Burns : journal of the International Society for Burn Injuries
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Comparative Study Clinical Trial Controlled Clinical Trial
Burn wound excision and massive blood transfusion did not affect perioperative vancomycin levels.
The effect of burns surgery that requires intraoperative transfusion of five or more units of blood on serum vancomycin levels was assessed. ⋯ Large volume blood loss and replacement during burns surgery did not significantly affect perioperative vancomycin levels. 1998 Elsevier Science Ltd for ISBI.
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Fluid therapy by the oral route is the accepted method of treatment for smaller burns in children (less than 10%). [Settle JAD. Burns - the first five days. Essex: Smith and Nephew Pharmaceuticals Ltd, 1986.] A phone survey was carried out of all the hospitals in the United Kingdom that manage burns, to record their oral fluid therapy practices for burns (5-10% BSA) in paediatric patients. ⋯ No complication was reported although one unit queried a possible case of fluid overload. Potential complications from this mode of therapy are discussed. The cost implications of using various fluid types are also presented.
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Industrial burn injuries result in significant morbidity, infrequent mortality and man-hour loss, leading to loss of productivity. With a view to study the epidemiology of industrial burns in Jamshedpur and first aid awareness, we analysed 815 patients (142 inpatients and 673 outpatients) with industrial burns seen by us during the period from January 1993 to December 1996. 69% of these injuries were caused by contact with hot objects, while the rest were caused by flame, electrical and chemical agents. Our audio-visual awareness promotion programme for burns safety and first aid awareness amongst our officers and employees at various levels, has been successful in reducing the incidence of burns. The campaign has also popularised the use of cool water as the best first aid measure.
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Gasoline is intended for use as a motor fuel, but the universal availability of gasoline in the home encourages misuse as a solvent, insecticide, accelerant or cleaning solution. The careless or inappropriate use of gasoline may result in burn injury. We examined the circumstance of gasoline-related injury in a population admitted to one burn centre to determine the potential for burn prevention efforts. ⋯ Ninety of 144 fatalities (62.5%) were associated with inappropriate or unsafe use of gasoline. The careless or inappropriate use of gasoline poses significant risk of burn injury. The indoor use of gasoline, as well as use of gasoline for purposes other than as a motor fuel, should be strongly discouraged.