What's new in burns trauma?

Burd, Andrew; Noronha, Frederick V.

doi:10.1111/j.1744-1633.2005.00274.x

“…Table 1 is extracted from a paper published in Surgical Practice that reviewed the state of burns care in Hong Kong in 2005. [ 2 ] This paper focussed on the following areas:…”

Section: Past and Presentmentioning

confidence: 99%

Research in burns - Present and future

Burd

¹

2010

Indian J Plast Surg

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There have been tremendous advances in burns care over the past 50 years. Much of this, but not all, can be attributed to basic science and clinically related research. Out of the best centres in the world, centres that are fully funded and richly resourced, best practice guidelines result in impressive outcomes not only in terms of survival but also in terms of a quality of survival. Indeed the remaining clinical challenges in these centres are the elderly, the inhalational burns, and the very extensive burns. There are however other challenges when looking at burns care in a global context and in particular is the provision of even minimal standards of acceptable care for burns patients in many parts of the world. Whilst the justification for research funding in the wealthy countries becomes increasingly esoteric, for example looking at the immunology of face transplantation, the global health challenges of burns care still remain. Perhaps, the greatest research challenge in burns care in the 21st century lies not in furthering our understanding of the phenomenon we observe but the global application of the knowledge we already possess.

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“…Table 1 is extracted from a paper published in Surgical Practice that reviewed the state of burns care in Hong Kong in 2005. [2] This paper focussed on the following areas: a) Prevention of burns b) Organization and delivery of burns care c) Decompression instead of escharotomy as a conceptual process d) Fluid resuscitation e) The burn wound excision and closure f) The management of chemical assault burns g) Infection control and silver ions h) Microsurgical and advanced reconstructive techniques in burns care i) Tissue engineering and regeneration j) Finally, the Asia Pacific Burns Association Meanwhile in the USA, the American College of Surgeons were running out of things to contribute to an annual feature and so in 2005, John Burke authored a paper looking at the "Evolution of burn care over the 20 th century" and focussed on the elimination of burn shock due to appropriate resuscitation and the early excision of the burn wound with immediate physiological wound closure as being the major contribution to improved outcome. [3] Indeed Burke stated that "At the close of the 20 th century, overall mortality had decreased to very low levels and considerable attention was given and improvement made, in the patient's long-term cosmetic and functional quality of life.…”

mentioning

confidence: 99%

Research in burns - Present and future

Burd

¹

2010

Indian J Plast Surg

Self Cite

View full text Add to dashboard Cite

There have been tremendous advances in burns care over the past 50 years. Much of this, but not all, can be attributed to basic science and clinically related research. Out of the best centres in the world, centres that are fully funded and richly resourced, best practice guidelines result in impressive outcomes not only in terms of survival but also in terms of a quality of survival. Indeed the remaining clinical challenges in these centres are the elderly, the inhalational burns, and the very extensive burns. There are however other challenges when looking at burns care in a global context and in particular is the provision of even minimal standards of acceptable care for burns patients in many parts of the world. Whilst the justification for research funding in the wealthy countries becomes increasingly esoteric, for example looking at the immunology of face transplantation, the global health challenges of burns care still remain. Perhaps, the greatest research challenge in burns care in the 21st century lies not in furthering our understanding of the phenomenon we observe but the global application of the knowledge we already possess.

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“…Professor Andrew Burd provided a brief historical overview of burn service rationalization and organization in Hong Kong, emphasizing the justifications for the establishment of the two burns units in the Queen Mary Hospital and Prince of Wales Hospital 6 . The protocol for the management of burns patients at the Prince of Wales Hospital was detailed.…”

mentioning

confidence: 99%