Burns : journal of the International Society for Burn Injuries
-
Exogenous arginine vasopressin (VP) has been increasingly used in the hemodynamic management of critically ill patients with septic shock, but its use in septic burn patients has not been systematically examined. ⋯ VP is a useful adjunctive pressor that spares NE requirements in septic burn patients, but its use is not without risks, particularly when VP is combined with sustained moderate to high infusions of NE.
-
Randomized Controlled Trial
Recombinant FVIIa decreases perioperative blood transfusion requirement in burn patients undergoing excision and skin grafting--results of a single centre pilot study.
Excision of burn wounds is frequently associated with a large volume of blood loss requiring allogeneic blood transfusion. We conducted a pilot study to investigate the effect of activated recombinant coagulation factor VII (rFVIIa) on the reduction of blood transfusion requirements in burn patients undergoing excision and skin grafting. ⋯ rFVIIa might be useful in decreasing blood transfusion requirements in burn patients undergoing excision and skin grafting.
-
Multicenter Study
Survey of primary school educators regarding burn-risk behaviors and fire-safety education.
To assess primary school educator knowledge and opinions regarding fire-setting behaviors and burn-injury prevention education. ⋯ Nearly all primary school educators surveyed agreed that burn injuries and attempting to curb fire-play are important societal issues. There was wide agreement that including a description of the medical and social consequences of burns in a preventive curriculum would enhance its efficacy. The younger students are, the more time teachers require to adequately convey fire safety instruction.
-
The eternal debate between quality and cost-effectiveness within the healthcare arena is challenging for healthcare professionals and organisations. This is a national and international priority in the field of burn care for implementing the projects of burns networks, outreach teams, regional commissioning groups and rehabilitation. This article focussed on several areas of cost-effective quality burn care from initial management to rehabilitation and explore whether that can assist the specialists in the provision of quality care and value for money.