Hand burns surface area: A rule of thumb
ConclusionsWe have demonstrated how thumbprint area serves as a simple method for evaluating hand burn surface area. (Source: Burns)
Source: Burns - July 10, 2018 Category: Dermatology Source Type: research

Cultural adaptation and validation of Patient and Observer Scar Assessment Scale for Turkish use
ConclusionThe 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 - July 10, 2018 Category: Dermatology Source Type: research

Original and modified technique of tie-over dressing: Method and application in burn patients
Publication date: August 2018Source: Burns, Volume 44, Issue 5Author(s): Rebecca Bern, Kevin Serror, Rémi Alvo, Marc Chaouat, Maurice Mimoun, Magali Schmidt, David BoccaraAbstractIn 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 t...
Source: Burns - July 10, 2018 Category: Dermatology Source Type: research

Acceptability and functionality of the “Kettle Strap”: An attempt to decrease kettle related burns in children
ConclusionThe Kettle Strap is an acceptable, affordable device to improve kettle safety in the home. (Source: Burns)
Source: Burns - July 10, 2018 Category: Dermatology Source Type: research

Response to ‘Presenting hypertension, burn injury, and mortality in combat casualties: Methodological issues’
Publication date: August 2018Source: Burns, Volume 44, Issue 5Author(s): Jud C. Janak, Anders J. Davidson, Jonathan A. Sosnovc, Ian J. Stewart, Jeffrey T. Howard (Source: Burns)
Source: Burns - July 10, 2018 Category: Dermatology Source Type: research

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

Experience with NexoBrid® in enzymatic debridement of facial burns
Publication date: June 2018Source: Burns, Volume 44, Issue 4Author(s): J.M. Sampietro de Luis (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Response to Letter to the Editor: ‘Experience with NexoBrid® in enzymatic debridement of facial burns’
Publication date: June 2018Source: Burns, Volume 44, Issue 4Author(s): A. Schulz, P.C. Fuchs, I. Rothermundt, A. Hoffmann, L. Rosenberg, Y. Shoham, H. Oberländer, J. Schiefer (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Comments on “Diabetes mellitus after injury in burn and non-burned patients: A population based retrospective cohort study”
Publication date: June 2018Source: Burns, Volume 44, Issue 4Author(s): Saeid Safiri, Ahad Ashrafi-Asgarabad (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Analysing longitudinal data
Publication date: June 2018Source: Burns, Volume 44, Issue 4Author(s): Janine M. Duke, Sean M. Randall, James H. Boyd (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Comments on procalcitonin for the early diagnosis of sepsis in burn patients: A retrospective study
Publication date: June 2018Source: Burns, Volume 44, Issue 4Author(s): Saeid Safiri, Erfan Ayubi, Kamyar Mansori (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Response to Letter to the Editor: ‘Comments on procalcitonin for the early diagnosis of sepsis in burn patients: A retrospective study’
Publication date: June 2018Source: Burns, Volume 44, Issue 4Author(s): Luís Cabral, Vera Afreixo, Filipe Santos, Luís Almeida, José Artur Paiva (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Comment on “Accelerant-related burns and drug abuse: Challenging combination”
Publication date: June 2018Source: Burns, Volume 44, Issue 4Author(s): Manoochehr Karami, Salman Khazaei (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology 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?
Publication date: June 2018Source: Burns, Volume 44, Issue 4Author(s): P. Macneal, J. Torres-Grau, J. Atkins, G. Williams (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Rapid microbial diagnosis in burns patients: Time for a change?
Publication date: June 2018Source: Burns, Volume 44, Issue 4Author(s): Peter Macneal, Shakeel Rahman, Luke Moore, Andrew McKean, Joanne Atkins (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Chemical burn assaults: Is the media coverage representative?
Publication date: June 2018Source: Burns, Volume 44, Issue 4Author(s): Robert Miller, Sarah Pywell, Jorge Leon-Villapalos, Joanne Atkins (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

A survey of learning methods used by Plastic Surgery and Anaesthetics trainees in burn care
Publication date: June 2018Source: Burns, Volume 44, Issue 4Author(s): Salma Mohamed, Jonathan Dunne, Jeremy Rawlins (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Editorial Board
Publication date: June 2018Source: Burns, Volume 44, Issue 4Author(s): (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Resistance training for rehabilitation after burn injury: A systematic literature review & meta-analysis
ConclusionFurther research with robust methodology is recommended to assess the potential benefit suggested in this review. (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Chemical burns: Diphoterine untangled
ConclusionsDiphoterine appears to be safe to use and is probably superior to other rinsing solutions.However, immediate decontamination is imperative and if Diphoterine is not available a different rinsing solution should be used.The methodology of the published literature for Diphoterine is generally poor and future publications should use the frameworks given as templates. (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Epidemiology and socio-demographic risk factors of self-immolation: A systematic review and meta-analysis
ConclusionsOur study indicated that individuals who attempted self-immolation in Iran were mainly women, married and young adults.Graphical abstract (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Hyperosmolar metabolic acidosis in burn patients exposed to glycol based topical antimicrobials—A systematic review
ConclusionThis first systematic review found very few cases of documented hyperosmolar metabolic acidosis, all within one study that had set to specifically explore this toxidrome. High index of suspicion with frequent osmolar gap monitoring may help identify future toxicities in a timely manner. (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Incidence of risk factors for bloodstream infections in patients with major burns receiving intensive care: A retrospective single-center cohort study
The objective was primarily to identify risk factors for bloodstream infections (BSI) caused by different pathogens.MethodsA retrospective single-center cohort study was performed on 472 burn patients with an abbreviated burn severity index (ABSI) ≥ 3, a total burn surface area (TBSA) ≥ 10%, and an ICU stay of at least 24 h. Risk factors for different BSI pathogens were analyzed by competing risks regression model of Fine and Gray.ResultsA total of 114 burn patients developed 171 episodes of BSIs caused by gram-negative bacteria (n = 78;46%), gram-positive bacteria (n = 69...
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Physical, functional, and psychosocial recovery from burn injury are related and their relationship changes over time: A Burn Model System study
ConclusionsRecovery from burn injury is complex and the most important facets of recovery change over time. Future research should focus on developing treatments to help patients adjust to post-burn appearance in the early post-discharge period, and mental health interventions may be effective as patients progress in recovery. (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

The role of preliminary hospitals in the management of a mass burn casualty disaster
ConclusionOur preliminary findings suggest that local hospitals are capable of providing high-quality acute care to mass casualty burn victims. Our results suggest that patients with suspected limb ischemia should be rapidly transferred to a regional burn center to ensure optimal care. Systemic pre-planning such as employing telemedicine and personnel collaboration, should be considered by the administration to maximize the function of preliminary hospitals in burn care. (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Treatment of toxic epidermal necrolysis by a multidisciplinary team. A review of literature and treatment results
ConclusionsSJS 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 - July 5, 2018 Category: Dermatology Source Type: research

Three-dimensional imaging is a novel and reliable technique to measure total body surface area
ConclusionThe inter-observer reliability of three-dimensional imaging was superior compared with the rule of nines and palm method. (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Can live music therapy reduce distress and pain in children with burns after wound care procedures? A randomized controlled trial
ConclusionsLive music therapy was not found effective in reducing distress and pain in young children after burn wound care. Older children might be more responsive to this intervention. (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Autonomic nerve activity indexed using 24-h heart rate variability in patients with burns
ConclusionWe hypothesized that HRV is a surrogate for autonomic nervous system dysfunction in patients with burns. The patients with burns were observed a sympathetic predominance during daytime and a decreased parasympathetic activity during nighttime. These results of patients with other major burns were more predominant compared with the results of patients with other groups. (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Women’s recovery, negotiation of appearance, and social reintegration following a burn
In this study, narratives that emerged from in-depth interviews with seven women were examined. The narratives emphasized essential needs of these burn survivors for personal support, the complexities of negotiating intimate relationships, struggles with the humiliation from family and friends, in some instances strained relationships with children, the support found through religious beliefs and institutions, and often frustratingly slow psychological acceptance of scars. These difficulties faced by women survivors of burns have highlighted the need to include religion/spirituality, intimate male partners, and women&rsquo...
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Parental presence or absence during paediatric burn wound care procedures
ConclusionFindings 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 profes...
Source: Burns - July 5, 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
ConclusionsThe 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 - July 5, 2018 Category: Dermatology Source Type: research

Skin banking at a regional burns centre—The way forward
Publication date: June 2018Source: Burns, Volume 44, Issue 4Author(s): Sunil Manohar Keswani, Mukesh Gopinath Mishra, Shilpa Karnik, Shruti Dutta, Mamata Mishra, Sangita Panda, Reshmi Varghese, Tanvi Virkar, Vaishna UpendranAbstractIn India approximately 1 million people get burnt every year and most of them are from the lower or middle income strata. Therefore it is obligatory to find out an economic way of treatment for the affected populace. Since use of human skin allograft is the gold standard for the treatment of burn wound, in-house skin banking for a burn unit hospital is prerequisite to make the treatment procedur...
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Influence on clinical parameters of depressomassage (part I): The effects of depressomassage on color and transepidermal water loss rate in burn scars: A pilot comparative controlled study
ConclusionsIn practice, precise indications to begin depressomassage have to be kept in mind. Perhaps other scar abnormalities such as decreased elasticity, increased thickness, excessive pain or itching could be sufficient reasons to begin depressomassage and should be assessed. (Source: Burns)
Source: Burns - July 5, 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 - July 5, 2018 Category: Dermatology Source Type: research

Development of a contaminated ischemic porcine wound model and the evaluation of bromelain based enzymatic debridement
ConclusionsOur model simulates the initial phase of chronic wounds characterized by a contaminated necrotic eschar allowing evaluation of wound debriding agents, and that a bromelain-based debriding agent completely debrides the contaminated necrotic eschars within one week in this model. (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Usage of density analysis based on micro-CT for studying lung injury associated with burn–blast combined injury
Publication date: June 2018Source: Burns, Volume 44, Issue 4Author(s): Yang Chang, Dong-hai Zhang, Quan Hu, Ling-ying Liu, Yong-hui Yu, Jia-ke ChaiAbstractBackgroundBurn–blast combined injury is a kind of injury caused by heat and blast at the same time. The lung injury after burn–blast combined injuries is of primary importance, and investigation of lung injury is needed in the clinical care of patients. Computed tomography (CT) is one of the standard tools used to observe the anatomical basis and pathophysiology of acute lung injury.MethodsWe applied a method of fast 3D (three-dimensional) reconstruction to c...
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Effect of skin graft thickness on scar development in a porcine burn model
In this study, scar development and maturation were assessed in a porcine full-thickness burn model with immediate excision and split-thickness autograft coverage. Red Duroc pigs were treated with split-thickness autografts of varying thickness: 0.026 in. (“thin”) or 0.058 in. (“thick”). Additionally, the thin skin grafts were meshed and expanded at 1:1.5 or 1:4 to evaluate the role of skin expansion in scar formation. Overall, the burn-excise-autograft model resulted in thick, raised scars. Treatment with thick split-thickness skin grafts resulted in less contraction and reduced scarring ...
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Matrix metalloproteinase-2 and its correlation with basal membrane components laminin-5 and collagen type IV in paediatric burn patients measured with Surface Plasmon Resonance Imaging (SPRI) biosensors
ConclusionCurrent work is the first follow-up study regarding MMP-2 in burns. MMP-2, laminin-5 and collagen type IV levels were elevated early after burn injury in the plasma of studied patients, and were highest 12–16 h after the injury. MMP-2, laminin-5 and collagen type IV levels were not proportional to the severity of the burn. We believe in the possibility that the gradual decrease of MMP-2, collagen type IV and laminin-5 concentrations could be connected with the process of healing, but to prove it, more investigation is needed in this area. The SPR imaging biosensor is a good diagnostic tool for determin...
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Hyperkalemia in electrical burns: A retrospective study in Colombia
ConclusionsFirst, patients admitted to our burn unit with electrical injury accompanied by significant skin and muscle injury rarely exhibit hyperkalemia. Secondly, the presence of hyperkalemia is independent of the severity of rhabdomyolysis or the extent of the burn. (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

A population-based retrospective cohort study to assess the mental health of patients after a non-intentional burn compared with uninjured people
ConclusionsPatients hospitalised for unintentional burns had significantly higher MH admission rates after discharge than that observed for an uninjured cohort. Ongoing mental health support is clearly indicated for many burns patients for a prolonged period after discharge. (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Pre-burn malnutrition increases operative mortality in burn patients who undergo early excision and grafting in a sub-Saharan African burn unit: Methodological issues
Publication date: Available online 6 June 2018Source: BurnsAuthor(s): Ahad Ashrafi-Asgarabad, Saeid Safiri (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

The abbreviated burn severity index as a predictor of acute respiratory distress syndrome in young individuals with severe flammable starch-based powder burn
Publication date: Available online 6 June 2018Source: BurnsAuthor(s): Kuan-Hsun Lin, Chi-Ming Chu, Yu-Kai Lin, Hao-Yu Chiao, Ta-Wei Pu, Yuan-Ming Tsai, Ying-Yi Chen, Hsu-Kai Huang, Hung Chang, Shih-Chun Lee, Tsai-Wang HuangAbstractHere, we investigated whether the abbreviated burn severity index (ABSI) scoring system predicts acute respiratory distress syndrome (ARDS) in a retrospective analysis of a severe flammable starch-based powder burn population. Demographics, total body surface area (TBSA) burn, the presence of mouth and nose burn, ABSI, inhalation injury, and clinical outcomes for each patient were analysed for as...
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Changes in burn mortality in Bangladesh: Findings from Bangladesh Health and Injury Survey (BHIS) 2003 and 2016
ConclusionBurn death is an emerging cause of injury deaths in Bangladesh. Further researches are required to explore the epidemiology of electrocution deaths in Bangladesh and design effective interventions. (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Toxic epidermal necrolysis data from the CELESTE multinational registry. Part I: Epidemiology and general microbiological characteristics
ConclusionThe published data were obtained from the unique registry of TEN patients in Central Europe. In the first part, we have succeeded in defining the basic epidemiological indicators in the group of patients anonymously included in this registry.The study clearly confirms that infectious complications currently play an essential role in TEN patients, often limiting the chances of survival. The study also shows a high prevalence of these complications in the period after 15 days from the start of hospitalization, when most patients already have completely regenerated skin cover. (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Attribution bias underlying burns-induced anxiety symptoms
Publication date: Available online 7 June 2018Source: BurnsAuthor(s): Mena Farag, Edward J.R. Watson, Klára Nenadlová, Christian Asher, Sayed Al-Aidarous, Sundhiya Mandalia, Lisa M. Williams, Trudi L. Edginton, Declan Collins, Marcela P. VizcaychipiAbstractIntroductionBurn injuries are a debilitating cause of morbidity and mortality associated with the long-term impact of psychological factors on quality of life. Accurate assessment of the differential impact of burn sequelae and anxiety is often complicated by the overlap between psychological and somatic symptoms in burns patients. The Beck Anxiety Inventor...
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Accurately identifying blast injuries in civilian burn practice
Publication date: Available online 7 June 2018Source: BurnsAuthor(s): Joseph A. Ward, Georgina Phillips, Niall A.J. Martin (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Comparison of intralesional verapamil versus intralesional corticosteroids in treatment of keloids and hypertrophic scars: A randomized controlled trial
ConclusionOur results did not support verapamil’s capability in treatment of keloid nor hypertrophic scars. (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

The recovery of post-burn hypertrophic scar in a monitored pressure therapy intervention programme and the timing of intervention
This study aimed to examine the maturation trajectory of post-burn hypertrophic scars in a 6-month monitored pressure therapy intervention programme and investigate the difference in the trajectory between patients receiving early intervention and patients receiving late intervention.MethodsThirty-four patients with sixty-five post-burn hypertrophic scar samples were recruited for the study. All the subjects were treated with a 6-month pressure therapy programme with the pressure dosage regulated using a newly developed pressure therapy system, the Smart Pressure Monitored Suits. The selected scars were assessed with MiniS...
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Burn wounds in the young versus the aged patient display differential immunological responses
ConclusionOur study has identified at least 2 well known cytokines, CCL5 (RANTES) and EGF, which are differentially regulated in response to burn injury by young versus aged burn victims. Evidence suggests that a proinflammatory environment can explain the high conversion rate from partial to full thickness burns. Our data suggest the need for future studies at the point of injury (cutaneous targets) that may be modulated by post burn release of cytokines/chemokines. (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research