BACKGROUND Advances in burn care over the past 50 years have brought about remarkable improvement in mortality rates such that survival has become an expected outcome even in patients with extensive injuries. Although these improvements have occurred in all age groups, survival in older adults still lags far behind that in younger cohorts. This study determines the outcomes of older adults with...

Background: Non-accidental burns may not be detected unless a complete history of the accident and a detailed physical examination is obtained. Self-inflicted burns are a regular source of admission to burn units. Case presentation: An 11 year old boy with multiple localized burn injuries was brought to the emergency department of burn hospital by his mother. The lesions were in diff...

This article makes some introductory comments on the histology of the skin and the pathophysiology of burn injury as these topics pertain to the estimation of the depth of the burn injury. The definition of a major burn and the salient points of its treatment are covered. In addition, some general comments are made about several special injuries for which burn center referral usually is sought....

Introduction The systemic effect of inflammatory mediators release after severe burn is a severe cardiovascular dysfunction called burn shock. Patients need vasopressor infusion to maintain adequate delivery of oxygen but it could have deleterious effects on skin perfusion and worsen the burn depth. This shock could result from the interplay of the initial hypovolemia and the release of multipl...

Infection is a significant challenge in burn care, particularly for those patients who have major burn injuries. This article aims to review the literature and establish best practice in prevention and treatment of infection in patients with major burns. The article considers the causes and clinical features of wound infection, and examines systemic and local methods of prevention and treatment.

Quality is generally recognized to have three components: structure, process, and outcomes. The American Burn Association (ABA) has a long history of trying to improve quality of care for patients with burn injuries. Since its establishment by Dr. Irving Feller in the 1970s,1 the National Burn Information Exchange, a nascent database relying on punch cards submitted by participating burn center...

BACKGROUND To investigate factors related to prevention of self-immolation in west of Iran. METHODS In a case-control study, 30 consecutive cases of deliberate self-inflicted burns admitted to the regional burn centre (Imam Khomeini hospital in Kermanshah province, Iran) were compared with controls selected from the community and matched by sex, age, district-county of residence, and rural vs...

Anticipating functional outcomes of patients managed in an in-patient burn wound centre can help in advising patients and their families of prognosis as well as assist case managers in discharge planning. The records of 37 burn patients were reviewed; one patient expired and was removed from further analysis. Data were obtained regarding patient characteristics, types and locations of burns and...