In recent years, simulation-based training has seen increased application in medical education. Emergency medicine simulation uses a variety of educational tools to facilitate trainee acquisition of knowledge and skills in order to help achieve curriculum objectives. In this report, we describe the use of a highly realistic human patient simulator to instruct emergency medicine senior residency...

Our recent literature survey indicated a lack of clinical assessment of the influence of gender and site of burn injury on the outcome of patients with extensive burns. This report examines the effect of burn sites and gender on extensive burns’ mortality.Data was gathered from 283 patients with burns larger than 65% of the total body surface area (TBSA) above the belt line or below the belt li...

Inhalation injury is one of the main causes of death in patients with severe burns. Administration of exogenous surfactant appears promising for the treatment of acute respiratory failure. We report our clinical experience with this approach. A 35 yr-old man was admitted to our burns unit after an industrial accident. He had sustained a 60% total body surface area full-thickness burn combined w...

INTRODUCTION Phosphate level is often deranged during acute illness, regardless of the presence of kidney injury or not. A few studies described that hypophosphatemia may associated with outcome in patients admitted to the burn unit, but the literatures for hyperphosphatemia is limited. Our study aims to evaluate if hyperphosphatemia, one of the sign of severe tissue damage or kidney injury, wi...

We had anecdotally observed that fluid resuscitation volumes often exceed those estimated by the Parkland Formula in adults with isolated cutaneous burns. The purpose of this study was to compare estimated and actual fluid resuscitation volumes using the Parkland Formula. We performed a retrospective study of fluid resuscitation in patients with burns > or = 15% TBSA. Patients with inhalation i...

Robinson et al found no benefit between those who were treated with steroids and those who were not.'" The results of further studies in patients suffering from combined burns and smoke inhalation injury suggest that giving steroids leads to increased mortality and morbidity, mainly because infection occurs more often." 12 Early treatment of smoke inhalation focuses on keeping the upper airways...

our recent literature survey indicated a lack of clinical assessment of the influence of gender and site of burn injury on the outcome of patients with extensive burns. this report examines the effect of burn sites and gender on extensive burns’ mortality. data was gathered from 283 patients with burns larger than 65% of the total body surface area (tbsa) above the belt line or below the belt l...

Respiratory tract injuries caused by inhalation of smoke or chemical products are related to significant morbidity and mortality. While many strategies have been built up to manage cutaneous burn injuries, few logical diagnostic strategies for patients with inhalation injuries exist and almost all treatment is supportive. The goals of initial management are to ensure that the airway allows adeq...

BACKGROUND Steam inhalation therapy is often recommended in the treatment of a common cold. However, it has no proven benefit and may in fact have serious adverse side effects in terms of burn injuries. AIM To quantify the human and economic costs of steam inhalation therapy in terms of burn injury. DESIGN AND SETTING A prospective database study of all patients admitted to the burn centres...

Inhalation injury is a major cause of morbidity and mortality in thermally injured patients but is difficult to quantify. A number of parameters can be useful evaluating inhalation injury including bronchoscopy, PaO(2)/FiO(2) (P/F) ratio, and carboxyhaemaglobin (COHb) levels. Identification of markers that permit early detection of the degree of damage caused by inhalation injury is important t...