A clinical forensic scientist in the burns unit: Necessity or not?

Yastı, Ahmet Çınar; Tümer, Ali Rıza; Atlı, Mesut; Tütüncü, Tanju; Derinoz, Ali; Kama, Nuri Aydın

doi:10.1016/j.burns.2005.07.006

Cited by 22 publications

(26 citation statements)

References 8 publications

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“…Similar observations were reported by Randall [11] who stated 'y the odds that a trauma specialist will correctly interpret certain fatal gunshot wounds are no better than the flip of a coin'. Similar discrepancies were reported by Yasti et al [12]: physicians trained in burn wound management qualified 41% of cases of burning in children as an accident while forensic physicians only qualified 27.5% as an accident. These authors even dared to conclude that 'y a clinical forensic scientist seems to be necessary in the emergency department'.…”

Section: Skills and Educationsupporting

confidence: 75%

Forensic emergency medicine: old wine in new barrels

Leeuw

Jacobs²

2010

European Journal of Emergency Medicine

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Emergency and forensic physicians may find themselves sometimes on the same medical battleground but with different primary aims and hence often ignore or do not recognize each other's needs. The emergency physician interacts with law enforcement agencies with greater frequency than any other hospital physician and hence needs expertise with legal issues. Awareness of the forensic relevance of certain medical observations by emergency physicians, knowledge of emergency medicine methodology and techniques and of resuscitation-related injuries by forensic physicians may lead to a higher standard in both forensic and emergency medicine, a better serving of the criminal justice system, and most importantly safeguarding the rights of victims of criminal assault. It is this achievable mutual symbiosis that we would like to refer to as the concept of 'forensic emergency medicine'.

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Section: Skills and Educationsupporting

confidence: 75%

Forensic emergency medicine: old wine in new barrels

Leeuw

Jacobs²

2010

European Journal of Emergency Medicine

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“…To lessen the length of hospital stay and cost of the treatment, surgical intervention should be initiated as early as appropriate in the clinical course, and conservative modalities should be avoided. [8] When soup burns were considered, we saw a similar clinical course with that of water burns, which is probably related to the lower oil content of the agent. The burning due to soup was almost always a result of spillage, which caused limited burn areas as a patchy area on the skin, which we believe facilitated heat dispersion at the burned area.…”

Section: Discussionmentioning

confidence: 64%

Hot milk burns in children: a crucial issue among 764 scaldings

Yastı

Koç²,

Şenel³

et al. 2011

Ulus Travma Acil Cerrahi Derg

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AMAÇYanıklar çocukluk döneminde önlenebilir travmalar arasındadır. Yanık yaralanmaları çoğunlukla haşlanma, alev, elektrik ve kimyasal yanıklar olarak sınıflandırılır. Ancak her biri altta yatan etyolojiye göre tedavi sırasında farklılıklar gösterir. Bu çalışmada, haşlanma yanıklarında süt yanıklarının önemini vurgulamak için hastalar geriye dö-nük olarak incelendi. GEREÇ VE YÖNTEMHastaların (461 erkek [%60,4], 303 kadın [%39,6]; kadın erkek oranı 1,52) demografik özellikleri, yanık etyolojisi, kliniği ve klinik seyirleri değerlendirildi. BULGULARGrupların yaş ortalamaları 3,36±2,86 idi. Kadın ve erkek hastalar arasında yanık nedenleri açısından fark bulunmadı. Hastaların toplam vücut yanık alanı ortalaması %16,91±12,63 idi. Sıcak süt yanığının diğer haşlan-malardan daha geniş ve daha derin yanığa neden olduğu ve daha çok 3. derece yanıklar olduğu belirlendi (sırasıy-la, p<0,001, p<0,001, p<0,05). Süt yanıkları aynı zamanda hastanede daha uzun süre kalmanın nedeniydi (p<0,001). Mortalite oranı süt yanıklarında diğer haşlanmalardan daha yüksek bulundu (p<0,001). SONUÇSüt yanıkları kötü klinik seyir nedeniyle özel dikkat gerektiren bir durumdur. En önemlisi ise süt yanığının görünen-den daha derin olacağı gerçeğinin farkında olmaktır.

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“…However, the overall situation of not being able to treat a patient in their own residential area and requiring a bus journey between cities is a subject that requires attention. According to the Inpatient Healthcare Burns Units Foundation and Action Directive, a 'Burns Room' was established in all inpatient treatment centres as a mandatory requirement to provide treatment in the area of residence for all minor burns patients with indications for hospitalization (17).…”

Section: Discussionmentioning

confidence: 99%

Etiology of childhood burns and parental awareness in Turkey

Sozen¹,

Güldoğan²,

Yastı³

2016

UCD

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Objective: Burns continue to be a devastating trauma worldwide. Most of the childhood burns are due to preventable injuries. Burns occurring as a result of negligence of the parents'/carers' may cause mortality or life-long morbidities. Identification of the etiologies will direct the precautions that should be undertaken. Material and Methods:One hundred consequent burn patients admitted to our clinics were included to the study. A questionnaire was filled in with the information gathered from the parents/carers. Results:The mean age of the patients was 3.74±3.07 years, and 52% was male. Most of the injuries occurred in the noon (median 12:45). Seventy-eight percent of the burns occurred at children's own home. Parents/carers were close enough to prevent the child from injury in 66% of the cases. While there was no first intervention in 21% of burns, 14% applied ice and 1% yoghurt. Taxi was the means to reaching the hospital in 45%. Hot liquids were the leading etiology (p<0.003). Sixty-two percent of the patients were dining at the living room and on the floor. Conclusion:The occurrence of the majority of injuries near parents/carers can be related to inadvertence or lack of awareness. To decrease burns incidence among children in our country, dining at the floor and stove heating should be avoided as much as possible. Not cooling the burn with running tap water at the time of injury leads to deepening of the burn, which consequently makes management more complex. Based on our study, there is an apparent need for determination of preventive measurements and to raise public awareness. Keywords: Burn, child, awareness, etiology INTRODUCTIONBurn is a trauma with high mortality rates and serious morbidity in children as much as in adults. In burn injuries, as in other diseases, age has a significant effect on both the etiology and treatment.The first and most important issue in burn injuries is to prevent the burn. Protecting children from burns can be considered as the most important duty of parents and carers when the children are at an age when they have not completed their mental and physical development. Incidents of burns in children are associated with (a) the child's not having completed her/his development, (b) lack of care and concentration of the parents, and (c) curiosity of the child to burn agents. In Turkey, burns are often related to accidents during the traditional tea brewing technique and to production of dairy products in rural areas (1, 2).In addition, 10% of child abuse is associated with burns (3-5). Therefore, it is necessary to approach burns in children carefully. For example, diapers protect the buttocks, hips and upper thighs of infants, so burns in those areas are rarely seen (6). When children present with burns in those areas, abuse in the form of placing the child in hot water as punishment must be kept in mind. In addition, the epidemiology and etiology of pediatric burns may vary according to regional, cultural and economic conditions. For example, in eastern Turkey, burns from ta...

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A clinical forensic scientist in the burns unit: Necessity or not?

Cited by 22 publications

References 8 publications

Forensic emergency medicine: old wine in new barrels

Forensic emergency medicine: old wine in new barrels

Hot milk burns in children: a crucial issue among 764 scaldings

Etiology of childhood burns and parental awareness in Turkey

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