The progress of Chinese burn medicine from the Third Military Medical University—in memory of its pioneer, Professor Li Ao

Abstract

Professor Li Ao was one of the founders of Chinese burn medicine and one of the most renowned doctors and researchers of burns in China. He established one of the Chinese earliest special departments for burns at Third Military Medical University (TMMU) in 1958. To memorialize Professor Li Ao on his 100th birthday in 2017 and introduce our extensive experience, it is our honor to briefly review the development and achievement of the Chinese burn medicine from TMMU. The epidemiology and outcomes of admitted burn patients since 1958 were reviewed. Furthermore, main achievements of basic and clinical research for the past roughly 60 years were presented. These achievements mainly included the Chinese Rule of Nine, fluid resuscitation protocol, experience in inhalation injury, wound treatment strategies, prevention and treatment of burn infections, nutrition therapy, organ support therapies, and rehabilitation. The progress shaped and enriched modern Chinese burn medicine and promoted the development of world burn medicine.

Development of a Framework for Managing Severe Burns Through a 17-year Retrospective Analysis of Burn Epidemiology and Outcomes

“…After further analysis of the etiology, we found that scalding was the priority cause to burns in females, accounting for over 60 percent of the total female patients (Table 1). Surprisingly, in another developing country India, similar nding has been reported before that Indian population of young females between the ages of 16 Considering the priority etiology of scalding, we assumed the rst reason was that women still took the main responsibility of cooking for the family, so they were more likely exposure to hot water/oil and cooking ames compared to men. Secondly, more and more women were involved in the workforce.…”

“…An estimated of 1,300 burn patients are admitted to the center annually. The year of 2018 was the 60th anniversary of this center; and a lot of achievements on burn treatment have been reached including the Chinese Rule of Nine, uid resuscitation protocol, experience in inhalation injury, wound treatment strategies, prevention and treatment of burn infections [16].…”

Early application of continuous high-volume haemofiltration can reduce sepsis and improve the prognosis of patients with severe burns

“…After admission, all patients received standard care for burns [ 20 , 21 ], which included the following: First aid Fluid resuscitation, resuscitation with crystalloids followed by colloids according to the Third Military Medical University protocol [ 22 ] (target hourly urine output greater than 0.5 ml/kg/h), as well as haemodynamic monitoring by pulse-indicated continuous cardiac output when necessary Management of inhalation injury Early excision and skin graft, which were performed after fluid resuscitation at 3–7 days post-burn [ 23 ]; the covering includes autologous skin grafts, meshed grafts, MEEK grafts, micro-skin autografts overlaid with large sheet allograft, single large sheet allograft, or heterogenetic porcine skin grafts Glucose control Prevention and treatment of infection by systemic administration of antibiotics Prevention of stress ulcer Early enteral nutrition Organ support therapy Bedside rehabilitation training …”

Development of A Framework for Managing Severe Burns Through A 17-Year Retrospective Analysis of Burn Epidemiology and Outcomes

“…An estimated of 1,300 burn patients are admitted to the center annually. The year of 2018 was the 60th anniversary of this center; and a lot of achievements on burn treatment has been reached including the Chinese Rule of Nine, uid resuscitation protocol, experience in inhalation injury, wound treatment strategies, prevention and treatment of burn infections 26 .…”