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Epidemiology of bus fires in mainland China from 2006 to 2015
Conclusions This epidemiological study presents characteristic findings related to bus fires in China mainland. The general trend of bus fires showed a gradual increase but with a fluctuation in several years. The regional distribution of bus fires revealed some specific characteristics, and most of bus fires happened in those regions locating in the eastern area of China mainland. The largest number of bus fires were caused by spontaneous combustion. Bus fires caused by arson accounting for only 5% of the total bus fires resulted in the most severe casualties. Most of bus arson occurred in the morning and evening rush hours. (Source: Burns)
Source: Burns - April 14, 2018 Category: Dermatology Source Type: research

Mother, father and child traumatic stress reactions after paediatric burn: Within-family co-occurrence and parent-child discrepancies in appraisals of child stress
Conclusions The current study demonstrates the impact of pediatric burn injury on the family level, and shows simultaneous existence of within-family interrelatedness of traumatic stress and an influence of parents’ own symptoms on their perception of child symptoms. Findings highlight the need for trauma symptom screening in all family members and for considering informants’ symptoms to understand the child’s functioning in particular. (Source: Burns)
Source: Burns - April 14, 2018 Category: Dermatology Source Type: research

Scalp as a donor site in children: Is it really the best option?
Conclusion Our study suggests that in pediatric patients of black African descent (hair types VI–VIII) the scalp is not an ideal donor area, due to the unacceptably high incidence of complications. Hence, every precaution should be taken when it becomes necessary to harvest donor skin from the scalp. (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Mortality risk factors in war-related pediatric burns: A comparative study among two distinct populations
Conclusion Our analysis showed that flame/fire and blast burns were severe and fatal in more pediatric Syrian victims than the Turkey residents due to the severity of war inflicted burned wounds, the living conditions at the refugee camps, and the tent cities. Our present study is significant as our data would alert authorities to predict pediatric WRBI risk factors, burn survivals and casualties, and thus plan strategies to promote training programs for burn management of two distinct populations to reduce risk factors of burn mortality. Burnt surface area (BuSA) is a new parameter we derived to predict mortality risk fac...
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Post burn pruritus in pediatric burn patients
Conclusion Post-burn pruritus is still a highly prevalent problem in pediatric burn care. Its intensity and frequency are higher especially in the first three months or with a deeper wound or a higher TBSA. (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Optimizing mass casualty burns intensive care organization and treatment using evidence-based outcome predictors
Conclusion With ever increasing chances of terrorist activity in urban areas, hospitals can hopefully increase their preparedness using outcome-predictors presented in this study. (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Use of bilaminar grafts as life-saving interventions for severe burns: A single-center experience
Conclusion This is the first report investigating the long-term outcome of a newly developed BCSG. BCSGs demonstrated comparable results with patients’ autografts, functional outcomes on self-reported questionnaires and excellent psychological states. Precaution given the extensive unexpected hyperpigmentation must be taken and a randomized controlled study is underway. (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Chemical burn assaults: Is the media coverage representative?
Publication date: Available online 22 March 2018 Source:Burns Author(s): Robert Miller, Sarah Pywell, Jorge Leon-Villapalos, Joanne Atkins (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Genital burns in the United States: Disproportionate prevalence in the pediatric population
Conclusions Children sustain genital burns at a higher rate than adults and many appear to have a preventable mechanism. Improved product design for safety and educating caregivers about potential hazardous situations are needed. (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Cultural adaptation and validation of Patient and Observer Scar Assessment Scale for Turkish use
Conclusion The Turkish version of POSAS is a valid, reliable and culturally appropriate survey for evaluating hypertrophic scars. We believe that the Turkish version of POSAS will be an important clinical/scientific tool in the field of burn physiotherapy in Turkey, which will lead to new researches in this field. (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Contact burns in the elderly: Do we need a campaign of prevention?
Publication date: Available online 26 March 2018 Source:Burns Author(s): J.L. Bovis, J. Dunne, J. Atkins (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Skin xenotransplantation: Historical review and clinical potential
Publication date: Available online 27 March 2018 Source:Burns Author(s): Takayuki Yamamoto, Hayato Iwase, Timothy W. King, Hidetaka Hara, David K.C. Cooper Half a million patients in the USA alone require treatment for burns annually. Following an extensive burn, it may not be possible to provide sufficient autografts in a single setting. Pig skin xenografts may provide temporary coverage. However, preformed xenoreactive antibodies in the human recipient activate complement, and thus result in rapid rejection of the graft. Because burn patients usually have some degree of immune dysfunction and are therefore at increased ...
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

A review of campfire burns in children: The QLD experience
Discussion We have previously demonstrated the effectiveness of targeted campaigns in reducing the incidence of campfire burns. A significant portion of patients sustained burns from incorrectly extinguished campfires. These injuries are likely to be preventable with ongoing public awareness campaigns. (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Original and modified technique of tie-over dressing: Method and application in burn patients
Publication date: Available online 27 March 2018 Source:Burns Author(s): Rebecca Bern, Kevin Serror, Rémi Alvo, Marc Chaouat, Maurice Mimoun, Magali Schmidt, David Boccara In burn patients, meshed split thickness skin grafts are commonly used on large and non-flat areas whom immobilization is difficult to achieve. The frequent mobilizations of burn patients can make the graft slip and prevent the revascularization and therefore the taking of the skin graft. In order to prevent this pitfall, we modified and adapted the tie-over dressing procedure. The giant running tie-over dressing enables large skin grafts to be a...
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Pediatric burns in Israeli natives versus asylum seekers living in Israel: Lessons learned
Conclusions There was no significant difference regarding: age; male-female ratio; scald-types burns; limb involvement. However, hospitalization and length of hospital stay were significantly higher among asylum seekers, as was family burden. Questions may be raised regarding prevention, education & social support. Our research provides a small glimpse into the world of asylum seekers in Israel. We hope it will serve as a window into the much grander problems that this population faces on a daily basis. (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Treatment of toxic epidermal necrolysis by a multidisciplinary team. A review of literature and treatment results
Conclusions SJS and TEN are a spectrum of severe mucocutaneous reactions that have unclear treatment recommendations within the literature and within our Level 1 hospital. Information gleaned from this research will help educate physicians involved in the treatment and management of patients with these diagnoses and has resulted in development of treatment guidelines in our hospital. (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Patient satisfaction after fractional ablation of burn scar with 2940nm wavelength Erbium-Yag laser
Conclusion Burn patients treated with the Erbium-Yag laser are highly satisfied with changes in their burn scars. (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Determination of risk factors for burn mortality based on a regional population study in Taiwan
Conclusion Population-based burn epidemiology data demonstrated ongoing improvement in hospital care during the past decade. Male gender, older age, higher Charlson Comorbidity Index, presence of inhalation injury, large TBSA, and higher revised Baux score were significant predictors of mortality. (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Platelet count: A predictor of sepsis and mortality in severe burns; Methodological issues
Publication date: May 2018 Source:Burns, Volume 44, Issue 3 Author(s): Saeid Safiri, Ahad Ashrafi-Asgarabad (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Stem cell enriched dermal substitutes for the treatment of late burn contractures in patients with major burns
Publication date: May 2018 Source:Burns, Volume 44, Issue 3 Author(s): Nikolaos Arkoulis, Stuart Watson, Eva Weiler-Mithoff (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

C-reactive protein response patterns after antibiotic treatment among children with scalds
Conclusion The CRP response, among children with minor scalds treated with antibiotics, shows an appreciable rise during the first week of injury that subsided rapidly during the second week. (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Measuring serum albumin levels at 0 and 24h: Effect on the accuracy of clinical evaluations in the prediction of burn-related mortality
Conclusion Measuring serum albumin levels in clinical assessments slightly increases the accuracy of mortality predictions; however, different cut-off points for Alb0h and Alb24h needs to be considered to avoid interpretation errors. (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Outcomes of post burn flexion contracture release under tourniquet versus tumescent technique in children
Conclusion We found that the use of the tumescent technique for the release of flexion contracture resulted in better graft take, lower pain scores, and lesser consumption of analgesic than the use of tourniquet. (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

High-voltage electric stimulation of the donor site of skin grafts accelerates the healing process. A randomized blinded clinical trial
Conclusion As a result of the study, the technology shows promise and merits a larger study with objective assessments and different physical variables. (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

ArF excimer laser debrides burns without destruction of viable tissue: A pilot study
Publication date: May 2018 Source:Burns, Volume 44, Issue 3 Author(s): Atulya Prasad, Katarzyna M. Sawicka, Kelly B. Pablo, Lauren K. Macri, Jerome Felsenstein, James J. Wynne, Richard A.F. Clark Introduction Recent evidence indicates that early removal of eschar by tangential debridement can promote healing. Laser debridement can be used for debridement of areas that prove challenging for debridement using tangential excision. In particular, irradiation with an ArF excimer laser ablates desiccated eschar and is self-terminating, preserving hydrated or viable tissue. Methods Thermal burns were created on the flanks of two...
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Defining the criteria for intubation of the patient with thermal burns
Conclusions Intubation should be considered for patients displaying the Denver criteria, which includes full thickness facial burns, stridor, respiratory distress, swelling on laryngoscopy, upper airway trauma, altered mentation, hypoxia/hypercarbia, hemodynamic instability, suspected smoke inhalation, and singed facial hair. Patients lacking these criteria should not be intubated. (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Effect of primary admission to burn centers on the outcomes of severely burned patients
Conclusion Several burn societies have published precise criteria of when a patient needs to be referred to a burn center. In the presented series, patients that were primarily treated at a BICU showed significantly better outcomes regarding several parameters. In order to further optimize treatment of burn patients it therefore appears that precise initial assessment and if appropriate respective primary transport to dedicated burn centers needs to be re-emphasized, especially among first- and emergency care providers. (Source: Burns)
Source: Burns - April 10, 2018 Category: Dermatology Source Type: research

Diabetes mellitus after injury in burn and non-burned patients: A population based retrospective cohort study
Conclusions Burn and non-burn trauma patients experienced elevated rates of DM admissions after injury compared to the non-injured cohort over the duration of the study. While burn patients were at increased risk of incident DM admissions during the first 5-years after the injury this was not the case for non-burn trauma patients. Sub-group analyses showed elevated risk in both adult and pediatric patients in the burn and non-burn trauma. Detailed clinical data are required to help understand the underlying pathogenic pathways triggered by burn and non-burn trauma. This study identified treatment needs for patients after b...
Source: Burns - January 4, 2018 Category: Dermatology Source Type: research

Assessing the feasibility of implementing low-cost virtual reality therapy during routine burn care
The objective of this mixed-methods study was to evaluate key stakeholder (i.e., patients, providers) perceptions of feasibility, acceptability, and effectiveness for the use of low-cost VR technology during routine burn care with adult patients. Ten adult patients used VR during burn care dressing changes in an outpatient clinic setting, after which they completed a satisfaction survey and individual qualitative interview. Providers also completed a satisfaction/perception survey after each participant’s care. Quantitative and qualitative results from both patient and provider perspectives consistently supported the...
Source: Burns - January 3, 2018 Category: Dermatology Source Type: research

Rehabilitation practices for burn survivors in low and middle income countries: A literature review
Conclusions The published research on burns rehabilitation is very limited and little is known about current practices in LMIC settings. In order to inform policy and service delivery, the effectiveness, feasibility and sustainability of current services needs to be investigated. (Source: Burns)
Source: Burns - December 28, 2017 Category: Dermatology Source Type: research

Evaluation of the penetration of nanocrystalline silver through various wound dressing mediums: An in vitro study
Conclusion Our results illustrate that we should perhaps reconsider dressing combination choices with Acticoat in view of their redundancy or synergistic effect. (Source: Burns)
Source: Burns - December 28, 2017 Category: Dermatology Source Type: research

Effect of nano-silver, nano-copper, deconex and benzalkonium chloride on biofilm formation and expression of transcription regulatory quorum sensing gene (rh1R) in drug-resistance Pseudomonas aeruginosa burn isolates
Conclusion Our results suggest that, there is direct relationship between decrease in antibiofilm activity and increase in expression of the rhlR gene in the presence of benzalkonium chloride. Absence of qacEΔ1 gene may be contributed in sensitivity of the isolates to the above agents. (Source: Burns)
Source: Burns - December 28, 2017 Category: Dermatology Source Type: research

Predictors of post-traumatic stress disorder among burn patients in Pakistan: The role of reconstructive surgery in post-burn psychosocial adjustment
Conclusion There is a remarkably high prevalence of PTSD among burn patients in Pakistan. Improving accessibility to reconstructive surgery and social support may help to alleviate this burden. (Source: Burns)
Source: Burns - December 27, 2017 Category: Dermatology Source Type: research

Response to Letter to the Editor ‘Platelet count: A predictor of sepsis and mortality in severe burns’
Publication date: Available online 26 December 2017 Source:Burns Author(s): Liam D. Cato, Jonathan R.B. Bishop, Naiem Moiemen (Source: Burns)
Source: Burns - December 27, 2017 Category: Dermatology Source Type: research

Efficacy of non-pharmacological interventions for procedural pain relief in adults undergoing burn wound care: A systematic review and meta-analysis of randomized controlled trials
Publication date: Available online 26 December 2017 Source:Burns Author(s): Michael Scheffler, Susan Koranyi, Winfried Meissner, Bernhard Strauß, Jenny Rosendahl The aim of the present meta-analysis was to investigate the efficacy of non-pharmacological interventions for procedural pain relief in adults undergoing burn wound care compared to standard care alone or an attention control. Through a comprehensive literature search in various electronic databases 21 eligible randomized controlled trials (RCTs) were included, comprising a total of 660 patients. Random effects meta-analyses revealed significant positive tr...
Source: Burns - December 27, 2017 Category: Dermatology Source Type: research

Inequality in self-immolation incidence according to HDI in Iran
Publication date: Available online 24 December 2017 Source:Burns Author(s): Yousef Veisani, Salman Khazaei (Source: Burns)
Source: Burns - December 24, 2017 Category: Dermatology Source Type: research

Parental presence or absence during paediatric burn wound care procedures
Conclusion Findings emphasize the distressing nature of wound care procedures. Despite the distress, parents expressed their preference to be present. The abilities to control their own emotions and to be responsive to the child’s needs were considered beneficial for both the child and the parent. Importantly, being present increased a sense of control in parents that helped them to cope with the situation. For parents not present, the professional was the intermediary to provide information about the healing process that helped parents to deal with the situation. In sum, the proposed model provides avenues for profe...
Source: Burns - December 19, 2017 Category: Dermatology Source Type: research

Burn clinical trials: A systematic review of registration and publications
Conclusions Burn trials are proliferating in number, location, and interventions assessed. Only a small proportion are published and quality of reporting is suboptimal. Implications of key findings Burn researchers should aim to register and report on all clinical trials regardless of outcome. Superior a priori design can reduce precocious termination and mandatory reporting of data fields can improve quality of reporting. Systematic review registration number: CRD42017068549. (Source: Burns)
Source: Burns - December 16, 2017 Category: Dermatology Source Type: research

Aromatherapy for the relief of symptoms in burn patients: A systematic review of randomized controlled trials
Conclusions The evidence from the above trials is not sufficient to conclude that aromatherapy effectively relieves symptoms in patients with burns. However, the findings of the trials do not seem very plausible, and the trials themselves were of low quality and included only small numbers of patients. Studies that are adequately powered and feature better designs are needed to investigate the potential mechanisms underlying the effects of aroma therapy on pain and anxiety. (Source: Burns)
Source: Burns - December 16, 2017 Category: Dermatology Source Type: research

Efficacy and feasibility of opioids for burn analgesia: An evidence-based qualitative review of randomized controlled trials
Publication date: Available online 21 November 2017 Source:Burns Author(s): Chao Yang, Xiao-min Xu, Guang-zhao He Opioids are commonly used for burn analgesia, but no comprehensive reviews have been published on such use. We aimed to assess the literature regarding the effectiveness and side effects of opioids both in adult and pediatric burn patients. We conducted a systematic search of the PubMed, Embase, Cochrane, and Web of Science databases. Information on study characteristics, results, and interventions was extracted. The review identified nine studies that satisfied the inclusion criteria. Burn sizes of patients r...
Source: Burns - December 16, 2017 Category: Dermatology Source Type: research

Response to Letter to the Editor: ‘Interactive home telemedicine and burns: A new method’
Publication date: Available online 21 November 2017 Source:Burns Author(s): Sean Hickey, Jason Gomez, Benjamin Meller, Jeffrey Schneider, Meredith Cheney, Shamim Nejad, John Schulz, Jeremy Goverman (Source: Burns)
Source: Burns - December 16, 2017 Category: Dermatology Source Type: research

Caveats do not constitute contraindications for early excision and grafting of deep burns in a well equipped burn centre
Publication date: Available online 23 November 2017 Source:Burns Author(s): Muhammad Saaiq (Source: Burns)
Source: Burns - December 16, 2017 Category: Dermatology Source Type: research

Evaluation of a multidisciplinary burn care journal club: Lessons learned
Conclusions Over time, the journal club has evolved to better meet the needs of our team. Successful multidisciplinary journal club implementation requires identification of champions and ongoing evaluation. Applicability of research to practice The success of the journal club has been possible through the engagement of the entire burn team. Champions within each discipline, facilitated discussion and evaluation tools have helped nurture a nonthreatening team based learning environment. (Source: Burns)
Source: Burns - December 16, 2017 Category: Dermatology Source Type: research

Burns Centre and fire services: What information can be exchanged to manage the burn patient?
Conclusion Data provided by the Fire Extrication forms helps us to assess the magnitude of fire-related injury across the West Midlands. The fire services have been shown to provide important first aid as one of the first responders at the scene. Their value in assessing the environment in and patient status helps clinicians further down the patient’s journey. (Source: Burns)
Source: Burns - December 16, 2017 Category: Dermatology Source Type: research

Cell-spray auto-grafting technology for deep partial-thickness burns: Problems and solutions during clinical implementation
We present data on cell isolation procedures in 44 patients with deep partial-thickness burns performed over five years under an innovative practice IRB. Treated patients presented with a variety of burn wound etiologies and a wide range of TBSA. Overall clinical results were very satisfying. The average hospital length of stay following treatment was seven days. Over the time period, the donor-site to burn-wound surface area ratio was enhanced from 1:80 to 1:100. A detailed analysis of all process-related biotechnology and operative problems, pitfalls, and solutions was performed and is reported herein. Strategies for fut...
Source: Burns - December 16, 2017 Category: Dermatology Source Type: research

Burn injury models of care: A review of quality and cultural safety for care of Indigenous children
Publication date: Available online 27 November 2017 Source:Burns Author(s): Sarah Fraser, Julian Grant, Tamara Mackean, Kate Hunter, Andrew J.A. Holland, Kathleen Clapham, Warwick J. Teague, Rebecca Q. Ivers Safety and quality in the systematic management of burn care is important to ensure optimal outcomes. It is not clear if or how burn injury models of care uphold these qualities, or if they provide a space for culturally safe healthcare for Indigenous peoples, especially for children. This review is a critique of publically available models of care analysing their ability to facilitate safe, high-quality burn care for...
Source: Burns - December 16, 2017 Category: Dermatology Source Type: research

Clinical outcome of patients with suicide attempts: 1098 patients
Publication date: Available online 27 November 2017 Source:Burns Author(s): David Boccara, Jerome Lambert, Marc Chaouat, Maurice Mimoun, Sarah Chatelain, Kevin Serror (Source: Burns)
Source: Burns - December 16, 2017 Category: Dermatology Source Type: research

Three-dimensional wound mapping software compared to expert opinion in determining wound area
Conclusions This study has demonstrated that the wound mapping software WoundCare Lite in conjunction with the Panasonic FZ-M1 Toughpad 3D camera compares well with expert opinion in determining burn surface area on a mannequin. Further research is needed to establish whether this is the case in burns on patients in an acute setting. (Source: Burns)
Source: Burns - December 16, 2017 Category: Dermatology Source Type: research

A comparison of two different fluid resuscitation management protocols for pediatric burn patients: A retrospective study
Conclusion The implementation of fluid resuscitation using either protocol A or protocol B is safe and effective for pediatric burn patients in the first 24h. The total fluid infused were similar between two protocols. But using protocol A may be more convenient and labor-saving for nurses. (Source: Burns)
Source: Burns - December 16, 2017 Category: Dermatology Source Type: research

Presenting hypertension, burn injury, and mortality in combat casualties: Methodological issues
Publication date: Available online 16 December 2017 Source:Burns Author(s): Saeid Safiri, Erfan Ayubi (Source: Burns)
Source: Burns - December 16, 2017 Category: Dermatology Source Type: research