scholarly journals Clinical management of electrical burns in the developing world: a case of electrical burn injury left untreated leading to amputation

2017 ◽  
pp. bcr2016218188
Author(s):  
Marcus Choong ◽  
Delia Chy ◽  
Jerric R Guevarra ◽  
Allen Ross
Keyword(s):  
Clinical Management ◽  
Developing World ◽  
Burn Injury ◽  
Electrical Burns

Inpatient Data of Occupational Burn Injuries Treated at a Tertiary Burn Center

2019 ◽  
Vol 41 (2) ◽  
pp. 398-401
Author(s):  
Abdulkadir Basaran ◽  
Ozer Ozlu
Keyword(s):  
Hospital Stay ◽  
Burn Injury ◽  
Health And Safety ◽  
Length Of Hospital Stay ◽  
Burn Injuries ◽  
Occupational Accidents ◽  
Cross Sectional ◽  
Work Related ◽  
Burn Center ◽  
Electrical Burns

Abstract Occupational burns are among the important causes of work-related injuries. We aimed to investigate the epidemiology and reasons of occupational burns and thereby to emphasize preventive measures. Between January 2017 and December 2018, the data of major occupational burn injury patients admitted to our burn center were evaluated in this cross-sectional retrospective study. During the study period 342 patients older than 16 years were admitted to the burn center. Among them 80 patients with occupational burns (23.4%) were identified. The mean age of the patients was 34.73 ± 12.3 years. Seventy-eight patients (97.5%) were male. Electrical burns and flame burns were the two leading type of occupational burns. The most common occupation of our patients was construction work. Dangerous behavior, carelessness, lack of protective equipment, and failure to follow instructions were causes of injury. Only 14 patients (17.5%) experienced unavoidable accident. Thirty-seven patients (46.3%) worked on temporary basis. Occupational experience was under 5 years in majority of the cases (62.5%). For the occupational burns the percentage of burned TBSA was 17.08 ± 14.5 (1–60) and the length of hospital stay was 23.94 ± 21.9 days (2–106). There were no significant differences between occupational and nonoccupational burn injuries considering TBSA, total length of hospital stay, and complications (P > .05). Occupational burn injuries are common in less experienced and younger workers. Therefore, recognition of the problem and maintaining awareness is important. In order to prevent occupational accidents and burns, occupational health and safety rules must be obeyed.

scholarly journals Electrical Burns and Their Treatment in a Tertiary Hospital in Albania

2018 ◽  
Vol 6 (5) ◽  
pp. 835-838
Author(s):  
Gentian Zikaj ◽  
Gezim Xhepa ◽  
Nardi Kola ◽  
Sokol Isaraj
Keyword(s):  
Burn Injury ◽  
Demographic Data ◽  
Electrical Current ◽  
Tertiary Hospital ◽  
Burn Injuries ◽  
Number Of Patients ◽  
Electrical Devices ◽  
Improper Use ◽  
Devices And Instruments ◽  
Electrical Burns

INTRODUCTION: The electrical current burns represent a very aggressive pathology that leaves many functional and aesthetic consequences.AIM: To evaluate the epidemiology of electrical burn injury and its associated complications and treatment.MATERIAL AND METHODS: Demographic data, aetiology, burn percentage and other measures related to electrical burn injury of 33 electrical burn patients in a tertiary hospital during the years 2015-2017.RESULTS: The mean age of patients is 31 (± 8.3) years old with a predominance of males (94%). The vast majority of injuries occurred at work (p < 0.01), superior extremities were more affected with hand (21.2%) and fingers (18.2%) being the main point of contact (p < 0.01). Muscular fasciotomy was performed in all patients who were treated surgically (n = 27), amputation was performed in 11 (40.7%) of cases, but amputated sites were more than the number of patients affected. Myoglobinuria (39.4%), cardio-respiratory distress (12.1%) contusion cerebri (6.1%), were the complication encountered in patients.CONCLUSIONS: Electrical burn injuries are still amongst the highest accident-related morbidities. Educating the population about the dangers and hazards associated with improper use of electrical devices and instruments is imperative.

857 Reconstruction of the Pediatric Upper Extremity Following High Voltage Electrical Burn Injury

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S266-S267
Author(s):  
Matthew A Depamphilis ◽  
Ryan Cauley ◽  
Farzin Sadeq ◽  
Robert Sheridan ◽  
Daniel N Driscoll
Keyword(s):  
Upper Extremity ◽  
High Voltage ◽  
Pediatric Patients ◽  
Burn Injury ◽  
Multidisciplinary Treatment ◽  
Small Surface ◽  
Term Function ◽  
Electrical Burns ◽  
Electrical Injuries

Abstract Introduction High voltage electrical burns are often associated with significant morbidity, posing great acute and delayed reconstructive challenges for plastic surgeons. As survival from these injuries increases, attention has been focused on improving quality of life post burn injury through restoration of sensory and motor function. However, due to the complexity of the upper extremity and its small surface area in pediatric patients, its reconstruction can be a very complex endeavor. Especially in pediatric patients that are still growing, ensuing great risk for upper extremity contracture and deformity. Methods A retrospective chart review was conducted on patients aged 0–18 years admitted to our institution with a high voltage electrical burn involving the upper extremity. The timeframe under study was 13 years from January 1st 2005 to December 1st 2018. This project was undertaken at our institution as an exempt project under 45 CFR 46.101 and, as such, it was not formally supervised by an Institutional Review Board. Results Out of the 68 electrical burns treated at our pediatric burn center, 58 involved the upper extremity. This further divides into 37 patients with high voltage and 31 patients with low voltage upper extremity electric burns. Of the 37 high voltage upper extremity patients, 35 underwent acute surgical management and 18 had delayed surgical reconstruction for the upper extremity. Conclusions The reconstructive techniques employed at our institution following severe electrical injuries typically follow a reconstructive ladder. The majority of chronic contractures in our series were successfully treated with either minimally invasive techniques such as laser and steroid infiltration, local tissue flaps, or release and skin grafting. Applicability of Research to Practice Multidisciplinary treatment of severe electrical injuries to the upper extremity is vital to optimizing a patient’s long-term function. Given the significant depth of injury in cases of electrical burns to the upper extremity the risk of developing contractures is relatively high. The expeditious treatment of secondary contractures is important to maximize a patient’s long-term function. The general treatment of contractures of the upper extremity should be based on the location and severity of the contracture, with considerations made for the patient’s reconstructive goals.

scholarly journals Analysis Of Rat Platelet Count After Electrical Exposure In Acute And Subacute Phase Of Burn Injury

2021 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Fransiska Nooril F P H ◽  
Ulfa Elfiah ◽  
Laksmi Indreswari ◽  
Desie Dwi Wisudanti
Keyword(s):  
Platelet Count ◽  
Burn Injury ◽  
Control Group ◽  
Subacute Phase ◽  
Severe Burns ◽  
Platelet Number ◽  
Important Health ◽  
Electrical Burns ◽  
Post Hoc ◽  
Health Burdens

Electrical burns are one of the causes of important health burdens throughout the world with incidences varying between 4 – 18% of all burns. In electrical burns, blood vessels are the heavily damaged tissue characterized by endothelial erosion, followed by adhesion and aggregation of platelet to form hemostatic plug. The screening test for assesing the formation of a hemostatic plug is platelet count. Platelet count monitoring is very important during the resuscitation phase and treatment periods in severe burns, namely in acute and subacute phase of burns. The purpose of this study is to determine and to analyze about the changes in platelet count of rat after electrical exposure in acute and subacute phase of burns. The control group in this study was not given electrical exposure and rat’s blood was taken directly after the adaptation process. In the other five groups, P1, P2, P3, P4 and P5 were exposed to 140 V for 17 seconds, then their blood was taken for platelet counts on days 0, 3, 7, 10 and 14 post-exposure. The result of this study based on Post Hoc LSD test showed that there was a change of platelet platelet number after exposure in acute phase of burn injury and there was no change of platelet platelet number after exposure in burning subacute phase.

Quantifying Burn Injury–Related Disability and Quality of Life in the Developing World

2019 ◽  
Vol 82 ◽  
pp. S433-S436 ◽  
Author(s):  
Heather A. McMahon ◽  
Idorenyin Ndem ◽  
Lauren Gampper ◽  
Thomas J. Gampper ◽  
Brent R. DeGeorge
Keyword(s):  
Quality Of Life ◽  
Developing World ◽  
Burn Injury

3 Early Acute Kidney Injury (AKI) Following Major Burns

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S5-S6
Author(s):  
George Ho ◽  
Alan D Rogers ◽  
Robert Cartotto
Keyword(s):  
Burn Injury ◽  
Kidney Injury ◽  
Major Complication ◽  
Inhalation Injury ◽  
Stage Iii ◽  
High Dose ◽  
Total Fluid Intake ◽  
Major Burn ◽  
Output Ratio ◽  
Electrical Burns

Abstract Introduction AKI is increasingly recognized as a major complication of burn injury. No studies have specifically examined early AKI in burn patients. The purpose of this study was to examine AKI that develops within the first 7 days of burn injury. Methods Retrospective review of adults with burns &gt; 20% TBSA admitted within 24 hours of injury to an adult regional ABA-verified burn center from 24/11/15 to 1/7/19. We excluded patients that died or who received palliation in the 1st 24 hours following the burn. AKI was defined using the Kidney Disease: Improving Global Outcomes (KDIGO) urine and serum creatinine (s-Cr)-based criteria. The day of burn was defined as day 0. The intake to output ratio in the 1st 24 hours (I:O) was defined as total fluid Intake (mL/kg/%TBSA burn) / urine output (mL/kg). Sepsis was defined using the ABA criteria. Values are presented as median (1st-3rd IQR). Results We included 85 patients with age 46 (31.5–57) yrs., %TBSA burn 30 (23.5–46.9), and 34% with bronchoscopy-confirmed inhalation injury. AKI developed in 53 cases (62.4%) at 0 (0–1) days (range 0–6 days) post burn. Baseline s-Cr was 0.94 mg/dL (0.78–1.24), and peaked at 1.33 mg/dL (1.08–2.24), (P&lt; 0.001). Distribution of AKI severity was 55% Stage I, 19% Stage II, 9% Stage III, and 17% Stage III requiring renal replacement therapy (RRT). No AKI cases had high voltage electrical burns, while 5 (9%) had sepsis and 5 (9%) were receiving vancomycin or an aminoglycoside prior to AKI onset. Comparison of AKI patients to NO AKI patients is shown in the table. High dose vitamin C resuscitation (HDVCR) had been utilized in 78% of the Stage III cases that required RRT. Compared to resuscitation using Ringers Lactate with or without 5% albumin (N= 61), HDVCR was used in 20 (38%) of AKI cases Vs. 4 (13%) of NO AKI cases (p=0.01). The I:O was 0.25 (0.16–0.46) in AKI and 0.19 (0.1–0.33) in NO AKI (p=0.04). Mortality was significantly higher in AKI than NO AKI (38% Vs. 9%, p=0.004) Conclusions Early AKI is highly prevalent following a major burn injury. Patients developing early AKI had significantly greater age, need for mechanical ventilation, and admission SOFA scores. HDVCR may be implicated in the development of early AKI. Applicability of Research to Practice Further study is required on HDVCR’s relationship to AKI.

scholarly journals Acute and Perioperative Care of the Burn-injured Patient

2015 ◽  
Vol 122 (2) ◽  
pp. 448-464 ◽  
Author(s):  
Edward A. Bittner ◽  
Erik Shank ◽  
Lee Woodson ◽  
J. A. Jeevendra Martyn
Keyword(s):  
Burn Injury ◽  
Injured Patient ◽  
Inhalation Injury ◽  
Lung Edema ◽  
Major Burn ◽  
Hypermetabolic State ◽  
Impaired Lung Function ◽  
Electrical Burns ◽  
Injured Patients ◽  
Airway Abnormalities

Abstract Care of burn-injured patients requires knowledge of the pathophysiologic changes affecting virtually all organs from the onset of injury until wounds are healed. Massive airway and/or lung edema can occur rapidly and unpredictably after burn and/or inhalation injury. Hemodynamics in the early phase of severe burn injury is characterized by a reduction in cardiac output and increased systemic and pulmonary vascular resistance. Approximately 2 to 5 days after major burn injury, a hyperdynamic and hypermetabolic state develops. Electrical burns result in morbidity much higher than expected based on burn size alone. Formulae for fluid resuscitation should serve only as guideline; fluids should be titrated to physiologic endpoints. Burn injury is associated basal and procedural pain requiring higher than normal opioid and sedative doses. Operating room concerns for the burn-injured patient include airway abnormalities, impaired lung function, vascular access, deceptively large and rapid blood loss, hypothermia, and altered pharmacology.

scholarly journals Magnitude of electric burns at a burn center in tertiary level hospital

2019 ◽  
Vol 51 (1-2) ◽  
pp. 29-34
Author(s):  
Md Tarikul Islam ◽  
Mizanur Rahman ◽  
SM Zulker Nayeem ◽  
Md Farid Uddin
Keyword(s):  
Functional Disability ◽  
Burn Injury ◽  
Electrical Power ◽  
Length Of Hospital Stay ◽  
Public Health Problem ◽  
Burn Injuries ◽  
Secondary Contact ◽  
Electrical Burns ◽  
Electric Burns ◽  
Electrical Injuries

Background: Burns are a public health problem throughout the world. Electrical injury is a major cause of burn injury which causes significant functional disability, disfigurement and mortality. In Bangladesh, the number of electrical injuries are increasing but they are typically underreported. Aims: This study was conducted to analyze the epidemiological variables of electrical burn injuries and identify preventable measures through them in Khulna region of Bangladesh. Methods: This descriptive study is a prospective analysis of patients suffering from electrical burns admitted at Burn and plastic surgery department from July 2017 to June 2018. The study population consists of 68 patients who sustained electrical injuries irrespective of age and time with cutaneous burns, admitted at this Center. Patients with electrocution but no electrical cutaneous burn injuries were excluded from this study. Results: Majority were males (77.94%) of working age and injuries were work related (52.94%) of which 32.36% were construction workers. The primary cause in majority of the cases (57.35%) was accidental direct contact with electric wire followed by secondary contact with electrical power lines by metal rods and electrification of different metallic equipments (42.64%). Most of the patients admitted were high voltage electrical injuries (54.42%). Among them 16.17% had severe electrical burns and 2.94% had associated traumatic injuries. There was a delay in time of injury to hospital admission, 35.29% arrived at the emergency room 8 or more hours after the injury. Most (63.24%) of the patients underwent surgery, majority of which had moderate to severe burns. Length of hospital stay was 3-102 days. Two patients (2.94%) died during this study period due to renal failure and septicaemia. Conclusion: Most of the electric burn patients acquired injury at working place and primary cause was direct or secondary contact with powerline. Immediate preventive measures should be taken to reduce the incidence of electric burns. Bang Med J (Khulna) 2018; 51 : 29-34

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