Burn first aid issues again—“Not seeing the forest for the trees”

Goodwin, Nicholas

doi:10.1016/j.burns.2020.12.026

Cited by 2 publications

(3 citation statements)

References 20 publications

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“…An increase in the incidence of burn injuries in the home during the COVID-19 pandemic has been reported, 85% compared to the 60% that was observed in 2019, probably derived from the prolonged isolation and avoiding hospital visits for fear of exposure to the SARS-CoV-2 virus 18,19 . Injuries caused by friction belts (treadmills, stationary bikes) have also increased in patients that exercise at home,caused when children place their hands near or under the moving belt 20 .…”

Section: Discussionmentioning

confidence: 99%

The burned patient in times of COVID-19: proposal derived from lessons learned

Carrillo-Esper,

González-Martínez,

Islas-Ávila

et al. 2024

CIRUE

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COVID-19 is a public health problem, so any burn patient who is managed as an outpatient or requires hospital management is a potential carrier of SARS-CoV-2. Burn patients are susceptible to COVID-19 due to the burn and its immunosuppressive effect, the procedures they undergo and other factors related to the burn, which makes them at high risk of contracting the disease and transmitting it, especially to the healthcare team involved in its management. Therefore, it is important to organize strategies in the services that care for burn patients during the COVID-19 pandemic. The objective of this paper is to present a proposal for response, organizational management and strategic planning in a burn unit in times of COVID-19, based on the lessons and experience acquired.

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Section: Discussionmentioning

confidence: 99%

The burned patient in times of COVID-19: proposal derived from lessons learned

Carrillo-Esper,

González-Martínez,

Islas-Ávila

et al. 2024

CIRUE

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“…However, it is noteworthy to briefly mention pre-hospital care and first aid for burns in the context of wound conversion. As Goodwin eloquently demonstrates, currently there remains a lack of consensus among government agencies, international burn societies, hospital burn units, and even United Nations health councils on the 2021 published recommendations for emergency first aid care and treatment of burn wounds [ 19 , 20 ]. Many expert bodies recommend the use of cooling deep partial-thickness wounds; however, there remains tremendous heterogeneity in the cooling method suggested.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, a growing majority of authoritative councils recommend withholding cooling altogether for burn first aid. Additionally, there are discrepancies in the use of emergency hydrogel application, which may be further exacerbated by conflicts of interest with commercial entities that have contracts to supply first aid material to emergency services [ 19 , 20 ]. With such variation in burn emergency first aid coupled with a dearth of primary literature and correlational studies on the effects of burn first aid on wound conversion, a major research focus in this area is warranted.…”

Section: Introductionmentioning

confidence: 99%

Therapeutic Strategies to Reduce Burn Wound Conversion

et al. 2022

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Burn wound conversion refers to the phenomenon whereby superficial burns that appear to retain the ability to spontaneously heal, convert later into deeper wounds in need of excision. While no current treatment can definitively stop burn wound conversion, attempts to slow tissue damage remain unsatisfactory, justifying the need for new therapeutic interventions. To attenuate burn wound conversion, various studies have targeted at least one of the molecular mechanisms underlying burn wound conversion, including ischemia, inflammation, apoptosis, autophagy, generation of reactive oxygen species, hypothermia, and wound rehydration. However, therapeutic strategies that can target various mechanisms involved in burn wound conversion are still lacking. This review highlights the pathophysiology of burn wound conversion and focuses on recent studies that have turned to the novel use of biologics such as mesenchymal stem cells, biomaterials, and immune regulators to mitigate wound conversion. Future research should investigate mechanistic pathways, side effects, safety, and efficacy of these different treatments before translation into clinical studies.

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Burn first aid issues again—“Not seeing the forest for the trees”

Cited by 2 publications

References 20 publications

The burned patient in times of COVID-19: proposal derived from lessons learned

The burned patient in times of COVID-19: proposal derived from lessons learned

Therapeutic Strategies to Reduce Burn Wound Conversion

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