Summary: Specialized hospital facilities which provide intensive care for burn patients.
- Tarim A, Nursal T, Yildirim S, Noyan T, Moray G, Haberal M. Epidemiology of pediatric burn injuries in southern Turkey. J Burn Care Rehabil. 2005;26:327-30 pubmed..These findings will be used as a basis for developing targeted preventive programs to protect children from burns. We also consider it is necessary to educate children and their parents about the prevention of burn injuries. ..
- Church D, Elsayed S, Reid O, Winston B, Lindsay R. Burn wound infections. Clin Microbiol Rev. 2006;19:403-34 pubmed..Improved outcomes for severely burned patients have been attributed to medical advances in fluid resuscitation, nutritional support, pulmonary and burn wound care, and infection control practices. ..
- Berger M, Eggimann P, Heyland D, Chioléro R, Revelly J, Day A, et al. Reduction of nosocomial pneumonia after major burns by trace element supplementation: aggregation of two randomised trials. Crit Care. 2006;10:R153 pubmed..023). Enhancing trace element status and antioxidant defences by selenium, zinc, and copper supplementation was associated with a decrease of nosocomial pneumonia in critically ill, severely burned patients. ..
- Silver G, Freiburg C, Halerz M, Tojong J, Supple K, Gamelli R. A survey of airway and ventilator management strategies in North American pediatric burn units. J Burn Care Rehabil. 2004;25:435-40 pubmed..Pediatric burn patients may benefit from clinical trials that clarify the advantages and disadvantages of various ventilator modes, the use of cuffed tubes, and the timing of tracheostomy...
- Ramakrishnan K, Sankar J, Venkatraman J. Profile of pediatric burns Indian experience in a tertiary care burn unit. Burns. 2005;31:351-3 pubmed..There was no significant gender difference with respect to mortality. Large burn size and infection were the strongest predictors of mortality. ..
- Safdar N, Marx J, Meyer N, Maki D. Effectiveness of preemptive barrier precautions in controlling nosocomial colonization and infection by methicillin-resistant Staphylococcus aureus in a burn unit. Am J Infect Control. 2006;34:476-83 pubmed..Use of clean gloves, with or without a gown, bears consideration for all high-risk hospitalized patients to prevent cross transmission of all multiresistant nosocomial pathogens. ..
- Wang D, Sava J, Sample G, Jordan M. The Pentagon and 9/11. Crit Care Med. 2005;33:S42-7 pubmed..In case of a much larger number of critically injured patients, regional to national cooperation and transfer of patients should be considered. ..
- McManus A, Mason A, McManus W, Pruitt B. A decade of reduced gram-negative infections and mortality associated with improved isolation of burned patients. Arch Surg. 1994;129:1306-9 pubmed..These results suggest that, in patients with severe burn injuries, gram-negative infections and the related mortality can largely be prevented. ..
- Foglia R, Moushey R, Meadows L, Seigel J, Smith M. Evolving treatment in a decade of pediatric burn care. J Pediatr Surg. 2004;39:957-60; discussion 957-60 pubmed..This was due in large part to a shift to ABC and the use of PS. ..
- Palmer D, Stephens D, Fisher D, Spain B, Read D, Notaras L. The Bali bombing: the Royal Darwin Hospital response. Med J Aust. 2003;179:358-61 pubmed..The response was successful, but improvements are needed in coordination between the different groups involved in such operations. ..
- Bayat A, Shaaban H, Dodgson A, Dunn K. Implications for Burns Unit design following outbreak of multi-resistant Acinetobacter infection in ICU and Burns Unit. Burns. 2003;29:303-6 pubmed..Future design of Burn Units should aim to incorporate features to allow the management of all burns cases in one location with all intensive ..
- Windle E. Glutamine supplementation in critical illness: evidence, recommendations, and implications for clinical practice in burn care. J Burn Care Res. 2006;27:764-72 pubmed..However, to strengthen recommendations for routine therapy in burns, further research focusing on larger-scale enteral glutamine studies, parenteral glutamine supplementation, and long-term use of the substrate is necessary. ..
- Garrel D, Patenaude J, Nedelec B, Samson L, Dorais J, Champoux J, et al. Decreased mortality and infectious morbidity in adult burn patients given enteral glutamine supplements: a prospective, controlled, randomized clinical trial. Crit Care Med. 2003;31:2444-9 pubmed..aeruginosa, and may decrease mortality rate. It has no effect on level of consciousness and does not appear to influence phagocytosis by circulating polymorphonuclear cells. ..
- Spies M, Herndon D, Rosenblatt J, Sanford A, Wolf S. Prediction of mortality from catastrophic burns in children. Lancet. 2003;361:989-94 pubmed..This model included not only demographic variables, but also variables obtained throughout the hospital course. We aimed to prospectively validate our model for accuracy of outcome prediction...
- Selig H, Lumenta D, Konig C, Andel H, Kamolz L. Evaluation of the online-presence (homepage) of burn units/burn centers in Germany, Austria and Switzerland. Burns. 2012;38:444-9 pubmed publisher..However, little is known about the internet presence and the quality of websites of burn units on the World Wide Web...
- Pande K, Ishak H. Epidemiology of burns in a major referral hospital in Brunei Darussalam. Singapore Med J. 2012;53:124-7 pubmed..005). Scald burns sustained indoors are the most common across all age groups. Although the TBSA is small, a large number of children are affected. There is a need for burns prevention education programme in Brunei Darussalam. ..
- Franchitto N, Faurie C, Franchitto L, Minville V, Telmon N, Rouge D. Self-inflicted burns: the value of collaboration between medicine and law. J Forensic Sci. 2011;56:638-42 pubmed publisher..It is important for the forensic physician to consult survival details to correlate these data with the results of autopsy. ..
- Dahagam C, Mora A, Wolf S, Wade C. Diabetes does not influence selected clinical outcomes in critically ill burn patients. J Burn Care Res. 2011;32:256-62 pubmed publisher..Admission blood glucose is higher, and blood glucose is more difficult to control in diabetic burn ICU patients. A preexisting diagnosis of diabetes does not influence clinical outcomes in critically ill burn patients. ..
- Hodgman E, Saeman M, Subramanian M, Wolf S. The Effect of Burn Center Volume on Mortality in a Pediatric Population: An Analysis of the National Burn Repository. J Burn Care Res. 2016;37:32-7 pubmed publisher..Average annual admission rate had a significant but small effect on mortality when injury characteristics were considered. ..
- Busche M, Gohritz A, Seifert S, Herold C, Ipaktchi R, Knobloch K, et al. Trauma mechanisms, patterns of injury, and outcomes in a retrospective study of 71 burns from civil gas explosions. J Trauma. 2010;69:928-33 pubmed publisher..Despite comparable ABSI scores, the mortality from gas explosion-related burns was significantly higher than the mortality for all burn victims. ..
- Zhang L, Su F, Liu H, Wu X, Zhao H. [Survey on the distribution of burn pathogens and their antibiotic resistance in burn unit]. Zhonghua Shao Shang Za Zhi. 2007;23:349-51 pubmed..8%, 33.3%, respectively. Staphylococcus aureus, Pseudomonas aeruginosa, Acinetobacter species and Escherichia coli were predominant in the burn unit,among them Staphylococcus aureus and Acinetobacter were more resistant to antibiotics. ..
- Deng J, Wei L, Zou F, Si X, Liu G, Gao Y, et al. [Investigation of 728 strains of infectious bacteria in burn ward and analysis of their antibiotic resistance]. Zhonghua Shao Shang Za Zhi. 2007;23:420-3 pubmed..Twelve strains were fungi. Drug resistance to antibiotics in our burn ward may be related to the beta-lactamases from acinetobacter baumannii and multiple-drug-resistance of MRSA. ..
- Palmieri T. What's new in critical care of the burn-injured patient?. Clin Plast Surg. 2009;36:607-15 pubmed publisher..Future advances in the critical care of burns will require multicenter prospective trials at dedicated burn centers to define the optimal therapy for the patient who has burn injury. ..
- Landsleitner B, Keil J. [Burns and scalds in children]. Med Klin Intensivmed Notfmed. 2015;110:346-53 pubmed publisher..Induction of anesthesia and intubation are not required in the majority of cases. By applying a modified ABCDE scheme, all emergency teams can provide effective emergency care in children with burn injuries. ..
- Carloni R, Pechevy L, Quignon R, Yassine A, Forme N, Zakine G. [Electrical flash burns, about 33 cases. A 10-year retrospective study. Epidemiology, treatment and prevention]. Ann Chir Plast Esthet. 2015;60:123-30 pubmed publisher..Following simple rules of prevention would limit their morbidity. ..
- Sheridan R, Neely A, Castillo M, Shankowsky H, Fagan S, Chung K, et al. A survey of invasive catheter practices in U.S. burn centers. J Burn Care Res. 2012;33:741-6 pubmed publisher..Areas with particular variability that would be appropriate targets of clinical investigation are line rotation protocols, catheter site care protocols, and use of PICCs in acute burns. ..
- ..Despite the high mortality, once these patients survived the initial injury, they are unlikely to commit suicide again. Thus, we believe that aggressive resuscitation should therefore be advocated for all suicidal burn patients. ..
- Boers S, van Ess I, Euser S, Jansen R, Tempelman F, Diederen B. An outbreak of a multiresistant methicillin-susceptible Staphylococcus aureus (MR-MSSA) strain in a burn centre: the importance of routine molecular typing. Burns. 2011;37:808-13 pubmed publisher..The routine practice of molecular typing of collected S. aureus strains from both patients and HCWs will help to detect nosocomial spread in a burn centre, and opens the possibility of a rapid, almost pre-emptive response. ..
- Theodorou P, Phan V, Weinand C, Maegele M, Maurer C, Perbix W, et al. Suicide by burning: epidemiological and clinical profiles. Ann Plast Surg. 2011;66:339-43 pubmed publisher..Although the proportion of self-immolation victims among all burned patients is not high, the markedly higher severity of their burns and their poorer quality of outcomes makes them an important clinical subgroup for further study. ..
- Smith A, Murray D, McBride C, McBride Henry K. A comparison of nurses' and parents' or caregivers' perceptions during pediatric burn dressing changes: an exploratory study. J Burn Care Res. 2011;32:185-99 pubmed publisher..Such strategies should be implemented in collaboration with the burn multidisciplinary team. ..
- Mann E, Jones J, Wolf S, Wade C. Computer decision support software safely improves glycemic control in the burn intensive care unit: a randomized controlled clinical study. J Burn Care Res. 2011;32:246-55 pubmed publisher..Time in target range improved without increase in hypoglycemic events. CDSS enhanced consistency in practice, providing standardization among nursing staff. ..
- Altoparlak U, Koca O, Ozkurt Z, Akcay M. Incidence and risk factors of vancomycin-resistant enterococcus colonization in burn unit patients. Burns. 2011;37:49-53 pubmed publisher..The determined VRE colonization and risk factors of VRE acquisition are expected to be useful in establishing guidelines for preventing VRE infection in burn unit. ..
- Yurt R, Bessey P. The development of a regional system for care of the burn-injured patients. Surg Infect (Larchmt). 2009;10:441-5 pubmed publisher..Regionalization of burn care has been associated with care for patients in designated facilities in over 75% of the cases and a reduction in mortality by almost 50%. ..
- Jeng J. Growth rings of a tree: progression of burn care charges abstracted from a decade of the National Burn Repository. J Burn Care Res. 2007;28:659-60 pubmed
- Ottomann C, Hartmann B. [Wound care within an Interplast mission]. Unfallchirurg. 2009;112:738-41 pubmed publisher..This is in corresponds to the modern challenges of the OECD (Organisation for Economic Cooperation and Development) of development partnerships and global cooperation. ..
- Sever C, Kulahci Y, Uygur F, Sahin C. Frostbite injury of the foot from portable fire extinguisher. Dermatol Online J. 2009;15:10 pubmed..Frostbite burns are uncommon and their etiologies are varied. We present a case of sudden frostbite burn of the left foot caused by carbon dioxide. The circumstances of this injury and preventive measures are discussed...
- Macrino S, Slater H, Aballay A, Goldfarb I, Caushaj P. A three-decade review of thermal injuries among the elderly at a regional burn centre. Burns. 2008;34:509-11 pubmed..Thus discharge was often complicated. At our burn centre, survival among elderly people with burns has increased, probably as a result of more sophisticated medical, surgical and nursing care, as well as more extensive rehabilitation. ..
- Schweizer M, Ward M, Cobb S, McDanel J, Leder L, Wibbenmeyer L, et al. The epidemiology of methicillin-resistant Staphylococcus aureus on a burn trauma unit. Infect Control Hosp Epidemiol. 2012;33:1118-25 pubmed publisher..Patients were a major reservoir for MRSA. Infection control efforts should focus on preventing transmission of MRSA from patients who are MRSA carriers to other patients on the unit. ..
- Lewis G, Pham T, Robinson E, Otto A, Honari S, Heimbach D, et al. Pressure ulcers and risk assessment in severe burns. J Burn Care Res. 2012;33:619-23 pubmed publisher..However, low Braden scores do not necessarily correlate with eventual development of PU. Therefore, early and aggressive PU prevention and risk assessment tools must be used to diagnose PUs at an early and reversible stage. ..
- Gravante G, Montone A. A retrospective analysis of ambulatory burn patients: focus on wound dressings and healing times. Ann R Coll Surg Engl. 2010;92:118-23 pubmed publisher..Results of our retrospective study would suggest that paraffin gauzes are a valuable option in superficial burns, while silver-based dressings are preferable in deep burns. ..
- Kemalyan N. Invited critique: results of an internet survey on the treatment of partial thickness burns, full thickness burns, and donor sites. J Burn Care Res. 2007;28:848 pubmed
- Holmes W, Hold P, James M. The increasing trend in alcohol-related burns: it's impact on a tertiary burn centre. Burns. 2010;36:938-43 pubmed publisher..This highlights the growing burden of alcohol on health and the need to address it at both a national and regional level. ..
- Hale D, Cannon J, Batchinsky A, Cancio L, Aden J, White C, et al. Prone positioning improves oxygenation in adult burn patients with severe acute respiratory distress syndrome. J Trauma Acute Care Surg. 2012;72:1634-9 pubmed publisher..Mortality in this population remains high, warranting investigation into additional complementary rescue therapies. Therapeutic study, level IV. ..
- Hermans M. Results of an internet survey on the treatment of partial thickness burns, full thickness burns, and donor sites. J Burn Care Res. 2007;28:835-47 pubmed..Many respondents prefer "tried and true" materials over newer dressings, particularly if the latter have not been tested in a clinical trial. ..
- Oh J, Chung K, Allen A, Batchinsky A, Huzar T, King B, et al. Admission chest CT complements fiberoptic bronchoscopy in prediction of adverse outcomes in thermally injured patients. J Burn Care Res. 2012;33:532-8 pubmed publisher..7-fold increase in the incidence of the composite endpoint. Admission CT assists in predicting future lung dysfunction in burn patients...
- D Cruz R, Martin H, Holland A. Medical management of paediatric burn injuries: best practice part 2. J Paediatr Child Health. 2013;49:E397-404 pubmed publisher..This holistic approach seems optimally co-ordinated by a Burns Unit in which each discipline required to provide care to these children in order to achieve optimal outcomes is represented. ..
- Redstone L, Shepherd L, Bousfield C, Brooks P. An audit of patients' experiences and opinions concerning mirrors in a UK burns service. Burns. 2011;37:1248-54 pubmed publisher..In conclusion, concealable mirrors should be present in burns services but patients should be psychologically prepared about their presence. Protocols should be developed to provide optimal burn care. ..
- Weissman O, Israeli H, Rosengard H, Shenhar G, Farber N, Winkler E, et al. Examining disaster planning models for large scale burn incidents--a theoretical plane crash into a high rise building. Burns. 2013;39:1571-6 pubmed publisher..Based on the needs recognized during these past events, suggestions were made to enhance the preparedness of burn units, hospitals and national agencies as well as municipal authorities.
- Shi M, Zhao D, Wang Q, Cheng J, Ma T, Xu Y, et al. [Analysis of drug resistance and risk factors of Enterobacteriaceae in burn units]. Zhonghua Shao Shang Za Zhi. 2010;26:199-201 pubmed
- Delgado Pardo G, Moreno García I, Marrero F, Gomez Cia T. Psychological impact of burns on children treated in a severe burns unit. Burns. 2008;34:986-93 pubmed publisher..With respect to post-admission sequelae, no relevant results were obtained. ..