Figure 1. Full thickness electrical burn to the first web space of the left hand showing exposed tendons. DESCRIPTION A 34-year-old right-hand-dominant man sustained an electrical injury to his left hand while handling a 450-volt cable. He presented with deep burns to the first web space and the dorsal aspect of the index finger. The excision of the eschar resulted in exposure of bare tendons (...

OBJECTIVE The authors present the novel use of a new generation surgical ablative tool known as the WoundWand. METHODS A 66-year-old woman presented with 18% deep-dermal and full-thickness burns affecting the left side of her body including the total left upper limb, abdomen, and left thigh following lighting a cigarette in bed while on home oxygen therapy. She underwent tangential excision o...

Exertional heat illness typically occurs over hours in younger athletic patients or military recruits who exercise at elevated temperatures for a sufficient period of time to cause the rate of heat production to exceed the capacity of the body to dissipate heat. Since the physiological response to exercise includes cutaneous vasodilation and sweating, any limitation of such a response can cause...

Objective(s): Chemokines are wound mediators that promote angiogenesis during wound healing. We hypothesized that Simvastatin in combination with the bone marrow mesenchymal stromal cells (BMSCs) improve burn wound healing by ameliorating angiogenesis via SDF-1α/CXCR4 pathway.Materials and Methods: Under general anesthesia, deep partial-...

Immersive virtual reality (VR) has proved to be potentially valuable as a pain control technique for patients with severe burns undergoing wound care and physical therapy. Recent studies have shown that single, 3-min visits to a virtual world can dramatically reduce the amount of pain experienced during wound care, and the illusion of going inside the computer-generated world helps make VR anal...

The majority of burn centres use the crystalloid-based Parkland formula to guide fluid therapy, but patients actually receive far more fluid than the formula predicts. Resuscitation with large volumes of crystalloid has numerous adverse consequences, including worsening of burn oedema, conversion of superficial into deep burns, and compartment syndromes. Resuscitation fluids influence the infla...

backgrond burn wound infections carry considerable mortality and morbidity amongst burn injury victims who have been successfully rescued through the initial resuscitation. this study assessed the prevalent microrganisms causing burn wound infections among hospitalized patients their susceptibility pattern to commonly used antibiotics and the frequency of infections with respect to the duration...

Many hazardous chemicals are commonly used in drycleaning shops to remove garment stains. Workers performing stain removal may be exposed to these toxic chemicals through skin absorption, eye contact, or inhalation of vapors. The primary hazard is dermatitis from chronic or acute exposure. Dilute hydrofluoric acid, found in some products that remove rust stains, may cause severe chemical burns ...

man by whom it was written, conspire to give it a deep and peculiar interest. JSo region of the human body presents, with respect to anatomico-chirurgjcal research, a wider or more important field than those so ably delineated in this work. It is the last production of Allan Burns, and unquestionably his best. As such, we never open it without mingled feelings of sorrow and veneration. Perhaps ...

Burning charcoal in an enclosed space is now the second most-common method of committing suicide in Hong Kong. When the suicide is unsuccessful, the patients can still sustain extensive tissue destruction from both direct and indirect thermal burns. We report a series of three patients who sustained deep injuries that, after débridement, left exposed bones and joints needing acute coverage. Fre...