American Burn Association Consensus Statements

Gibran, Nicole S.; Wiechman, Shelley A.; Meyer, Walter J.; Edelman, Linda S.; Fauerbach, Jim; Gibbons, Linda; Holavanahalli, Radha; Hunt, Carly; Keller, Kelly; Kirk, Elizabeth; Laird, Jacqueline; Lewis, Giavonni; Moses, Sidonie; Sproul, J; Wilkinson, Gretta; Wolf, Steven E.; Young, Alan; Yovino, Sandra; Mosier, Michael J.; Cancio, Leopoldo C.; Amani, Hamed; Blayney, Carolyn B; Cullinane, Judith; Haith, Linwood R.; Jeng, James C.; Kardos, Patricia; Kramer, George C.; Lawless, Mary Beth; Serio-Melvin, Maria; Miller, S. C.; Moran, Katie; Novakovic, Rachel; Potenza, Bruce; Rinewalt, Anna; Schultz, J. H.; Smith, Howard S.; Dylewski, Maggie L.; Wibbenmeyer, Lucy; Bessey, Palmer Q.; Carter, Jennifer; Gamelli, Richard L.; Goodwin, Cleon W.; Graves, Tamara; Hollowed, K; Holmes, Jimmy; Noordenbas, John; Nordlund, Megan; Savetamal, Alisa; Simpson, Peggie; Traber, Daniel L.; Traber, Lillian D.; Nedelec, Bernadette; Donelan, Matthias B.; Baryza, Mary Jo; Bhavsar, Dhaval; Blome-Eberwein, Sigrid A; Carrougher, Gretchen J.; Hickerson, William L.; Joe, Victor; Jordan, Marion H.; Kowalske, Karen; Murray, Derek; Murray, V K; Parry, Ingrid; Peck, Michael D.; Reilly, Debra A.; Schneider, Jeffrey C.; Ware, Linda; Singer, Adam J.; Boyce, Steven T.; Ahrenholz, David H.; Chang, Philip; Clark, Richard A.F.; Fey, Ryan; Fidler, Phil; Garner, W.L.; Greenhalgh, David G.; Honari, Shari; Jones, Larry M.; Kagan, Richard J.; Kirby, John P.; Leggett, Jeannie; Meyer, Nicholas; Reigart, Cynthia; Richey, Karen; Rosenberg, Lior; Weber, Joan M.; Wiggins, Brad

doi:10.1097/bcr.0b013e31828cb249

Cited by 117 publications

(54 citation statements)

References 196 publications

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“…It has been debated whether the ratio can be used for minor burns involving hands or other functional body areas or for patients with social problems, but the consensus still suggests that LOS/%TBSA is a useful outcome measure [23]. Other outcome measures for acute burn care that have been proposed by the American Burn Association include psychological outcomes, burn resuscitation, nutritional and functional outcomes and burn wound-healing outcomes [24]. Some of these outcomes can be assessed in the acute phase and others need a longer follow-up after the burn to be assessed correctly.…”

Section: Follow-up Design and Outcome Measuresmentioning

confidence: 99%

A smartphone-based consultation system for acute burns – methodological challenges related to follow-up of the system

Hasselberg

Wallis

Blessing

et al. 2017

Global Health Action

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Background: A smartphone-based consultation system for acute burns is currently being implemented in the Western Cape, South Africa. Even though studies indicate that similar systems for burns tend to support valid diagnosis and influence patient management, the evidence is still sparse. There is a need for more in-depth evaluations, not least in resource-constrained settings where mHealth projects are increasing. Objective: This article describes the consultation system and assessments in relation to its implementation with a special focus on methodological challenges. Methods: A number of evaluations and assessments have been conducted, are ongoing or planned for in relation to the implementation of the teleconsultation system. Initial assessments showed that size and depth of burns could be assessed at least as well using photographs as at bedside and that the image quality of handheld devices can be used as well as computers. Studies on system usability are currently being done with a mixed-methods approach. A historical cohort design will be applied to assess the potential health impact of the system. Patients with burn injuries where the doctor at point of care has used the app to receive diagnostic support from a burns expert will be considered as exposed and patients with burn injuries where the app has not been used will be considered as non-exposed. Conclusions: Smartphone-based consultation systems have the potential to strengthen the assessment of burn injury in many settings. However, ethically and methodologically sound evaluations are needed to find the best systems and solutions. This article identifies challenges and suggests potential assessments in relation to the implementation of such a system.

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Section: Follow-up Design and Outcome Measuresmentioning

confidence: 99%

A smartphone-based consultation system for acute burns – methodological challenges related to follow-up of the system

Hasselberg

Wallis

Blessing

et al. 2017

Global Health Action

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“…Acute thermal injuries requiring medical treatment affect nearly half a million Americans each year, with approximately 40,000 hospitalizations and 3,400 deaths annually [1]. The survival rate for admitted burn patients has improved consistently over the past four decades [2] and is currently a favorable 97 % for patients admitted to burn centers [3].…”

Section: Introductionmentioning

confidence: 99%

Burn wound healing and treatment: review and advancements

et al. 2015

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Burns are a prevalent and burdensome critical care problem. The priorities of specialized facilities focus on stabilizing the patient, preventing infection, and optimizing functional recovery. Research on burns has generated sustained interest over the past few decades, and several important advancements have resulted in more effective patient stabilization and decreased mortality, especially among young patients and those with burns of intermediate extent. However, for the intensivist, challenges often exist that complicate patient support and stabilization. Furthermore, burn wounds are complex and can present unique difficulties that require late intervention or life-long rehabilitation. In addition to improvements in patient stabilization and care, research in burn wound care has yielded advancements that will continue to improve functional recovery. This article reviews recent advancements in the care of burn patients with a focus on the pathophysiology and treatment of burn wounds.

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“…Each year, nearly half a million Americans are affected by burn trauma, with approximately 40,000 hospitalizations and 3,400 deaths occurring annually [23]. Globally, it is estimated that 265,000 deaths occur yearly.…”

Section: Introductionmentioning

confidence: 99%

β‐Adrenergic blockade does not impair the skin blood flow sensitivity to local heating in burned and nonburned skin under neutral and hot environments in children

et al. 2017

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Objective Tested the hypothesis that propranolol, a drug given to burn patients to reduce hypermetabolism/cardiac stress, may inhibit heat dissipation by changing the sensitivity of skin blood flow (SkBF) to local heating under neutral and hot conditions. Methods In a randomized double-blind study, a placebo was given to 8 burned children while propranolol was given to 13 burned children with similar characteristics (mean ± SD: 11.9±3y, 147±20cm, 45±23kg, 56±12% TBSA). Non-burned children (n=13, 11.4±3y, 152±15cm, 52±13kg) served as healthy controls. A progressive local heating protocol characterized SkBF responses in burned and unburned skin and non-burned control skin under the two environmental conditions (23°C and 34°C) via laser-Doppler flowmetry. Results Resting SkBF was greater in burned and unburned skin compared to the non-burned control (main effect: skin, P<0.0001; 57±32 burned; 38±36 unburned vs 9±8 control %SkBFmax). No difference was found for maximal SkBF capacity to local heating between groups. Additionally, dose response curves for the sensitivity of SkBF to local heating were not different among burned or unburned skin, and non-burned control skin (EC50, P>0.05) under either condition. Conclusion Therapeutic propranolol does not negatively affect SkBF under neutral or hot environmental conditions and further compromise temperature regulation in burned children.

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American Burn Association Consensus Statements

Cited by 117 publications

References 196 publications

A smartphone-based consultation system for acute burns – methodological challenges related to follow-up of the system

A smartphone-based consultation system for acute burns – methodological challenges related to follow-up of the system

Burn wound healing and treatment: review and advancements

β‐Adrenergic blockade does not impair the skin blood flow sensitivity to local heating in burned and nonburned skin under neutral and hot environments in children

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