mucormycosis is a rare opportunistic fungal infection that can implicate cranial sinuses, brain, lungs, gastrointestinal tract and skin. although it can occur in patients with competent and incompetent immunity such as patients with diabetes mellitus, lymphoma, leukemia and burns, but it has an aggressive, malignant and lethal course in patients with incompetent immunity. to enforce the importa...

Quality is generally recognized to have three components: structure, process, and outcomes. The American Burn Association (ABA) has a long history of trying to improve quality of care for patients with burn injuries. Since its establishment by Dr. Irving Feller in the 1970s,1 the National Burn Information Exchange, a nascent database relying on punch cards submitted by participating burn center...

Though multiple studies have demonstrated superior outcomes amongst adult burn patients at verified burn centers (VBCs) relative to nondedicated burn centers (NBCs), roughly half of such patients meeting American Burn Association (ABA) referral guidelines are not sent to these centers. We sought examine referral patterns amongst pediatric burn patients. Retrospective review of a statewide patie...

The prevalence of intensive insulin and restrictive blood use protocols in burn centers is unknown, which may be problematic as the combined impact of these therapies is to concomitantly increase the prevalence of anemia and hypoglycemia in intensive care unit patients. Such a development is important because point-of-care (POC) glucometers report erroneously high values in the presence of low ...

The purpose of this study was to determine whether systemic inflammatory response syndrome (SIRS) and American Burn Association (ABA) criteria predict sepsis in the burn patient and develop a model representing the best combination of novel clinical sepsis predictors. A retrospective, case-controlled, within-patient comparison of burn patients admitted to a single intensive care unit from Janua...

Medical planning for Operation Iraqi Freedom included predictive models of expected number of burn casualties. In all but the best-case scenario, casualty estimates exceeded the capacity of the only Department of Defense burn center. Examination of existing federal-civilian disaster plans for military hospital augmentation revealed that bed availability data were neither timely nor accurate. Re...

Traditionally, the most hypermetabolic of all surgical diseases, appropriate nutrition has formed the basis of modern burn care. Today, I would like to review some of the highlights of that history, of where we in burn care have already been in delivering nutritional support for our patients and to promote continued research for the future. I submit that much of the improvement in burn mortalit...

I would like to personally welcome all of you to the opening session of the 43rd annual meeting of the American Burn Association (ABA). This has been an exciting year of challenges, opportunities, and advancements. During the past year we have • rewritten our Association’s by-laws, • established the opportunity for long-term funding of our Department of Defense/ABA research by adding a line ite...

Burn injuries can be life-threatening, thus standardized procedures are essential to ensure the best medical care is provided after injury. Therefore, burn guidelines were created throughout world. There many similarities within different guidelines, especially in basic procedures. Taking a closer look, it becomes clear that there also lot of disparities guidelines. In this review German Societ...

Introduction: Across the United States (US), there are approximately 2,000 burn beds in 133 centers, only 72 of which verified by American Burn Association (ABA). As such, many areas US hundreds miles from closest center. Eight states do not have a center, and another 11 an ABA-verified Further, average center has 15 beds, and, on average, 90 available across US. Therefore, addition to patient ...