As a result of continuous development in the treatment of burns, the LD50 (the burn size lethal to 50% of the population) for thermal injuries has risen from 42% total body surface area (TBSA) during the 1940s and 1950s to more than 90% TBSA for young thermally injured patients. This vast improvement in survival is due to simultaneous developments in critical care, advancements in resuscitation...

Abstract Introduction Nutritional support is an integral part of Burns management. Local guidelines for malnutrition screen are available at Southmead Hospital. Aim Audit was aimed compliance all admissions to “Adult Unit” the local guidelines. Method A retrospective data baseline and weekly collected analysed 106 patients between April August 2017. These findings were compared following guidel...

Abstract Aim The aim of this study was to look at the teaching and knowledge plastic surgery emergencies referral criteria in medical students from 3rd 5th year. Method 400 were sent a survey via email invited participate 278 replied (69.7%). Students asked 20 questions including demographics, if they interested surgery/ED, had B+P what type, there clinical exposure, how classify TBSA factors d...

BACKGROUND In practice, current burn resuscitation formulas, designed to estimate 24-hour fluid resuscitation needs, provide only a starting point for resuscitation. To simplify this process, we devised the "rule of 10" to derive the initial fluid rate. METHODS We performed an in silico study to determine whether the rule of 10 would result in acceptable initial fluid rates for adult patients...

Background 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 sodium variability is a marker for increased mortality in severely burn-injured patients. Methods We performed a retrospective review of adult burn patients with a burn injury...

BACKGROUND Resuscitation fluid rates following burn are currently guided by a weight and burn size formulae, then titrated to urine output. Traditionally, 24h resuscitation is reported as volume of resuscitation received without direct consideration for the physiologic response. We propose an input-to-output ratio to describe the course of burn resuscitation and predict eventual outcomes. MET...

Abstract Introduction Early wound coverage remains one of the most essential variables influencing survival extensively burned patients, especially with a total surface area (TBSA) more than 50%. In patients limited donor sites, techniques such as e.g. Meek micrograft procedure or cultured epidermal allografts have proven to be viable methods. this systematic review (SR) and meta-analysis (MA) ...

background advances in the care of burn injuries have resulted from the efforts of regional patient-based specialist teams at burn care centers. objectives we conducted this study to assess the four-year epidemiology of burn injuries in rasht, iran. materials and methods in this cross-sectional study, medical records of 2274 burn patients, treated at velayat hospital from january 2007 to decemb...

PURPOSE To elucidate the manifestations of ocular injuries in the colored corn starch dust explosion at a Taiwan water park. METHODS This is a retrospective, non-comparative, consecutive-interventional case series. Fifty explosion-injury patients on 27 June 2015 treated at Chang-Gung Memorial Hospital, Linkou, were included. Thorough ophthalmic examinations were based on emergent triage and c...

INTRODUCTION The skin protects against fluid and electrolyte loss. Burn injury does affect skin integrity and protection against fluid loss is lost. Thus, a systemic dehydration can be provoked by underestimation of fluid loss through burn wounds. PURPOSE We wanted to quantify transdermal fluid loss in burn wounds. METHOD Retrospective study. 40 patients admitted to a specialized burn unit ...