scholarly journals Management of Airways through Rapid Tracheostomy in a Severely Burnt Patient Attended to via Helicopter

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Orazio Stefano Giovanni Filippelli ◽  
Anna Maria Giglio ◽  
Simona Paola Tiburzi ◽  
Maria Teresa Archinà ◽  
Ercole Barozzi ◽  
...  
Keyword(s):  
Airway Management ◽  
Adult Male ◽  
Regional Level ◽  
Medical Team ◽  
Air Ambulance ◽  
Documented Case ◽  
Burn Center ◽  
Severe Burns ◽  
Emergency Tracheostomy ◽  
Major Burn

In Catanzaro, Italy, an adult male with severe burns all over his body and in a state of coma was promptly rescued by the medical team at the air ambulance service (HEMS), who provided airway safety through laryngeal mask placement (LMA). The patient was subsequently transferred to the nearest Hub center, where an emergency tracheostomy was performed to ensure better airway management during the flight to the nearest available major burn center. This is the first documented case at regional level of a patient undergoing rapid tracheostomy through an imminent transfer with air ambulance.

scholarly journals Epidemiological Investigation of Elderly Patients with Severe Burns at a Major Burn Center in Southwest China

2020 ◽  
Vol 26 ◽  
Author(s):  
Wensheng Wang ◽  
Junhui Zhang ◽  
Yanling Lv ◽  
Peng Zhang ◽  
Yuesheng Huang ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Southwest China ◽  
Epidemiological Investigation ◽  
Burn Center ◽  
Severe Burns ◽  
Major Burn

Wound management and outcome of 595 electrical burns in a major burn center

2017 ◽  
Vol 214 ◽  
pp. 182-189 ◽  
Author(s):  
Haisheng Li ◽  
Jianglin Tan ◽  
Junyi Zhou ◽  
Zhiqiang Yuan ◽  
Jiaping Zhang ◽  
...  
Keyword(s):  
Wound Management ◽  
Burn Center ◽  
Major Burn ◽  
Electrical Burns

Successful Use of Extracorporeal Membrane Oxygenation Therapy in Patients With 80% Full Thickness Burns

2020 ◽  
Author(s):  
Jack Rasmussen ◽  
Mete Erdogan ◽  
Osama Loubani ◽  
Robert S Green
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Prone Position ◽  
Full Thickness ◽  
Burn Care ◽  
Membrane Oxygenation ◽  
Severe Burns ◽  
First Case ◽  
Major Burn ◽  
Ecmo Therapy ◽  
Burn Patient

Abstract Despite advances in burn care, mortality in adult patients with extensive burn injuries remains a concern, particularly in those who develop concurrent acute respiratory distress syndrome (ARDS). In cases of ARDS refractory to conventional treatments, venovenous extracorporeal membrane oxygenation (ECMO) may represent a viable salvage therapy, even in the major burn population. We present the case of a 38-year-old man with full thickness burns to over 80% of his body, who developed severe ARDS 4 days postburn. After failing to respond to deep sedation, paralysis, and proning, ECMO therapy was initiated to maintain oxygenation and ventilation. Over the next 14 days, while the patient was treated with ECMO, he successfully underwent three major operations to debride and allograft approximately 65% of his body surface area, including one in the prone position. ECMO therapy was discontinued on postburn day 18, and the patient had his wounds reconstructed and survived his injuries. To the best of our knowledge, this is the first report of a burn patient with such severe burns requiring surgical intervention that has been treated with ECMO and survived, and the first case of a burn patient on ECMO having surgery in the prone position. They conclude this case serves as a “proof of concept” that ECMO is a potential treatment for appropriately selected major burn patients with ARDS who fail to respond to other therapies.

746 Racial and Ethnic Disparities Among Burn Surgery Leadership

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S206-S206
Author(s):  
Francesco M Egro ◽  
Caroline E Kettering ◽  
Anisha Konanur ◽  
Alain C Corcos ◽  
Guy M Stofman ◽  
...  
Keyword(s):  
Group Representation ◽  
Minority Group ◽  
Ethnic Disparities ◽  
Full Professor ◽  
Academic Rank ◽  
H Index ◽  
Burn Care ◽  
Burn Center ◽  
Major Burn ◽  
Burn Surgery

Abstract Introduction The underrepresentation of racial and ethnic minority groups has existed and been well documented in general and plastic surgery literature but has not been described in burn surgery. The aim of this study is to evaluate current minority group representation among burn surgery leadership. Methods A cross-sectional study was performed in January 2019 to evaluate minority group representation among burn surgery leadership. Burn surgeons included were directors of American Burn Association (ABA)-verified burn centers in the US, past and current presidents of the ABA and International Society of Burn Injuries (ISBI), and editorial board members of five major burn journals (Journal of Burn Care & Research, Burns, Burns & Trauma, Annals of Burns & Fire Disasters, and the International Journal of Burns and Trauma). Surgeons were compared based on factors including age, gender, training, academic rank, and h-index. Results Among 71 burn center directors, 68 societal presidents, and 197 journal editors, minority ethnic groups represented 18.3, 7.4, and 34.5 percent, respectively. Among US burn center directors, the group classified collectively as non-white was significantly younger (white = 56 years, non-white = 49 years; p< 0.01), graduated more recently (white = 1996, non-white = 2003; p < 0.01), and had a lower h-index (white = 17.4, non-white = 9.5; p < 0.05) than white colleagues. There were no significant differences in gender, type of residency training, advanced degrees obtained, and fellowships completed between white and non-white groups.The were no significant differences in the likelihood of white and non-white directors in academia to be full professor, residency or fellowship director, or chair of the department.When compared to the 2018 US National Census, burn unit directors had a 5.1 percent decrease in non-white representation. Specifically, Asians had an 8.3 percent increase in representation, while there was a decrease in both Black (12.0%) and Hispanic (15.3%) representation. Conclusions Disparities in representation of ethnic and racial minorities exist in burn surgery leadership. The most extreme disparities were seen with Black and Hispanic surgeons. However, because these surgeons are younger and graduated more recently, it is promising that minority representation will continue to rise in the future. Applicability of Research to Practice Programs should be initiated in burn surgery that address the implicit biases of burn surgeons and increase mentorship opportunities for underrepresented minorities.

THE ADEQUACY OF LIMB ESCHAROTOMIES-FASCIOTOMIES AFTER REFERRAL TO A MAJOR BURN CENTER

1994 ◽  
Vol 37 (6) ◽  
pp. 916-920 ◽  
Author(s):  
Rebeccah L. Brown ◽  
David G. Greenhalgh ◽  
Richard J. Kagan ◽  
Glenn D. Warden
Keyword(s):  
Burn Center ◽  
Major Burn

scholarly journals Intracranial Capillary Hemangioma in the Posterior Fossa of an Adult Male

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Jordan Nepute ◽  
Jinping Lai ◽  
Yihua Zhou
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Posterior Fossa ◽  
Adult Male ◽  
Capillary Hemangioma ◽  
Rare Entity ◽  
Documented Case ◽  
Imaging Appearance

Intracranial capillary hemangioma (ICH) is a rare entity, with approximately 24 reported cases in the literature. There are only three reported cases of ICH in an adult male. In this case report, we describe the fourth documented case of ICH in an adult male and, to the best of our knowledge, the first ever documented case of ICH in the posterior fossa of an adult male. We also discuss its imaging appearance and differential diagnosis.

scholarly journals Burn center care reduces acute health care utilization after discharge: A population-based analysis of 1,895 survivors of major burn injury

Surgery ◽  
2017 ◽  
Vol 162 (4) ◽  
pp. 891-900 ◽  
Author(s):  
Stephanie A. Mason ◽  
Avery B. Nathens ◽  
James P. Byrne ◽  
Robert A. Fowler ◽  
Paul J. Karanicolas ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Burn Injury ◽  
Population Based ◽  
Care Utilization ◽  
Burn Center ◽  
Acute Health Care ◽  
Major Burn ◽  
Center Care

scholarly journals A case of burn evisceration with full-thickness injury to abdominal wall, bowel, bladder, and three extremities

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Davit Shahmanyan ◽  
Matthew T. Joy ◽  
Bryan R. Collier ◽  
Emily R. Faulks ◽  
Mark E. Hamill
Keyword(s):  
Small Bowel ◽  
Abdominal Wall ◽  
Damage Control ◽  
Electrical Injury ◽  
Full Thickness ◽  
Damage Control Laparotomy ◽  
Burn Center ◽  
Major Burn ◽  
Electrical Burns ◽  
Lower Abdominal Wall

Abstract Background Severe electrical burns are a rare cause of admission to major burn centers. Incidence of electrical injury causing full-thickness injury to viscera is an increasingly scarce, but severe presentation requiring rapid intervention. We report one of few cases of a patient with full-thickness electrical injury to the abdominal wall, bowel, and bladder. Case report The patient, a 22-year-old male, was transferred to our institution from his local hospital after sustaining a suspected electrical burn. On arrival the patient was noted to have severe burn injuries to the lower abdominal wall with evisceration of multiple loops of burned small bowel as well as burns to the groin, left upper, and bilateral lower extremities. In the trauma bay, primary and secondary surveys were completed, and the patient was taken for CT imaging and then emergently to the operating room. On exploration, the patient had massive full-thickness burns to the lower abdominal wall, five full-thickness burns to small bowel, and intraperitoneal bladder rupture secondary to full-thickness burn. The patient underwent damage-control laparotomy including enterectomies, debridement of bladder coagulative necrosis, and layered closure of bladder injury followed by temporary abdominal closure with vacuum dressing. The patient also underwent right leg escharotomy and partial right foot fasciotomies. The patient was subsequently transferred to the nearest burn center for continued resuscitation and comprehensive burn care. Conclusion Severe electrical burns can be associated with devastating visceral injuries in rare cases. Though uncommon, these injuries are associated with very high mortality rates. The authors assert that rapid evaluation and initial stabilization following ATLS guidelines, damage-control laparotomy, and goal-directed resuscitation in concert with transfer to a major burn center are essential in effecting a successful outcome in these challenging cases.

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