ABSTRACT
O número de artroscopias de ombro está aumentando e, por causa disso, a frequência de complicações relacionadas também aumenta. O presente caso relata uma queimadura de terceiro grau na região da placa eletrocirúrgica durante esta cirurgia e alerta sobre possíveis causas e como tentar prevenir esta rara, mas possível complicação.
The number of shoulder arthroscopy procedures is increasing and, because of this, the frequency of related complications is also increasing. This report presents a case of third-degree burn from an electrosurgical pad during this procedure and serves as an alert regarding the possible causes and how to try to prevent this rare, but possible complication.
Subject(s)
Humans , Male , Adult , Arthroscopy , Burns/ethnology , Burns/prevention & control , Equipment FailureABSTRACT
A severe burn injury is the most devastating injury a person can sustain and yet hope to survive. It is a common catastrophe today as burn injury cases are one of the common emergencies admitted to any hospital. There are several social, economic, cultural and psychological factors interplaying which influence the reporting, treatment, management and if the patient dies the further investigations. As the etiological factors of burn injuries vary considerably in different communities, careful analysis of the epidemiological features in every community is needed before a sound prevention programme can be planned and implemented. When stratified by age, more females were found in most age groups. Most burns were domestic, with cooking being the most prevalent activity. The maximum incidence of burn injuries in males were noted in the age group of 21-30 years. 56% cases who suffered burns were housewives.26% females had 91-100% burns. Smell of kerosene was present in 4% cases. Maximum burns were of 3rd degree with 28% males and 54% females. Head & neck were involved in 94% cases Extremities were involved in all cases.
Subject(s)
Adult , Burns/epidemiology , Burns/ethnology , Burns/etiology , Burns/mortality , Death , Fatal Outcome , Female , Humans , India , Male , MarriageABSTRACT
O cuidado de enfermagem à criança queimada está diretamente relacionado à aceitação da família, tendo os pais como parceiros e informantes das condições de saúde da vítima. Objetivou-se compreender como as crenças, valores e estilo de vida das famílias influenciam no cuidado de crianças vítimas de queimaduras internadas em um Centro de Tratamento de Queimados. Pesquisa etnográfica realizada em um Hospital de Urgência e Emergência, em Fortaleza, Ceará, no período de abril a agosto de 2008,na qual a coleta e a análise dos dados se embasaram na Etnoenfermagem. Na ordenação e análise dos dados adotaram-se as seguintes etapas: coleta de descritos e documentos; agrupamento dos dados; análise contextual de temas principais; descobertas de pesquisa; formulações teóricas e recomendações. Das análises surgiram três categorias: A criança é muito danada;A gravidade da situação; Ter mais cuidado.Conforme o estudo durante a internação, as mães, apesar de possuírem seus conhecimentos culturais, aprenderam muito, tinham muitas dúvidas e refletiram sobre o próprio cuidado com seus filhos.É,pois, imprescindível que o enfermeiro utilize estratégias que inerentes à cultura familiar com vistas a cuidar de forma individualizada, criando vínculos com essas crianças e família.
The care of nursing to a burnt child is straight related to the acceptance of the family, having parents as play fellows and informants of the health conditions of the victim. The study had as objective to understand as the beliefs, values and style of life of the families influence in the care of children victims of burns inpatients in a Burnt Treatment Center. The ethnographic research was accomplished in a Hospital Institution of Urgency and Emergency in the city of Fortaleza-Ceará from April to August of 2008. The collect and analysis of the data were based in the Ethnonursing. The arrangement and analysis of the data attended the following stages: gathering information and documents; to cluster the storage data; contextual analysis of main themes, discoveries of research; theoretical formulations and warnings. From the analysis sprout three cultural rules: the child is very naughty; the severity of the situation; to watch more out for. The study showed that during internment mothers, in spite of having their cultural knowledge, learned a lot, had much uncertainty, and pondered about their care with their children. Therefore, we consider essential that the nurse uses strategies that address on the cultural family in order to take care of an individualized form, creating links with these children and family.
Los cuidados de enfermería a niños quemados es directamente relacionados con la aceptación de la familia, teniendo los padres como ayudantes e informantes del estado de salud de la víctima. El estudio tuvo como objetivo comprender cómo las creencias, valores y estilos de vida de las familias influyen en el cuidado de los niños víctimas de quemaduras hospitalizadas en un Centro para Tratamiento de Quemaduras. Investigación Etnográfica celebrada en un Hospital de Emergencias y Urgencias, en Fortaleza, Ceará, en el período de abril y agosto de 2008. La orden y análisis de los datos se basaron en Etnoenfermería. La ordenación y análisis de datos siguió las siguientes pasos: recogida y los documentos descritos, la agrupación de los datos, el análisis contextual de los principales temas, resultados de investigaciones, las formulaciones teóricas y recomendaciones. El análisis de las tres esferas culturales apareció: el niño está demasiado dañada, la gravedad de la situación, tener más cuidado. El estudio demostró que las madres durante la hospitalización, a pesar de su conocimiento cultural, aprendí mucho, había muchas dudas y refleja en el cuidado de sus hijos. Así, es imperativo que las enfermeras utilizan estrategias de uso de esa familia de direcciones cultura para que puedan cuidar de una persona, creando enlaces con estos niños y familias.
Subject(s)
Humans , Child , Anthropology, Cultural , Pediatric Nursing , Burns/nursing , Burns/ethnology , Family/ethnologyABSTRACT
Burns during pregnancy poses a serious threat to the life of baby, as well as to the mother. More severely it is associated with various social and economical problems, as well as associated with illiteracy and poverty which many cases complicate its prevention. Burns during pregnancy influence maternal as well as foetal outcome. Keeping this in view a comprehensive task was undertaken to assess the maternal and foetal outcome in relation to burn extent and gestational age of foetus. A total of thirty two cases of burn females with pregnancy were analyzed. There were 23 maternal and 26 foetal deaths. Percentage of abortion during the third trimester was highest. Rate of maternal mortality increased with percentage of Total Body Surface Area (TBSA) burnt. Maximum incidence of maternal mortality rate was with cases of burns involving more than 50% TBSA.
Subject(s)
Burns/ethnology , Burns/mortality , Burns/pathology , Cause of Death , Coroners and Medical Examiners , Death Certificates , Female , Fetal Death/etiology , Fetal Development , Gestational Age , Humans , Maternal Death/etiology , Maternal Mortality/etiology , Pregnancy , Socioeconomic FactorsABSTRACT
The burn autopsies form the major bulk of autopsies carried out at most of the hospitals in India. A medico–legal study of fatal burn cases was carried out at Nanded (India) during the period of 3 years. These constituted 18.2% of the total medico–legal autopsies carried out during the same period. The majority of burn deaths were observed in the age group of 11 – 40 yrs (83.11%), with peak incidence in 21 – 30 yrs (39.5%) of age group. Female preponderance was seen in all age groups with male to female ratio 1:2.5. Most of the cases were from rural area (76.3%). In 189 cases (41.4%), total body surface area involved was more than 80%. Majority of the subjects died as a result of flame burns (92.3%), followed by electric burns (5.3%) & scald (2.4%). In 406 cases (89%), Kerosene oil was involved leading to fatal burns. Accidental burns were most common (70.8%), followed by suicidal (18.2%) and homicidal burns (10.9%). The majority of deaths due to burns were observed within 1 week (66.2%).