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Burns in Switzerland are frequent and lead to high economic and social costs. However, little is known about the aetiology of burns suffered by patients seeking treatment in hospital emergency departments. This knowledge could be used to develop preventive measures.This retrospective analysis included all patients (≥16 years old) with acute thermal injuries of known cause admitted to the adult emergency...
High voltage electrical injuries in children are rare. They produce severe internal damage to limbs resulting in a high incidence of amputation. Early, aggressive serial debridement ensures adequate removal of dead tissue. Flap coverage to defects is necessary. Secondary surgery is common, and delayed sequelae such as tendon rupture should be expected.
Objective: The purpose of this article is to report our experience with hydrofluoric acid (HF) burns and to present our management guidelines for these burns, which include a novel way of delivering calcium combined with dimethyl sulphoxide (DMSO) for cutaneous burns. Method: We reviewed our institutional experience from 1977 to 1999 for patients presenting with burns caused by hydrofluoric acid and...
Chryseobacteria are gram negative organisms, formerly known as Flavobacteria, which rarely cause infections of burn wounds. This article documents three cases of Chryseobacterium infection in burn wounds and adds to the other two cases that have been reported in English literature. Two patients died, with one of the deaths linked to a Chryseobacteria bacteraemia. In two patients, there was an associated...
Infection of burn patients with the Aeromonas organism is an uncommon event. This paper documents four cases of Aeromonas hydrophila and one case involving both A. hydrophila and A. caviae occurring in burn patients between 1990 and 1998 at the Royal Brisbane Hospital burns unit. The organism was isolated from either skin swabs, tissue samples, blood cultures or cultured lines. In all patients there...
The study was undertaken to examine the in vitro efficacy of Silvazine TM against micro-organisms commonly found in burn wounds.Two hundred non-replicative sequential clinical isolates were collected over a 2-month period. These comprised 50 Staphylococcus aureus (methicillin sensitive), 50 Staphylococcus aureus (methicillin resistant), 50 coagulase negative staphylococci and 50 Pseudomonas...
Acute pseudo-obstruction is a rare complication in burns patients. An awareness of the factors implicated in its pathogenesis such as prolonged bed rest, narcotic medications, hypokalaemia, sepsis and surgery (all commonly associated with burns patients) is essential if this condition is to be avoided. Early diagnosis, pro-kinetic and cathartic agents, and aggressive endoscopic intervention are...
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