Academic literature on the topic 'Adult burn service'
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Journal articles on the topic "Adult burn service"
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Sreedharan, Sadhishaan, Hana Menezes, Heathe Cleland, and Stephen Goldie. "Petrol-related burn injuries presenting to the Victorian Adult Burns Service." Australasian Journal of Plastic Surgery 2, no. 2 (September 28, 2019): 28–32. http://dx.doi.org/10.34239/ajops.v2n2.153.
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Introduction: Burns fuelled by petrol are a major cause of injury in Australia and New Zealand. The same quality of explosive ignition that makes petrol so valuable as a fuel can cause injuries when handled carelessly or used for a purpose for which it was not intended.
Methods: This was a retrospective cohort study that examined the epidemiology of patients admitted to the Victorian Adult Burns Service (VABS) based at the Alfred Hospital, Melbourne. Data were extracted from the VABS Database on patients presenting over a seven-year period, between 1st July 2009 to 30th June 2016.
Results: During the study period, 378 out of 1927 burns (19.6%) admissions were related to petrol use. Males aged 20 – 29 years were most at risk, contributing to 25.4% of petrol related burn injuries. A large portion of burns, 31.0%, occurred during a leisure activity. The mean total body surface area burnt in this cohort was 19.3% and surgery was required in 70.4% of cases. Petrol related burns injuries is estimated to cost AU$ 5,484,834 annually and had a mortality rate of 7.4%.
Conclusion: Misuse of petrol contributed to a substantial injury burden to Victorians. Raising community awareness through preventive strategies targeted at high-risk groups of at-risk behaviours is warranted to reduce the incidence of petrol related burn injuries.
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Potter, Melissa, David Aaron, Rachel Mumford, and Lucy Ward. "An evaluation of clinical psychology input into burns multidisciplinary follow-up clinics." Scars, Burns & Healing 9 (January 2023): 205951312211410. http://dx.doi.org/10.1177/20595131221141083.
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Introduction Research highlights the complex psychological needs that patients and their families can face following a burn injury, regardless of the objective severity of the injury and often beyond the timeframe of physical healing. Identification of psychological needs at different stages post-burn recovery is therefore a key role of clinical psychologists working in burn care services. Method This paper presents audit data collected across a two-year period in routine paediatric and adult multidisciplinary team follow-up clinics in a UK burns service. 808 clinical contacts (331 adults, 477 paediatrics) were recorded. Data gathered related to the identification of patient and/or family psychological need and the level of psychology input within clinic. Results For 43% of adult patients and 46% of paediatric patients seen in clinic, some degree of psychological need for the patient and/or family was identified during the consultation. A large majority of concerns related directly to the burn injury. This is consistent with previous research into the psychological impact of burns. Even for patients with no identified psychological needs, psychology presence enabled the opportunity for brief screening, preventative advice or signposting to take place during clinic. Discussion A substantial number of individuals and families presented with some level of psychological concern in relation to a burn injury when attending burns multidisciplinary team follow-up clinics. Conclusion A substantial number of patients and families presented with psychological needs in relation to a burn injury when attending burns MDT follow-up clinics. The presence of Clinical Psychologists at burns MDT follow-up clinics is beneficial for the identification of burns and non-burns related psychological concerns and is a valuable use of psychological resources within a burns service. Lay Summary The Regional Burns Centre holds regular outpatient scar clinics to monitor recovery and healing. As well as the medical professionals, the clinics are joined by Clinical Psychologists who can assess, refer, and support individuals struggling with their burn or scarring on a mental level. Over 15 months, data was collected about patients attending the clinics and the involvement of the psychologists. 43% of adult patients and 46% of paediatric patients were identified as having some psychological need, either related to their burn or to other aspects of their life. This demonstrates the benefits of having psychology presence within scar clinics, as nearly half of the patients seen in clinic received an assessment and further support (such as signposting and referrals to psychological support). Burns staff also felt that psychology presence enhanced conversations and increased collaboration with decision making around treatment.
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Campbell, Stephanie, and Trina Andres. "98 A 10-year Retrospective Review of Older Adult Admissions at a Regional Burn Center." Journal of Burn Care & Research 41, Supplement_1 (March 2020): S64—S65. http://dx.doi.org/10.1093/jbcr/iraa024.101.
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Abstract Introduction A verified regional burn center conducted a 10-year retrospective review of older adult patients admitted to the burn service. The primary goal of the review was to examine trends in mechanisms of injury, demographics, and outcomes to inform burn prevention programming. Methods Admission data from 2009–2018 was retrieved from burn center databases and combined into a Microsoft Excel spreadsheet. Older adults were defined as age 65 years and older. Patients admitted to the burn service for skin disorders or soft tissue infections were excluded. Patients with cutaneous burn injuries or inhalation only injuries were included. Results The total number of patients included was 697. Nearly a third of the patients were 65 to 69 years old, with incidence declining with each subsequent 5-year age group. Males accounted for 61.3% of admissions. Two thirds of the patients were White (67.6%). The other third consisted of Black (18.4%) and Hispanic (9.8%), Asian (1.9%) and Native American (0.14%) patients. Overall mortality was 14%. Mortality generally increased per 5-year age group: 65–69 (7.8%), 70–74 (10.6%), 75–79 (13.7%), 80–84 (20.6%), 85–89 (29.8%), 90–94 (24.2%), and 95–99 (42.9%). Baux scores ranged from 65 to 180. The highest Baux score that lived to discharge was 119. The average Baux score of the mortality group was 114 and the average of the lived group was 82. No patients with a Total Body Surface Area (TBSA) above 43% lived. Fire/flame burns accounted for 72.7%. Scald burns made up 19.9%, contact burns 3%, chemical burns 2.3% and electrical burns < 1%. Nearly a quarter (24.6%) of fire/flame burns were related to smoking on home oxygen therapy (HOT), which was also the overall most common mechanism at 17.8%. Other fire/flame mechanisms included housefires (21.2%), clothing catching on fire (16.9%), and gasoline-related injuries (11.7%). More than 70% of scald burns came from the three mechanisms: hot tap water, boiling water, and hot grease. For the mortality group, a third of patients had been injured in housefires (32.7%), followed by clothing catching on fire (17.4%) and HOT burns (12.2%). Conclusions Incidence rates decline with increasing age but mortality rates climb. Burn injuries with a TBSA greater than 40% are generally fatal in the older adult. Flame burns account for the majority of injuries with HOT and house fire injuries as the leading mechanisms. Scald burns were most often caused by hot tap water or boiling water. White older adults accounted for more than double the number of patients identified in all other races combined. Applicability of Research to Practice The demographics and mechanism of injury insight gained from this review can be utilized to inform prevention programming design in this region. Trends in mortality can help emphasize the seriousness of preventing older adult burn injuries and anticipate the mortality risk for older adults admitted to the burn center.
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Tracy, Lincoln M., Cheng Hean Lo, Heather J. Cleland, Warwick J. Teague, and Belinda J. Gabbe. "Early Impact of COVID-19 Pandemic on Burn Injuries, Admissions, and Care in a Statewide Burn Service." European Burn Journal 3, no. 3 (September 12, 2022): 447–56. http://dx.doi.org/10.3390/ebj3030039.
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Anecdotal evidence from specialist burn clinicians suggested patient numbers and workloads increased during lockdown periods. This study aimed to describe the impact of the early COVID-19-related public health control measures (i.e., lockdowns) on burn injuries, hospital admissions, and care in a statewide burn service. We examined admissions data from The Victorian Adult Burns Service (located at the Alfred Hospital) and the Royal Children’s Hospital Burns Service—both of which contribute to the Burns Registry of Australia and New Zealand—during lockdown periods between March and October 2020, compared to the same periods in previous years. There were 714 patients admitted during the control period and 186 during the COVID-19 period. Burns sustained during COVID-19 lockdowns were larger in size. During COVID-19 lockdowns a greater proportion of patients were admitted to intensive care. Although the number of burn-related admissions did not increase during lockdowns, burn injuries that did occur were more severe (i.e., affected a greater percentage of body surface area). These more severe injuries placed an additional and significant burden on an already strained healthcare system. Future public health messaging should include prevention information to minimize the number of injuries occurring during lockdowns and other responses.
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Heffernan, Jamie, and James Gallagher. "43 COVID Crisis: A Burn Approach." Journal of Burn Care & Research 42, Supplement_1 (April 1, 2021): S32. http://dx.doi.org/10.1093/jbcr/irab032.047.
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Abstract Introduction The net effect of the COVID-19 pandemic on this northeastern, urban healthcare system during March, April and May 2020 was the redirection of virtually all resources to the care of the affected population. Conversion of the majority of the hospital’s assets, including staff and infrastructure, to COVID care created a large reduction in resources for other clinical problems. The burn service was among those few essential disciplines that continued to receive acutely affected individuals during the crisis. The preservation of the burn center’s ability to continue its mission within the walls of a COVID hospital is the subject of this review. Methods All of the hospital’s ICU rooms, including all those on the burn unit, post anesthesia care units, some step-down units, and over 90% of the operating rooms (ORs) converted to COVID care ICUs. These vital actions by hospital administration enabled an increase in ICU beds from 114 to 270. Staff were redeployed to cover the massive influx of critical COVID patients. Burn inpatients during the transition were categorized by severity and age for disposition consideration. Of the 17 inpatients, 4 pediatric patients discharged home and 1 transferred to our associated children’s hospital; 7 adults discharged home, 2 transferred to our associated inpatient psychiatric hospital, 1 to inpatient rehab, and 2 transferred to a neighboring orthopedic hospital converted into an adult acute care hospital. The commitment to keep the burn center operational for both children and adults was facilitated by protecting the burn ICU hydrotherapy room, a large patient care space in the center of the burn ICU. Children, initially admitted and cared for in the hydrotherapy room until stable, transferred to our network Children’s hospital for continued care. Critical adult burns were admitted to the inpatient ICU with the COVID patients, acute burns were housed on the few remaining medical surgical units. Burn care was performed in the patients’ rooms to keep the hydrotherapy room “clean”. Results During the 3-month period described the burn service admitted and cared for 92 adult and 25 pediatric patients while maintaining a full ICU census. Although 3 admitted burn patients were COVID +, no burn patients housed in the ICU became COVID + during their stay. Conclusions The commitment to protect the burn hydrotherapy space for burn triage and care from the top level of administration was critical and notable given the widespread conversion of the subspecialty ICUs and most other patient care areas to COVID care units. Strict adherence to infection prevention guidelines and protection of the hydrotherapy room allowed burn patients to receive timely and appropriate care during a pandemic.
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Tichil, Ioana, Samara Rosenblum, Eldho Paul, and Heather Cleland. "Treatment of Anaemia in Patients with Acute Burn Injury: A Study of Blood Transfusion Practices." Journal of Clinical Medicine 10, no. 3 (January 27, 2021): 476. http://dx.doi.org/10.3390/jcm10030476.
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Objective: To determine blood transfusion practices, risk factors, and outcomes associated with the use of blood products in the setting of the acute management of burn patients at the Victorian Adult Burn Service. Background: Patients with burn injuries have variable transfusion requirements, based on a multitude of factors. We reviewed all acute admissions to the Victorian Adult Burns Service (VABS) between 2011 and 2017: 1636 patients in total, of whom 948 had surgery and were the focus of our analysis. Method and results: Patient demographics, surgical management, transfusion details, and outcome parameters were collected and analyzed. A total of 175 patients out of the 948 who had surgery also had a blood transfusion, while 52% of transfusions occurred in the perioperative period. The median trigger haemoglobin in perioperative was 80mg/dL (IQR = 76–84.9 mg/dL), and in the non-perioperative setting was 77 mg/dL (IQR = 71.61–80.84 mg/dL). Age, gender, % total body surface area (TBSA) burn, number of surgeries, and intensive care unit and hospital length of stay were associated with transfusion. Conclusions: The use of blood transfusions is an essential component of the surgical management of major burns. As observed in our study, half of these transfusions are related to surgical procedures and may be influenced by the employment of blood conserving strategies. Furthermore, transfusion trigger levels in stable patients may be amenable to review and reduction. Risk adjusted analysis can support the implementation of blood transfusion as a useful quality indicator in burn care.
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Kiely, John, Ibrahim Natalwala, Joseph Stallard, Orla Austin, Umair Anwar, and Preetha Muthayya. "The potential benefits of enzymatic debridement in multi-casualty burns incidents." Trauma 23, no. 3 (March 27, 2021): 252–57. http://dx.doi.org/10.1177/14604086211002583.
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Bromelain-based enzymatic debridement (ED) is a topical treatment that is growing in popularity for the non-surgical management of burn wounds. Although initially used for small injuries, experience has grown in using it for burns >15% Total Burns Surface Area (TBSA). A household explosion resulted in burns to multiple patients, with four requiring burn wound debridement. This case report demonstrates their management using ED. Four adult male patients were treated with ED, mean age 38.4 years. Their injuries ranged from 5–24% TBSA (mean 14.9%), with a high proportion of intermediate-deep dermal injury to their faces and limbs. Our centre has performed enzymatic debridement since 2016 and all senior burns surgeons and burns intensive care specialists in the team are experienced in its use. We perform enzymatic debridement using Nexobrid™ (Mediwound Ltd., Israel). Three patients were managed on a single theatre list, using ED for their burns at 19, 16 and 23 hours post-injury. One patient had ED of his injuries on intensive care at 18 hours. Patients with >15% TBSA were treated in a critical care setting with goal directed fluid therapy. Through the use of enzymatic debridement we were able to achieve burn debridement for four patients in under 24 hours. While not a true mass casualty incident, our experience suggests that for an appropriately resourced service it is likely to have advantages in this scenario. We suggest that burns services regularly using this technique consider inclusion into mass casualty protocols, with training to staff to enable provision in such an incident.
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Coffman, Beretta C., Joan Wilson, Kade Hardy, Farrah Parker, and Shana Addison. "765 Treatment of burns due to application of hair extensions and braiding in younger female patients." Journal of Burn Care & Research 43, Supplement_1 (March 23, 2022): S189—S190. http://dx.doi.org/10.1093/jbcr/irac012.318.
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Abstract Introduction Burn injury due to hair styling processes have been reported in the literature, but most of those have been reported to involve flat irons or chemical processing during hair coloring. Moreover, these injuries have predominantly involved adult patients. In the past, our center has seen similar injuries intermittently, with the addition of hot comb burns to the scalp as well. More recently, a number of younger female patients have been treated for a more uncommon injury related to application of hair extensions. The hair extensions are curled with hot boiling water which is usually taken from the microwave. The ends of the extensions are dipped in the hot water and when they are applied to the hair, the hot water burns the back, shoulders, and scalp. The purpose of this project is to describe the mechanism of injury from this type of hair styling process and to identify the population at risk. This will serve to raise awareness in the community so that preventive measures might be considered. Methods This is a case series describing an unusual mechanism of burn injury reviewing admissions from January 2016 through June 30, 2021. Results A total of 35 patients were admitted for this type of burn during this time. 32 were children and 3 were adults. Though this type of injury occurs more commonly in children, it can occur in adults as well. For purposes of this study, the focus will be injuries occurring in children. Conclusions This case series serves as a public service announcement to alert parents of young girls obtaining hair extensions and parents braiding the hair of young children of the potential danger of burn injury from the process. Burn clinicians are obligated to provide education that serves to help prevent such injuries. This presentation serves that purpose as well.
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Filippelli, Orazio Stefano Giovanni, Anna Maria Giglio, Simona Paola Tiburzi, Maria Teresa Archinà, Ercole Barozzi, Pietro Maglio, Stefano Candido, et al. "Management of Airways through Rapid Tracheostomy in a Severely Burnt Patient Attended to via Helicopter." Case Reports in Emergency Medicine 2021 (July 1, 2021): 1–3. http://dx.doi.org/10.1155/2021/5590275.
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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.
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Garside, T. L., R. P. Lee, A. Delaney, and D. Milliss. "Clinical Practice Variation in Acute Severe Burn Injury." Anaesthesia and Intensive Care 46, no. 3 (May 2018): 321–25. http://dx.doi.org/10.1177/0310057x1804600310.
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The New South Wales (NSW) Statewide Burn Injury Service Database was reviewed to identify variations in clinical practice with respect to care of severely burn-injured patients in intensive care. We compared differences in practice relating to duration of endotracheal intubation and surgical grafting. In this retrospective observational study, we reviewed all intensive care unit (ICU) admissions to the two NSW adult burns centres, ICU A and ICU B, between January 2008 and December 2015. Data were analysed for association between duration of intubation and outcome. There were 855 admissions to adult ICU, with a significant difference in the percentage total body surface area (% TBSA) of burn and inhalation injury between patients in the two units. There was a significant difference in duration of intubation and ICU length of stay (LOS) between the units, which persisted when adjusted for age, % TBSA and inhalational injury. When analysing patients with more severe burns (>20% TBSA or intubated), the difference in duration of intubation remained significant (median of three days [interquartile range, IQR, 1–11 days] in A and 2 days [IQR 1–6 days] in B, P=0.003) as did ICU LOS (median 3 days [IQR 2–11 days] for A and 2 days [IQR 1–6 days] for B, P <0.0005). There was no significant difference in mortality between the two units for the severe or the more severe subgroup of burns when adjusted for age, % TBSA and inhalational injury (adjusted odds ratio, OR, for mortality 1.17 [95% confidence intervals 0.6 to 2.3, P=0.65]). There were significant differences in clinical practice, including duration of intubation, between the two ICUs. Longer intubation was associated with a longer ICU LOS, but was not associated with a difference in mortality. Large collaborative, prospective multicentre studies in severe burns are needed to identify best practice and variations in practice to determine if they are associated with increased mortality and/or cost.
Dissertations / Theses on the topic "Adult burn service"
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Greenwood, John Edward. "The South Australian adult burn service at the Royal Adelaide Hospital: lows to highs, 2001-2012." Thesis, 2013. http://hdl.handle.net/2440/80408.
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Title page, table of contents and abstract only. The complete thesis in print form is available from the University of Adelaide Library.The objective of this thesis is the collation, integration and revelation of just over a decade of work; supported by publication with media stories appended. At the beginning of this decade, at the end of 2001, I immigrated to Australia to take on the Directorship of the Adult Burns Service based at the Royal Adelaide Hospital. At the time, the Service lacked medical leadership and direction; it's standard of care being maintained only by excellent nursing and nurse leadership. This did not protect it from investigation by the State Government and the revelation that the Service lacked several key criteria to continue calling itself a tertiary service. At the end of the 'decade', in 2012, the Service is widely regarded as one of the best in the world, with enviable outcomes, excellent research and education programmes, a prolific publication output, a national burns charity and a highly disciplined, professional and experienced multidisciplinary team approach to burn care. ln December 2012 following successful re-verification with the American Burn Association and the American College of Surgeons, the Service has been completely transformed from the inauspicious position it occupied when I assumed control. The journey has been planned from the outset, and those plans executed fastidiously, with every opportunity for service development and betterment grasped. This work honours all those who have taken part and helped in the creation of something very special.
Thesis (M.D.)-- University of Adelaide, School of Medicine, 2013
Books on the topic "Adult burn service"
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Crouch, Robert, Alan Charters, Mary Dawood, and Paula Bennett, eds. Skin emergencies. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199688869.003.0012.
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Patients with burns and skin infections frequently present in emergency and urgent care settings. This chapter covers the assessment and management of major and minor burns in adults and children, and details which burn injuries should be referred to tertiary services. The nursing assessment and management of skin infections and rashes are described, with particular reference to those that need emergency treatment.
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Wiprzycka, Ursula Julia. Readiness for change among family caregivers of older adults with dementia: Validation of the University of Rhode Island Change Assessment Scale and examination of its ability to predict help-seeking behaviours. 2007.
Find full textConference papers on the topic "Adult burn service"
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Sreedharan, Sadhishaan, Hana Menezes, Heather Cleland, and Stephen Goldie. "5G.001 Petrol-related burn injuries – the victorian adult burns service experience." In Virtual Pre-Conference Global Injury Prevention Showcase 2021 – Abstract Book. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/injuryprev-2021-safety.140.
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