IF 3.2 3区医学

Burns Pub Date : 2024-07-08 DOI: 10.1016/j.burns.2024.07.003

H Matar, P R Vuddanda, R P Chilcott

{"title":"Evaluation of emergency skin decontamination protocols in response to an acid attack (vitreolage).","authors":"H Matar, P R Vuddanda, R P Chilcott","doi":"10.1016/j.burns.2024.07.003","DOIUrl":"https://doi.org/10.1016/j.burns.2024.07.003","url":null,"abstract":"The incidence of \"acid attacks\" (vitreolage) is a global concern, with those affected often receiving lifelong medical care due to physical and psychological damage. The purpose of this study was to evaluate the effectiveness of several emergency skin decontamination approaches against concentrated (>99 %) sulphuric acid and to identify the effective window of opportunity for decontamination. The effects of four decontamination methods (dry, wet, combined dry & wet and cotton cloth) were assessed using an in vitro diffusion cell system containing dermatomed porcine skin. Sulphuric acid (H2SO4) was applied to the skin with decontamination protocols performed at 10 s, 30 s, 8 min, and 30 min post exposure. Skin damage was quantified by tritiated water (3H2O) penetration, receptor fluid pH and photometric stereo imaging (PSI), with quantification of residual sulphur (by SEM-EDS) to determine overall decontamination efficiency. Skin translucency (quantified by PSI) demonstrated a time-dependent loss of dermal tissue integrity from 10 s. Quantification of dermal sulphur content confirmed the rapid (exponential) decrease in decontamination efficiency with time. The pH of the water effluent indicated complete neutralisation of acid from the skin surface after 90 s of irrigation. Wet decontamination (either alone or immediately following dry decontamination) was the most effective intervention evaluated, although no decontamination technique was statistically effective after 30 s exposure to the acid. These data demonstrate the time-critical consequences of dermal exposure to concentrated sulphuric acid: we find no practical window of opportunity for acid decontamination, as physical damage is virtually instantaneous.","PeriodicalId":50717,"journal":{"name":"Burns","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592040","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}

引用次数: 0

The association between neighborhood disadvantage and patient-reported outcomes in burn survivors 烧伤幸存者的邻里劣势与患者报告结果之间的关系

IF 2.7 3区医学

Burns Pub Date : 2024-07-04 DOI: 10.1016/j.burns.2024.06.013

Arushi Biswas, Zachary H. Zamore, Zohra Aslami, Rafael Felix P. Tiongco, Ayman Ali, Carisa M. Cooney, Mark D. Fisher, Julie A. Caffrey, Sheera F. Lerman

{"title":"The association between neighborhood disadvantage and patient-reported outcomes in burn survivors","authors":"Arushi Biswas, Zachary H. Zamore, Zohra Aslami, Rafael Felix P. Tiongco, Ayman Ali, Carisa M. Cooney, Mark D. Fisher, Julie A. Caffrey, Sheera F. Lerman","doi":"10.1016/j.burns.2024.06.013","DOIUrl":"https://doi.org/10.1016/j.burns.2024.06.013","url":null,"abstract":"Burns can cause long-term complications including pain and poor physical function. While neighborhood disadvantage is associated with burn severity, its effect on long-term complications has not been investigated. We hypothesized that patients from areas of higher area of deprivation index (ADI) will report poorer long-term outcomes. We linked patient data from the Burn Model System with ADI state decile (1 =least, 10 =most disadvantaged) using year and residence at time of injury. We performed bivariate analyses to identify associations between ADI and patient and burn characteristics and multivariate regressions to determine whether ADI was associated with PROMIS-29 pain and physical function 6- and 24-months post-burn. We included 780 patients; 69 % male, median age= 46 years, median ADI= 6, and median TBSA= 8 %. Multivariate regressions adjusting for TBSA, race, age, sex, anxiety, depression, and pain interference demonstrated that higher ADI was a significant predictor of higher pain intensity 6- (p = 0.001) and 24-months (p = 0.037) post-burn but not worse physical function 24-months post-burn (p = 0.089). Higher neighborhood disadvantage was associated with higher long-term pain intensity post-burn. This study highlights the importance of socioeconomic factors that may impact long-term outcomes and the use of aggregate markers to identify patients at risk for worse outcomes.","PeriodicalId":50717,"journal":{"name":"Burns","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141577607","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}

引用次数: 0

Enhancing wound treatment with superoxide dismutase-loaded solid lipid nanoparticles 用超氧化物歧化酶负载的固体脂质纳米颗粒加强伤口治疗

IF 2.7 3区医学

Burns Pub Date : 2024-07-03 DOI: 10.1016/j.burns.2024.06.012

Hui Sun, Wei Shen, Hui-Qiong Nie, Yi Yao, Ying-Ming Ma, Zhi-Hong Ma, Hua-Jie Zhong

引用次数: 0

Outcome comparison of the most commonly employed wound coverage techniques in patients with massive burns ≥50% TBSA – A systematic review and meta-analysis 大面积烧伤（TBSA ≥50%）患者最常采用的伤口覆盖技术的效果比较 - 系统综述与荟萃分析

IF 3.2 3区医学

Burns Pub Date : 2024-07-01 DOI: 10.1016/j.burns.2024.07.014

V. Haug, C. Tapking, A. Panayi, Anamika Veeramani, S. Knoedler, B. Tchiloemba, Obada Abdulrazzak, Nikita Kadakia, B. Bonaventura, Derek Culnan, U. Kneser, G. Hundeshagen

引用次数: 0

National Academy of Burns India (NABI) online tutorials: A pursuance of excellence in burns education 印度国家烧伤学院 (NABI) 在线教程：追求卓越的烧伤教育

IF 3.2 3区医学

Burns Pub Date : 2024-07-01 DOI: 10.1016/j.burns.2024.07.027

Veena Kumari Singh, Sanjeev Uppal, Raj Manas, Sameek Bhattacharya

引用次数: 0

Dental health concerns for patients suffering from facial, peri-oral burns and inhalation injury: A persistent yet underappreciated challenge 面部、口周烧伤和吸入性损伤患者的牙科健康问题：一个长期存在但未被重视的挑战

IF 3.2 3区医学

Burns Pub Date : 2024-07-01 DOI: 10.1016/j.burns.2024.07.028

Hans-Oliver Rennekampff, Isabelle Rennekampff, M. Tenenhaus

引用次数: 0

Enhancing Clinical Outcomes in Burn and Surgical Intensive Care Units Patients 提高烧伤和外科重症监护病房患者的临床疗效

IF 3.2 3区医学

Burns Pub Date : 2024-07-01 DOI: 10.1016/j.burns.2024.07.009

Mahta Moghaddam Ahmadi, Moein Moghaddam Ahmadi

引用次数: 0

Scholarly knowledge fundamentals and dynamic research hotspots in the field of burns and immunology: A bibliometric analysis 烧伤和免疫学领域的学术知识基础和动态研究热点：文献计量分析

IF 3.2 3区医学

Burns Pub Date : 2024-07-01 DOI: 10.1016/j.burns.2024.07.024

Luofeng Jiang, Yushu Zhu, Wei Zhang, Sujie Xie, Minjuan Wu, Dayuan Xu, Siqiao Wang, Shuyuan Xian, Jianyu Lu, Xirui Tong, Yifan Liu, Jie Huang, Xinya Guo, Minyi Gu, Shuxin Jin, Yicheng Ma, Runzhi Huang, Shizhao Ji, Zhaofan Xia

引用次数: 0

The prognostic relevance of full-thickness burns on ABSI 全层烧伤对 ABSI 预后的影响

IF 3.2 3区医学

Burns Pub Date : 2024-07-01 DOI: 10.1016/j.burns.2024.07.001

J. Gorenflo, B. Reichert, German Burn Registry, S. Reif, I-F Megas, M. Billner

引用次数: 0

The national burden of mortality and its associated factors among burn patients in Ethiopia. A systematic review and meta-analysis 埃塞俄比亚全国烧伤患者的死亡负担及其相关因素。系统回顾和荟萃分析

IF 3.2 3区医学

Burns Pub Date : 2024-07-01 DOI: 10.1016/j.burns.2024.07.005

Mengistu Abebe Messelu, Nega Nigussie Abrha, Haymanot Kitaw Jemberie, Tiruye Azene Demile, Asnake Gashaw Belayneh

引用次数: 0

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