ABSTRACT
In 60 burned patients, the depth of injury was assessed clinically, and then surface temperature measurements were taken of the burn and of nearby unburned skin. The final diagnosis of burn depth was determined by the time taken to heal or by the findings at excision of the burn. The temperature difference between burned and unburned skin correlated with the depth of the injury. Overall diagnosis of burn depth was 60 per cent accurate by clinical assessment and 78 per cent accurate by measurement of surface temperature. Accuracy was greater when burns of the hand, face and feet, and burns seen late, were excluded.
Subject(s)
Burns/diagnosis , Skin Temperature , Burns/pathology , Humans , Polyvinyl Chloride/therapeutic use , Wound HealingABSTRACT
An 11-year retrospective series of 95 deep, electric fire hand burns in children was studied and the epidemiology, treatment and operative management analysed. From this series a group of 14 patients was recruited to assess the long-term results of this injury. At long-term follow-up (mean 14.4 years) the recorded parameters included range of movement, hand sensation, power and size. Photographs were taken and any subjective problems noted. Analysis of these data showed a marked variation in range of movement, sensation, size and appearance of the injured hands. Despite this, complaints about cosmetic results or any restriction of activities were rare. In conclusion, these injuries are particularly destructive but with appropriate surgical management, albeit protracted, and despite imperfect cosmetic results, excellent function can be obtained in the growing hand.
Subject(s)
Burns, Electric/surgery , Hand Injuries/surgery , Burns, Electric/physiopathology , Child , Child, Preschool , Female , Follow-Up Studies , Hand/physiopathology , Hand Injuries/physiopathology , Humans , Infant , Male , Postoperative Period , Retrospective StudiesABSTRACT
A prospective survey was conducted of all patients requiring admission to the Regional Burns Centre for South East Scotland at Bangour Hospital and the Royal Hospital for Sick Children in Edinburgh. All patients admitted between May 1983 and April 1984 were studied. Details were obtained about the cause and extent of the burn, the immediate first aid measures provided, causes for delay in arrival at the Burns Centre and, when appropriate, the initial care and its adequacy before transferring the victim from another hospital. A total of 276 patients were studied, of whom 152 were transferred. Early management by referring hospitals was often far from ideal, with errors in initial care that should have been avoided.
Subject(s)
Burn Units , Burns/therapy , Intensive Care Units , Patient Transfer , Adolescent , Adult , Aged , Aged, 80 and over , Body Surface Area , Burns/pathology , Child , Child, Preschool , Female , First Aid , Humans , Infant , Infant, Newborn , Male , Middle Aged , Prospective Studies , Scotland , Shock, Traumatic/etiology , Time Factors , Water-Electrolyte BalanceABSTRACT
A prospective clinical trial has shown that systemic ethamsylate reduces the problems with exudation sometimes seen when Opsite is used as a dressing for split skin graft donor sites.
Subject(s)
Benzenesulfonates/therapeutic use , Ethamsylate/therapeutic use , Occlusive Dressings/adverse effects , Polyurethanes/adverse effects , Wound Healing/drug effects , Adolescent , Adult , Aged , Clinical Trials as Topic , Ethamsylate/administration & dosage , Exudates and Transudates/drug effects , Female , Humans , Injections, Intravenous , Male , Middle Aged , Prospective Studies , Skin TransplantationSubject(s)
Bacterial Infections/metabolism , Burns/metabolism , Nutritional Physiological Phenomena , Wound Infection/metabolism , Adult , Body Weight , Burns/therapy , Child , Child, Preschool , Female , Humans , Male , Nitrogen/metabolism , Pain/metabolism , Pain Management , Parenteral Nutrition , Wound Infection/therapyABSTRACT
One hundred children with glass injuries to the hand were studied with an average follow-up of twenty-two months. Fifty-two had involvement of deep structures. The treatment and results are discussed.
