{"title":"The burn edema process: current concepts.","authors":"R. Demling","doi":"10.1097/01.BCR.0000162151.71482.B3","DOIUrl":"https://doi.org/10.1097/01.BCR.0000162151.71482.B3","url":null,"abstract":"Massive tissue edema after thermal injury is a well-recognized entity. Although this process is responsible for the patient's large fluid needs during resuscitation and also for local problems, such as a compartment syndrome, there have been no effective treatment modalities introduced into clinical care to control the degree of edema. A review of what is now known about the edema process is presented here, including attempted prevention and treatment modalities. The pathogenesis involves changes in most of the physical forces controlling fluid flux across the capillary and also how fluid accumulates in the interstitium. Increased capillary permeability to protein is but one of these changes. The presence of an initial profound negative interstitial pressure \"sucking\" fluid into the tissues and a marked increase in interstitial space compliance are equally important components. A host of mediators, especially oxidants, have been reported to cause these physical changes, and some mediator inhibitors appear to be of benefit, especially antioxidants. However, few clinical trials, aimed at decreasing edema, have been performed. With these new insights into the edema process, future prevention and treatment modalities can be developed.","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"1 1","pages":"207-27"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76266575","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":"Abstracts of the 37th Annual Meeting of the American Burn Association. May 10-13, 2005, Chicago, Illinois, USA.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 2 Suppl","pages":"S46-178"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25117192","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}
David J Barillo, Leopoldo C Cancio, Brad G Hutton, Paul J Mittelsteadt, Glen E Gueller, John B Holcomb
{"title":"Combat burn life support: a military burn-education program.","authors":"David J Barillo, Leopoldo C Cancio, Brad G Hutton, Paul J Mittelsteadt, Glen E Gueller, John B Holcomb","doi":"10.1097/01.bcr.0000155541.31016.92","DOIUrl":"https://doi.org/10.1097/01.bcr.0000155541.31016.92","url":null,"abstract":"<p><p>The Advanced Burn Life Support Course has been used to train military physicians and nurses for more than 16 years. Although it useful for teaching the fundamentals of burn care, the course is designed for a civilian audience, covers only the first 24 hours of burn care, and presumes the availability of a burn center for patient transfer. In preparation for hostilities in Iraq, we developed several add-on modules to the standard Advanced Burn Life Support course to meet specific needs of military audiences. These modules cover the treatment of white phosphorus burns; the treatment of mustard gas exposure; the long-range aeromedical transfer of burn patients; the management of burn patients beyond the first 24 hours; and the delivery of burn care in austere environments. These add-on modules are termed Combat Burn Life Support. Between January 22, 2003, and May 12, 2003, Advanced Burn Life Support and/or Combat Burn Life Support courses were provided to a total of 1035 military health care providers in the United States, Germany, and the Middle East. Student feedback was largely positive and is being used for further course refinement. The Combat Burn Life Support Course is designed to augment, rather than replace, the Advanced Burn Life Support Course. Although intended for a military audience, the course material is equally applicable to civilian terrorist or mass casualty situations.</p>","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 2","pages":"162-5"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000155541.31016.92","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25164822","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}
Leopoldo C Cancio, E Eric Horvath, David J Barillo, Bernard J Kopchinski, Keith R Charter, Alfredo E Montalvo, Teresa M Buescher, Matthew L Brengman, Mary-Margaret Brandt, John B Holcomb
{"title":"Burn support for Operation Iraqi Freedom and related operations, 2003 to 2004.","authors":"Leopoldo C Cancio, E Eric Horvath, David J Barillo, Bernard J Kopchinski, Keith R Charter, Alfredo E Montalvo, Teresa M Buescher, Matthew L Brengman, Mary-Margaret Brandt, John B Holcomb","doi":"10.1097/01.bcr.0000155540.31879.fb","DOIUrl":"https://doi.org/10.1097/01.bcr.0000155540.31879.fb","url":null,"abstract":"<p><p>Thermal injury historically constitutes approximately 5% to 20% of conventional warfare casualties. This article reviews medical planning for burn care during war in Iraq and experience with burns during the war at the US Army Burn Center; aboard the USNS Comfort hospital ship; and at Combat Support Hospitals in Iraq and in Afghanistan. Two burn surgeons were deployed to the military hospital in Landstuhl, Germany, and to the Gulf Region to assist with triage and patient care. During March 2003 to May 2004, 109 burn casualties from the war have been hospitalized at the US Army Burn Center in San Antonio, Texas, and US Army Burn Flight Teams have moved 51 critically ill burn casualties to the Burn Center. Ten Iraqi burn patients underwent surgery and were hospitalized for up to 1 month aboard the Comfort, including six with massive wounds. Eighty-six burn casualties were hospitalized at the 28th Combat Support Hospital for up to 53 days. This experience highlights the importance of anticipating the burn care needs of both combatants and the local civilian population during war.</p>","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 2","pages":"151-61"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000155540.31879.fb","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25164823","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}
Marion H Jordan, David W Mozingo, Nicole S Gibran, David J Barillo, Gary F Purdue
{"title":"Plenary Session II: American Burn Association Disaster Readiness Plan.","authors":"Marion H Jordan, David W Mozingo, Nicole S Gibran, David J Barillo, Gary F Purdue","doi":"10.1097/01.bcr.0000155528.75471.6b","DOIUrl":"https://doi.org/10.1097/01.bcr.0000155528.75471.6b","url":null,"abstract":"","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 2","pages":"183-91"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000155528.75471.6b","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25164831","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":"Disaster management and the ABA Plan.","authors":"","doi":"10.1097/01.bcr.0000158926.52783.66","DOIUrl":"https://doi.org/10.1097/01.bcr.0000158926.52783.66","url":null,"abstract":"","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 2","pages":"102-6"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000158926.52783.66","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24996598","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}
David T Harrington, Walter L Biffl, William G Cioffi
{"title":"The station nightclub fire.","authors":"David T Harrington, Walter L Biffl, William G Cioffi","doi":"10.1097/01.bcr.0000155537.60909.fc","DOIUrl":"https://doi.org/10.1097/01.bcr.0000155537.60909.fc","url":null,"abstract":"","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 2","pages":"141-3"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000155537.60909.fc","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24996603","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}
David J Barillo, Marion H Jordan, Richard J Jocz, Donna Nye, Leopoldo C Cancio, John B Holcomb
{"title":"Tracking the daily availability of burn beds for national emergencies.","authors":"David J Barillo, Marion H Jordan, Richard J Jocz, Donna Nye, Leopoldo C Cancio, John B Holcomb","doi":"10.1097/01.bcr.0000155545.24253.45","DOIUrl":"https://doi.org/10.1097/01.bcr.0000155545.24253.45","url":null,"abstract":"<p><p>Medical planning for Operation Iraqi Freedom included predictive models of expected number of burn casualties. In all but the best-case scenario, casualty estimates exceeded the capacity of the only Department of Defense burn center. Examination of existing federal-civilian disaster plans for military hospital augmentation revealed that bed availability data were neither timely nor accurate. Recognizing the need for accurate knowledge of burn bed availability, the Department of Defense requested assistance from the American Burn Association (ABA). Directors of burn centers in the United States were queried for interest in participation in a mass casualty plan to provide overflow burn bed capacity. A list of 70 participating burn centers was devised based upon proximity to planned military embarkation points. A computer tracking program was developed. Daily automated e-mail messages requesting bed status were sent to burn center directors at 6 am Central time with responses requested before 11 am. The collated list of national overflow burn bed capacity was e-mailed each day to the ABA Central Office and to federal and military agencies involved with burn patient triage and transportation. Once automated, this task required only 1-2 hours a day. Available burn-bed lists were generated daily between March 17 and May 2, 2003 and then every other day until May 9, 2003. A total of 2151 responses were received (mean, 43 burn centers per day). A system to track daily nationwide burn bed availability was successfully implemented. Although intended for military conflict, this system is equally applicable to civilian mass casualty situations. We advocate adoption of this or a similar bed tracking system by the ABA for use during burn mass casualty incidents.</p>","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 2","pages":"174-82"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000155545.24253.45","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25164830","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 disasters and mass casualty incidents","authors":"D. Barillo","doi":"10.1097/01.BCR.0000155538.03575.DA","DOIUrl":"https://doi.org/10.1097/01.BCR.0000155538.03575.DA","url":null,"abstract":"","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"22 1","pages":"107-108"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80646608","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}
Roger W Yurt, Palmer Q Bessey, Gregory J Bauer, Robert Dembicki, Hope Laznick, Nicole Alden, Angela Rabbits
{"title":"A regional burn center's response to a disaster: September 11, 2001, and the days beyond.","authors":"Roger W Yurt, Palmer Q Bessey, Gregory J Bauer, Robert Dembicki, Hope Laznick, Nicole Alden, Angela Rabbits","doi":"10.1097/01.bcr.0000155543.46107.e6","DOIUrl":"https://doi.org/10.1097/01.bcr.0000155543.46107.e6","url":null,"abstract":"<p><p>This report reviews the response of a regional burn center to the disaster that occurred in New York City at the World Trade Center on September 11, 2001. In addition, it assesses that response in the context of other medical institutions in the region. There were facilities in the region that had 120 burn care beds; only two-thirds of the burn-injured patients who required hospital admission were admitted to designated burn centers, and only 28% of burn-injured victims initially were triaged to regional burn centers. The care rendered at this center was made possible by a \"disaster-ready\" facility and supplementation of personnel from the resources provided by The National Disaster Medical System. The patient outcomes at this center exceeded that as predicted by logistic regression analysis.</p>","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 2","pages":"117-24"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000155543.46107.e6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24996599","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}