Vitamin D status and its influence on outcomes following major burn injury and critical illness

Vitamin D deficiency is common among the general population. It is also observed in up to 76% of critically ill patients. Despite the high prevalence of hypovitaminosis D in critical illness, vitamin D is ofte...

Authors: Khaled Al-Tarrah, Martin Hewison, Naiem Moiemen and Janet M. Lord

Mental health history—a contributing factor for poorer outcomes in burn survivors

A pre-morbid mental health history is common in patients with severe burn injuries. This creates challenges in providing rehabilitation. The aim of this study is to cross examine the possible impact of psychol...

Authors: Frank Li and Danielle Coombs

Checking procalcitonin suitability for prognosis and antimicrobial therapy monitoring in burn patients

Due to greater infection susceptibility, sepsis is the main cause of death in burn patients. Quick diagnosis and patient stratification, early and appropriated antimicrobial therapy, and focus control are cruc...

Authors: Luís Cabral, Vera Afreixo, Rita Meireles, Miguel Vaz, Catarina Chaves, Marisa Caetano, Luís Almeida and José Artur Paiva

Assessment and prediction of road accident injuries trend using time-series models in Kurdistan

Road traffic accidents are commonly encountered incidents that can cause high-intensity injuries to the victims and have direct impacts on the members of the society. Iran has one of the highest incident rates...

Authors: Maryam Parvareh, Asrin Karimi, Satar Rezaei, Abraha Woldemichael, Sairan Nili, Bijan Nouri and Nader Esmail Nasab

A rare case of severe third degree friction burns and large Morel-Lavallee lesion of the abdominal wall

Morel-Lavallee lesions (MLLs) are rare internal degloving injuries typically caused by blunt traumatic injuries and most commonly occur around the hips and in association with pelvic or acetabular fractures. M...

Authors: Darnell J. Brown, Kuo Jung G. Lu, Kristina Chang, Jennifer Levin, John T. Schulz III and Jeremy Goverman

The validation study on a three-dimensional burn estimation smart-phone application: accurate, free and fast?

Accurate total body surface area burned (TBSAB) estimation is a crucial aspect of early burn management. It helps guide resuscitation and is essential in the calculation of fluid requirements. Conventional met...

Authors: A. K. W. Cheah, T. Kangkorn, E. H. Tan, M. L. Loo and S. J. Chong

Post-traumatic stress disorder and resilience among adult burn patients in Pakistan: a cross-sectional study

Post-traumatic stress disorder (PTSD) is one of the major psychological disorders developed after burn injuries, though this subject of burn injuries and their destructive chronic psychological impact are not ...

Authors: Akhtar Bibi, Sundas Kalim and Muhammad Adnan Khalid

Free-style puzzle flap as a cross-leg pedicled flap: the concept of re-using a flap in acute burns, a case report

In well-selected cases, flaps can play a pivotal role in optimizing outcomes in the acute phase of burns. A previous redundant flap could be reused or recycled as a donor site from which a new flap could be ra...

Authors: Kevin Serror, Marc Chaouat, Golda Romano, Magali Schmidt, Alice Blet, Maurice Mimoun and David Boccara

Tissue engineering of skin and regenerative medicine for wound care

Engineering of biologic skin substitutes has progressed over time from individual applications of skin cells, or biopolymer scaffolds, to combinations of cells and scaffolds for treatment, healing, and closure...

Authors: Steven T. Boyce and Andrea L. Lalley

Bioprinting of skin constructs for wound healing

Extensive burns and full-thickness skin wounds are difficult to repair. Autologous split-thickness skin graft (ASSG) is still used as the gold standard in the clinic. However, the shortage of donor skin tissue...

Authors: Peng He, Junning Zhao, Jiumeng Zhang, Bo Li, Zhiyuan Gou, Maling Gou and Xiaolu Li

An objective measure for the assessment and management of fluid shifts in acute major burns

Major burns are life threatening. Fluid resuscitation is required for survival to maintain intravascular volumes and prevent hypovolemic shock. Bioimpedance spectroscopy (BIS) has been recognised as a potentia...

Authors: Pippa Kenworthy, Michael Phillips, Tiffany L. Grisbrook, William Gibson, Fiona M. Wood and Dale W. Edgar

Validation of the trauma mortality prediction scores from a Malaysian population

Well-known trauma mortality prediction scores such as New Injury Severity Score (NISS), Revised Trauma Score (RTS), and Trauma and Injury Severity Score (TRISS) have been externally validated from high-income ...

Authors: Jih Huei Tan, Henry Chor Lip Tan, Nur Azlin Md Noh, Yuzaidi Mohamad and Rizal Imran Alwi

The significance of changes in platelet concentration during the early phase after severe burn injury in a Chinese mass casualty

Changes in platelet concentration are common in severe burn patients. Platelets play a key role in the course of disease. This study aims to explore the significance of platelet concentration during the course...

Authors: Beiming Shou, Junqiang Li, Chenqi Tang, Qian Tan, Dongfeng Zheng, Binwei Sun, Lanjun Nie, Hongwei Zhang, Yanan Jiang, Chunming Wang and Yanwen Wu

A rare case of failed healing in previously burned skin after a secondary burns

Patients presenting with large surface area burns are common in our practice; however, patients with a secondary large burn on pre-existing burn scars and grafts are rare and not reported.

Authors: Stephen J. Goldie, Shaun Parsons, Hana Menezes, Andrew Ives and Heather Cleland

Follow-up in patients with a burn-related emergency department visit: a feasibility study

Data on epidemiology, costs, and outcomes of burn-related injuries presenting at emergency departments (EDs) are scarce. To obtain such information, a questionnaire study with an adequate response rate is impe...

Authors: H. Goei, B. F. M. Wijnen, S. Mans, M. A. C. de Jongh, C. H. van der Vlies, S. Polinder, N. E. E. van Loey and M. E. van Baar

Sodium variability is associated with increased mortality in severe burn injury

Dysnatremias are associated with increased mortality in critically ill patients. Hypernatremia in burn patients is also associated with poor survival. Based on these findings, we hypothesized that high plasma ...

Authors: Soman Sen, Nam Tran, Brian Chan, Tina L. Palmieri, David G. Greenhalgh and Kiho Cho

Pediatric inhalation injury

Smoke inhalation injury can cause severe physiologic perturbations. In pediatric patients, these perturbations cause profound changes in cardiac and pulmonary physiology. In this review, we examine the patholo...

Authors: Soman Sen

Topical antimicrobial agents for pediatric burns

While topical antimicrobial agents are indicated for most if not all burn wounds, the choice of a topical agent must consider many factors such as the wound depth, anticipated time to healing, need for surgica...

Authors: Robert Cartotto

Considerations for pediatric burn sedation and analgesia

Burn patients experience anxiety and pain in the course of their injury, treatment, and recovery. Hence, treatment of anxiety and pain is paramount after burn injury. Children, in particular, pose challenges i...

Authors: Alice Fagin and Tina L. Palmieri

The emergence of multidrug-resistant clone ST664 Pseudomonas aeruginosa in a referral burn hospital, Isfahan, Iran

Authors: Hamid Vaez, Hajieh Ghasemian Safaei and Jamshid Faghri

A prospective analysis of risk factors for pediatric burn mortality at a tertiary burn center in North India

None of the available mortality predicting models in pediatric burns precisely predicts outcomes in every population. Mortality rates as well as their risk factors vary with regions and among different centers...

Authors: Amol Dhopte, Rahul Bamal and Vinay Kumar Tiwari

The influence of sex steroid hormones on the response to trauma and burn injury

Trauma and related sequelae result in disturbance of homeostatic mechanisms frequently leading to cellular dysfunction and ultimately organ and system failure. Regardless of the type and severity of injury, ge...

Authors: K Al-Tarrah, N Moiemen and JM Lord

Pediatric burn resuscitation: past, present, and future

Burn injury is a leading cause of unintentional death and injury in children, with the majority being minor (less than 10%). However, a significant number of children sustain burns greater than 15% total body ...

Authors: Kathleen S. Romanowski and Tina L. Palmieri

Children are not little adults: blood transfusion in children with burn injury

Blood transfusion in burns larger than 20% total body surface area (TBSA) are frequent due to operative procedures, blood sampling, and physiologic response to burn injury. Optimizing the use of blood transfus...

Authors: Tina L. Palmieri

Comparison of ISS, NISS, and RTS score as predictor of mortality in pediatric fall

Studies to identify an ideal trauma score tool representing prediction of outcomes of the pediatric fall patient remains elusive. Our study was undertaken to identify better predictor of mortality in the pedia...

Authors: Kapil Dev Soni, Santosh Mahindrakar, Amit Gupta, Subodh Kumar, Sushma Sagar and Ashish Jhakal