Burns : journal of the International Society for Burn Injuries
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Burns during pregnancy can have profound effects on both the mother and her fetus. While the mother can suffer cardiovascular collapse, infection, hemorrhage and inhalation injury with respiratory failure, the fetus is affected through the placenta by all of these changes as well as by the transfer of drugs administered to the mother. We report a case of severely burned female patient at 29 weeks gestation, who, due to deteriorating maternal condition, was delivered and managed at 32 weeks gestation by a multidisciplinary team. To the best of our knowledge this is the first reported case of a preterm infant delivered in a burn unit.
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Multicenter Study Comparative Study Observational Study
Outpatient presentations to burn centers: Data from the Burns Registry of Australia and New Zealand outpatient pilot project.
Most studies about burn injury focus on admitted cases. ⋯ Outpatient presentations outnumbered inpatient admissions by 2.2:1. The pattern of outpatient burns presenting to burn centers differed to inpatient admission data, particularly with respect to etiology and burn severity, highlighting the importance of the need for outpatient data to enhance burn injury surveillance and inform prevention.
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Experience indicates that the frequency and impact of petroleum pipeline fires and explosions in sub-Saharan Africa (SSA) is presently under-represented in the academic literature. ⋯ Fire disasters related to scavenging fuel from petroleum pipelines are common in SSA and cause significant morbidity and mortality. These events require better reporting tools and intervention strategies overall. Furthermore, our study demonstrates that non-academic sources can effectively supplement gaps in the academic literature.
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The reconstruction of neck contracture deformities after severe burns is challenging. This is due to insufficient tissue to resurface the large defect after local flap transfer as well as the poor functional and cosmetic results after traditional methods such as skin grafting. We employed free transfer of pre-expanded scapular flaps to reconstruct postburn neck deformities. ⋯ The free tissue transfer of pre-expanded scapular flap is a valuable tool in neck burn reconstruction. It can be used safely and effectively with minimal morbidity in selected patients.
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Review Case Reports
Mitral valve repair via right thoracotomy for multidrug resistant Pseudomonal endocarditis in a burn patient: Case report and review of the literature.
Diagnosis and management of infectious endocarditis are particularly challenging in patients with severe burns. Cases requiring operative intervention are likely to have higher complication rates as a result of poor wound healing, recurrent bacteremia secondary to burn wound manipulation, and sequelae of anticoagulation in patients who require repeated reconstructive and cosmetic procedures. Few case reports exist describing mitral valve replacement for infectious endocarditis in burn patients. In this article, we review the literature to describe and address these challenges, and present what we believe to be the first case of mitral valve repair for infectious endocarditis in a thermally injured patient.