BACKGROUND Burns comprise 5% of casualties evacuated from Operations Iraqi and Enduring Freedom (OIF and OEF). Many OIF/OEF burns result from the enemy's detonation of explosives. We reviewed these to evaluate mission impact and provide recommendations for improved combat burn protection. Data were compared to those from the Vietnam War. METHODS All OIF/OEF patients with significant burns are...

chemical injuries of the cornea are ophthalmic emergencies. these injuries often result in significant ocular morbidity and generally strike young adults in the prime years of life. classification schemes enable the ophthalmologist to determine the severity of injury and the prognosis for the injured eye. immediate management consists of copious irrigation following exposure. effective manageme...

This study evaluated the association of body mass index (BMI) with mortality, length stay in intensive care unit (ICU), and hospital major burn patients. It was a retrospective cohort that originally conducted from January 2017 to 2020 used data patients admitted for burns at university hospital. The were divided into groups purposes comparing relevant variables according their BMI. We 288 pati...

After a burn lesion, Acute Respiratory Distress Syndrome (ARDS) may occur via direct lung injury due to inhaled smoke and fumes or mediated by the inflammatory response associated with the burn or its infectious complications. The aim of the present study is to assess the epidemiologic profile of ARDS in adult burn patients admitted to intensive care in a burn unit at a university hospital. A p...

BACKGROUND Patients with major burn injuries frequently develop acute respiratory distress syndrome (ARDS). High-frequency oscillatory ventilation (HFOV) has been used successfully in our regional burn center since 1999 for the management of oxygenation failure secondary to ARDS and as a method of intraoperative ventilation to allow surgical burn wound excision to proceed, despite the presence ...

BACKGROUND The standard of care for full-thickness burns is tangential excision followed by skin autografting; however, the timing of excision and grafting is subject to debate. The authors compared early (2 days) versus delayed (14 days) excision and grafting in a porcine full-thickness burn model. METHODS Full-thickness burns (n = 12) were created on the backs of two anesthetized pigs and a...

Pneumonia is common among critically ill burn patients and is a major cause of morbidity and mortality among them. Prediction of mortality in patients with severe burns remains unreliable. The aim of this research is to study the incidence, early diagnosis and management of nosocomial pneumonia, and to discuss the relationship between pneumonia and death in burn patients. This prospective study...

Objective: To describe an improved technique for dilatational tracheostomy. Clinical case: We report a case of severe community-acquired polysegmental viral pneumonia, grade 2 respiratory failure. After the start antiviral therapy and staged support, female patient was placed on mechanical ventilation 12 hours following hospital admission due to increasing systemic inflammatory response cytokin...

BACKGROUND In most accidents causing smoke inhalation only a few victims actually inhale the smoke. The fire at King's Cross provided an opportunity to assess the long term effects of smoke inhalation in a larger number of patients. METHODS Fourteen survivors from the King's Cross underground station fire were assessed for respiratory disability six months after the disaster and 10 were reass...