Annie Ardois (Infirmière DE), Séverine Hervouet (Aide-soignante), Élodie Tyri (Interne de chirurgie plastique, reconstructrice et esthétique)
{"title":"Prise en charge des brûlés en consultation dans un centre des brûlés","authors":"Annie Ardois (Infirmière DE), Séverine Hervouet (Aide-soignante), Élodie Tyri (Interne de chirurgie plastique, reconstructrice et esthétique)","doi":"10.1016/j.refrac.2019.04.005","DOIUrl":"https://doi.org/10.1016/j.refrac.2019.04.005","url":null,"abstract":"<div><p>La prise en charge des brûlés est une activité spécifique qui commence dès la consultation. Les patients sont souvent anxieux et leurs brûlures sont douloureuses. Ceux qui sont reçus à la consultation relèvent de l’urgence aiguë ou légèrement différée. Ils attendent de cette consultation des réponses sur leur prise en charge thérapeutique. L’équipe soignante est confrontée à leurs questions et interrogations mais aussi à celles de leur famille. Chaque membre de l’équipe a un rôle important dans le bon déroulement de cette prise en charge.</p></div><div><p>The management of burns is a very specific activity that begins with the consultation. Burned patients are often painful and anxious. Patients received at the consultation are in acute or slightly delayed urgency. They expect from this consultation answers on their therapeutic management. The health care team is confronted with these questions that may come from the patient but also from the family. Each member of the team has an important part in the smooth running of this care. Finally, he reminds us of the need to maintain these specialized consultations, which go a bit against the sense of pooling, but which ensures optimal care for the burned patient.</p></div>","PeriodicalId":101130,"journal":{"name":"Revue Francophone de Cicatrisation","volume":"3 2","pages":"Pages 23-25"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.refrac.2019.04.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91760881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Franck Duteille (Professeur des universités, praticien hospitalier)
{"title":"Une collaboration ville-hôpital indispensable pour une prise en charge optimale","authors":"Franck Duteille (Professeur des universités, praticien hospitalier)","doi":"10.1016/j.refrac.2019.04.003","DOIUrl":"10.1016/j.refrac.2019.04.003","url":null,"abstract":"","PeriodicalId":101130,"journal":{"name":"Revue Francophone de Cicatrisation","volume":"3 2","pages":"Page 9"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75264310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prise en charge des brûlés en consultation dans un centre des brûlés","authors":"Annie Ardois, S. Hervouet, Élodie Tyri","doi":"10.1016/J.REFRAC.2019.04.005","DOIUrl":"https://doi.org/10.1016/J.REFRAC.2019.04.005","url":null,"abstract":"","PeriodicalId":101130,"journal":{"name":"Revue Francophone de Cicatrisation","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73434030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Franck Duteille (Professeur des universités, praticien hospitalier), Élodie Tiry (Interne de chirurgie plastique, reconstructrice et esthétique), Annie Ardois (Infirmière DE), Pierre Perrot (Professeur des universités, praticien hospitalier, chef de service)
{"title":"Les brûlures de deuxième degré superficiel : quel type de protocole pour la prise en charge à domicile ?","authors":"Franck Duteille (Professeur des universités, praticien hospitalier), Élodie Tiry (Interne de chirurgie plastique, reconstructrice et esthétique), Annie Ardois (Infirmière DE), Pierre Perrot (Professeur des universités, praticien hospitalier, chef de service)","doi":"10.1016/j.refrac.2019.04.004","DOIUrl":"10.1016/j.refrac.2019.04.004","url":null,"abstract":"<div><p>Les brûlures de deuxième degré superficiel sont les plus fréquentes. Malgré leur excellent pronostic amenant à une cicatrisation dans les dix à douze jours, elles peuvent être compliquées à gérer en raison de l’importance de la douleur. Plusieurs protocoles peuvent être proposés dans le cadre d’une prise en charge à domicile. Le premier impose un pansement quotidien permettant une surveillance régulière. Le deuxième consiste à espacer les pansements au maximum, améliorant souvent la qualité de vie du patient et limitant l’hospitalisation. Les avantages et les inconvénients de chaque option sont discutés avec l’expérience des auteurs et la revue de la littérature.</p></div><div><p>Partial-thickness burns (second-degree) are the most common. Despite their excellent prognosis leading to scarring within 10 to 12 days, they can be complicated to manage because of the importance of pain. Several protocols can be proposed to the patient who can be cared for at home. The first one imposes a daily dressing allowing regular monitoring. The second one is to space the dressings to the maximum, often improving the quality of life of the patient and also limiting hospitalization. The advantages and disadvantages of each option are discussed with the experience of the authors and the review of the literature.</p></div>","PeriodicalId":101130,"journal":{"name":"Revue Francophone de Cicatrisation","volume":"3 2","pages":"Pages 19-22"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84877533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. Boïko-Alaux, Lucie Delaborde, M. Malleret, D. Tixier, L. Badrikian
{"title":"Place des pansements dans les plaies aiguës","authors":"V. Boïko-Alaux, Lucie Delaborde, M. Malleret, D. Tixier, L. Badrikian","doi":"10.1016/J.REFRAC.2019.04.007","DOIUrl":"https://doi.org/10.1016/J.REFRAC.2019.04.007","url":null,"abstract":"","PeriodicalId":101130,"journal":{"name":"Revue Francophone de Cicatrisation","volume":"18 1","pages":"44-50"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73872107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anne Le touze (Praticien hospitalier, responsable de l’unité des enfants brûlés)
{"title":"Les particularités des brûlures de l’enfant","authors":"Anne Le touze (Praticien hospitalier, responsable de l’unité des enfants brûlés)","doi":"10.1016/j.refrac.2019.06.004","DOIUrl":"10.1016/j.refrac.2019.06.004","url":null,"abstract":"<div><p>Si les traitements chirurgicaux des brûlures de l’enfant ne diffèrent pas radicalement de ceux de l’adulte, les indications thérapeutiques sont guidées à la fois par le type de brûlure (beaucoup de brûlures intermédiaires par ébouillantement) et par les problèmes de croissance à venir (la moitié des brûlures de l’enfant surviennent entre 1 et 3 ans). La prise en charge de la douleur est primordiale et parfois compliquée. La réhabilitation passe par la réinsertion scolaire précoce, que ce soit en milieu classique ou en centre de rééducation pédiatrique. L’objectif du traitement est de permettre une croissance normale et un développement psychomoteur satisfaisant. Enfin, il faut savoir dépister les situations de maltraitance.</p></div><div><p>Surgical treatments for paediatric burns are similar to those for adults but therapeutic indications are guided both by the type of burns (many intermediate-depth burns by scalding) and by growth to come (half of paediatric burns occur in 1 to 3 years old children). Pain management is essential and sometimes difficult. Rehabilitation includes early return to school, either in normal school, either in paediatric rehabilitation centres. The aim of treatment is to allow to normal growth and to correct psycho-motor development. Finally, child abuse situations have to be detected.</p></div>","PeriodicalId":101130,"journal":{"name":"Revue Francophone de Cicatrisation","volume":"3 2","pages":"Pages 32-36"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90341001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chloé Trial-Géri (Médecin coordinateur régional du réseau Cicat Occitanie et de l’établissement d’hospitalisation à domicile (HAD) de Montpellier Apard (groupe Adène), attachée à l’unité de chirurgie plastique, reconstructrice et des brûlés du centre hospitalier régional universitaire (CHRU) de Montpellier)
{"title":"Comment les jeunes médecins peuvent-ils envisager une activité en plaies et cicatrisation ?","authors":"Chloé Trial-Géri (Médecin coordinateur régional du réseau Cicat Occitanie et de l’établissement d’hospitalisation à domicile (HAD) de Montpellier Apard (groupe Adène), attachée à l’unité de chirurgie plastique, reconstructrice et des brûlés du centre hospitalier régional universitaire (CHRU) de Montpellier)","doi":"10.1016/j.refrac.2019.04.002","DOIUrl":"https://doi.org/10.1016/j.refrac.2019.04.002","url":null,"abstract":"","PeriodicalId":101130,"journal":{"name":"Revue Francophone de Cicatrisation","volume":"3 2","pages":"Page 1"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90126247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"L’index de pression systolique : approche de la technique de mesure","authors":"Évelyne Ribal (Infirmière) , Julie Lano (Médecin)","doi":"10.1016/j.refrac.2019.06.006","DOIUrl":"https://doi.org/10.1016/j.refrac.2019.06.006","url":null,"abstract":"<div><p>La prévalence de l’artériopathie oblitérante des membres inférieurs est élevée (12 à 14 % de la population générale), mais sous-évaluée par les patients asymptomatiques. Les patients présentant une plaie au niveau des membres inférieurs peuvent associer cette pathologie artérielle, facteur retardant la cicatrisation, contre-indiquant alors la détersion de la plaie et la mise en place de compression veineuse. La mesure de l’index de pression systolique, simple et non invasive, paraît constituer un examen incontournable pour le diagnostic précoce dans l’évaluation des patients vasculaires. Sa réalisation nécessite des professionnels bien formés à la méthodologie pour éviter les décisions erronées. Une revue de littérature en a étudié la validité et la fiabilité, incluant une analyse critique d’articles sur les bases de données Registered Nurses’ Association of Ontario (RNAO), National Institute of Clinical Evidence (Nice), National Guideline Clearinghouse (NGC), Cochrane et Medline.</p></div><div><p>The prevalence of peripheral arterial obstructive disease of the lower limbs is high (12 to 14% of the general population), but under-estimated by asymptomatic patients. Patients presenting with a wound of the lower limbs may also suffer from peripheral arterial obstructive disease, and the latter is a factor that slows healing, thus contraindicating debridement of the wound, which is often painful, and the implementation of venous compression. SPI measurement is simple and non invasive, and would seem to be preferred examination for early diagnosis in the evaluation of patients with vascular disease. This first-line examination requires practitioners who are well-trained in measurement methodology in order to avoid erroneous decisions. A literature journal focused on the validity and reliability of this non-invasive examination, including critical analysis of articles on the Registered Nurses’ Association of Ontario (RNAO), National Institute of Clinical Evidence (Nice), National Guideline Clearinghouse (NGC), Cochrane and Medline databases.</p></div>","PeriodicalId":101130,"journal":{"name":"Revue Francophone de Cicatrisation","volume":"3 2","pages":"Pages 56-61"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.refrac.2019.06.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91761470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lisandro Barry, M. Jeanne, V. Martinot-Duquennoy, L. Pasquesoone
{"title":"Greffes de peau chez les patients brûlés : principes et techniques","authors":"Lisandro Barry, M. Jeanne, V. Martinot-Duquennoy, L. Pasquesoone","doi":"10.1016/J.REFRAC.2019.06.003","DOIUrl":"https://doi.org/10.1016/J.REFRAC.2019.06.003","url":null,"abstract":"","PeriodicalId":101130,"journal":{"name":"Revue Francophone de Cicatrisation","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74003016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}