Profile of patients hospitalized in a burn treatment center in northern Paraná

Abstract Introduction Deep soft tissue defects next to the joints can rapidly lead to irreversible damages and have to be covered urgently and effectively. In severely burned patients the usual approach is to use a flap even though it has its limitations in regards to the extent of the burn and the general condition of the patient. Case report A twenty seven-year-old male was admitted at the Burn Treatment Center for a thermic burn of seventy-two percent of his body surface area. At first he has benefited from several skin grafts and later on a major open right elbow had to be treated urgently to rescue the joint. Results After the burn, a revascularization of the donor site was noticed, sufficient to use the radial forearm pedicled flap as a cover for the elbow. This case reports an innovative approach based on the use of an irrigation and drainage system placed underneath the flap. The elbow was rigidly immobilized with an external fixator in order to facilitate an optimal healing of the flap. Conclusion In this case, the choice of this flap, combined with the irrigation and drainage system and the immobilization by external fixation, provided an original and efficient treatment. Post operatively the healing of the flap and of the donor site was complete. The functional results exceeded the expectations with a complete recovery of the joint amplitude. Thus, in case of no other therapeutic options, it is probably possible to use a variety of flaps recently healed.

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Uso do nitrato de cério associado ao colágeno e alginato de cálcio no tratamento das queimaduras: uma série de casos

Revista Enfermagem Atual In Derme ◽

10.31011/reaid-2016-v.78-n.16-art.364 ◽

2019 ◽

Vol 78 (16) ◽

Author(s):

José Aldari Lima ◽

Roberta Araújo Montana

Keyword(s):

Rio De Janeiro ◽

Tissue Repair ◽

Healing Process ◽

Clinical Signs ◽

Repair Process ◽

Treatment Center ◽

Innovative Technology ◽

Burn Treatment ◽

Bovine Collagen ◽

Specialized Care

Introdução: O tratamento das queimaduras é considerado um grande desafi o para os profi ssionais da área de saúde.Cada vez mais, a indústria produz e disponibiliza para o mercado novos produtos com tecnologia inovadora paratratamento de lesões, que permitem redução do número de trocas dos curativos e da dor, maior conforto e queaceleram o processo de reparo tecidual da pele. O objetivo deste estudo foi avaliar o processo de reparo tecidualde queimaduras de 2º grau superfi cial e intermediário em uso de um curativo biológico composto por nitrato decério, colágeno bovino e alginato de cálcio. Método: Trata-se de uma série de seis casos. A coleta de dados foirealizada de dezembro de 2013 a maio de 2014, por médicos e enfermeiros do Centro de Tratamento de Queimadosde um hospital municipal do Rio de Janeiro/RJ. Resultados: Em todos os casos acompanhados as queimadurasapresentaram melhora no processo de reparo tecidual e da dor e não foram evidenciados sinais clínicos de infecçãodurante as trocas de curativos. Conclusão: O uso de um curativo biológico e de alta tecnologia, aliado ao cuidadoespecializado do paciente queimado, trazem mais benefícios para o processo de cicatrização da queimadura e paraa saúde do paciente.Descritores: Queimaduras; Cicatrização; Ferimentos e Lesões. ABSTRACTIntroduction: Burns treatment is still a major challenge for health professionals. Increasingly, industry producesand provides to the market, new products with innovative technology for the treatment of lesions that enablereduction in the number of dressing changes and pain, increase comfort and accelerate the skin tissue repairprocess. The aim of this study was to evaluate the tissue repair process of superfi cial and intermediate 2nddegree burns with the use of a biological dressing composed of cerium nitrate, bovine collagen and calciumalginate. Method: This is a series of 06 cases. Data collection was conducted from December 2013 to May 2014by doctors and nurses from the Burn Treatment Center of a Rio de Janeiro Municipal Hospital. Results: In allcases followed, burns showed improvement in tissue repair process and pain and have not shown clinical signs ofinfection during dressing changes. Conclusion: We conclude that the use of a high technology biological dressingcombined with burned patients specialized care, brings greater benefi ts to the healing process of burns and alsofor patient health.Keywords: Burns; Wound Healing , Wounds and Injuries

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Modelling buccopharyngeal droplet dispersion in an intensive care unit for Covid patients

10.5194/egusphere-egu21-7187 ◽

2021 ◽

Author(s):

Martin Ferrand ◽

Mathieu Guingo ◽

Christian Beauchêne ◽

Maurice Mimoun ◽

Jean-Pierre Minier

Keyword(s):

Intensive Care ◽

Droplet Diameter ◽

Fluid Velocity ◽

Treatment Center ◽

Time Duration ◽

Burn Treatment ◽

Treatment Protocols ◽

Langevin Model ◽

Resuscitation Room ◽

Airborne Contamination

Faced with the first Covid-19 epidemic wave in France, the hospital sector has been forced to considerably increase the number of intensive care beds. To meet this crucial need, some hospital structures have been adapted. This is the case with one of the intensive care sectors of the Burn Treatment Center (CTB) at Saint-Louis Hospital, which has intensive care rooms dedicated to treat burn patients. Beyond the provision and adaptation of these care structures to Covid patients, the hospital has currently an imperative need to progress on the understanding of the dispersion of buccopharyngeal droplets which constitute one of the risk vectors of airborne transmission and as a corollary of manual transmission.As part of a partnership between CTB and the EDF Foundation, a CEREA research team provided the hospital with its aeraulics expertise which mainly relies on the digital modelling tool (CFD) code_saturne developed for more than 20 years by EDF-Research and Development. Numerical modelling in fluid mechanics makes it possible to accurately reproduce an architectural ensemble, to describe the air flows and what they carry, and thus to better understand where the risks of airborne contamination lie.The objective of the study is to understand the dispersion of the buccopharyngeal droplets in the resuscitation room according to their sizes, identify the areas at risk of deposit, adapt the treatment protocols and optimise the level and the frequency of systematic bio-cleaning of surfaces exposed to deposit of oral-pharyngeal droplets. It should be noted that we are not directly dealing with the spread of the covid-19 virus but with one of the potential vehicles of oral-pharyngeal droplets.The methodology consist of a parametric study of poly-dispersion of classes of particles. Each class correspond to a droplet diameter and contains one million of independent droplets for which a Generalized Langevin Model is solved to calculate the instantaneous fluid velocity seen from the particle, the particle velocity and its position. These particles are carried by a turbulent flow using the Reynolds Averaged Navier-Stokes approach, calculating only moments. The specific characteristics of this model allow dealing with poly-dispersed two-phase flow even for particles with very small diameters. The studied parameters are the angle of droplet ejection, the volume of humid air ejected and the time duration of this event and the air flowing activation of the room.Expected conclusions are found: the largest particles sediment the fastest and close to the source, the finest droplets follow the streamlines to the air vents. In addition, non-intuitive areas of potential deposit are observed and a major impact of air conditioning on residence time is demonstrated.<img src="https://contentmanager.copernicus.org/fileStorageProxy.php?f=gnp.b43390093fff52971650161/sdaolpUECMynit/12UGE&app=m&a=0&c=4345eb35e27ea319150c5cf3afab9d44&ct=x&pn=gnp.elif&d=1" alt="">

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Pomoc przedszpitalna u oparzonych

Chirurgia Plastyczna i Oparzenia / Plastic Surgery & Burns ◽

10.15374/chpio2020014 ◽

2020 ◽

Vol 8 (4) ◽

pp. 103-114

Author(s):

Ryszard Mądry ◽

Jerzy Strużyna ◽

Tomasz Korzeniowski ◽

Aleksandra Winiarska

Keyword(s):

Burn Injury ◽

Prehospital Care ◽

Patient Treatment ◽

Treatment Center ◽

Hospital Treatment ◽

Burn Treatment ◽

Treatment Protocols ◽

Severe Burns ◽

Comprehensive Therapy ◽

Initial Care

Advancements in burn treatment, in the last decades, resulted in a reduction of mortality among burn victims. Increased funding and the creation of regional burn treatment facilities focused on comprehensive therapy of severe burns resulted in improvement of treatment outcomes. Effective functioning and usage of resources in burn centers depends on the organization of prehospital care, proper segregation of patients, triage and prompt transfer to a place where highly specialized care is available. Initial care of a burn injury patient includes actions taken by witnesses of the event and by the emergency medical team during transfer to the emergency department. After evaluating and stabilizing the patient, a decision is made whether or not he should be treated at a specialized burn treatment center to which he may be transferred by land or by air. This paper presents burn patient treatment protocols at each of the following stages: at the burn scene, during transportation, initial hospital treatment and criteria for referring the patient to a burn treatment center.

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Compartilhando olhares sobre a terapia ocupacional em um centro de tratamento de queimados / Sharing views about occupational therapy at a burn treatment center

Revista Interinstitucional Brasileira de Terapia Ocupacional - REVISBRATO ◽

10.47222/2526-3544.rbto14956 ◽

2018 ◽

Vol 2 (2) ◽

pp. 382-397

Author(s):

Manuella Matos de Azevedo ◽

Ivana Monique Corpes Castro

Keyword(s):

Occupational Therapy ◽

Multidisciplinary Team ◽

Phenomenological Approach ◽

Occupational Therapist ◽

Treatment Center ◽

Burn Treatment ◽

Multiprofessional Team ◽

Unified Health System ◽

Professional Recognition ◽

Qualitative Phenomenological

No Brasil, a Terapia Ocupacional sempre esteve ligada ao contexto hospitalar, e através dos tempos veio se consolidando como profissão da área da saúde que busca por meio do fazer humano o tratamento de diversas patologias com intuito principal de devolver a funcionalidade do indivíduo, porém, segue em busca de maior reconhecimento profissional. Por ainda estar em busca do seu valimento, este estudo intenta analisar as percepções acerca do terapeuta ocupacional na visão da equipe multidisciplinar. Esta pesquisa tem uma abordagem qualitativa fenomenológica do tipo descritiva exploratória, sendo desenvolvida com a equipe multiprofissional do Centro de Tratamento de Queimados do Hospital Metropolitano de Urgência e Emergência. Por meio das falas expostas percebe-se que, mesmo valorizado, pouco se entende do propósito do terapeuta ocupacional, porém, ainda foi evidenciado um olhar mais abrangente da prática deste profissional. Desta forma, refletiu-se sobre a necessidade de os terapeutas ocupacionais buscarem seu lugar junto a equipe do Sistema Único de Saúde, ressaltando sua importância no tratamento do queimado, e de se fazerem reconhecidos perante a equipe multidisciplinar. AbstractIn the Brazilian context Occupational Therapy is always linked to the hospital context, has been consolidating itself through the times as a profession in the health area that seeks return the individual's functionality but continues in search of greater professional recognition. Still searching of your validity, this study tries to analyze the perceptions about the occupational therapist in the view of the multidisciplinary team. This research has a qualitative phenomenological approach of the exploratory descriptive type, being developed with the multiprofessional team of the Centro de Tratamento de Queimados of the Hospital Metropolitano de Urgência e Emergência, Brasil. Through the spoken lines, it was perceived that, even when valued, little is known about the purpose of the occupational therapist, but a more comprehensive look has been evidenced than it is. However there is need for occupational therapists to seek their place with the minimum team of the Unified Health System, emphasizing its importance in the treatment of burnt and to make themselves recognized by the multidisciplinary team was reflected.Keywords: Hospitalization; Occupational therapy; Burn units.

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Use of Tilapia Skin as a Xenograft for Pediatric Burn Treatment: A Case Report

Journal of Burn Care & Research ◽

10.1093/jbcr/irz085 ◽

2019 ◽

Vol 40 (5) ◽

pp. 714-717 ◽

Cited By ~ 9

Author(s):

Bruno Almeida Costa ◽

Edmar Maciel Lima Júnior ◽

Manoel Odorico de Moraes Filho ◽

Francisco Vagnaldo Fechine ◽

Maria Elisabete Amaral de Moraes ◽

...

Keyword(s):

Low Cost ◽

Total Body Surface Area ◽

Morphological Structure ◽

Treatment Center ◽

Burn Treatment ◽

Partial Thickness ◽

Institutional Review ◽

Partial Thickness Burn ◽

The Face ◽

Pediatric Burns

Abstract Burns represent the fifth most common cause of nonfatal childhood injuries in the world. The Nile tilapia skin (Oreochromis niloticus) is widely available in Brazil and demonstrated, in previous studies, noninfectious microbiota, morphological structure similar to that of human skin, and good outcomes when used as a xenograft for treatment of experimental burns in rats. A 3-year-old boy was admitted to a burn treatment center in Fortaleza, Brazil, with scalds in the left side of the face, neck, anterior thorax, abdomen, and left arm. Involvement of 18% of total body surface area with superficial partial thickness burns was calculated. After local Institutional Review Board approval and written permission from the patient’s legal caregiver were obtained, application of tilapia skin as an occlusive dressing was performed. Good adherence of tilapia skin to the wound bed was detected. The patient was discharged from the hospital with a total of 10 days required for the complete re-epithelialization of his superficial partial thickness burn. No adverse effects were noted. We believe that further studies conducted by our researchers will allow this innovative, low-cost, widely available and easy to apply biomaterial to firm itself as a relevant option in the therapeutic arsenal of pediatric burns, producing significant social and financial impact for the health system.

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Toward an Ideal Burn Treatment Center

Annals of Plastic Surgery ◽

10.1097/00000637-197904000-00001 ◽

1979 ◽

Vol 2 (4) ◽

pp. 271-272

Author(s):

Hugh A. Johnson

Keyword(s):

Treatment Center ◽

Burn Treatment

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VIRTUAL REALITY AS COMPLEMENTARY TREATMENT IN PAIN RELIEF IN BURNT CHILDREN

Texto & Contexto - Enfermagem ◽

10.1590/10.1590/1980-265x-tce-2018-0277 ◽

2020 ◽

Vol 29 ◽

Author(s):

Soliane Scapin ◽

Maria Elena Echevarría-Guanilo ◽

Paulo Roberto Boeira Fuculo Junior ◽

Andreia Tomazoni ◽

Natália Gonçalves

Keyword(s):

Heart Rate ◽

Virtual Reality ◽

Oxygen Saturation ◽

Treatment Center ◽

Clinical Parameters ◽

Southern Brazil ◽

Complementary Treatment ◽

Burn Treatment ◽

Nursing Team ◽

Larger Sample

ABSTRACT Objective: to report the use of virtual reality and its effects on clinical parameters, pain and its consequences in the treatment of two burned children in a Burn Treatment Center in southern Brazil. Method: case report on the use of virtual reality in two burned children treated at a reference burn treatment center in southern Brazil. Data were collected from January to February 2017, using the variables: pain, distraction, clinical parameters (heart rate and oxygen saturation) and analgesic medications. The measurements were carried out in five occasions and the intervention was applied for three days. The reports and reactions of children, guardians and the nursing team were also registered. Results: the use of virtual reality during dressings reduced the pain between two to four points on the scale used; oxygen saturation remained between 96 and 98%; heart rate decreased after the intervention. The children reported having fun, less time thinking about pain and were more collaborative during the procedure. Conclusion: this technology is innovative in the treatment of burned children and proved to be effective for the analyzed variables. New clinical studies with a larger sample are needed in the Brazilian context to contribute to these findings.

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The Effects of Providing Lavender Inhalation Therapy on Anxiety and Alleviation of Pain before Burn Dressings

Journal of Korean Academy of Fundamentals of Nursing ◽

10.7739/jkafn.2020.27.1.29 ◽

2020 ◽

Vol 27 (1) ◽

pp. 29-39

Author(s):

Kyung Ja Kim ◽

Jihyun Kim ◽

Gye Seon Jeong

Keyword(s):

Blood Pressure ◽

Diastolic Blood Pressure ◽

Vital Signs ◽

Inhalation Therapy ◽

Treatment Center ◽

Control Group ◽

Burn Patients ◽

Burn Treatment ◽

Exact Test ◽

Experimental Group

Purpose: This study was conducted to examine the effect of aroma inhalation therapy with Lavender for burn patients during burn dressings: anxiety, pain, rate of administration of analgesia and vital signs in burn patients.Methods: A quasi experimental design with a nonequivalent control group pretest-post test was used. Participants in this study were 58 burn patients who were admitted to a S city burn treatment center for burn dressing (28 in the experimental group and 30 in the control group) in S city. Data were collected from July 1, to September 30, 2012. The experimental group was provided the lavender inhale therapy (repeated for five breaths) 30 minutes before burn dressing. The data were analyzed using x2 test, Fisher’s exact test and an two sample t-test with SPSS/WIN 22.0.Results: There were significant differences in state anxiety (F=9.08, p=.004), diastolic blood pressure (F=6.57, p=.013), pain VAS (F=18.71, p<.001) in the experimental group compared to the control group.Conclusion: The findings of this study suggest that lavender inhale therapy is an effective method to reduce anxiety, diastolic blood pressure and pain during burn dressings.

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VIRTUAL REALITY AS COMPLEMENTARY TREATMENT IN PAIN RELIEF IN BURNT CHILDREN

Texto & Contexto - Enfermagem ◽

10.1590/1980-265x-tce-2018-0277 ◽

2020 ◽

Vol 29 ◽

Author(s):

Soliane Scapin ◽

Maria Elena Echevarría-Guanilo ◽

Paulo Roberto Boeira Fuculo Junior ◽

Andreia Tomazoni ◽

Natália Gonçalves

Keyword(s):

Heart Rate ◽

Virtual Reality ◽

Oxygen Saturation ◽

Treatment Center ◽

Clinical Parameters ◽

Southern Brazil ◽

Complementary Treatment ◽

Burn Treatment ◽

Nursing Team ◽

Larger Sample

ABSTRACT Objective: to report the use of virtual reality and its effects on clinical parameters, pain and its consequences in the treatment of two burned children in a Burn Treatment Center in southern Brazil. Method: case report on the use of virtual reality in two burned children treated at a reference burn treatment center in southern Brazil. Data were collected from January to February 2017, using the variables: pain, distraction, clinical parameters (heart rate and oxygen saturation) and analgesic medications. The measurements were carried out in five occasions and the intervention was applied for three days. The reports and reactions of children, guardians and the nursing team were also registered. Results: the use of virtual reality during dressings reduced the pain between two to four points on the scale used; oxygen saturation remained between 96 and 98%; heart rate decreased after the intervention. The children reported having fun, less time thinking about pain and were more collaborative during the procedure. Conclusion: this technology is innovative in the treatment of burned children and proved to be effective for the analyzed variables. New clinical studies with a larger sample are needed in the Brazilian context to contribute to these findings.

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