Burns

Michel Hermans's picture
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By Michel H.E. Hermans, MD

How should I treat a patient with a partial-thickness burn on less than 10% of their body but poor vascularity?

It is not possible to give a specific answer to this question because burns larger than 10% could be anywhere from 11% to 99%. As mentioned in the presentation, larger burns cause burn disease with all its potential complications. “Poor vascularity” is a bit vague. If it is the result of diabetes, then the disease itself, including the typical microvascular problems, will contribute to poorer healing. On the other hand, peripheral arterial disease usually does not have a significant impact on the healing of partial-thickness burns unless occlusion is very severe.

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WoundSource Editors's picture
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Burns

Burns occur when the skin comes into contact with a heat source or caustic substance, commonly fire or flames, boiling liquid, hot objects, electrical current, or chemical agents. Different mechanisms of injury that can cause a burn include scalding, fire, chemical exposure, electrical exposure, and radiation. The extent of injuries that can occur from a burn is highly variable, and morbidity and mortality tend to increase as the surface area of the burn increases. Proper classification of burns is essential in guiding the initial management of the burn wound and achieving optimal outcomes.

Temple University School of Podiatric Medicine's picture
Temple University

Temple University School of Podiatric Medicine Journal Review Club
Editor's note: This post is part of the Temple University School of Podiatric Medicine (TUSPM) journal review club blog series. In each blog post, a TUSPM student will review a journal article relevant to wound management and related topics and provide their evaluation of the clinical research therein.

Article Title: Stem Cells Derived from Burned Skin – The Future of Burn Care
Authors: Saeid Amini-Nik; Reinhard Dolp; Gertraud Eylert; Andrea-Kaye Datu; Alexandra Parousis; Camille Blakeley; Marc G. Jeschke (Sunnybrook Research Institute, Canada)
Journal: EBioMedicine
Reviewed by: Akhil Korrapati, Temple University School of Podiatric Medicine Class of 2021, Temple University School of Podiatric Medicine

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WoundSource Editors's picture
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Burn Treatment

by the WoundSource Editors

Burn management is typically based on the severity of the wound, and the goals are to prevent shock, relieve pain and discomfort, and reduce the risk of infection. Pathogens are present everywhere, and any breach in the skin, especially burns, can lead to infection. When burns cover up to 35% in adults and 30% in children, they are considered major burns, and anything above those levels is considered critical or life-threatening. A thorough assessment of the patient and burn site is necessary to determine the most appropriate treatment interventions given the type and severity of the burn injury.

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Aletha Tippett MD's picture
technology-in-wound-care

By Aletha Tippett MD

In looking at technology that helps in wound care, how many know about—and use—lasers? Cold lasers have been used by physical therapists for years, but cosmetic lasers can also be used. I have had tremendous success using laser therapy on wounds. Healing is much improved (and faster), with less scarring. I am not a technocrat. I’m much more old-fashioned, but the laser is a wonder.

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Michel Hermans's picture
monitoring the healing time of partial-thickness burns

By Michel H.E. Hermans, MD

Recently I paid a visit to one of the better known wound care centers in the North East. As I expected, treatment of the common lesions seen in this center, such as venous leg ulcers and diabetic foot ulcers, was top notch. The use of compression and offloading, proper wound debridement and modern dressings (including, where indicated, biologics and matrices), in combination with the option for vascular, plastic and orthopedic (i.e. for Charcot foot) reconstruction resulted in good healing results, with high percentages of reepithelialization within a relatively short time frame.

Aletha Tippett MD's picture
laser therapy used in the treatment of wounds

By Aletha Tippett MD

It would be interesting to know how many people reading this blog have tried laser therapy for wound healing. I suspect not many, and that is unfortunate because laser therapy can be a wonderful adjuvant for wound healing.

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Michel Hermans's picture

By Michel H.E. Hermans, MD

To do a Randomized Controlled Trial within a reasonable time frame, the disease to be studied should be common and the patient population large and accessible. In addition, preferably the effect of the treatment should be fast and specific.

Bruce Ruben's picture

By Bruce E. Ruben MD

In order to understand the use of Hyperbaric Oxygen Therapy (HBOT) to heal burns, it is first important to understand the four burn classifications.

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Laurie Swezey's picture

By Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

Whirlpool therapy, or hydrotherapy, is one of the oldest adjuvant forms of treatment for wounds still in use today. It was originally used in pain management, but later found a use in wound management, particularly in the management of burn patients.

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