nijhuis, M.E. van Baar, C.H. van der Vlies, the Dutch Burn Repository Group Source Type: research

Monthly variation of unfinished nursing care at the US Army Burn Center
Unfinished nursing care is a well-established problem in hospitals around the world. Data from 36 studies, representing over 111,000 nurses from 23 countries, indicated that more than half of hospital nurses (52 –98%) leave at least one element of nursing care unfinished due to time scarcity [1–10]. The phenomenon also is referred to as tasks left undone [11], missed care [12], and implicitly rationed care [13]. Unfinished nursing care occurs during periods of time scarcity, when nurses frequently do no t have enough time to complete the necessary elements of care for their assigned patients during their shift [5,14]. ...
Source: Burns : Journal of the International Society for Burn Injuries - October 9, 2018 Category: Cosmetic Surgery Authors: Christopher A. VanFosson, Terry L. Jones, Linda H. Yoder Source Type: research

Management of bleeding in major burn surgery
Following a major burn of>20% total body surface area (TBSA), the early post-injury and the later intraoperative necrectomy phases are characterized by major perturbations in haemostasis and risk of coagulopathy during surgery [1]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 3, 2018 Category: Cosmetic Surgery Authors: Harald Welling, Sisse Rye Ostrowski, Jakob Stensballe, Martin Risom Vestergaard, S øren Partoft, Jonathan White, Pär Ingemar Johansson Tags: Review Source Type: research

Impulsiveness and burn patients
Impulsiveness is a tendency to act quickly based on a whim without reflection or consideration of consequences [1]. It is a key feature of many psychiatric disorders such as personality disorders (particularly antisocial and borderline personality disorders), conduct disorder, mania, substance use disorder, ADHD (attention deficit and hyperactivity disorder), eating disorders (particularly in bulimia) and impulse control disorders [2]. Genetic links and, neural and psychological mechanisms have also been discussed [1,3]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 1, 2018 Category: Cosmetic Surgery Authors: Raimo Palmu, Timo Partonen, Kirsi Suominen, Jyrki Vuola Source Type: research