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Academic literature on the topic 'Burns and scalds Patients'

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Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Burns and scalds Patients"

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Singer, Adam, Evyatar Baer, and Henry Thode. "720 Scalds and Contact Burns: Are They Really Different?" Journal of Burn Care & Research 41, Supplement_1 (March 2020): S191. http://dx.doi.org/10.1093/jbcr/iraa024.304.

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Abstract Introduction Prior studies comparing scalds and contact burns rarely address the affect of burn etiology on burn depth. However, it is commonly believed that scalds tend to heal faster than similarly sized contact and flame burns. As a result, expectant therapy is often preferred after scald injuries. We compared the percentages of full-thickness burns based on burn etiology controlling for burn size, location and patient age. We hypothesized that the percentage of full thickness burns would be lower after scalds compared with contact and flame burns. Methods We performed a retrospective chart review of a prospectively collected burn registry of all patients admitted to a regional burn center between 2000–2010. Data collection included patient and burn characteristics including age, gender, body location, and burn etiology. We compared the percentages of full thickness burns among scald, contact and flame burns using Chi-square tests. Stepwise logistic regression was used to adjust for age, location, and burn size. Results There were 1038 patients in the study with either scald (n=537, 52%), fire/flame (n=434, 42%) or contact (n=67, 6%) burn. Mean (SD) age was 29 (25); 75% were male. Mean (SD) total body surface area (TBSA) was 11 (13)%. Mean (SD) length of stay was 10 (18) days. The percentages of full thickness burns by etiology were scalds 13.1%, fire/flame 34%, and contact burns 45% (P< 0.001). Patients with scalds were younger (22+/-24) than patients with contacts (32+/-28) and fire/flame (38+/-22) burns. Multivariate analysis for predicting full thickness burns found that compared with contact burns, scalds were less likely full thickness (OR 0.23, 95%CI 0.11–0.48) while fire/flame burns were as likely to be full thickness (OR 0.54, 95%CI 0.26–1.15). TBSA and age were also associated with full thickness burns (OR 1.06, 95%CI 1.04–1.09 and OR 1.015, 95%CI 1.007–1.024, respectively). Burns on the head and neck were less likely to be full thickness (OR 0.30, 95%CI, 0.11–0.82). Conclusions Scald burns are significantly less likely to be full thickness than contact or fire/flame burns. Applicability of Research to Practice Based on these results, expectant therapy may be more appropriate for scalds than contact or fire/flame burns.
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Prokopenko, Max, Alistair J. M. Reed, Maria Chicco, and Fadi Issa. "Preventable Burns from Domestic Tap Water." European Burn Journal 3, no. 2 (May 9, 2022): 362–69. http://dx.doi.org/10.3390/ebj3020031.

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Tap water scalds from domestic outlets can afflict large body surface areas. Such injuries are preventable and carry significant associated morbidity, mortality, and economic burden. Previously identified risk factors include age (<5 or >65 years old) and the presence of physical or mental disabilities. Education campaigns and advances in legislation mandating the restriction of tap water temperature at user outlets have been employed in an attempt to prevent such injuries. Nonetheless, the incidence of these injuries persists, and further mitigating measures must be implemented to minimize their occurrence. The purpose of this study was to determine the groups at risk for such injuries and whether this has recently changed. A retrospective observational study was carried out to include patients admitted with tap water scalds to a regional burn’s unit from October 2016 to September 2020. Twenty-three patients were included, and their incidence was 5.75 cases per year, equating to 5.1% of all scalds requiring inpatient treatment. The very young (<5 years old) and elderly (>65 years old) accounted for the majority of admissions (65.2%), 26.1% had a mental disability, and 30.4% had a physical disability. Tap water scalds continue to cause preventable injuries affecting all ages, and in particular, the elderly and patients with pre-existing disabilities.
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Battle, Ceri Elisabeth, Vanessa Evans, Karen James, Katherine Guy, Janet Whitley, and Phillip Adrian Evans. "Epidemiology of burns and scalds in children presenting to the emergency department of a regional burns unit: a 7-year retrospective study." Burns & Trauma 4 (June 21, 2016): 1–6. http://dx.doi.org/10.1186/s41038-016-0047-7.

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Abstract Background Variation in the incidence and mechanism of thermal injury has been reported in different age groups in children. The aim of this study was to report the incidence, mechanisms, and environmental factors of all burns presentations to the emergency department (ED) of a regional burns centre over a 7-year period. Methods A retrospective, chart review study of all burns presentations to the ED of a regional burns centre in South Wales was conducted. All children recorded as having sustained a burn or scald, aged less than 16 years were included in the analysis. Subjects’ demographics were analysed using descriptive statistics, and comparisons were made between patients aged less than 5 and patients aged 5–16 using chi-square test and Mann–Whitney U test. Results A total of 1387 cases were included in the final analysis. Scalds were the most common thermal injury with 569 (41.0 %) reported, followed by contact burns in 563 (40.6 %) patients. The patients requiring hospitalisation were significantly younger (2 vs 3 years; p &lt; 0.001) and had a higher rate of non-accidental injury (10 vs 4; p &lt; 0.001). The most commonly injured site in both age groups was a hand or digit. Conclusions Scalds and contact burns were the most commonly reported thermal injury in children aged less than 16. Common mechanisms were hot beverages, hobs and hair straighteners, highlighting further burn prevention strategies are needed and good-quality prospective studies that investigate the effectiveness of such strategies.
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Lee, Christina, and Palmer Q. Bessey. "61 Tap Water: Still Burning After All These Years." Journal of Burn Care & Research 41, Supplement_1 (March 2020): S40. http://dx.doi.org/10.1093/jbcr/iraa024.065.

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Abstract Introduction Hot tap water has long been recognized as a cause of burns, especially for children. Standards for appliance manufacture and building codes were established several decades ago to avoid excessively high hot water temperature at the tap in order to reduce the incidence of these injuries. The purpose of this study was to determine the prevalence and impact of tap water scalds (TWS) seen at burn centers in a recent time period. Methods We reviewed the National Burn Repository (NBR) for the years 2015–2017. We identified all scald burn injuries from the primary ICD10 code (former ECodes in ICD9, now External Cause Codes in ICD10). The codes for the cause of burns include X00 – X19. The X11 series identifies TWS. The data fields were analyzed using SAS 9.4 (Cary, NC). Data are expressed as Mean ± SEM or Mean (95% CI). Differences in continuous variable means were tested with TTest and categorical variables with Chi square and Fisher’s Exact Test. Logistic regression analysis was used to test differences between groups and identify risk factors for death. Results There were 16,318 patients included in the two-year data set. Of those, 5,014 (30.7 ± 0.4 %) had scald burns identified by the Primary ICD10 code, and 1,029 (20.5 ± 0.6 %) of those were due to hot tap water. The prevalence of TWS among children &lt; 5 with scald injuries was 21.8% (15.9–23.8); among children 5–14, 19.4% (15.9–22.8); among young adults 15–44, 14.7% (12.8–16.5); those 45-64 24.1% (21.3–26.8); and those 65 and older 27.9% (23.7–32.2). Burn size for those 45–64 tended to be larger with TWS than other scald injuries (3.3 ± 0.7 % TBSA vs 2.0 ± 0.2, p=0.08), and was significantly larger in those 65 and older (3.8 ± 0.9 % vs 1.2 ± 0.3, p&lt; 0.01). Case fatality for all TWS was greater than that for all other scalds (1.4 ± 0.4 % vs 0.3 ± 0.1, p&lt; 0.01). No patient less than 45 died following TWS. Case fatality for those 45–64 tended to be greater for TWS than other scalds (0.9 ± 0.6 % vs 0, p=0.06.), and it was substantially higher for 65 and older (10.0 ± 2.8 % vs 2.3 ± 0.8, p&lt; 0.01). Among patients 65 and older, those with TWS were slightly older than those with other scalds (76.3 ± 0.7 years vs 74.6 ± 0.4, p&lt; 0.05). Conclusions TWS burns still account for a substantial proportion of scald burns across the country, despite the wide application of building codes and manufacturing standards designed to prevent these injuries. They are most prevalent among children and older adults. In older patients they are more extensive than other scalds and result in an appreciable case fatality. Hot tap water continues to be a clear and potentially deadly hazard, especially for the elderly. Additional strategies to prevent these injuries should be sought. Applicability of Research to Practice Directly Applicable.
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KHAN, FIRDOUS, ASIF SHAH, and ABDUL AZIZ JANAN. "BURN PATIENTS;." Professional Medical Journal 20, no. 06 (December 15, 2013): 1042–47. http://dx.doi.org/10.29309/tpmj/2013.20.06.1826.

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Aim: To determine major risk factors of mortality and causes of death in patients presented with burn injury. Study design:Prospective Descriptive Study. Setting and duration: Department of Burns and Plastic Surgery, Khyber Teaching Hospital, Peshawar,Pakistan from April 2008 and June 2012. Methodology: A prospective descriptive study was performed among the patients whoadmitted to the Department of Burns and Plastic Surgery, Khyber Teaching Hospital, Peshawar, Pakistan between April 2008 and June2012. All relative information was collected through a detailed proforma and patient’s treatment files. Patients of any age, any degree ofburns and burns exceeding 10% TBSA were included. Patients presenting after more than one week post burn or patients referred fromother hospitals were excluded. Within this period, demographic data, treatment, and outcomes of treatment were reviewed and analyzed.Survivors and non-survivors among burn patients were compared to define the predictive factors of mortality. Results: Between April2008 and June 2012, 1850 patients were admitted with burn injuries. There were 1150 male patients (62%) and 700 female patients(38%). Mean age was 36 years with range of 1-70 years. Inhalation injuries were present in 45 patients (2.40%). Causes were flameburns (65.0%), electrical burns (15%), scalds (13%) and chemical burns (7.0%). The total body surface area (TBSA) burn ranged from10- 100%, with a mean of 38% TBSA burn. Mean length of hospital stay was 12 days (ranging from 24 hours to 170 days). Mortality ratewas 11.2%. Higher age, larger burn area, wound infection, longer hospital stay and the presence of multi-system organ failuresignificantly predicted increased mortality. Conclusions: Prevention is a key factor in reducing the morbidity and mor tality associatedwith burn injury. A campaign to educate people that burns can be prevented will be important in our community. The prevention of multiorganfailure and septicemia are likely to be more effective than their treatment.
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Bednarz, Bartlomiej, Mehul Thakkar, and Sankhya Sen. "744 Shrove Tuesday Related Injuries in Children, 8 Years’ Experience of Single Paediatric Burns Centre." Journal of Burn Care & Research 41, Supplement_1 (March 2020): S205. http://dx.doi.org/10.1093/jbcr/iraa024.326.

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Abstract Introduction Shrove Tuesday, also known as Pancake Day is one of the Christian traditions in many countries and marks the beginning of Lent. Many families cook pancakes together by frying batter. It is considered to be a fun and simple activity. Children often get heavily involved. This creates a danger of pancake related burn injuries. We have noticed a significant number of burns around Pancake Day and herein report our observed epidemiology of these injuries. Methods Burns admissions/assessments during the period around Shrove Tuesday were identified from our burns database over an eight year period (2011–2019). Pancake related injuries were identified and then reviewed to look for commonalities. Results 52 patients were identified. The age ranged from 20 months to 15 years (average 5.94 years, median 6, mode 3). 50 (96.1%) of these injuries were contact burns with pan/hob. The remaining 2 (3.9%) were minor scalds form hot oil. 47 patients (90.3%) had burns localised to the hands. 16 (30.7%) patients had burns involving the index finger, which was usually an isolated injury. 14 (26.9%) patients were burnt whilst trying to toss the pancake. The average age of the patient differed depending on the causative mechanism: 3.63 years for touching hob, 5.71 years from touching the frying pan, 7.21 years for burns associated with pancake tossing. The average burn size was 0.2% TBSA. None required admission, excision or grafting. Conclusions This research consolidates the knowledge about Shrove Tuesday related injuries in children: the need for close supervision of children in kitchen is highlighted. The causative mechanism changes as children grow up. Applicability of Research to Practice This knowledge can be used in targeting prevention strategies and campaigns, particularly at the beginning of Lent.
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Mobayen, Mohammadreza, Reza Zarei, Sanaz Masoumi, Mohsen Shahrousvand, Seyyed Mohammad Hossein Mazloum, Zeinab Ghaed, and Negin Rahimzadeh. "Epidemiology of Childhood Burn: A 5-Year Retrospective Study in the Referral Burn Center of Northern Iran Northern Iran." Caspian Journal of Health Research 6, no. 3 (September 1, 2021): 101–8. http://dx.doi.org/10.32598/cjhr.6.3.8.

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Background: Burns are the second most common etiology of injury death in children under 5 years old and are the most common cause of death in a home accident. Materials & Methods: This study was performed to investigate the epidemiology of childhood burn in children under 16 years old referred to Velayat Burn Center, Rasht City, Iran, from 2013 to 2018. Data were collected from electronic hospital records of burn patients aged under 16 years of age. Results: Out of 717 patients, 44.5% were girls, and 55.5% were boys (sex ratio=1.2). The highest frequency of burns (56.1%) was reported in the 1-5 years age group. The most common cause of burn was scalds (76%), and the most common burn severity was second-degree burns (46.7%). The Mean±SD duration of hospitalization was 3.07±4.15 days, and the hospital stay was significantly associated with the cause of the burn, Burned Body Surface Area (BBSA), and burn severity. The highest frequency was reported on Saturdays, i.e., (the first working day in Iran) (22.7%), between 6 and 12 o’clock (42.8%). Conclusion: This study found that children in 1-5 years old were the most susceptible age group for burn injuries and scalds were the most common cause of the burn. The male to female ratio was 1.2, and the majority of burns occurred in the winter.
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Hepburn, Kirsty, Verity Bennett, Alison Mary Kemp, Linda Irene Hollen, Diane Nuttall, Zoe Roberts, David Farrell, and Stephen Mullen. "Burns and Scalds Assessment Template: standardising clinical assessment of childhood burns in the emergency department." Emergency Medicine Journal 37, no. 6 (April 22, 2020): 351–54. http://dx.doi.org/10.1136/emermed-2019-208595.

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ObjectivesThe Burns and Scalds Assessment Template (BaSAT) is an evidence-based proforma coproduced by researchers and ED staff with the aim of (1) standardising the assessment of children attending ED with a burn, (2) improving documentation and (3) screening for child maltreatment. This study aimed to test whether the BaSAT improved documentation of clinical, contributory and causal factors of children’s burns.MethodsA retrospective before-and-after study compared the extent to which information was recorded for 37 data fields after the BaSAT was introduced in one paediatric ED. Pre-BaSAT, a convenience sample of 50 patient records of children who had a burn was obtained from the hospital electronic database of 2007. The post-BaSAT sample included 50 randomly selected case notes from 2016/2017 that were part of another research project. Fisher's exact test and Mann-Whitney U tests were conducted to test for statistical significance.ResultsPre-BaSAT, documentation of key data fields was poor. Post-BaSAT, this varied less between patients, and median completeness significantly (p<0.001) increased from 44% (IQR 4%–94%) to 96% (IQR 94%–100%). Information on ‘screening for maltreatment, referrals to social care and outcome’ was poorly recorded pre-BaSAT (median of 4% completed fields) and showed the greatest overall improvement (to 95%, p<0.001). Documentation of domestic violence at home and child’s ethnicity improved significantly (p<0.001) post-BaSAT; however, these were still not recorded in 36% and 56% of cases, respectively.ConclusionIntroduction of the BaSAT significantly improved and standardised the key clinical data routinely recorded for children attending ED with a burn.
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Budkevich, Liudmila I., and Vera V. Soshkina. "Algorithm of local conservative treatment of children with burns." Pediatrics. Consilium Medicum, no. 4 (January 18, 2023): 268–76. http://dx.doi.org/10.26442/26586630.2022.4.201815.

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Background. This article presents the results of using atraumatic wound dressings Branolind N and sorbing bandage Zetuvit. In research there were 10 children with superficial scalds (III degree) and parcial deep (IIIII degree) burns. Children were treated at the Burn Center of Speransky Pediatric City Hospital №9 in Moscow in June November 2021. The analysis of the conducted research testifies to the effectiveness and safety of the medical products listed above. The absence of local complications during treatment was revealed. The possibility of their simultaneous use in patients with exudating wounds has been established. Branolind N and Zetuvit bandage can be recommended for use both in a on- and outpatient cases in children with local burns. The results of treatment of children with burn injury depend on adequate diagnosis of the severity of the burn trauma, reliable determination of the depth of scald and local treatment of burn wounds. Tactics of local treatment depends on the phase of wound process, the age of the child and the presence of concomitant diseases. Aim. To assess the effectiveness and safety of using wound dressings ointment dressing Branolind N with Peruvian balsam and Zetuvit sorbent dressing in treatment children with burns. Materials and methods. Analysis of the using of Branolind N ointment dressing with Peruvian balsam and Zetuvit sorbent dressing in 10 children with burn injury was carried out. The study was completed in June November 2021. Inclusion and exclusion criteria were determined by the physicians participating in the study. The studies were carried out in accordance with Helsinki Declaration. The age of the patients ranged from 3 years 2 months up to 17 years 1 month. The depth of burn wounds in the studied patients was assessed according to the classification of the damage degree of European Burn Association: patients with superficial scalds (III degree) and partial deep burns (IIIII degree). Results. The absence of local skin complications during the application of the Branolind N ointment dressing with Peruvian balsam and Zetuvit sorbent dressing was revealed. The possibility of using. These wound dressings in patients with exuding wounds was established. Conclusion. The analysis of the conducted study testifies to the effectiveness and safety of the above medical products. Ointment bandage Branolind N with Peruvian balsam and sorbent bandage Zetuvit can be recommended for use both in out- and inpatients practice of treatment children with local skin burns.
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Ramli, Rianto Noviady, Almas Prawoto, Nyoman Putu Riasa, Iswinarno Doso Saputro, and Ahmad Fawzy Mas'ud. "Epidemiology and Knowledge of First Aid Treatment Related to Burn Injury in the Rural Region of Kulon Progo, Indonesia." Open Access Macedonian Journal of Medical Sciences 9, E (February 12, 2021): 101–8. http://dx.doi.org/10.3889/oamjms.2021.5649.

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BACKGROUND: We investigated the epidemiology and the knowledge of first aid regarding to burns in the rural area of Kulon Progo, located in Indonesia. Although 44% of Indonesia’s population resides in rural areas, data of burn in Indonesia are very limited to national referral centers located in Indonesia’s largest cities. We also surveyed the patients and families of these burn patients to try to understand their knowledge on the first aid of burns. AIM: We wanted to explore and discover what myths and misperceptions existed in rural communities. MATERIALS AND METHODS: A retrospective study analyzing the medical records of patients with burns admitted to two of Kulon Progo’s largest referral hospitals between January 2018 and December 2019. A survey was distributed to the patients and their families regarding their knowledge on the first aid of burns. We wanted to analyze if certain groups of the population were more at risk for specific types of burn etiologies, the correlation between burn etiology and length of stay, the correlation between total body surface area (TBSA) of burns and length of stay in the hospital, and the correlation between education level of survey participants’ and their knowledge of first aid of burns. RESULTS: A total of 115 patients were reviewed in this study. The highest proportion of total burn injuries occurred in the age group of 1–14 years old (38%). The major etiology of all burn cases were caused by scald (54%). Housewives and children were at a higher risk for scalds and laborers were at a higher risk for electrical and chemical burns (p = 0.001). There was no significant correlation between etiology and length of stay (p = 0.29). There was a statistically significant correlation between the TBSA and the length of hospital stay (p = 0.0001). The majority of survey respondents (66%) had poor knowledge on the first aid of burns. There was no significant correlation between education level and knowledge of first aid of burns (p = 0.07547). CONCLUSIONS: Children, laborers, and housewives have a significant risk of suffering from a burn injury. A majority of people still have poor knowledge on the first aid of burns. There was no correlation between education levels and knowledge of first aid burns.
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Dissertations / Theses on the topic "Burns and scalds Patients"

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Ellmer, Marlene. "The nutritional management of adult burn wound patients in South Africa." Thesis, Link to the online version, 2007. http://hdl.handle.net/10019/623.

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Lim, Kwai-tat Amanda. "Adjustment of patients with burns on face and hands." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1989. http://hub.hku.hk/bib/B29654063.

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GOOSEN, GERALDINE MAY. "BETA ENDORPHIN LEVELS IN BURNED PATIENTS." Diss., The University of Arizona, 1985. http://hdl.handle.net/10150/187950.

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Nursing activities directed at maintaining patient comfort incorporates time and energy. Nurses and researchers continue to search for adequate methods and information to quantify pain. The common mode of therapy is the administration of narcotics, which do not consistently relieve the pain described by traumatically injured patients. Discovery of endogenous opiates, such as β-endorphins, provided the potential for acquiring additional physiologic information regarding neuro-endocrine activities associated with pain. Consistent findings of concentrated β-endorphins in areas of the central nervous system previously identified as pain pathways prompted clinical researchers to determine β-endorphin levels in patients experiencing pain. The purposes of this investigation were to study β-endorphin levels in burn injured patients by describing: (1) the pattern of β-endorphin levels in burn injured patients during the first two weeks following injury, (2) the relationship between β-endorphin levels and the severity of the burn injury, (3) the relationship between analgesia taken by patients and the severity of the burn, and (4) the relationship between β-endorphin levels and the amount of analgesia given to the burn patient. Plasma samples for β-endorphin levels were obtained from 28 burned patients over a two-week interval. New England Nuclear ¹²⁵I β-Endorphin Kits were used to assay the plasma samples. In addition, information was tabulated from the patient's chart to complete the Burn Severity Index. Narcotic analgesia taken 24 hours before obtaining the blood sample were summarized and categorized according to the Equianalgesia Table. Descriptive and correlational statistics showed no significant relationships between β-endorphins over time, β-endorphins with burn severity, β-endorphins with the analgesia equivalency score, or burn severity with the analgesia equivalency scores. β-endorphin levels were elevated above normal in all 28 patients. Five patients displayed the anticipated declining pattern over the two-week interval post burn. Many erratic peaks and troughs in β-endorphin levels were observed with some peaks associated with clinical events. The findings of elevated β-endorphin levels have implications for nursing practice and provide stimulus for continued nursing research.
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Raven, Donna I. "Difference between calorie requirements of enterally fed trauma and burn patients and actual calories supplied." Virtual Press, 1998. http://liblink.bsu.edu/uhtbin/catkey/1101591.

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This study compared calorie needs, prescription and intake in enterally fed trauma and burn patients. Calorie needs of twenty-eight sequentially admitted patients were assessed by indirect calorimetry or by the Fick method. Caloric prescriptions were calculated from physicians orders. Following attainment of ordered goal rate, three day caloric intake was averaged. Caloric needs were not statistically different from caloric prescription. Caloric intake was significantly lower than caloric needs (p= 0.001). Intolerance and procedures were frequently cited reasons for withholding feedings. Results of this study suggest that trauma and burn patients may not receive the prescribed level of calories during the initial stage of enteral nutrition support.
Department of Family and Consumer Sciences
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Ho, Wai-sze, and 何惠思. "An evidence-based guideline on using virtual reality analgesia for procedural pain in adult burn patients in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B44623471.

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Koon, Kamela Suzanne. "Relationship of Self-esteem in Pediatric Burn Patients to other Psychological and Physiological Parameters." Thesis, University of North Texas, 1992. https://digital.library.unt.edu/ark:/67531/metadc332822/.

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The purpose of this study was to evaluate post-burn adjustment in light of the self-esteem of child burn survivors. The study attempted to assess the viability of using a single, explicit self-report measure of self-esteem (Piers-Harris Children's Self-Concept Scale) as an index of post-burn adjustment. It appears that pediatric burn patients do not suffer a compromised self-concept secondary to the burn injury and, rather, are successful in incorporating their post-burn state, physically and psychologically, into a positive self-concept. It is suggested that evaluation of overall self-esteem incorporate a comprehensive picture of post-burn adjustment, based upon psychological and physiological parameters. Further research is justified and suggestions for future examinations are presented.
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Pillay, Rogini. "An exploration of burn survivors' experiences of pressure garment therapy at Tygerberg Academic Hospital." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86310.

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Thesis (MSc)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: Introduction: Pressure garment therapy (PGT) forms a significant part of burn rehabilitation. It is most commonly used to treat hypertrophic scars but the benefits of this intervention remain questionable. Adherence with this intervention also presents several challenges for the patient and clinician. Aim of the study: The aim of this study was to explore the experiences of adult burn survivors who participated in PGT during 2006 - 2010 at Tygerberg Academic Hospital (TAH). Methods: A phenomenological study design using qualitative research methods was implemented. Semi-structured interviews were conducted with eight burn survivors. The participants were chosen using purposive sampling methods. Thematic analysis was conducted using pre-determined themes from the literature as a starting point. Data was coded and categorised according to themes that emerged during data analysis. Results: The findings of the study revealed that several factors impacted on the participant’s experiences of pressure garment therapy. Factors related to the consequences of the burn injury included the participant’s loss of function, loss of participation, loss of self-confidence, financial dependence, emotional impact and impact on relationships. Factors related to pressure garment usage included physical effects, socio-emotional effects and the wearing schedule (which included maintenance and effort, adherence and time). Factors that contributed to adherence included support, inner strengths, knowledge, seeing a difference, seeing others, enablers to accessing the service and satisfaction with the service. Factors that contributed to non-adherence included lack of support, emotional turmoil and barriers to accessing the service. Participants made recommendations to improve the overall burn service at TAH. Conclusion: The findings of the study show that participants experienced PGT as a beneficial intervention. There were several complex factors that impacted the participants’ experiences of PGT. The most significant benefit as described by the participants was the improvements noted in scar appearance, whilst the main barrier was that the garments were cosmetically displeasing due to their colour.Recommendations: To adopt a person-centred approach to burn management, recommendations made include improvements needed within the occupational therapy service such as changing the colour of the garment material, the standardisation of the PGT treatment protocols and improving staff attitudes. Other recommendations include establishing a network for counselling services as well as an information pack for patients admitted to the burns unit.
AFRIKAANSE OPSOMMING: Drukklereterapie vorm ʼn belangrike deel van die rehabilitasie van brandwonde. Dit is die mees algemene behandeling vir hipertrofiese littekens, maar daar bestaan steeds twyfel aangaande die voordele van hierdie intervensie. Daar bestaan heelwat uitdagings, vir beide die terapeut en die pasiënt, om die behandelingsriglyne na te volg. Doel van die studie: Die doel van hierdie studie was om die ervarings van volwasse brandwond oorlewendes wat vanaf 2006 tot 2010 drukklereterapie by Tygerberg Akademiese Hospitaal ontvang het, te ondersoek. Metode: ʼn Fenomenologiese studie ontwerp is geimplïmenteer deur middel van kwalitatiewe navorsingsmetodes. Semi-gestruktureerde onderhoude is met agt brandwond oorlewendes gevoer. Die deelnemers is gekies deur doelgerigte steekproefneming metodes. Tematiese analise is uitgevoer met behulp van voorafbepaalde temas wat as beginpunt uit die literatuur geneem is. Data is gekodeer en gekategoriseer volgens temas wat na vore gekom het tydens data analise. Resultate: Die bevindings van die studie het aangedui dat verskeie faktore die deelnemers se ervarings van drukklereterapie beïnvloed het. Faktore wat met die gevolge van die brand beserings verband hou het die volgende ingesluit: verlies aan funksie, verlies aan deelname, verlies aan selfvertroue, finansiële afhanklikheid, emosionele impak en die impak op verhoudings. Die volgende faktore het verband gehou met die gebruik van drukklere: fisiese faktore, sosio-emosionele faktore en die dra skedule (dit sluit in onderhoud van die drukklere, moeite, volg van die dra skedule en tyd). Faktore wat bygedra het tot die navolging van die skedule het die volgende ingesluit: ondersteuning, innerlike krag, kennis, die sien van ʼn verskil, sien van ander, toegang tot die diens en tevredenheid met die diens. Die volgende faktore het bygedra tot nie-navolging: gebrek aan ondersteunning, emosionele verwarring en hindernisse tot toegang tot die diens. Deelnemers het aanbevelings gemaak om die brandwonde diens te verbeter. Slot: Die bevindings van die studie dui daarop dat die deelnemers drukklereterapie as ʼn voordelige intervensie ervaar het. Daar was verskeie komplekse faktore wat ʼn impak op drukklereterapie gehad het. Die grootste voordeel, soos beskryf deur deelnemers, was die verbetering in litteken voorkoms; terwyl die hoof hindernis was dat die drukklere kosmeties onaanvaarbaar was as gevolg van die kleur. Aanbevelings: Die volgende aanbevelings is gemaak om ʼn persoon-gesentreerde benadering tot brandwond behandeling te verseker: verbeterings benodig binne die arbeidsterapie diens, soos die verandering van die kleur van drukkleremateriaal, die standaardisering van drukklereterapie protokolle en die verbetering van personeel houdings. Ander aanbevelings sluit in ʼn netwerk vir beradingsdienste, sowel as ʼn inligtingspakket vir pasiente wat tot die brandwondeenheid toegelaat word.
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Tyack, Zephanie F. "Predictors of functional outcome in children at 6 months post-burn /." St. Lucia, Qld, 2001. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe16237.pdf.

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Ranucci, Melissa B. Guarnaccia Charles Anthony. "Self-inflicted and other-inflicted intentional burns versus unintentional burns a comparison study /." [Denton, Tex.] : University of North Texas, 2008. http://digital.library.unt.edu/permalink/meta-dc-9046.

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De, Ruiter Anne. "Traumatic burn injuries : mothering the acutely hospitalised adult child /." [St. Lucia, Qld.], 2005. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe19053.pdf.

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Books on the topic "Burns and scalds Patients"

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Trotter, Martha. The treatment of burn patients: A study manual for physical therapists. [Seattle, Wash.]: Health Sciences Center for Educational Resources and Division of Physical Therapy, University of Washington, 1988.

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Trotter, Martha. The treatment of burn patients: A study manual for physical therapists. [Seattle, Wash.]: Health Sciences Center for Educational Resources and Division of Physical Therapy, University of Washington, 1988.

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1958-, Staley Marlys, ed. Burn care and rehabilitation: Principles and practice. Philadelphia: F.A. Davis, 1994.

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1954-, Trofino Rita Bolek, ed. Nursing care of the burn-injured patient. Philadelphia: Davis, 1991.

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ill, Bomb, ed. Wo de zhu yuan ri zhi zhi yang rou lu bu shi gu yi de. Taibei Shi: Da kuai wen hua chu ban gu fen you xian gong si, 2004.

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Munster, Andrew M. Severe burns: A family guide to medical and emotional recovery. Baltimore: Johns Hopkins University Press, 1993.

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Walters, Carol. Splinting the burn patient. [Laurel, Md: RAMSCO Pub. Co., 1987.

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Chisŏn a sarang hae: Hŭimang kwa yonggi ŭi kkot Yi Chi-sŏn iyagi. Kyŏnggi-do Pʻaju-si: Ire, 2003.

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Chisŏn a sarang hae: Hŭimang kwa yonggi ŭi kkot Yi Chi-sŏn iyagi. Kyŏnggi-do Pʻaju-si: Ire, 2003.

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Born to run: The story of Brittany Young. La Jolla, CA: Scobre Press Corporation, 2006.

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Book chapters on the topic "Burns and scalds Patients"

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Bingoel, A. S., S. Strauss, and P. M. Vogt. "Clinical Application of wIRA Irradiation in Burn Wounds." In Water-filtered Infrared A (wIRA) Irradiation, 189–94. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-92880-3_15.

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AbstractBesides operative procedures (e.g., necrosectomies, skin grafting), conservative treatments of thermal injuries are increasingly important. wIRA as an additional therapy for burns, scalds, and chemically induced injuries and for treating severe skin reactions (e.g., toxic epidermal necrolysis) is used in our clinic on a daily basis. The most successful therapy involves 3–4 irradiations/30 min/day. Therefore, patients with superficial partial-thickness burns are treated with topical polyhexanide ointment and wIRA 2–4 days after the accident. In these cases, we see a quick wound-drying and a rapid re-epithelialization of the skin. The approach in deep partial-thickness burns depends on whether surgical procedures must be postponed due to poor general conditions. In these patients, preservation of the wound perfusion in regions that are not fully damaged is intended, avoiding extensive necrosectomies.Although third-degree burns are dry and do not require wIRA irradiation, it can be used for adjacent regions with minor degree burns. Preliminary in vitro data suggest a wIRA-induced migration of adipose-derived stem cells.Postoperatively, wIRA is used on areas transplanted with split-thickness skin grafts. After removal of the tie-over bolsters, wIRA is applied 3–4 times/20–30 min/day. The grafts exhibit a faster epithelialization of the fenestrated spots, and postoperative infections seem to be less frequent.
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Vinaik, Roohi, Joel Fish, and Marc G. Jeschke. "Burn Hypertrophic Scar in Pediatric Patients: Clinical Case." In Textbook on Scar Management, 517–21. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-44766-3_60.

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AbstractRecent improvements in burn care have resulted in greater patient survival of severe burns. With improved survival, treatment of the resulting permanent burn hypertrophic scars requires extensive care. Hypertrophic scarring occurs due to aberrations in the normal healing process, resulting in excessive inflammation and collagen deposition at the site of injury. These scars are accompanied by symptoms such as pain, pruritus, erythema, and limited mobility. The high scar prevalence in pediatric patients and accompanying physical, psychological, and social burden warrant a better understanding of the possible treatment options. Currently, several therapeutic strategies exist for hypertrophic scar management in the pediatric patient, although none are completely effective. Recently, laser therapy has emerged as a potential therapy for symptomatic relief and scar modulation. Here, we provide an up-to-date review of treatment options for hypertrophic scars in the pediatric population. In addition, we discuss a clinical case, outlining the potential merits of addition of laser therapy and surgical revision for the treatment of hypertrophic scars.
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Dawood, Mary, and Robin Touquet. "Burns and scalds." In The Emergency Practitioner's Handbook, 109–11. London: CRC Press, 2021. http://dx.doi.org/10.1201/9781846198366-30.

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van Baar, Margriet E. "Epidemiology of Scars and Their Consequences: Burn Scars." In Textbook on Scar Management, 37–43. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-44766-3_5.

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AbstractPathological scarring in burn wounds can result in hypertrophic scars and/or contractures. Prevalences of hypertrophic scarring after burn injuries between 8% and 67% are reported. A recent prospective study revealed a prevalence of 8%. Data on prevalence of burn scar contractures are limited; reported prevalence at discharge varied between 38 and 54% and decreased with an increasing time post burn. About 5–20% of the people who suffered from burn injuries received reconstructive surgery after burns, up to 10 years post injury.Factors predicting pathological scar formation after burn injuries include patient, injury and treatment characteristics. Injury- and treatment-related characteristics are the main predictors of scar outcomes after burn injury. These characteristics are related to burn size (total body surface area burned) and burn depth (number or type of surgery) or the overall healing process in general (length of stay, wound healing complications). Intrinsic patient-related risk factors seem to play a role as well but are less consistent predictors of scar outcome. This includes the risk factors like the female gender and also a younger age and darker skin.Knowledge on risk factors for poor scar outcome can be used to tailor treatment, aftercare and scar prevention to these patients with a high-risk profile.
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Nonni, Joëlle. "Makeup Therapy for Scars." In Textbook on Scar Management, 435–40. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-44766-3_49.

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AbstractBecause we live in a society that is very much concerned with physical appearance, looking as good as possible has become everyone’s main goal. Consequently, unsightly skin imperfections can have a dramatic and highly negative impact on a patient’s personal, social, or working life.Medical makeup thus represents an alternative solution, helping patients to regain their self-confidence, particularly in the case of visible dermatoses, scars, and burns, whether permanent or temporary.
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Lerman, Jerrold, Charles J. Coté, and David J. Steward. "Trauma, Including Acute Burns and Scalds." In Manual of Pediatric Anesthesia, 483–506. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-30684-1_17.

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Bukovčan, Peter, and Ján Koller. "Treatment of Partial-Thickness Scalds by Skin Xenografts." In Burns, Infections and Wound Management, 95–104. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/15695_2017_28.

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Woodson, Lee C., Edward Sherwood, Alexis McQuitty, and Mark D. Talon. "Anesthesia for patients with acute burn injuries." In Handbook of Burns, 151–62. Vienna: Springer Vienna, 2012. http://dx.doi.org/10.1007/978-3-7091-0348-7_10.

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Gauglitz, Gerd G., and Marc G. Jeschke. "Acute treatment of severely burned pediatric patients." In Handbook of Burns, 241–57. Vienna: Springer Vienna, 2012. http://dx.doi.org/10.1007/978-3-7091-0348-7_16.

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Leon-Villapalos, Jorge. "Surgical Management of Burn Patients." In Handbook of Burns Volume 1, 443–57. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-18940-2_34.

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Conference papers on the topic "Burns and scalds Patients"

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Fette, A. "Low-level laser therapy (LLLT) for treatment of household burns and scalds in children." In SPIE Proceedings, edited by Leonardo Longo, Alfons G. Hofstetter, Mihail-Lucian Pascu, and Wilhelm R. A. Waidelich. SPIE, 2004. http://dx.doi.org/10.1117/12.584318.

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Ikpeme, MJ, AM Emond, JA Mytton, and L. Hollen. "G433(P) Associations between pre-injury impairment and thermal burn injury in children: analyses of the burns and scalds assessment template (basat) data." In Royal College of Paediatrics and Child Health, Abstracts of the Annual Conference, 13–15 March 2018, SEC, Glasgow, Children First – Ethics, Morality and Advocacy in Childhood, The Journal of the Royal College of Paediatrics and Child Health. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/archdischild-2018-rcpch.422.

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Affonce, Derek A., Erik S. Sojka, Livingston Van De Water, Robert Sheridan, and Alex J. Fowler. "Myofibroblast Activity in an Animal Model for Human Hypertrophic Scar." In ASME 2002 International Mechanical Engineering Congress and Exposition. ASMEDC, 2002. http://dx.doi.org/10.1115/imece2002-33647.

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Approximately 100,000 burn patients require hospital admissions each year in the United States. About 90% of those patients survive to face the long term consequences of burn injury [1]. The primary cause of long term disability in burn survivors is hypertrophic scarring. These thick, deforming scars physically impair movement and cause major psychological morbidity. Hypertrophic scarring is particularly severe in young children [2].
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Boissin, Constance, Lee Wallis, Wayne Kleintjes, and Lucie Laflamme. "PW 1447 Referral and in-unit mortality patterns among adult acute burns patients. The case of a burns center in the western cape, south africa." In Safety 2018 abstracts. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/injuryprevention-2018-safety.646.

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"ATTRIBUTE SELECTION BY MULTIOBJECTIVE EVOLUTIONARY COMPUTATION APPLIED TO MORTALITY FROM INFECTION IN SEVERE BURNS PATIENTS." In International Conference on Health Informatics. SciTePress - Science and and Technology Publications, 2011. http://dx.doi.org/10.5220/0003126904670471.

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Bucolo, Sam, Jonathan Mott, and Roy Kimble. "The design of a tangible interaction device to alleviate anxiety and pain in paediatric burns patients." In CHI '06 extended abstracts. New York, New York, USA: ACM Press, 2006. http://dx.doi.org/10.1145/1125451.1125482.

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Hofstra, JJ, RM Determann, G. Choi, AP Vlaar, M. Levi, MJ Schultz, P. Knape, and DP Mackie. "Activation of Pulmonary Coagulation and Impairment of Pulmonary Fibrinolysis in Patients Requiring Mechanical Ventilation for Burns and/or Inhalation Trauma." In American Thoracic Society 2009 International Conference, May 15-20, 2009 • San Diego, California. American Thoracic Society, 2009. http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a3885.

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"Cytokine Profile as a Prognostic Parameter." In 4th International Conference on Biological & Health Sciences (CIC-BIOHS’2022). Cihan University, 2022. http://dx.doi.org/10.24086/biohs2022/paper.633.

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Burn injuries of the skin are one of the most common household injuries which vary depending on the way of induction and its severity. Common complications are sepsis of the wound and immunosuppression. A total of 44 burned patients were included in the study. Blood samples and a swab were taken from the location of burn from each patient. All cytokines (IL-5, IL-6, IL-10, G-CSF, TNF and IFN) were evaluated using the ELISA technique. Swabs were cultured and the bacterial growths were tested for sensitivity to 20 different antibiotic discs. Hematological tests were performed and compared to the healthy group control using the automated five parameter counter. The mean serum levels of the cytokines in both female and male patients were significantly higher when compared to the healthy control group. Hematological parameter level results showed an increase in WBC count in both female and male samples, eosinophil and lymphocyte levels decreased in both genders. Neutrophils have significantly increased in both female and male samples. Monocytes, basophils, and RBC count showed no significant difference in both female and male patient samples. The mean concentrations of Hb and platelets have significantly increased in males but no significant difference in female samples. In the bacteriological cultures, only 21 samples showed a bacterial growth. 14 were females and 7 were males. 7 Gram negative bacteria and 13 Gram positive bacteria were detected. 6 total bacterial species were identified (Enterococcus, Staphylococcus aureus, Staphylococcus epidermidis, Escherichia coli, Enterobacter, and Pseudomonas). Antibiotic sensitivity results showed that the number of sensitive bacteria was significantly higher than the resistant bacteria. 14 of the patients had 3rd degree burns. 5 had 2nd degree burns, and 1 had 1st degree burn.Further immunological studies are required to interpret the high mortality rates in burned patients.
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Huang, Hsiao-Ying Shadow, Siyao Huang, Taylor Gettys, Peter M. Prim, and Ola L. Harrysson. "A Biomechanical Study of Directional Mechanical Properties of Porcine Skin Tissues." In ASME 2013 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/imece2013-63829.

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Skin is a multilayered composite material and composed principally of the proteins collagen, elastic fibers, and fibroblasts. The direction-dependent material properties of skin tissue is important for physiological functions like skin expansion. The current study has developed methods to characterize the directional biomechanical properties of porcine skin tissues. It is observed that skin tissue has a nonlinear anisotropy biomechanical behavior, where the parameters of material stiffness is 378 ±160 kPa in the preferred-fiber direction and 65.96±40.49 kPa in the cross-fiber direction when stretching above 30% strain equibiaxially. The results from the current study will help optimize functional skin stretching for patients requiring large surface area skin grafts and reconstructions due to burns or other injuries.
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Cahn, Frederick. "Materials Processing Technology for an Acellular Artificial Skin." In ASME 2000 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2000. http://dx.doi.org/10.1115/imece2000-2508.

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Abstract Artificial skin is a bilayer skin replacement system designed to regenerate dermal tissue. Prior to the commercial availability of artificial skin, surgically created wounds that cannot be closed by primary means (such as excising deep partial or full-thickness burns), had to be treated with autograft; a graft of the patient’s own skin harvested from a healthy donor site. This is because the dermal layer of skin cannot regenerate functional tissue spontaneously; instead, scar tissue forms. When applied surgically to a clean, excised wound bed, autograft becomes permanently engrafted, that is, it becomes permanently affixed to the underlying tissue and vascularized. However, autograft has serious drawbacks, including the creation of a donor wound, which has its own significant morbidity, and its unavailability in sufficient quantity in patients with large wounds.
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Reports on the topic "Burns and scalds Patients"

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Sheridan, Robert L., Loring W. Rue, William F. McManus, Basil A. Pruitt, and Jr. Burns in Morbidly Obese Patients,. Fort Belvoir, VA: Defense Technical Information Center, December 1992. http://dx.doi.org/10.21236/ada268709.

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Badiavas, Evangelos, Stephen Davis, and Robert Christy. Care for the Critically Injured Burn Patient Modulation of Burn Scars Through Laser Deliver of Stem Cells. Fort Belvoir, VA: Defense Technical Information Center, October 2013. http://dx.doi.org/10.21236/ada595094.

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Young children from deprived areas are more at risk of serious burns and scalds. National Institute for Health Research, January 2017. http://dx.doi.org/10.3310/signal-000367.

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