Burns open : an international open access journal for burn injuries最新文献

{"title":"Comfort with burn injury management among healthcare providers in a rural and remote region: a cross-sectional survey","authors":"Darby Little ,&nbsp;George Ho ,&nbsp;Emily Pynn ,&nbsp;Shahriar Shahrokhi ,&nbsp;Margarita Elloso","doi":"10.1016/j.burnso.2025.100425","DOIUrl":"10.1016/j.burnso.2025.100425","url":null,"abstract":"<div><h3>Background</h3><div>Rural and remote communities often rely on primary care providers to complete the initial management and referral of burn injuries. This study aimed to assess frontline providers’ comfort with the initial assessment and management of burn injuries in a rural and remote setting.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was distributed to primary and wound care providers across 10 healthcare facilities in Northwestern Ontario between August and December 2024. Self-reported comfort levels with 15 aspects of burn care were assessed using a five-point Likert scale. Wilcoxon rank-sum tests were used to compare survey responses across practice characteristics.</div></div><div><h3>Results</h3><div>Fifty-nine providers participated, including family physicians (44 %), nurse practitioners (20 %), emergency physicians (10 %), and others. While 90 % saw at least one burn injury per year, only 42 % saw more than five. Most respondents reported comfort with tetanus prophylaxis (72 %) and burn first aid (66 %). However, fewer felt comfortable assessing burn size (31 %) or depth (27 %), initiating fluid resuscitation (27 %), or applying the American Burn Association guidelines for burn center transfer (24 %). Providers managing five or more burns annually reported significantly greater comfort across multiple domains (p &lt; 0.05). No significant differences were found between early- and late-career providers.</div></div><div><h3>Conclusion</h3><div>This study demonstrates that providers working in a rural and remote region reported limited comfort with burn size and depth assessment, initiating fluid resuscitation, and applying burn center referral guidelines – important skills for initial injury management and referral. These findings highlight a need for system-level supports and educational resources for providers in regions remote from specialized burn centers.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"12 ","pages":"Article 100425"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145264997","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":"A comprehensive evaluation of injuries caused by pressure cooker explosions","authors":"Sibel Güçlü Utlu ,&nbsp;Orhan Delice ,&nbsp;Mesud Fakirullahoğlu ,&nbsp;Tuğba Sanalp Menekşe","doi":"10.1016/j.burnso.2025.100426","DOIUrl":"10.1016/j.burnso.2025.100426","url":null,"abstract":"<div><h3>Background</h3><div>Pressure cooker use is widespread, yet injuries from explosions are understudied. This study evaluates burn and trauma cases related to pressure cooker explosions, aiming to identify causes and improve prevention and treatment.</div></div><div><h3>Methods</h3><div>This retrospective analysis included 57 patients admitted to Erzurum City Hospital Emergency Department due to pressure cooker explosions between 2021 and 2024. Demographics, burn severity and location, associated trauma, explosion causes, and clinical management were reviewed.</div></div><div><h3>Results</h3><div>Among the patients, 49 were female and 9 were under 18. Thirty-three cases were medicolegal. Traumatic injuries accompanied burns in 9 patients. Eyelid burns were observed in 17 cases; 6 had temporary vision loss. User error was the primary cause in 50 cases. No surgeries or deaths occurred.</div></div><div><h3>Conclusions</h3><div>This study highlights the dual role of user error and device malfunction in such injuries. Greater awareness among healthcare providers and targeted prevention strategies are essential for reducing these incidents.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"12 ","pages":"Article 100426"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157607","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":"Paediatric perineal and genital burns: A decade of insights and implications","authors":"Rakib H. Sheikh ,&nbsp;Avinesh Chelliah ,&nbsp;Rachel D’Cruz ,&nbsp;Andrew J.A. Holland ,&nbsp;Torey Lawrence","doi":"10.1016/j.burnso.2025.100420","DOIUrl":"10.1016/j.burnso.2025.100420","url":null,"abstract":"<div><h3>Background</h3><div>Perineal, genital and buttock burns are uncommon, but their consequences can be severe.</div></div><div><h3>Methods</h3><div>A decade-long (2014–2024) retrospective review was conducted on paediatric patients referred to the Children’s Hospital at Westmead (CHW), New South Wales with perineal, genital and buttock (PGB) burns.</div></div><div><h3>Results</h3><div>A total of 252 patients were identified with perineal, genital and buttocks burns. Most burns occurred as part of more extensive injuries involving the lower limbs, with only 10.7 % classified as isolated PGB burns. Adequate first aid was administered in 90.5 % of cases, either at the scene or upon hospital admission. Thirty two percent (n = 81) required skin grafting, including 42 cases involving the PGB area and 41.7 % needed an indwelling urinary catheter (IDC).</div></div><div><h3>Conclusions</h3><div>Even though PGB burns are rare, but complications can include urinary tract infections, hypertrophic scarring, and the need for ongoing scar management. These findings emphasise the importance of early intervention and specialised care in managing PGB burns in children.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"12 ","pages":"Article 100420"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704823","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":"Pathological evaluation of pseudoeschar formation after enzymatic debridement with nexobrid: a case report","authors":"Tomotaka Miura ,&nbsp;Masato Shiba ,&nbsp;Yuichiro Kitagawa ,&nbsp;Tetsuya Fukuta ,&nbsp;Kodai Suzuki ,&nbsp;Takahito Miyake ,&nbsp;Kazuhiro Kobayashi ,&nbsp;Hideshi Okada","doi":"10.1016/j.burnso.2025.100417","DOIUrl":"10.1016/j.burnso.2025.100417","url":null,"abstract":"<div><h3>Background</h3><div>Nexobrid, bromelain-based debriding enzyme, is widely used in burn treatment to remove necrotic skin tissue. However, the formation of a necrotic layer, known as “pseudoeschar”, after debridement remains poorly understood. We performed a pathological evaluation of pseudoeschar.</div></div><div><h3>Case presentation</h3><div>We report the case of a man in his 50 s who suffered a flame burn on his right shoulder and upper arm. Pre-soaking with normal saline was performed overnight, followed by enzymatic debridement with Nexobrid 22 h post-injury. Pinpoint bleeding was observed after debridement, and pseudoeschar formation was observed on the 6th day post-injury. A skin biopsy was taken from the burn wound on the 10th day post-injury, followed by surgical treatment.</div></div><div><h3>Histopathological findings</h3><div>Histopathological evaluation revealed that the pseudoeschar consisted of collagen and elastic fibers. Additionally, inflammatory cells, collagen, and elastic fibers appeared to ascend from the lower dermis to the pseudoeschar, penetrating through the ulcer layer.</div></div><div><h3>Discussion and conclusion</h3><div>The pseudoeschar comprised collagen and elastic fibers. Its formation may involve the transepithelial elimination of degenerated dermal components, a mechanism similar to that observed in perforating dermatoses. Further research is needed to elucidate the underlying mechanisms and clinical significance of pseudoeschar formation.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"12 ","pages":"Article 100417"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703401","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":"Versatility of biodegradable temporizing matrix in acute burn management: Invasive procedures through a synthetic dermal substitute","authors":"Joanneke Maitz ,&nbsp;Therese Pham ,&nbsp;Daniel Isacson ,&nbsp;Rodney Martin ,&nbsp;James Laycock ,&nbsp;Matthew Rickard ,&nbsp;Peter Maitz","doi":"10.1016/j.burnso.2025.100419","DOIUrl":"10.1016/j.burnso.2025.100419","url":null,"abstract":"<div><div>Large, severe burn injuries are an acute and traumatic injury that require complex treatment and management strategies. NovoSorb Biodegradable Temporizing Matrix (BTM) is a synthetic dermal template that has been proven effective in the management of large burns to temporize wounds and improve functional and aesthetic outcomes. In large, severe burns, vascular access and other invasive procedures for tube, drain or cannula placement are integral to the management. Traditionally, these procedures are performed through native skin, avoiding transection through wounds. However, in large severe burn injuries finding an area of unburnt and viable skin is challenging. In this case, we report the successful insertion of intravenous cannulation, an end-ileostomy, and a tracheostomy through BTM in a 23-year-old male with 95% total body surface area (TBSA) burns. Challenges and learning points were met with simple and cost-effective solutions. This case highlights the versatility of BTM, suggesting that once partially or fully integrated, the neo-dermis can be treated like native skin for invasive procedures or surgical interventions. This is the first documented case of tracheostomy and ileostomy through BTM, providing valuable insights into its application in acute and traumatic burn injuries and large surface area wounds.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"12 ","pages":"Article 100419"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695054","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":"Beyond business hours: Patient arrival patterns at burn centers","authors":"Rohit Mittal ,&nbsp;Jeffrey E. Carter ,&nbsp;Steven A. Kahn","doi":"10.1016/j.burnso.2025.100416","DOIUrl":"10.1016/j.burnso.2025.100416","url":null,"abstract":"<div><div>Burn patients can present to a medical facility at any given time. By their nature, one cannot predict when a burn injury will occur. Anecdotal accounts suggest that most burn patients present after “business hours,” however, limited objective data exists on presentation patterns of burn injury. Retrospective arrival times of all patients presenting to the emergency room at two different burn centers in different states were collected over a 1-year period to determine total number of patients arriving during business hours vs. after hours. Business hours were defined as 8:00AM–4:00PM. A secondary time window of extended business hours by an additional 2 h (8:00AM–6:00015PM) was also assessed. Over the course of 1 year, 712 patients were identified at both centers and 63.5 % of all patients presented after normal business hours (p = 0.029). When business hours were extended by 2 h, 51.1 % of patients still presented after hours (p = 0.041). This study suggests most patients do not present to a burn center during normal hours. The implications of this on patient outcomes, quality of care, and research warrant further investigation.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"12 ","pages":"Article 100416"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563222","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":"Comprehensive management and recovery of reproductive function after testicular necrosis from scrotal burn: A case report","authors":"Yuya Miyoshi ,&nbsp;Takashi Hongo ,&nbsp;Takatoshi Moriwake ,&nbsp;Taisuke Kanno ,&nbsp;Kohei Tsukahara ,&nbsp;Tetsuya Yumoto ,&nbsp;Hiromichi Naito ,&nbsp;Atsunori Nakao","doi":"10.1016/j.burnso.2025.100404","DOIUrl":"10.1016/j.burnso.2025.100404","url":null,"abstract":"<div><div>Genital burns are uncommon injuries; however, they present significant concerns regarding reproductive function, particularly in younger populations. Despite this, the literature on the long-term follow-up of reproductive function after genital burns remains insufficient. A 20-year-old Japanese man suffered severe burns in his lower body including genital area following a motorcycle accident. Doppler ultrasonography revealed reduced blood flow to the right testis, which gradually atrophied. The patient underwent longitudinal monitoring through semen analysis, which revealed declining sperm function. Considering the adverse effects on the contralateral testis, right orchiectomy was performed six months after injury, and subsequent semen analysis showed normalization of sperm parameters. Genital burns with testicular necrosis can result in decreased testicular function, emphasizing the need for continuous monitoring through ultrasonography and semen analysis, and the potential necessity of orchiectomy.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100404"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143761268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fusarium isolates in burn-injured patients: Clinical characteristics and susceptibility patterns","authors":"Robyn Stoianovici ,&nbsp;Sierra Young ,&nbsp;Jeremiah J. Duby ,&nbsp;Naomi Hauser ,&nbsp;Erin Louie","doi":"10.1016/j.burnso.2025.100407","DOIUrl":"10.1016/j.burnso.2025.100407","url":null,"abstract":"<div><h3>Introduction/Objective</h3><div><em>Fusarium</em> species are ubiquitous in the environment and can cause opportunistic infection in burn-injured patients. The purpose of this retrospective cohort observational study is to characterize <em>Fusarium</em> susceptibilities, antifungal and surgical management, and the effect on survival in this patient population.</div></div><div><h3>Methods</h3><div>All burn ICU patients with a positive <em>Fusarium</em> culture were retrospectively identified between November 2017 to June 2023 at a regional burn center. Demographic, clinical, and microbiologic susceptibility data was collected from the electronic medication record.</div></div><div><h3>Results</h3><div>Eighteen patients with positive <em>Fusarium</em> wound cultures were included. The median age was 35 (32–41) years and 28 % were female. The average %TBSA was 55 ± 23 % and r-Baux score of 93 ± 22. The most common mechanism of injury was thermal burn (17 patients, 94 %). This cohort experienced prolonged ICU [53 (46–95) days] and hospital [57 (48– 97) days] lengths of stay. The median time from burn injury to positive <em>Fusarium</em> cultures was 18 (14–24) days. Mechanical ventilation was common (94 %) and prolonged [42 (34–55) days]. Sixty percent of isolates resulted with a minimal inhibitory concentration (MIC) ≥ 16 mcg/ml for voriconazole and 93 % isolates resulted with an MIC &lt; 1 mcg/ml for amphotericin B. All patients underwent surgical debridement for source control. Ten of 18 patients (55 %) with <em>Fusarium-</em>positive infections survived to hospital discharge. Infection complicated by multisystem organ failure and sepsis was the most common attributable cause of death (88 %).</div></div><div><h3>Conclusion</h3><div>Patients infected with <em>Fusarium</em> were severely burned, critically ill, and exposed to prolonged mechanical ventilation and to central venous catheterization. The high mortality rate associated with <em>Fusarium</em> infection and prolonged time to antifungal susceptibility results emphasize the importance of appropriate empiric therapy.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100407"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891620","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":"Severe burns from viral TikTok challenge involving candied sugar: A case series report","authors":"Kristen Storey ,&nbsp;Nicola Burns ,&nbsp;Rachel Kerr ,&nbsp;Maleea Holbert ,&nbsp;Roy Kimble ,&nbsp;Bronwyn Griffin","doi":"10.1016/j.burnso.2025.100410","DOIUrl":"10.1016/j.burnso.2025.100410","url":null,"abstract":"<div><div>Burn injuries rank among the top five most common non-fatal injuries within the paediatric population. Scald injuries continue to be the leading cause of burn in the children, closely followed by contact burns, particularly in the six to 16 age group. Recently, there have been increasing reports of children sustaining scald and contact burns, after attempting to replicate videos viewed on social media platforms such as TikTok and YouTube.</div><div>A recent trend of heating sugar and water in a plastic container within the microwave to make candied fruit is resulting in children and adolescents presenting with deep burns. The plastic container becomes so hot that it melts causing the hot sugar water and plastic to drip onto the child. There has been an increase in presentations to all burn centres throughout Australia resulting from this mechanism.</div></div><div><h3>Method</h3><div>A retrospective chart review was undertaken of six children presenting with toffee burns that attended the Pegg Leditschke Children’s Burns Centre at the Queensland Children’s Hospital over a period of four weeks.</div></div><div><h3>Result</h3><div>Six children presented with similar burns and were treated within the specialist burns centre. The lower limb was affected in four cases while two cases sustained burns on the hand. Skin grafts were required in two cases and four children continue to require long term scar management.</div></div><div><h3>Conclusion</h3><div>Social media plays an important role in our children’s lives however mimicking videos can result in increased risk of serious physical and psychological harm occurring. How to make candied sugar has gone viral causing numerous burns throughout Australia. While we do not want to restrict children from watching and participating with these videos, we require parents and moderators of these videos to ensure these videos are performed in a safe environment to decrease risks of injury occurring.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100410"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491259","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":"Epidemiology and characteristics of hand burns: a 12-year retrospective analysis at a University Hospital","authors":"Laurin Schöne ,&nbsp;Jolanta Klukowska-Rötzler ,&nbsp;Aristomenis K. Exadaktylos ,&nbsp;Radu Olariu ,&nbsp;Esther Vögelin ,&nbsp;Esin Rothenfluh","doi":"10.1016/j.burnso.2025.100413","DOIUrl":"10.1016/j.burnso.2025.100413","url":null,"abstract":"<div><div>The purpose of this study was to assess epidemiological features and injury characteristics of hand burn injuries based on a retrospective data collection from 2012 to 2023 at a maximum care University Hospital. 1809 burn injuries were registered in the Emergency Department of the Hospital, including 538 chemical burns to the eye. Deducting the latter of the total number, 24 % affected the hand as an isolated burn and 37 % as a combined burn injury. 43 % of all hand burns (combined and isolated) were female and 57 % were male. The age group from 20 to 29 years was significantly most affected. 21 % of hand burns happened at work, with 80 % of them being male. The most prevalent cause was contact (24 %), at home and at work. 84 % of all hand burns were treated non operatively and did not cause high costs. In general, there has been a decrease of burn injuries worldwide, but we did not recognize a declining trend of hand burns, some of them related to work. Most patients with hand burns present with mild degrees, but particularly work-related hand burns can be more severe with long term sequelae. The study highlights the importance of prevention programs and initiatives.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"11 ","pages":"Article 100413"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491257","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}