Review of History of Basic Principles of Burn Wound Management

Kim, Hyun‐Jin; Shin, Seongmee; Han, Dong Hoon

doi:10.3390/medicina58030400

Cited by 7 publications

(8 citation statements)

References 141 publications

(145 reference statements)

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“…The pediatric burns were mainly shallow ° to deep ° combined deep burns in small and medium-sized areas. In most cases, wound healing or improvement could be achieved by regular dressing changes or covering with acellular dermis, which is basically consistent with previous studies [14,15]. This study showed that the early application of acellular dermis to cover the wounds of children with II° burns can shorten the healing time of the wounds compared with routine dressing changes.…”

Section: Discussionsupporting

confidence: 89%

Epidemiological analysis and preventive strategies of pediatric burns inpatients in a Hangzhou hospital from 2020 to 2022: a retrospective study

Zhou,

Dai,

Yue

et al. 2023

Preprint

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Objective The epidemiological characteristics of pediatric burn inpatients in our hospital over the past three years were analyzed to provide some advice for prevention and treatment strategies. Methods Data from 728 pediatric burn inpatients younger than 14 years of age admitted to our unit between January 1, 2019, and December 31, 2019, were collected. Age, gender, injury condition, injury factors, injury time, postinjury treatment and prognosis were analyzed. Results The proportion of children in the 1–3 age group was the highest (457 patients, 62.8%). 161 burn injuries (22.1%) occurred at a single site, and 567 burn injuries (77.9%) occurred at two or more sites at the same time. The burn sites from the most to least common were the trunk, upper limb, lower limb, head, face and neck, hip and perineum. The burn area was mostly between 5%-15% of the total body surface area (TBSA) (433 patients, 59.5%), the burn depth was mostly shallow (Ⅱ° to deep Ⅱ°) (405 patients, 55.6%), and the severity was mostly moderate (470 patients, 64.6%). Hydrothermal scald (673 patients, 92.4%) was the main injury factor in this group, followed by flame burn (32 patients, 4.4%). With increasing age, the proportion of hydrothermal scald gradually decreased, and the proportion of flame and other causes of burns gradually increased; these differences were statistically significant (х2= 47.471, P < 0.01). There were 672 burn cases in the household (92.3%) and 56 burn cases in outdoor and public places (7.7%). The proportion of outdoor and public burn injuries in rural children was greater than that in urban and suburban children. The daily peak burn times were 11:00–13:00, 17:00 and 20:00, and the monthly peak burn times were May, July and October, respectively. There were only 183 patients (25.1%) who received regular cold therapy after injury. Clinical outcomes were significantly different between patients who received reasonable treatment and those who did not (Z = 3.439, P < 0.01) and between those who received rational treatment and those who received irrational treatment (Z = 2.040, P < 0.05). Among the pediatric burn inpatients discharged with complete healing of the II° wound, the hospital stay of the children covered with acellular dermis was significantly shorter than that of the children in the conventional dressing change group (t = 3.646, P = 0.004). Conclusion Pediatric burns often occurred at 1–3 years of age, and most of the children had Ⅱ° combined deep burns. Indoor hydrothermal scald was the main injury factor, and regular cold therapy was not widely used. Early application of acellular dermis covering II° wounds can accelerate wound healing and reduce the length of hospital stay.

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Section: Discussionsupporting

confidence: 89%

Epidemiological analysis and preventive strategies of pediatric burns inpatients in a Hangzhou hospital from 2020 to 2022: a retrospective study

Zhou,

Dai,

Yue

et al. 2023

Preprint

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“…The stasis zone itself can have the chance to improve or even become necrotic in the first few days if the vascular perfusion is poor, resulting in more necrotic tissue, hence a wider and deeper burn area than before. 14 These patients are going through microvascular disorders, significant inflammatory responses and cardiovascular disorders which caused perfusion to become increasingly impaired. This not only causes worsening of the burn area which makes larger necrotic tissues, but also worsen the patient's overall condition systemically.…”

Section: Discussionmentioning

confidence: 99%

“…This not only causes worsening of the burn area which makes larger necrotic tissues, but also worsen the patient's overall condition systemically. 14 Inflammation from extensive tissue damage can also be a challenge considering the risk of systemic inflammatory response syndrome (SIRS) and multiple organ failure. [15][16][17][18][19][20] Meanwhile, the inflammatory response also have important role in the healing process, triggering a cascade of cytokines and growth factors that protect against the risk of infection.…”

Section: Discussionmentioning

confidence: 99%

Burn Wound and Traumatic Inhalation due to Marapi Volcano Eruption

Deddy Saputra,

Gusman,

Melati Purnama Sari

2024

Bioscmed

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Background. Burns can be caused by various etiologies, including heat and chemicals from volcanic eruptions. Mount Marapi was a commonly visited hiking site prior to its eruption on December 3th 2023. Case Presentation. This case reports a 19 year old woman with severe full thickness burns, covering 40.5% of total body surface area (TBSA) with inhalation trauma caused by inhaled volcanic ash from the Mount Marapi's eruption. Airway assessment was done through bronchoscopy examination.While being treated in the burn unit, the patient's overall condition deteriorated, so the patient was moved to the intensive care unit (ICU). Severe burns usually can cause circulatory disruption and trigger systemic inflammatory responses. Meanwhile, inhalation injury and sepsis also contributes to a higher risk of death in burn patients. Burns with inhalation trauma require specific treatment procedures. Conclusion. This study summarizes the experience of treating victim of the Mount Marapi eruption and multidisciplinary approach to achieve optimal patient care.

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“…A pressão arterial, a frequência cardíaca e a avaliação clínica da cor da pele não queimada são parâmetros utilizados para avaliar o estado circulatório. Devido ao aumento da resposta das catecolaminas após uma lesão térmica, 100-120 batimentos cardíacos por minuto são considerados dentro dos limites normais (AHUJA et al, 2016;SASAKI et al, 2022;KIM et al, 2022).…”

Section: Discussão Estabilização E Avaliação Inicialunclassified

Avaliação e Abordagem Inicial ao Paciente Grande Queimado no Departamento de Emergência: Uma Revisão Integrativa da Literatura

Callou¹,

Viana

Oliveira

et al. 2023

IDonline

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O Brasil apresenta em seu território a estimativa de 1.000.000 de ocorrências de acidentes por queimaduras por ano, sendo que, desses casos, apenas 100 mil se encaminham para ajuda hospitalar e, aproximadamente, 2.500 morrem devido a complicações diretas ou indiretas das queimaduras. A mortalidade das queimaduras se eleva quando se observa o comprometimento de outras estruturas orgânicas. Este trabalho tem por objetivo realizar uma revisão narrativa da literatura quanto à abordagem e avaliação inicial do paciente grande queimado no departamento de emergência hospitalar. Foi realizada uma busca eletrônica por artigos publicados em periódicos indexados através da base de dados PubMed, ScienceDirect e BVS Saúde, usando a seguinte combinação de descritores verificados na base DeCS/MeSH: ‘emergency medical services’ AND ‘burn injury’ AND ‘evaluation’. Foram admitidos estudos publicados entre janeiro de 2017 e outubro de 2022. A observação do estado hemodinâmico, a rápida avaliação assertiva do grau de comprometimento e o manejo da equipe multiprofissional em saúde são aspectos fundamentais para a melhora no quadro do paciente.

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Review of History of Basic Principles of Burn Wound Management

Cited by 7 publications

References 141 publications

Epidemiological analysis and preventive strategies of pediatric burns inpatients in a Hangzhou hospital from 2020 to 2022: a retrospective study

Epidemiological analysis and preventive strategies of pediatric burns inpatients in a Hangzhou hospital from 2020 to 2022: a retrospective study

Burn Wound and Traumatic Inhalation due to Marapi Volcano Eruption

Avaliação e Abordagem Inicial ao Paciente Grande Queimado no Departamento de Emergência: Uma Revisão Integrativa da Literatura

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