Military Burn Care and Burn Disasters

King, Booker T.; Cancio, Leopoldo C.; Jeng, James C.

doi:10.1016/j.suc.2023.01.013

Cited by 2 publications

(3 citation statements)

References 29 publications

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“…These planes with critical care capabilities allow safe transfer of severely burned patients. 11,12 One example is the U.S. Army's Burn Flight Team (BFT), which is the only burn critical care transport team in the U.S. Department of Defense and can deploy on short notice to any location in the world, providing specialized burn care to military personnel and designated civilians. Shriners burn specialists were sent to the aforementioned Fuego volcano eruption near Guatemala City in June 2018.…”

Section: Response To International Burn Disasters and Transfers Of Bu...mentioning

confidence: 99%

Global Surgery: Burn Outreach by Shriners Children's Texas

Zapata-Sirvent,

Branski,

Lee

2024

Semin Plast Surg

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Global surgery describes a rapidly developing field that seeks to improve surgical treatment internationally, specifically in those specialized treatments that are not readily accessible, considered complex and expensive. Burns cause 300,000 deaths annually, 90% of which occur in low- and middle-income countries (LMICs).Burns are a public health problem since they can cause disability and death. Shriners Children's Texas is a unique model of global surgery for an important number of countries in Central and South Americas and Mexico, providing specialized acute burn care with low mortality for burned children.Survivors of severe burns may face devastating sequelae due to burn scar contractures and hypertrophic burn scars that may limit the social reintegration. Burn reconstruction is not easily accessible to patients in LMICs. After discharge from acute burn treatment at our hospital, patients may return every 6 months for in-person follow-up to assess any surgical, psychological, or rehabilitative needs. Telemedicine allows for monitoring of postoperative results and evaluation for new surgical procedures. Follow-up clinic visits called outreach clinics held in international hospitals or international Shriners Temples allow for evaluation of follow-up patients and new patients with reconstructive needs that may benefit from a treatment in Shriners Children's Texas in Galveston, Texas.

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Section: Response To International Burn Disasters and Transfers Of Bu...mentioning

confidence: 99%

Global Surgery: Burn Outreach by Shriners Children's Texas

Zapata-Sirvent,

Branski,

Lee

2024

Semin Plast Surg

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“…Various resources are available to help prepare Role 1 and Role 2 maritime caregivers to manage critically ill patients with thermal injury [1,26,[58][59][60]; the most important and readily available are The Joint Trauma System Clinical Practice Guidelines (CPG). Box 2 lists the CPGs that describe optimal burn injury management across all roles of care, including Role 1 prolonged casualty care.…”

Section: The Good 611 Clinical Practice Guidelinesmentioning

confidence: 99%

“…Therefore, these patients require an organized initial physiologic-based assessment, treating the greatest threat to life first. This includes performing hemorrhage control, initiation of blood product resuscitation, and traumatic injury management before formally addressing the burn injury while being cognizant of the fluid resuscitation needs attributable to the burn [24,60]. As such, blood product availability is a major opportunity for improvement on American naval vessels.…”

Section: Acute Burn and Hemorrhagic Shock Resuscitation: Plasma And W...mentioning

confidence: 99%

War at Sea: Burn Care Challenges—Past, Present and Future

Tadlock,

Edson,

Cancio

et al. 2023

EBJ

Self Cite

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Throughout history, seafarers have been exposed to potential thermal injuries during naval warfare; however, injury prevention, including advances in personal protective equipment, has saved lives. Thankfully, burn injuries have decreased over time, which has resulted in a significant clinical skills gap. Ships with only Role 1 (no surgical capability) assets have worse outcomes after burn injury compared to those with Role 2 (surgical capability) assets. To prepare for future burn care challenges during a war at sea, Military Medicine must re-learn the lessons of World War I and World War II. Burn injuries do not occur in isolation during war and are associated with concomitant traumatic injuries. To care for burn casualties at sea, there is an urgent need to increase the availability of whole blood and dried plasma, resuscitation fluids that were ubiquitous throughout the naval force during World War II for both hemorrhagic and burn shock resuscitation. Furthermore, those providing trauma care at sea require formal burn care training and skills sustainment experiences in the clinical management of Burn, Trauma, and Critical Care patients. While burn education, training, and experience must be improved, modern high-energy weapons systems and anti-ship ballistic missiles necessitate concurrent investments in prevention, countermeasures, and personal protective equipment to decrease the likelihood of burn injury and damage resulting from these attacks.

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Military Burn Care and Burn Disasters

Cited by 2 publications

References 29 publications

Global Surgery: Burn Outreach by Shriners Children's Texas

Global Surgery: Burn Outreach by Shriners Children's Texas

War at Sea: Burn Care Challenges—Past, Present and Future

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