Effect of current pathway on mortality and morbidity in electrical burn patients

Ali, Kamran; Heidari, Mahnaz; Tabatabaee, Seyed Morteza; Abdolkarimi, Leyla

doi:10.1016/j.burns.2014.06.008

Cited by 30 publications

(25 citation statements)

References 16 publications

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“…It has been reported that electrical burns mostly occur among working-age males (1,2,6,7,15,16). This conclusion was compatible with our report; however, our study showed that children too are at a risk of amputation due to electrical burns.…”

Section: Discussionsupporting

confidence: 93%

“…The main reasons for high-voltage electrical burns in children have been reported to be climbing trees, utility poles, or transformers and contacting overhead wires directly or while flying kites (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). Our data showed that the most common reason for high-voltage electrical burns in pediatric patients was climbing utility poles and that the second was overhead wires.…”

Section: Discussionmentioning

confidence: 72%

“…Electrical or fire burns have been reported as the most common agents of burn-related amputation in different studies (1,7,15,16 Fasciotomy can be a salvage procedure to prevent amputations by decreasing the compartment pressure if extremity circulation is impaired due to post-burn edema. High-voltage electrical burns directly damage muscles, nerves, and blood vessels due to heat, while tissues and bones are resistant to electricity, and fasciotomy cannot improve blood circulation.…”

Section: Discussionmentioning

confidence: 99%

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Amputations in Burn Patients with a Special Emphasis on Pediatric Patients

Özalp¹,

Calavul²

2017

Erciyes Med J

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Objective: Digit and extremity amputations are unwanted complications in burn injuries. Although some amputations cause only cosmetic and psychological problems in burn patients, they can lead to serious loss in functionality and impairment in the quality of life. The aim of this study was to investigate the epidemiologic features of amputations among burn patients in the southeastern region of Turkey. Materials and Methods:We conducted retrospective chart reviews of patients hospitalized in Dicle University Burn Center between January 2011 and January 2016 and evaluated patient demographics.Results: A total of 3315 (2063 male and 1252 female) patients were treated, and 41 patients (36 males and 5 females) with a mean age of 21.95 years (range: 3-58 years) underwent amputation. The amputation incidence was 1.23% over the 5-year period. In total, 19 of 41 patients were under 16 years, while 16 were male workers. There was a significant male dominance (p<0.05), with electrical burns being the most common etiological agent (p<0.001). The mean burned total body surface area was 12.4±7.9% (range: 2-60%), and major amputations were significantly higher (p<0.05) if the area exceeded 10%.Conclusion: Electrical burns were the most common etiological factor, and pediatric patients were the most affected group. Educating parents and taking safety measures for protecting children from electrical contact points are as important as educating workers for diminishing the incidence of electrical burn-related amputations.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

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Amputations in Burn Patients with a Special Emphasis on Pediatric Patients

Özalp¹,

Calavul²

2017

Erciyes Med J

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“…Namun, dalam beberapa kasus, luka bakar akibat serangan listrik tampak ringan atau bahkan tak kasat mata, akan tetapi terdapat kemungkinan adanya kerusakan jaringan dalam yang serius, seperti pada pembuluh darah, saraf, dan otot. Kerusakan yang tak kasat mata tersebut terkadang menyebabkan gagalnya proses penatalaksanaan electrical injury (Moenadjat, 2009 (Aghakhani et al, 2014;Daley, 2017;Fish, 2010;Moenadjat, 2009). …”

Section: Laporan Hasil Penelitianunclassified

Analisis Histopatologi Pembuluh Darah Tikus Berdasarkan Jarak Luka Masuk Pasca Paparan Listrik

Djunaedy¹,

Elfiah²,

Fatmawati³

2018

Qanun Medika

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Electrical injury is damage to the tissues or organs of the body due to the flow of electric current through the body. The Blood vessel is one of the tissues that is damaged when an electrical injury occurs. One of the damages to the blood vessel is the presence of thrombus that can interfere with blood flow and cause the management of electrical injury to be less good. The purpose of this study was to analyze the histopathology of rat blood vessel based on the distance of entry wound after electrical exposure. The type of research was true experimental laboratories with post test only control group design. This study used 25 Wistar strain rats which were divided into five groups. One controlled and the rats in the other four groups were exposed to 140 V electrical potential for 17 seconds. The control group was not exposed to electricity, the H0 group terminated on the 0 th day after the exposure of electricity, the H3 group terminated on the 3 rd -day post electrical exposure, the H7 group terminated on the 7 th -day post electrical exposure, the H10 group terminated on the 10 thday post exposure to electricity. In this study, the percentage of thrombus in the right saphenous artery was observed. Hypothesis accepted if the data analysis using One Way ANOVA or Kruskal Wallis was p <0.05. In this study, it was found that the percentage of thrombus will decrease as the farther from the entry wound, except in the H7 group. Also, the result showed that thrombus percentage increased over time and decreased at a certain time. However, in this study, it was found that there was no statistically significant difference in blood vessels histopathology, especially thrombus based on the distance of entry wound on days 0 Keywords: electrical injury, blood vessel histopathologic, entry wound, thrombus Correspondence to : annisasarfinadj@gmail.com ABSTRAKElectrical injury adalah suatu kerusakan pada jaringan atau organ tubuh akibat adanya aliran arus listrik yang melewati tubuh. Salah satu jaringan yang mengalami kerusakan ketika terjadi electrical injury adalah pembuluh darah yaitu dapat berupa adanya trombus yang dapat mengganggu aliran darah sehingga menyebabkan tatalaksana electric injury menjadi kurang baik. Tujuan umum dari penelitian ini adalah menganalisis histopatologi pembuluh darah tikus berdasarkan jarak luka masuk pasca paparan listrik. Jenis penelitian yang digunakan adalah penelitian eksperimental sebenarnya dengan rancangan post test only control group design. Penelitian ini menggunakan 25 ekor tikus Wistar yang dibagi menjadi lima kelompok. Perlakuan yang diberikan berupa paparan listrik sebesar 140 V selama 17 detik. Kelompok kontrol Laporan Hasil Penelitian

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“…The diagnosis of burns can be graded on a four point grading scale, which includes the traditional three degree grading system for skin destruction, with the last grade being the complete destruction of the skin layer and subcutaneous tissue layer, fat tissue, muscle and nerve down to the bone. Burns can be further divided into two groups based on how the electricity either entered through the body or as a result of a flash burn 4. A low-voltage (eg, 110–220 V) burn would be treated as if it was a superficial thermal injury while a high voltage (eg, >1000 V) would require a variety of different treatment modalities 5.…”

Section: Global Health Problem Analysismentioning

confidence: 99%

Clinical management of electrical burns in the developing world: a case of electrical burn injury left untreated leading to amputation

Choong

Chy²,

Guevarra

et al. 2017

BMJ Case Reports

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We discuss the case of a 26-year-old male patient from Northern Samar, the Philippines who was left without essential health services after the amputation of all four limbs following a high voltage (20 000 volts) injury in Metro Manila in 2011. Local health services in the developing world are faced with enormous challenges in providing first-line care for burn patients. The cost of maintaining a burn unit, finding suitable qualified staff, and appropriate referral mechanisms are only some of the challenges faced. Once a patient is discharged from hospital they face more obstacles in obtaining artificial limbs, physiotherapy and access to mental health services. Disability pensions are non-existent thus patients place a considerable lifelong burden on their families.

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Effect of current pathway on mortality and morbidity in electrical burn patients

Cited by 30 publications

References 16 publications

Amputations in Burn Patients with a Special Emphasis on Pediatric Patients

Amputations in Burn Patients with a Special Emphasis on Pediatric Patients

Analisis Histopatologi Pembuluh Darah Tikus Berdasarkan Jarak Luka Masuk Pasca Paparan Listrik

Clinical management of electrical burns in the developing world: a case of electrical burn injury left untreated leading to amputation

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