Burn injury is a leading cause of life-threatening trauma worldwide, affecting more than 450,000 Americans each year, and is associated with an average mortality rate of 0.8%. Patients with an increased risk of death from burn injuries include elderly patients and patients with large burns or inhalation injury. Providing optimal care for patients with major burn injuries requires the coordinate...

Care of burn-injured patients requires knowledge of the pathophysiologic changes affecting virtually all organs from the onset of injury until wounds are healed. Massive airway and/or lung edema can occur rapidly and unpredictably after burn and/or inhalation injury. Hemodynamics in the early phase of severe burn injury is characterized by a reduction in cardiac output and increased systemic an...

Guidelines • Adults and children with burns greater than 20% TBSA should undergo formal fluid resuscitation using estimates based on body size and surface area burned. • Common formulas used to initiate of resuscitation estimate a crystalloid need for 2 to 4 ml/kg body weight/%TBSA during the first 24 hours. • Fluid resuscitation, regardless of solution type or estimated need, should be titrate...

Pathology of the respiratory system and especially lung pathology has multiple implications in the daily forensic activity and represents a challenging domain of research as well. In the general part of the research work I present the most important data from the literature concerning lung anatomy and histology, elementary lung morphologic lesions, histomorphology of shock lung, physiopathology...

OBJECTIVES To share our experience of an extensive calvarial reconstruction in a severely burn-injured, elderly patient in a 2-stage procedure utilizing a novel biodegradable temporizing matrix (NovoSorb BTM), followed by autograft. MATERIALS AND METHODS A 66-year-old patient with 75% full-thickness burns, including 7% total body surface area head and neck, with calvarial exposure of approxim...

Abstract Background Wildfires are an increasing human health concern. In 2020 there were nearly 10,000 fires in California including 5 of the 6 largest wildfires recorded state, burning 4.1million acres. addition to known risks direct burn and inhalation injury, extreme heat exposure, psychological stress, unrecognized infection associated with smoke exposure. Fungal elements travel great dista...

Elevated blood alcohol content (BAC) on admission is associated with poorer outcomes, larger burns and more inhalation injury. This study's purpose was to examine the effects of alcohol through a matched case-controlled study, measuring early and extended markers of clinical outcomes. The hypothesis was that patients with an elevated admission BAC would require more resuscitation and have a lon...

Case presentation • Affected were both arms, face, thorax as well as both thighs • Pre-existing diseases included known epilepsy and multifactorial drug abuse • The ABSI score (abbreviated burn severity index) was 10 points • On admission, immediate bath therapy was performed while the patient was still circulatory and hemodynamically stable, with a complete body shave/washing and surgical woun...

The effect of burn center volume on mortality has been demonstrated in adults. The authors sought to evaluate whether such a relationship existed in burned children. The National Burn Repository, a voluntary registry sponsored by the American Burn Association, was queried for all data points on patients aged 18 years or less and treated from 2002 to 2011. Facilities were divided into quartiles ...

BACKGROUND The guidelines for the treatment of severely burned patients, included in the explicit guarantees in health care (GES), accept having a Garces' index over 70, among others, as an inclusion criterion. This criterion allows elderly patients with small total burn surface area (TBSA) to have access to GES. AIM To analyze if a universal access to GES for this group of patients is justif...