Journal of Burn Care & Research最新文献_第5页

Assessment of the scalpel blade as an objective tool for measuring dermatome cut thickness. 评估手术刀刀片作为测量皮肤切割厚度的客观工具。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-05-02 DOI: 10.1093/jbcr/iraf067

Dallan P Dargan, Lawrence J Gottlieb, Sebastian Q Vrouwe

{"title":"Assessment of the scalpel blade as an objective tool for measuring dermatome cut thickness.","authors":"Dallan P Dargan, Lawrence J Gottlieb, Sebastian Q Vrouwe","doi":"10.1093/jbcr/iraf067","DOIUrl":"https://doi.org/10.1093/jbcr/iraf067","url":null,"abstract":"Dermatomes are widely used for split thickness skin graft harvest. The graft thickness depends in part on the cut thickness setting, adjusted by the surgeon using a lever on the dermatome. This study aimed to assess whether a #15 scalpel blade placed in the dermatome blade aperture may reliably confirm the cut thickness setting (the scalpel dermatome test). Discrepancies between the blade-measured aperture and the cut thickness setting and the intra- and interobserver reliability of the technique were evaluated. The thickness of ten #15 blades (n=10) was measured using a micrometer. Six dermatomes were each assessed by two surgeons in triplicate each for the narrowest cut thickness setting that would permit passage of an entire surgical blade through the dermatome blade aperture, starting at zero and increasing cut thickness intervals of 1/1000 in. The mean scalpel blade thickness was 0.391 mm (~15/1000 in). The mean cut thickness setting which would permit the blade was 6/1000 in (range 2-9), p<0.001. Intra-observer reliability was good (intra-class correlation coefficient 0.89). Inter-observer reliability was moderate (intra-class correlation coefficient 0.52) and a mean difference of 1.5/1000 in was observed (6.8 versus 5.2, t-test p<0.018). Individual dermatome apertures differed, with the mean of three measurements for each ranging from 5.0 to 7.8/1000 in, p<0.001. Differences exist between scalpel blades, dermatomes and surgeons, however intra-observer reliability is good. The test is a simple maneuver, which can objectively validate the dermatome blade aperture, thereby preventing harm and optimising graft thickness.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Silver Sulfadiazine and Boric Acid are Effective in Protecting the Stasis Zone from Secondary Ischemia. 磺胺嘧啶银和硼酸对继发性缺血瘀滞区有保护作用。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-30 DOI: 10.1093/jbcr/iraf068

Muhammed Salih Süer, Ömer Cennet, Mehmet Ülkir, Elham Bahador Zirh, Ayşegül Fırat, Ali Konan

{"title":"Silver Sulfadiazine and Boric Acid are Effective in Protecting the Stasis Zone from Secondary Ischemia.","authors":"Muhammed Salih Süer, Ömer Cennet, Mehmet Ülkir, Elham Bahador Zirh, Ayşegül Fırat, Ali Konan","doi":"10.1093/jbcr/iraf068","DOIUrl":"https://doi.org/10.1093/jbcr/iraf068","url":null,"abstract":"A burn wound is characterized by hyperemia on the outer layer, stasis in the middle zone, and coagulation zones in the innermost region due to thermal damage to the skin. It is crucial to provide prompt and adequate treatment to prevent further damage. The depth of the burn increases as ischemic indicators become more distinct in the stasis zone when the burn is not adequately treated, despite the absence of ischemic signs in the stasis zone at the initial stages of the wound. This study aims to assess the impact of silver sulfadiazine, boric acid, low molecular weight heparin, and glyceryl trinitrate on wound healing in the stasis zone. The study involved four intervention groups, each consisting of six rats, and a sham group. After seven days of daily topical application of the active substances, the animals were sacrificed, and wound healing in the stasis zones was evaluated through macroscopic, histological, and immunohistochemical analysis. These findings demonstrate the effectiveness of these treatments in promoting wound healing. The results demonstrated that the boric acid and silver sulfadiazine groups exhibited the highest levels of wound healing, both macroscopically and histologically. Immunohistochemistry revealed significant differences, with the silver sulfadiazine group demonstrating superior results in MMP9 staining and the boric acid group in VEGF staining (p < 0.05). These findings suggest that boric acid and silver sulfadiazine effectively prevent ischemia in the stasis zone. Boric acid, in particular, appears to have significant potential as a wound healing agent due to its anti-inflammatory properties.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Marijuana Use in a Nationwide Survey of Burn Survivors. 大麻在全国烧伤幸存者调查中的使用。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-28 DOI: 10.1093/jbcr/iraf064

Ana M Reyes, Walter A Ramsey, Christopher F O'Neil, Michael D Cobler-Lichter, Mary Ishii, Shevonne S Satahoo, Joyce I Kaufman, Louis R Pizano, Tulay Koru-Sengul, Jose Szapocznik, Carl I Schulman

{"title":"Marijuana Use in a Nationwide Survey of Burn Survivors.","authors":"Ana M Reyes, Walter A Ramsey, Christopher F O'Neil, Michael D Cobler-Lichter, Mary Ishii, Shevonne S Satahoo, Joyce I Kaufman, Louis R Pizano, Tulay Koru-Sengul, Jose Szapocznik, Carl I Schulman","doi":"10.1093/jbcr/iraf064","DOIUrl":"https://doi.org/10.1093/jbcr/iraf064","url":null,"abstract":"There is growing interest in the role of marijuana and its derivatives in symptom management for chronic conditions including cancer and chronic pain. In burn survivors, marijuana use patterns are unknown. The objective of this study was to examine marijuana use in a nationwide sample of burn survivors. We hypothesized that severe symptoms or psychologic distress would be associated with marijuana use. Survivors were recruited and surveyed through the Phoenix Society for Burn Survivors from March to June 2023. The survey elicited demographics, burn characteristics, the continued impact of symptoms on quality of life, and therapies used for alleviating symptoms. Multivariable logistic regression was used to test for independent association of marijuana use with burn characteristics and symptoms. Of 178 respondents, the majority were female (59.6%), white (74.7%), ≥55 years old (51.1%), light skin toned (60.7%), >10 years removed from injury (52.8%), and had >20% total body surface area burns (75.3%). 41 survivors (23.0%) reported marijuana use. After controlling for confounding variables, having visible burns was associated with a 3.58 times increased odds of marijuana use compared to having hidden burns (95% CI 1.19-10.78). Being >10 years removed from burn injury (aOR 0.31, 95% CI 0.11-0.92) and having medium skin tone (aOR 0.32, 95% CI 0.11-0.96) were associated with reduced odds of marijuana use. On sensitivity analysis, no burn-related symptoms were consistently associated with marijuana use. In this nationwide survey, marijuana use was common and associated with visible burns. Understanding motivations for marijuana use and efficacy in this population require further study.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Comprehensive Tool to Support Family Physicians and Burn Survivors in the Provision of Long-term Burn Survivor Care. 一个全面的工具，以支持家庭医生和烧伤幸存者提供长期烧伤幸存者护理。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-26 DOI: 10.1093/jbcr/iraf062

Anna Tian, Stephanie Chan, Marguerite Nolin, Béatrice Hébert, Zoë Edger-Lacoursière, Elisabeth Marois-Pagé, Stephanie Jean, Bernadette Nedelec

{"title":"A Comprehensive Tool to Support Family Physicians and Burn Survivors in the Provision of Long-term Burn Survivor Care.","authors":"Anna Tian, Stephanie Chan, Marguerite Nolin, Béatrice Hébert, Zoë Edger-Lacoursière, Elisabeth Marois-Pagé, Stephanie Jean, Bernadette Nedelec","doi":"10.1093/jbcr/iraf062","DOIUrl":"https://doi.org/10.1093/jbcr/iraf062","url":null,"abstract":"Healthcare professionals increasingly recognize major burn injuries as a chronic condition due to their persistent and long-term health implications. The increasing survival rates and longer lifespans of burn survivors (BS) require general practitioners (GPs) to meet their long-term, potentially complex care. This project investigated the perceived need for a Knowledge Translation (KT) tool, and the content required, to optimize long-term support for BS by making best practices resources more accessible to their GPs. This mixed-method study assessed the perceived needs of BS and the current GP practices regarding BS follow-up. Survey data was gathered from GPs and BS. Additionally, a focus group was held with expert burn care clinicians. The results were analyzed using descriptive quantitative and qualitative methods and the findings triangulated. The common themes revealed the need for information about holistic care for BS across their illness trajectory. 94% of GPs reported a lack of confidence treating BS who wanted information regarding co-morbidities, psychosocial support, and symptom management, particularly related to scars (79-94%). BS reported symptoms which interfere with their daily activities: (i.e. scar-related (75%), pain (57.5%), stiffness (52.5%), weakness (55%), fatigue (65%), psychosocial (55%) and cognitive issues (35%)). The KT tool generation was based on the amalgamated findings. This study revealed a consensus amongst BS, GPs, and expert clinicians that there was a need for a learning resource for GPs to support their role in providing BS long-term follow-up care. The resulting KT tool will enable GPs to bridge their knowledge gaps through user-friendly links to BS-relevant resources.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Friction Burns and the E-scooter: an evolving trend. 摩擦烧伤和电动滑板车：一个不断发展的趋势。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-26 DOI: 10.1093/jbcr/iraf060

Dulan A Gunawardena, Jeremy M Rawlins

{"title":"Friction Burns and the E-scooter: an evolving trend.","authors":"Dulan A Gunawardena, Jeremy M Rawlins","doi":"10.1093/jbcr/iraf060","DOIUrl":"https://doi.org/10.1093/jbcr/iraf060","url":null,"abstract":"Emerging as a cost-effective, convenient, and environmentally friendly mode of transportation, electric scooters (e-scooters) have become ubiquitous across metropolitan hubs. Regulation varies between States but typically mandates helmets, complying with age-related speed limits, and not being under the influence of alcohol and illicit substances. Given the difficulty of enforcing these restrictions and the ease of manoeuvring through different road infrastructure, riders, and those around them, are vulnerable to trauma. With many e-sooters reaching speeds exceeding 25km/hour, collisions can result in friction burns when riders collide with hard surfaces such as roads. The aims of this project were to describe the profile of friction burns associated with e-scooters referred to Western Australia's burns units. A retrospective review of e-scooter related friction burns recorded within Western Australia's burns units was undertaken between January 2019 and July 2023. Data collected included demographics, injury profile, abrasion characteristics and management. Between 2019 and 2023, 30 e-scooter related burns were identified. Most friction burns resulted from non-collision events (76.7%) such as falls, with the upper limbs most commonly involved (31.8%). Ninety-three percent of burns involved a total body surface area of less than 5%, with most being mid-dermal in depth (63.3%). Friction burns are an emerging injury among e-scooter riders and, given the popularity of this method of transport, warrant targeted injury prevention countermeasures. Whilst these burns are not usually severe, further prospective research is needed to understand the nature of events leading to them.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development for the Teen-Aged Life Impact Burn Recovery Evaluation (TA-LIBRE12-19) Profile. 青少年生活冲击烧伤恢复评估（TA-LIBRE12-19）概况的发展。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-26 DOI: 10.1093/jbcr/iraf058

Khushbu F Patel, Madeleine B McGwin, Mary D Slavin, Kate E Surette, Jeffrey C Schneider, Michael J Murphy, Frederick J Stoddard, Lewis E Kazis, Colleen M Ryan

{"title":"Development for the Teen-Aged Life Impact Burn Recovery Evaluation (TA-LIBRE12-19) Profile.","authors":"Khushbu F Patel, Madeleine B McGwin, Mary D Slavin, Kate E Surette, Jeffrey C Schneider, Michael J Murphy, Frederick J Stoddard, Lewis E Kazis, Colleen M Ryan","doi":"10.1093/jbcr/iraf058","DOIUrl":"https://doi.org/10.1093/jbcr/iraf058","url":null,"abstract":"Advances in clinical burn management have led to emphasis on using assessments in clinics. Outcome measures are important to assess the effectiveness of interventions, and support integration back into the community. A more granular measure with advanced psychometrics capability using computer adaptive tests (CAT)) is needed. The current study developed a conceptual model as the first step in creating a new measurement tool for teen burn survivors aged 12 to 19 years, inclusively. To identify outcomes important in assessment of burn recovery, focus groups of clinicians, teens, and their parents were conducted until thematic saturation was reached. Each focus group transcript was analyzed using deductive and inductive approaches to identify and categorize content. Findings were used to validate the model and ensure adequate domain coverage. The TA-LIBRE12-19 conceptual model includes Activity (Mobility, Physical Self-care, General Tasks, Experience of Self, and Learning and Applying Knowledge) and Participation (Major Life Areas, Interpersonal Interactions and Relationships, and Engagement). Eighteen participants completed the study. Clinician's median age was 47 years, (90% female and 80% white); teens' median age was 14 years (62% female and 75% white). Burn size ranged from 0.25 - 60% total body surface area. Focus group content was coded a total of 1,138 times during the analysis. Outcome areas most impacted include Experience of Self, Interpersonal Interactions and Relationships, and Symptoms (372, 282, and 112 codes respectively). A well informed credible conceptual model was developed with a solid foundation of domains consisting of Activity and Participation.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What You Wear Underneath Your Gear Matters. 你在你的装备下面穿什么很重要。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-26 DOI: 10.1093/jbcr/iraf056

Michael J Feldman, Gerald E Pruden, Joshua Petteway, Denise N Statham, Prabhu Senthil-Kumar

{"title":"What You Wear Underneath Your Gear Matters.","authors":"Michael J Feldman, Gerald E Pruden, Joshua Petteway, Denise N Statham, Prabhu Senthil-Kumar","doi":"10.1093/jbcr/iraf056","DOIUrl":"https://doi.org/10.1093/jbcr/iraf056","url":null,"abstract":"Protecting firefighters from burn injury risk is a top priority. Having standards ensures the different types of gear adequately meet performance requirements. The National Fire Protection Association (NFPA) standards, NFPA 1971, Standard on Protective Ensembles for Structural Firefighting and Proximity Firefighting, and NFPA 1977, Standard on Protective Clothing and Equipment for Wildland Firefighting and Urban Interface Firefighting, focus on the performance of firefighter protective clothing worn in structural and wildland scenarios respectively, but do not mandate what garments are worn next to the skin. Anecdotal evidence suggests that what firefighters wear under their gear can impact burn injury, but minimal scientific data is available to support these findings. Our study aims to test the effect of different undergarments in realistic flashover events on a test manikin. Manikins were outfitted with sensors to measure the effects of a flashover environment and underwent a review by a verified burn center team to correlate manikin damage to injuries that would occur in a real event. The study focuses on understanding how the increased use of synthetic undergarments affects firefighter safety. This research is vital as firefighters often wear synthetic undergarments without the ability to change quickly during unpredictable incidents, and previous findings may not be applicable to their experiences.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Concerns Regarding the Use of Negative Pressure Wound Therapy After Fasciotomy for Compartment Syndrome. 筋膜切开术后负压伤口治疗筋膜间室综合征的关注。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-26 DOI: 10.1093/jbcr/iraf066

Dr Alan Rogers, Dr David Wallace

引用次数: 0

A National Multi-Center Analysis of the Epidemiology of Pediatric Facial Injuries from Fireworks. 儿童烟花面部损伤流行病学的全国多中心分析。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-26 DOI: 10.1093/jbcr/iraf065

Aidin Gharavi, Chase Lueder, Andy Tom, Sergio M Navarro

{"title":"A National Multi-Center Analysis of the Epidemiology of Pediatric Facial Injuries from Fireworks.","authors":"Aidin Gharavi, Chase Lueder, Andy Tom, Sergio M Navarro","doi":"10.1093/jbcr/iraf065","DOIUrl":"https://doi.org/10.1093/jbcr/iraf065","url":null,"abstract":"Firework injuries remain a significant public health concern, with an estimated 9,700 injuries reported in 2023. This study examines trends in pediatric facial injuries from fireworks over the past decade using the National Electronic Injury Surveillance System (NEISS). Pediatric cases from 2014-2023 were identified using the fireworks consumer code (1313) and filtered for facial injuries (body part code 76). Data was analyzed using chi-square tests to assess significance and logistic regression to evaluate trends. An estimated 4,625 pediatric facial injuries from fireworks presented to emergency departments (ED) nationwide from 2014-2023. Among cases (n = 177), 68.4% were male and 31.6% were female. Thermal burns (60.5%), lacerations (15.3%), and contusions/abrasions (11.9%) were the most common injuries. Males were more likely to be injured than females (p-value: < 0.001). Overall, 17.5% of injuries required hospitalization or transfer. Older children were significantly more likely to sustain injuries requiring hospitalization (Odds Ratio [OR]: 1.13, 95% CI: 1.04-1.23, p = 0.005). Younger children had higher odds of sparkler-related injuries, although the risk rapidly decreased with age (OR: 0.76, 95% CI: 0.68-0.86, p < 0.001). Our results show fireworks continue to cause significant pediatric facial injuries, with thermal burns being the most common diagnosis, and nearly one in five facial injuries from fireworks requiring hospitalization. Efforts to reduce facial injuries from fireworks should focus on minimizing the risk of injury in younger children while ensuring safety protocols are in place to address more significant injuries in older children.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Response to Letter to the Editor Concerning "Caregivers and Clinic Providers View Soft Casts for Pediatric Hand Burns as Acceptable and Feasible: A Mixed Methods Survey". 关于“护理人员和诊所提供者认为小儿手部烧伤软石膏是可接受和可行的：一项混合方法调查”的致编辑的回复。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-24 DOI: 10.1093/jbcr/iraf036

Jennifer M Schuh, Leanna L Shaman, Katherine T Flynn-O'Brien

引用次数: 0