BACKGROUND Reports of burn injuries in children are usually made by highly specialized burn units. Our facility admits children with burns covering < 20% total body surface area, while those with major burns are transferred to burn units at tertiary care facilities. OBJECTIVES To review our experience with thermal burns. METHODS We conducted a retrospective review of all thermal burns admit...

OBJECTIVE We report clinical and functional outcomes obtained after application of an autologous bioengineered composite skin (ABCS) produced in a single Spanish tissue-engineering unit. MATERIALS/METHODS Twenty-five burned patients treated with ABCS from 1999 to 2007 in five burn centres were included in the study. Mean age was 29 years (SD 11), with mean total body surface area (TBSA) burne...

Hands are the most frequent sites of burn injury, complications after thermal hand injury include and proper management is essential to assure that optimal functional recovery is achieved. Although each hand represents less than 3% of the total body surface area, burns to the hand are considered serious injuries and should be referred to a burn center. The thin, highly mobile dorsal skin, the s...

OBJECTIVE This was a prospective, randomized, open-label study controlled by active comparator. The aim was to assess analgesic efficacy and overall tolerability of a burn treatment based on topic administration of unfractionated heparin. METHODS Fifty eight male or female patients were randomized for conventional treatment (group C) or topical heparin treatment (group TH). Ages of patients e...

BACKGROUND On January 31, 2009, a fuel tanker exploded in rural Kenya, killing and injuring hundreds of people. This article describes the care of >80 burn victims at a rural hospital in Kenya, Nakuru Provincial General Hospital, and provides lessons for care of a large number of burned patients in a resource-limited setting. METHODS Data were obtained from retrospective review from hospital ...

Albumin plays an important role in maintaining physiological homeostasis. Although decreased albumin concentration has been well described as an acute-phase response following injury, it is unclear whether the decrease is due to compromised synthesis of albumin, dilution, or imbalance between synthesis and breakdown rates, particularly after injury. We investigated changes in albumin synthesis ...

Introduction: We observed serum transthyretin (TTR) constantly maintained low even with adequate nutritional support if the patients’ general conditions are poor. We conducted this study to analyze the change of serum TTR with time from injury in massive burn patient and verify the validity of prediction of clinical outcome with serum TTR of early post-burn period. Methods: From January of 2005...

BACKGROUND Suicide is an action deliberately initiated and performed by a person with complete awareness of its fatal outcome, prevalence of which is very rare in developed countries, but it is reported with more frequency in Middle East including Iran. AIM This study was carried out to analyze the characteristics, mortality, and related factors of burned patients who attempted to suicide by ...

BACKGROUND Midazolam, a short-acting benzodiazepine, is administered preoperatively and intraoperatively for amnesia and anxiolysis. Subsequently, patients often do not recall events which occurred while they were sedated. Recent studies have also reported retrograde facilitation after midazolam exposure. Posttraumatic stress disorder PTSD is based on memory of a traumatic event. Because of the...

BACKGROUND The objective of this systematic review was to determine the effectiveness and safety of propranolol compared to placebo or usual care for improving clinical relevant outcomes in severely burned patients (TBSA >20%). METHODS Relevant articles from randomized controlled trials were identified by a literature search in MEDLINE, EMBASE, and CENTRAL. We included trials involving patien...