Burns最新文献

{"title":"The separate and combined effect of intraoperative stressors on the surgical team during burn surgery: A pilot study","authors":"Zehra Palejwala ,&nbsp;Fiona M. Wood ,&nbsp;Shane K. Maloney ,&nbsp;Grant J. Landers ,&nbsp;Ullrich K.H. Ecker ,&nbsp;Karen E. Wallman","doi":"10.1016/j.burns.2025.107565","DOIUrl":"10.1016/j.burns.2025.107565","url":null,"abstract":"<div><h3>Background</h3><div>Burn injuries occurring to more than 20 % of a patient’s total body surface area (TBSA) are often treated in hot theatres and are considered complex cases, potentially increasing stress in the surgical staff. While heat stress is known to affect perceived workload and cognitive function, the effect of psychological stress, and the combined effect of heat and psychological stress, have not been explored in surgical staff. Thus, our aim was to assess the separate and combined effects of heat and psychological stress on cognitive function, perceptual measures, and physiological variables of surgical staff during burn surgery.</div></div><div><h3>Methods</h3><div>Eight surgical personnel were assessed in control conditions: CON (24 ± 1°C; 7 ± 10 % TBSA), hot conditions: HOT (30 ± 1°C; 18 ± 2 % TBSA), and complex, hot conditions: HOT_C (32 ± 1°C; 37 ± 23 % TBSA). Cognitive function and perception of thermal sensation and comfort were recorded pre- and post-surgery, while perceived workload was assessed post-surgery only. Physiological variables were recorded throughout surgery.</div></div><div><h3>Results</h3><div>Working memory capacity pre-surgery (<em>g</em>=0.38) and processing speed were impaired in HOT_C compared to CON (<em>p</em> &lt; 0.05), but were not different between HOT and CON (<em>p</em> &gt; 0.05). Perceived workload was higher in HOT_C compared to CON (<em>p</em> &lt; 0.05) but was not different between HOT and CON (<em>p</em> &gt; 0.05). Numerical differences in core temperature between HOT_C and CON were larger than differences between HOT and CON, while heart rate was significantly higher in HOT_C compared to HOT or CON (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Heat stress can cause symptoms of heat strain in the surgical team, which can be exacerbated by psychological stress, potentially leading to cognitive impairments and a higher perceived workload.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 7","pages":"Article 107565"},"PeriodicalIF":3.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144634362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stigma and discrimination in healthcare: Challenges faced by burn patients in India","authors":"Pratishtha Singh ,&nbsp;Jagnoor Jagnoor ,&nbsp;Mohammed Fahud Khurram ,&nbsp;Brijesh Mishra ,&nbsp;Vikash Ranjan Keshri","doi":"10.1016/j.burns.2025.107566","DOIUrl":"10.1016/j.burns.2025.107566","url":null,"abstract":"<div><h3>Background</h3><div>Burn injuries are a significant global public health concern, particularly in low- and- middle-income countries like India. These patients often face economic hardships, vocational limitations, and social exclusion even before sustaining their injuries. The resulting disfigurement, disability, and scarring from burns lead to increased social stigma and discrimination, exacerbating mental health concerns among survivors. However, we could not find any existing research exploring this phenomenon in health facility settings. This study aims to investigate the presence and manifestations of stigma and discrimination experienced by burn patients in healthcare institutions in India.</div></div><div><h3>Methods</h3><div>A qualitative inquiry was conducted in Uttar Pradesh, India, between June and December 2023. A total of 18 face-to-face in-depth interviews were conducted with participants, including seven burn patients, eight healthcare providers, and three legal professionals who work for the welfare of burn survivors. Participants were selected through purposive sampling. The data was analysed in NVivo using thematic analysis.</div></div><div><h3>Results</h3><div>Three key themes were identified. The first theme, ‘Health system factors contributing to stigma’ highlights institutional barriers such as an overburdened health system, resource constraints, and the absence of guidelines. The second theme of ‘Patient experiences of stigma in health facilities’ delves into patient-provider interactions, instances of physical and mental abuse, and stigma intersectionality. Lastly, the third theme, ‘Possible ways for promoting inclusivity and reducing stigma’ discusses multistakeholder sensitization and policy reforms for discrimination-free care. In addition, we also use the Health Stigma and Discrimination framework to interpret stigma around burns, its outcome, and impact.</div></div><div><h3>Conclusion</h3><div>This study provides crucial insights into the multifaceted challenges of stigma and discrimination faced by burn patients within healthcare facilities. Our findings suggest an urgent need for reform within the health systems by developing policies and guidelines around discrimination-free healthcare--strengthening public-sector burn care, enhancing rehabilitation services, raising awareness of burns, and improving the social reintegration of survivors.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 6","pages":"Article 107566"},"PeriodicalIF":3.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alar rim flap combined with nasal stent therapy: Striving for more reconstruction opportunities in nostril contracture deformity after facial burns","authors":"Yu-Ren Duan ,&nbsp;Yi-Hao Xu,&nbsp;Fei Fan","doi":"10.1016/j.burns.2025.107561","DOIUrl":"10.1016/j.burns.2025.107561","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 6","pages":"Article 107561"},"PeriodicalIF":3.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intravenous lidocaine: A transformative approach to reducing opioid use in pediatric burn patients in developing countries","authors":"Carolina Bonilla-González ,&nbsp;Juanita Uribe-Londoño ,&nbsp;Sergio Moreno-Lopez ,&nbsp;Maria-Luisa Contreras ,&nbsp;Andres Sanmiguel ,&nbsp;Sarha Vargas-Muñoz ,&nbsp;Eliana-Carolina Reina ,&nbsp;Juliana Pardo ,&nbsp;Julian-Alejandro Garcia ,&nbsp;Alvaro-Andres Trujillo Ceballos ,&nbsp;Juan Camilo Niño Algarra ,&nbsp;Gonzalo Andres Montaño Rozo ,&nbsp;Maria Adelaida Cordoba","doi":"10.1016/j.burns.2025.107523","DOIUrl":"10.1016/j.burns.2025.107523","url":null,"abstract":"<div><h3>Background</h3><div>Effective postoperative pain control in pediatric burn patients is essential for recovery. Despite advances in pain management, opioid use remains high, contributing to adverse effects and risks of dependency. Intravenous (IV) lidocaine has shown analgesic benefits in adult and pediatric postsurgical contexts but remains underexplored in burned children. This study evaluates the impact of lidocaine on opioid consumption and its safety profile in this population.</div></div><div><h3>Objective</h3><div>To determine whether continuous IV lidocaine infusion reduces opioid use in pediatric burn patients during the first 72 postoperative hours, and to assess its associated adverse events or toxicity.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted in a pediatric burn unit, including 126 postoperative patients. Data were collected on opioid and lidocaine use, demographic variables, burn characteristics, and clinical outcomes. Opioid consumption, expressed in morphine equivalent doses, was compared between patients who received lidocaine and those who did not. Safety data were also analyzed.</div></div><div><h3>Results</h3><div>Of the 126 patients, 48.4 % were female, with a median age of 36 months (IQR: 12–72). Burns were mostly due to boiling liquids (73.8 %) and were predominantly second-degree (38.9 %). Lidocaine was administered to 32.5 % of patients, mostly those with more severe burns (p &lt; 0.001). Patients receiving lidocaine showed significantly lower opioid consumption (median: 0.07 vs. 0.21 morphine equivalents; p &lt; 0.05). No adverse events or toxicity were observed in patients treated with lidocaine up to 1.5 mg/kg/h for 72 hours. Multivariable analysis confirmed the association between lidocaine use and reduced opioid dosage (β = −0.13, 95 % CI: −0.21; −0.05, p = 0.01).</div></div><div><h3>Conclusions</h3><div>Intravenous lidocaine infusion significantly reduced opioid requirements in pediatric burn patients without causing adverse effects, supporting its use as part of a multimodal, opioid-sparing strategy. Further prospective trials are warranted to confirm its safety and efficacy.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 7","pages":"Article 107523"},"PeriodicalIF":3.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144680726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From cadaveric donation to cryopreserved total skin allografts: Transforming the Chilean skin donation model","authors":"Marcelo Fonseca ,&nbsp;Aldo Cañete ,&nbsp;Luana Mandriaza ,&nbsp;Jennifer Gómez ,&nbsp;Jaume Masiá ,&nbsp;Katherine Marcelain ,&nbsp;Dino Ibaceta ,&nbsp;Cristian Erazo ,&nbsp;Brenda Gámez ,&nbsp;Carolina Soto ,&nbsp;Cristóbal Valdés","doi":"10.1016/j.burns.2025.107563","DOIUrl":"10.1016/j.burns.2025.107563","url":null,"abstract":"<div><h3>Background</h3><div>The clinical utility of skin allografts (SA) is well established. However, the donation and procurement of cadaveric skin—historically the primary source of SA—remain limited in many countries. A skin donation model based on the use of excess surgical tissue from body contouring procedures was introduced and compared with the traditional cadaveric donation model.</div></div><div><h3>Methods</h3><div>A retrospective review of skin donations in Chile was conducted over two periods (2017–2019 and 2022–2024), analyzing the performance and characteristics of two donation pathways: cadaveric and living donors.</div></div><div><h3>Results</h3><div>During the first period (2017–2019), four cadaveric donors provided a total of 10,959 cm² of skin. In the second period (2022–2024), 353 donors contributed 153,585 cm² of skin, of which 348 were living donors (131,997 cm²) and five were cadaveric (21,588 cm²).</div></div><div><h3>Conclusions</h3><div>Initially conceived as a complementary strategy, the living donor model has evolved to become the primary source of skin allografts in Chile. This approach significantly increases the availability of SA, broadens therapeutic indications, and promotes the concept of transforming excess surgical tissue into valuable therapeutic resources. Moreover, it enables the production of cryopreserved full-thickness skin allografts (CTSA), which serve not only as temporary wound coverage but also as dermal regenerative scaffolds, particularly beneficial in the treatment of burns affecting functionally and aesthetically critical areas. This new paradigm supports a more accessible and sustainable culture of skin donation while offering promising benefits for regenerative burn care.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 6","pages":"Article 107563"},"PeriodicalIF":3.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Design and synthesis of hydrogel dressings made with guar gum to enhance antimicrobial and skin wound healing properties","authors":"Bo Feng ,&nbsp;Wenwen Kang ,&nbsp;Chunyan Liu","doi":"10.1016/j.burns.2025.107562","DOIUrl":"10.1016/j.burns.2025.107562","url":null,"abstract":"<div><h3>Background</h3><div>Conventional gauze lacks antimicrobial properties and mobility, making it ineffective in treating skin wounds. Hydrogels, due to their excellent biocompatibility and softness, are considered ideal wound dressings.</div></div><div><h3>Methods</h3><div>Hydrogel dressings based on cationic guar gum (CGG) were constructed using (4-hydroxyphenylboronic acid) cysteamine as a crosslinker. The structure and morphology of the CGG hydrogels were characterized using scanning electron microscopy (SEM). Furthermore, experiments including in vitro antimicrobial testing, CCK-8 assays, live/dead cell staining, and animal model wound healing were conducted to evaluate the antimicrobial activity, safety, and wound healing efficiency of CGG hydrogels.</div></div><div><h3>Results</h3><div>The prepared CGG hydrogel exhibited a three-dimensional mesh structure. In vitro antimicrobial, CCK-8, and live/dead cell staining experiments demonstrated that the CGG hydrogel effectively inhibited the growth of <em>Escherichia coli</em> and <em>Staphylococcus aureus</em> while showing no significant toxicity to human skin fibroblast cells (CCD-986sk), indicating good biocompatibility. Moreover, results from animal model wound healing experiments indicated that the CGG hydrogels possessed an ability to promote wound healing.</div></div><div><h3>Conclusion</h3><div>CGG hydrogels effectively inhibited bacterial growth and promoted wound healing, making them safe and effective dressings for skin wound treatment.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 6","pages":"Article 107562"},"PeriodicalIF":3.2,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term health-related quality of life after a deep second- or third-degree burn treated with skin grafting","authors":"Noora-Ilona Lahdenperä ,&nbsp;Andrew Lindford ,&nbsp;Hannu Kautiainen ,&nbsp;Jyrki Vuola ,&nbsp;Jussi P. Repo","doi":"10.1016/j.burns.2025.107560","DOIUrl":"10.1016/j.burns.2025.107560","url":null,"abstract":"<div><h3>Background</h3><div>As burns are known to have a negative impact on the burn victim’s quality of life, the health-related quality of life (HRQoL) is a key outcome in the evaluation of burn treatment. In recent years there has been increasing interest in the use of HRQoL instruments after burn injury. The aim of this study was to assess whether there is a correlation between the HRQoL and the total body surface area (TBSA)% burned and also to assess correlation between the SCAR-Q scores and the TBSA% burned in deep burns requiring skin grafting.</div></div><div><h3>Methods</h3><div>Participants were adult burn patients treated in the Helsinki Burn Centre between 2006 and 2017 with skin grafting after deep second- or third-degree burns. Participants completed the general HRQoL 15D instrument and the patient-reported scar outcome measure SCAR-Q.</div></div><div><h3>Results</h3><div>194 participants were divided into three groups according to the burn TBSA%: small burns (&lt;10 %), moderate burns (10–20 %) and large burns (&gt;20 %). The total HRQoL score after small burns did not differentiate from the reference population, even though there was a statistically significant difference in two domains (depression and distress). HRQoL measured with the 15D instrument was worse for moderate burns in half of the domains and for large burns in most of the domains (11/15) in comparison with the reference population. Small burns scored the best and large burns the worst in every SCAR-Q subscale.</div></div><div><h3>Conclusion</h3><div>There is a negative correlation between both the HRQoL and SCAR-Q scores in relation to the burn size in deep second- and third-degree burns. Small deep burns did not appear to affect the total HRQoL, but with moderate and large deep burns the HRQoL was impaired.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 6","pages":"Article 107560"},"PeriodicalIF":3.2,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Repurposing verapamil hydrochloride with niosomal gel technology: Enhanced efficacy and skin penetration in hypertrophic scars","authors":"Shraddha Namdeo ,&nbsp;Monika Vishwakarma ,&nbsp;Tanweer Haider ,&nbsp;Sushil K. Kashaw ,&nbsp;Vandana Soni","doi":"10.1016/j.burns.2025.107552","DOIUrl":"10.1016/j.burns.2025.107552","url":null,"abstract":"<div><div>Hypertrophic scars arising from abnormal wound healing after burns, trauma, or surgery present challenges for their effective treatment. Verapamil hydrochloride (VHCl), a calcium channel blocker primarily used in cardiovascular diseases, has been proposed as a niosomal gel for topical hypertrophic scar treatment. VHCL stimulates procollagenase synthesis, induces actin filament depolymerization, and reduces fibrous tissue production, thus making it a promising candidate for scar therapy. Prior to formulation, FT-IR spectroscopy was performed to assess drug and excipient compatibility. VHCl niosomes were prepared using the thin-film hydration technique with Span-40 and cholesterol in a 7:3 molar ratio. The characterization included entrapment efficiency (%EE), vesicle size, and surface morphology. Optimized niosomes were incorporated into a gel, and in <em>in-vitro</em> drug release and stability studies were conducted. An <em>in-vivo</em> study was conducted using a rabbit model to assess formulation efficacy. Optimized VHCl niosomal formulations with high entrapment efficiency (%EE) of 71.62 % and a small vesicle size of 180 nm were used for characterization, <em>in-vitro</em> and <em>in-vivo</em> evaluations. The vesicles displayed a monodisperse distribution, spherical and irregular morphology under TEM, and good stability for 60 days at room and refrigerated temperatures. The lyophilized formulation incorporated into the silicone gel exhibited optimal pH, thixotropic rheological behavior, and sustained VHCl release for up to 48 h. <em>In-vivo</em> studies on a rabbit ear model revealed enhanced efficacy, reducing hypertrophic scar diameter from 7 mm to 1.9 mm after 28 days. The combination of VHCl-loaded niosomal gels demonstrated improved permeation and synergistic effects, enhancing the safety and efficacy of long-term VHCl treatment.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 6","pages":"Article 107552"},"PeriodicalIF":3.2,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation, adaptation, and psychometric evaluation of the Burn-Specific Pain Anxiety Scale (BSPAS) for Czech patients with burn injuries","authors":"Martin Zielina ,&nbsp;Dominika Matysková ,&nbsp;Jiří Štětinský ,&nbsp;Robert Zajíček ,&nbsp;Jaroslava Raudenská ,&nbsp;Alena Javůrková ,&nbsp;Kristína Sakmárová ,&nbsp;Martin Modrák","doi":"10.1016/j.burns.2025.107546","DOIUrl":"10.1016/j.burns.2025.107546","url":null,"abstract":"<div><div>This study aimed to adapt the Burn-Specific Pain Anxiety Scale (BSPAS) for use in the Czech language and evaluate its validity and reliability. Conducted across three university hospitals in the Czech Republic—Prague, Brno, and Ostrava—from September 2022 to February 2024, the study involved 203 inpatients and outpatients from burn units who met inclusion criteria and consented to participate. The adaptation process included rigorous analysis of validity and reliability, employing language, content, and construct validity assessments. Language validity was ensured through back translation, whereas content validity was confirmed through expert evaluations. Exploratory factor analysis revealed at least a two-factor structure with satisfactory factor loading. Loading of factors to questions was consistent between BSPAS-9 and BSPAS-5. Confirmatory factor analysis further substantiated the model fit for both five- and nine-item versions (RMSEA 0.06 and 0.1 respectively). Internal consistency was assessed using item-total correlation, yielding acceptable results (range 0.63–0.82 for nine items and 0.71–0.82 for five items). Cronbach's alpha coefficients were 0.94 for the nine-item version and 0.91 for the five-item version. These findings indicate that the Czech version of the BSPAS is a valid and reliable tool for assessing pain-related anxiety in patients with burns. Additionally, we show that in our population, the information from the nine-item version is well captured by the five-item version and pain alone explains most of the variance in BSPAS scores.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 6","pages":"Article 107546"},"PeriodicalIF":3.2,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Israeli mission to the 2023 Armenian burn mass casualty incident – Lessons learned","authors":"Adi Maisel Lotan ,&nbsp;Ofer Merin ,&nbsp;Yaron Shoham ,&nbsp;Ronen Toledano ,&nbsp;David Ben Ari ,&nbsp;Muhamad Jaber ,&nbsp;Rachel Havivi ,&nbsp;Eliran Jacobi ,&nbsp;Subhi Hakrush ,&nbsp;Michael Dubilet ,&nbsp;Ron Gal ,&nbsp;Yasin Mamdoh ,&nbsp;Shai Schul ,&nbsp;Njde Hambarchian ,&nbsp;Greta Harutyunyan ,&nbsp;Yoav Gronovich","doi":"10.1016/j.burns.2025.107558","DOIUrl":"10.1016/j.burns.2025.107558","url":null,"abstract":"<div><h3>Background</h3><div>The Israeli mission to Armenia was deployed to assist in a mass casualty burn incident caused by an explosion in Nagorno-Karabakh County, Armenia. The explosion caused over 220 deaths and approximately 300 injured. The objective of this manuscript is to report the lessons learned from this mission.</div></div><div><h3>Methods</h3><div>An advance team of plastic surgeons was deployed to Armenia to assess local needs in preparation for the arrival of international mission groups: the quantity and location of patients, severity of injuries and availability of surgical and medical supplies. This team was to operate alongside other international burn teams.</div></div><div><h3>Results</h3><div>Patients were evacuated to local hospitals. Over 200 patients were hospitalized in five centers in Yerevan, including about half in the National Burn Center. Our teams performed forty-two surgeries in four days including debridement of burns, dressing changes and reconstructions with skin grafts and dermal substitutes. Finally, we helped define goals for future teams with stress on patient care and rehabilitation.</div></div><div><h3>Conclusion</h3><div>Burns require prolonged multidisciplinary treatment and resources. Facing a mass casualty event, it is important to prepare ahead, define relevant needs and make a game plan according to which patients will receive the best possible care relative to the situation.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 6","pages":"Article 107558"},"PeriodicalIF":3.2,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}