Dear Sir, Surgical protocols were introduced by the Adult Burn Service, Royal Adelaide Hospital, in early 2005,1 documenting both instructions and techniques. Underlying these protocols is the need for expeditious burn excision. Where lower airway inhalation injury coexists, there appears to be a “surgical window” that opens at the time of the burn injury and closes 48 to 72 hours later. Althou...

Pressure ulcers on heels are a serious problem in nursing home patients and can lead to complications. Current clinical guidelines recommend leaving dry heel eschar intact, but the evidence for this recommendation is largely based on expert opinion and not always followed. To examine outcomes of heel pressure ulcers in nursing home patients, a retrospective study was conducted by reviewing the ...

OBJECTIVE The authors present the novel use of a new generation surgical ablative tool known as the WoundWand. METHODS A 66-year-old woman presented with 18% deep-dermal and full-thickness burns affecting the left side of her body including the total left upper limb, abdomen, and left thigh following lighting a cigarette in bed while on home oxygen therapy. She underwent tangential excision o...

Introduction Scrub typhus, also known as tsutsugamushi disease, is an acute febrile illness caused by infection with Orientia tsutsugamushi and characterized by focal or disseminated vasculitis and perivasculitis, which may involve the lungs, heart, liver, spleen, and central nervous system (1,2,3).The symptoms are usually mild and the clinical course selflimited, with spontaneous recovery afte...