Burns

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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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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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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.

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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.

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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.

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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Laurie Swezey's picture

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

The sheer number of dressings available makes choosing the correct dressing for clients a difficult proposition. Clinicians today have a much wider variety of products to choose from, which can lead to confusion and, sometimes, the wrong type of dressing for a particular wound. Knowing the types of dressings available, their uses and when not to use a particular dressing may be one of the most difficult decisions in wound care management.

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By the WoundSource Editors

Generally speaking, a burn is an injury to the tissue of the body, typically the skin. Burns can vary in severity from mild to life-threatening. Most burns only affect the uppermost layers of skin, but depending on the depth of the burn, underlying tissues can also be affected. Traditionally, burns are characterized by degree, with first being least severe and third being most. However, a more precise classification system referring to the thickness or depth of the wound is now more commonly used. For the sake of this article, burns will be described by thickness. For a comparison of the two classification systems, see the table below.

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

Health care professionals encounter burns in their patient populations frequently, and must be able to differentiate between types of burns, as well as know how to treat burn injuries using current practice standards. The following is an overview of first and second degree burns, including pathophysiology and treatment.