{"title":"Postburn rehabilitation and improvement of body image","authors":"Vijay Kumar","doi":"10.4103/ijb.ijb_11_22","DOIUrl":"https://doi.org/10.4103/ijb.ijb_11_22","url":null,"abstract":"Improvement in quality of life and optimum functional recovery after burn injury is the final goal of burn care. After major burn injuries, look (body image) and functionality changed a lot. How a person perceive himself or herself, how confident about his/her looks, and how much confident about his/her body appearance are collectively known as body image. Severe distress is present in 30% of burn survivors and perceives their distorted body image after their first hospitalization. Pre- and postoperative physiotherapy and occupational therapy provide alternative ways for these problems of burn patients. Almost everyone has certain degree of changes in their recovery phase, but most of them get used to the change in their appearance over the time.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"1 - 3"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45228910","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}
P. Verma, H. Saxena, S. Kala, Mohit M. Singh, Komal Tripathi
{"title":"Clinicoepidemiological profile of thermal burn injuries and its mortality risk factors in a tertiary care center in Uttarakhand","authors":"P. Verma, H. Saxena, S. Kala, Mohit M. Singh, Komal Tripathi","doi":"10.4103/ijb.ijb_33_21","DOIUrl":"https://doi.org/10.4103/ijb.ijb_33_21","url":null,"abstract":"Introduction: Burns are a major burden to the society in terms of lives lost, treatment costs, and postburn deformities. This study aims to identify the incidence, causes of burns, associated risk factors, and mortality in a tertiary care center in Uttarakhand. Patients and Methods: This study was an observational study conducted from October 2018 to April 2021 at a tertiary care center in Uttarakhand. It includes the patients with thermal burns who were admitted in the burns unit of the hospital. The interrelationship between various risk factors and mortality was studied. Results: A total of 247 patients were included in the study. Males outnumbered females constituting 55.47% of the population. Most of the patients were of age group 21–40 years and were from rural backgrounds, belonging to lower socioeconomic class. The literacy rate was 76.52%. Farming was the predominant occupation. Major cause of burns was flame burns with second-degree burns being the most common. Accidental burns were common, and mostly (39.68%) patients sustained burns with total burn surface area (TBSA) <25%. The mortality rate was 11.34%. Majority (56.68%) of the patients belonged to Class IV socioeconomic class (modified BG Prasad classification). Conclusions: Young males of rural background and low socioeconomic strata were the most common victim of burn injuries. The majority of cases were accidental thermal burns. The mortality rate was high in patients with TBSA >60%, third-degree burns and housewives. Appropriate measures need to be taken regarding the education of the public for prevention of burns and improvement in healthcare to decrease the incidence and improve the outcome of burn patients.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"82 - 86"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42942163","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":"Resurfacing autograft-harvested donor sites with cadaver allograft in surgical management of extensive deep burns – A genesis of idea and its possible applications","authors":"Narendra S. Mashalkar","doi":"10.4103/ijb.ijb_17_21","DOIUrl":"https://doi.org/10.4103/ijb.ijb_17_21","url":null,"abstract":"","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"102 - 103"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45256238","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. Bhatia, Kena Patel, Sruja Narola, Ranjit Zapadiya, A. Parikh
{"title":"Major COVID-19-positive burns treated successfully","authors":"V. Bhatia, Kena Patel, Sruja Narola, Ranjit Zapadiya, A. Parikh","doi":"10.4103/ijb.ijb_21_20","DOIUrl":"https://doi.org/10.4103/ijb.ijb_21_20","url":null,"abstract":"Extensive burns are severe form of trauma causing a great threat to life. Approximately 300,000 deaths is attributed to burns annually, majority (>95%) of which occur in developing countries. Survival rate of patients decreases as the rate of burn increases. Coronavirus disease (COVID-19) pandemic has affected all the communities worldwide. It has strong infectivity and high transmission rate. When treating corona-virus-infected burns patients, prevention of cross infection to health workers becomes of utmost importance. Here, authors present a case of extensive burns along with COVID-19 infection, the precautions taken to prevent infection among health workers and protocols followed for management. The patient was treated over a span of 75 days where the patient was cured of COVID-19 in 21 days and underwent two surgeries with homograft and autograft application. Multidisciplinary approach with strict protocols of safety and vigilant monitoring is key to successful management.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"28 1","pages":"108 - 112"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44838426","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":"Epidemiological analysis of chemical burns: Does it reflect any change in trends?","authors":"S. Sharma, Piyush Thayal, P. Arumugam","doi":"10.4103/ijb.ijb_33_20","DOIUrl":"https://doi.org/10.4103/ijb.ijb_33_20","url":null,"abstract":"Introduction: Chemical burns constitute small proportion of cases among the total admissions due to burn injuries. The spectrum of severity of illness can vary from mild injuries to life-threatening trauma. In the Indian scenario, the incidence of chemical burns has been reported to be 2.25%–2.4% of total burn admissions. We decided to analyze the epidemiological trends in a tertiary care center from 2013 to 2018 and observe if there has been any shift in the trends. Materials and Methods: A retrospective chart review of all burn victims who attended our burns casualty in V. M. M. C and Safdarjung Hospital, New Delhi, India, between January 2013 and December 2018, was carried out. Results: During the study period of 6 calendar years from 2013 to 2018, a total of 142 patients of chemical burns attended the hospital, with 47 of them requiring admission. The chemical burns accounted for 0.45% of the total burn patient's attendance. Male dominance was noted with 64% of patients being males. Nearly 59% of the chemical burn patients were from 21 to 40-year age group. Accidental chemical burns accounted for maximum cases. It was observed that acid burns have decreased in comparison to the initial 3 years. Conclusion: Downward trend in the incidence of overall chemical burns was noted. Acid burns decreased with simultaneous increase in alkali burns. The study period coincided with the Supreme Court's verdict with the formulation of guidelines on sale of acids in 2013 and this could be the major factor in declining trends of acid burns.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"28 1","pages":"13 - 17"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47502845","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":"Burn management during COVID-19 era: An overview","authors":"Vijay Kumar","doi":"10.4103/ijb.ijb_7_21","DOIUrl":"https://doi.org/10.4103/ijb.ijb_7_21","url":null,"abstract":"","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"28 1","pages":"1 - 3"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43562541","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":"The effect of rhythmic deep breathing on pain and anxiety in patients with burns","authors":"A. Iyer, Suroshree Mitra, Rachana P. Dabadghav","doi":"10.4103/ijb.ijb_5_20","DOIUrl":"https://doi.org/10.4103/ijb.ijb_5_20","url":null,"abstract":"Context: Patients with burns suffer from physical (pain) and psychosocial (anxiety) sequelae due to the burns wounds and mobilization activities. Deep breathing is a simple intervention to manage pain and anxiety in various conditions. Data concerning the effect of breathing on burns patients are limited. In order to add to this information, this study was undertaken on burns patients. Aims and Objectives: The aim was to study the effect of rhythmic deep breathing on pain and anxiety in patients with burns. Methods: This study followed an experimental, pretest–posttest design. A single group of twenty patients in the age group of 5–70 years who had suffered various types of burns to some or all parts of the body were recruited from a tertiary care center in Pune, India. With institutional approval and written consent, deep breathing technique was taught to the patients. Pretest and posttest scores of pain visual analog scale (VAS), anxiety (VAS), and anticipatory anxiety pain anxiety symptom scale were collected in the period from October 2019 to November 2019. Results: Significant change (P = 0.00) was observed in the mean pain, anxiety, and anticipatory anxiety scores over time. Conclusion: Rhythmic deep breathing can significantly help to decrease pain and anxiety in patients with burns.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"28 1","pages":"74 - 78"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45730811","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. Bhatia, Pradnya Sarwade, Pranav Thusay, S. Mehta, Nirav Visavadia
{"title":"Coverage of exposed pericardium with a lateral thoracic artery perforator flap","authors":"V. Bhatia, Pradnya Sarwade, Pranav Thusay, S. Mehta, Nirav Visavadia","doi":"10.4103/ijb.ijb_16_20","DOIUrl":"https://doi.org/10.4103/ijb.ijb_16_20","url":null,"abstract":"Electricity is an indispensable part of the society that we live in, depending on it from household appliances to farms and industries. Electrical burn injuries, although form a small proportion of the total burn cases, pose significant challenges in their management due to their varied manifestations and the high associated morbidity and mortality. Most high voltage electrical injuries are work related. The entry wounds are most commonly seen over the upper extremities, whereas the exit wounds are seen over the lower extremities. The thorax presents an uncommon site for an entry wound. In this case report, the authors present one such case of electrical injury with an entry wound over the thorax presenting as a left parasternal defect that was debrided and covered successfully with a lateral thoracic artery perforator-based flap from the lateral chest wall.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"28 1","pages":"104 - 107"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48213088","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":"Understanding the role of serum lactate as an end point in burn resuscitation","authors":"N. D’souza, A. Kujur, D. Rajeswari","doi":"10.4103/ijb.ijb_1_20","DOIUrl":"https://doi.org/10.4103/ijb.ijb_1_20","url":null,"abstract":"Context: Fluid resuscitation plays a significant role in burns treatment. Inappropriate resuscitation impacts morbidity and mortality. Urine output (UO), the current gold standard, alone, is not an adequate end point of fluid resuscitation in burns. Hence, we studied the utility of serum lactate levels as a reliable marker and end point of resuscitation. Aims: (a) To understand the role of serum lactate levels in burns as end point in acute burn resuscitation and (b) To assess its sensitivity and specificity. Settings and Design: Tertiary care hospital, urban setting, and cross-sectional study. Subjects and Methods: The study was done from September 2015 to July 2017. Sixty-four patients with thermal burns were included. Serum lactate levels were recorded at arrival, 8 h, 16 h, 24 h, and 48 h interval postburn incident. Hourly UO heart rate and mean arterial pressure were recorded for the outcome measures. Statistical Analysis Used: Chi-square test and nonparametric Mann–Whitney U-test. P ≤ 0.05 was considered statistically significant. Results: (a) The initial serum lactate levels at presentation were directly proportional to: The total body surface area and percent deep component of burns sustained Delay in starting resuscitation. b. Time taken for serum lactate levels to normalize is directly proportional to initial serum lactate level. At 16 h, serum lactate showed (94%) specificity, (53%) sensitivity, and at 48 h (85%) sensitivity, (44%) specificity. Conclusions: Serum lactate levels can help to monitor the adequacy of fluid resuscitation in burns. Serum lactate and UO, both, should be taken into consideration to determine the end point of resuscitation.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"28 1","pages":"7 - 12"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48709162","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":"Prevalence and profile of persons with burn injuries in rural field practice area of Rajarajeswari Medical College and Hospital, Bengaluru","authors":"A. Subramanian, S. Manjunatha","doi":"10.4103/ijb.ijb_6_20","DOIUrl":"https://doi.org/10.4103/ijb.ijb_6_20","url":null,"abstract":"Background: Burn injury is one of the common medical emergencies admitted to any hospital and is an important public health problem globally. Although most burn injuries are preventable, the general lack of safety consciousness, lack of knowledge on first aid measures, compounded by the absence of organized burn care at primary and secondary health-care level, hinder the curbing of this preventable problem. Objectives: (a) To estimate the prevalence of burn injuries in the rural field practice area of RajaRajeswari Medical College and (b) To determine the sociodemographic profile of burn injury victims and describe the burn injuries in the rural field practice area of RajaRajeswari Medical College. Subjects and Methods: A community-based cross-sectional study was carried out among 1220 randomly selected participants in the rural area using a semi-structured, pretested questionnaire. Data were analyzed adopting descriptive statistics, univariate and multivariate statistical techniques using the Statistical Package for the Social Sciences version 22. Results: The prevalence of burn injuries was found to be 9.5% in the present study. Logistic regression analysis showed that various sociodemographic characteristics of participants such as age, type of family, educational status, and socioeconomic status had a statistically significant association with burn injuries. Conclusion: The prevalence of burn injuries was 9.5% among the study participants. There existed a statistically significant association between burn injuries and various sociodemographic determinants.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"28 1","pages":"29 - 35"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47477944","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}