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MEDICAL SCIENCES (2241 journals)            First | 1 2 3 4 5 6 7 8 | Last

Showing 601 - 800 of 3562 Journals sorted alphabetically
F&S Science : Official journal of the American Society for Reproductive Medicine     Open Access  
Facial Plastic Surgery & Aesthetic Medicine     Full-text available via subscription   (Followers: 3)
Facta Universitatis, Series : Medicine and Biology     Open Access  
Family Medicine and Community Health     Open Access   (Followers: 8)
Family Practice     Hybrid Journal   (Followers: 17)
Family Practice & Palliative Care     Open Access   (Followers: 5)
Family Practice Management     Full-text available via subscription   (Followers: 4)
Faridpur Medical College Journal     Open Access  
FEM : Revista de la Fundación Educación Médica     Open Access  
Finlay : Revista de Enfermedades no Transmisibles     Open Access  
Fisioterapia     Full-text available via subscription   (Followers: 2)
Fisioterapia & Saúde Funcional     Open Access  
Flugmedizin · Tropenmedizin · Reisemedizin - FTR     Hybrid Journal  
FMC - Formación Médica Continuada en Atención Primaria     Full-text available via subscription  
Folia Medica     Open Access  
Folia Medica Indonesiana     Open Access  
Folia Morphologica     Full-text available via subscription  
Folia Phoniatrica et Logopaedica     Full-text available via subscription   (Followers: 1)
Fontanus     Open Access  
Food Hydrocolloids for Health     Open Access  
Foodborne Pathogens and Disease     Hybrid Journal   (Followers: 11)
Foot & Ankle Specialist     Hybrid Journal   (Followers: 4)
Foot and Ankle Clinics     Full-text available via subscription   (Followers: 12)
Foot and Ankle Online Journal     Full-text available via subscription   (Followers: 6)
Forensic Science International : Mind and Law     Open Access   (Followers: 4)
Forum Medycyny Rodzinnej     Hybrid Journal  
Forum Zaburzeń Metabolicznych     Hybrid Journal  
Frontières     Full-text available via subscription   (Followers: 3)
Frontiers in Digital Health     Open Access   (Followers: 4)
Frontiers in Medical Technology     Open Access  
Frontiers in Medicine     Open Access   (Followers: 2)
Frontiers in Network Physiology     Open Access   (Followers: 2)
Frontiers in Neuroprosthetics     Open Access   (Followers: 6)
Frontiers in Synaptic Neuroscience     Open Access   (Followers: 2)
Frontiers in Tropical Diseases     Open Access  
Frontiers of Medical and Biological Engineering     Hybrid Journal  
Frontiers of Medicine     Hybrid Journal   (Followers: 2)
Fuss & Sprunggelenk     Hybrid Journal  
Future Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Future Prescriber     Hybrid Journal  
Future Science OA     Open Access  
Gaceta Médica Boliviana     Open Access  
Gaceta Médica Espirituana     Open Access  
Galen Medical Journal     Open Access  
Galician Medical Journal     Open Access   (Followers: 1)
Galle Medical Journal     Open Access  
Gefäßmedizin Scan     Hybrid Journal  
Gender and the Genome     Open Access   (Followers: 1)
Gene Expression     Full-text available via subscription   (Followers: 1)
General Reanimatology     Open Access  
Genes     Open Access   (Followers: 2)
Genome Instability & Disease     Hybrid Journal  
Geoforum     Hybrid Journal   (Followers: 25)
Gestão e Desenvolvimento     Open Access  
Ghana Medical Journal     Open Access   (Followers: 1)
GigaScience     Open Access   (Followers: 4)
Gimbernat : Revista d’Història de la Medicina i de les Ciències de la Salut     Open Access  
Glia     Hybrid Journal   (Followers: 5)
Global Advances in Health and Medicine     Open Access  
Global Bioethics     Open Access   (Followers: 5)
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Journal     Open Access   (Followers: 2)
Global Journal of Integrated Chinese Medicine and Western Medicine     Open Access  
Global Journal of Cancer Therapy     Open Access  
Global Journal of Fertility and Research     Open Access  
Global Journal of Health Science     Open Access   (Followers: 5)
Global Journal of Infectious Diseases and Clinical Research     Open Access  
Global Journal of Medical and Clinical Case Reports     Open Access  
Global Journal of Obesity, Diabetes and Metabolic Syndrome     Open Access   (Followers: 1)
Global Journal of Perioperative Medicine     Open Access  
Global Journal of Rare Diseases     Open Access  
Global Medical & Health Communication     Open Access   (Followers: 1)
Global Reproductive Health     Open Access  
Grande Medical Journal     Open Access  
Growth Factors     Hybrid Journal   (Followers: 2)
GSTF Journal of Advances in Medical Research     Open Access  
Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi     Open Access  
Hamdan Medical Journal     Open Access  
Hämostaseologie     Hybrid Journal   (Followers: 5)
Hämostaseologie     Open Access  
Hand     Hybrid Journal   (Followers: 4)
Hand Clinics     Full-text available via subscription   (Followers: 6)
Hand Therapy     Hybrid Journal   (Followers: 11)
Hard Tissue     Open Access  
Head & Face Medicine     Open Access   (Followers: 1)
Head and Neck Cancer Research     Open Access  
Head and Neck Tumors     Open Access  
Health Information : Jurnal Penelitian     Open Access  
Health Matrix : The Journal of Law-Medicine     Open Access  
Health Notions     Open Access  
Health Science Journal of Indonesia     Open Access  
Health Science Reports     Open Access   (Followers: 1)
Health Sciences and Disease     Open Access   (Followers: 1)
Health Sciences Review     Open Access  
Health Security     Hybrid Journal   (Followers: 1)
Healthcare Technology Letters     Open Access  
Hearing, Balance and Communication     Hybrid Journal   (Followers: 6)
Hearts     Open Access   (Followers: 1)
HEC Forum     Hybrid Journal   (Followers: 1)
Heighpubs Otolaryngology and Rhinology     Open Access  
Heilberufe     Hybrid Journal  
HeilberufeSCIENCE     Hybrid Journal  
Heilpflanzen     Hybrid Journal   (Followers: 4)
Helicobacter     Hybrid Journal  
HemaSphere     Open Access   (Followers: 2)
Hemoglobin     Hybrid Journal  
Hepatology, Medicine and Policy     Open Access  
HERALD of North-Western State Medical University named after I.I. Mechnikov     Open Access  
Herald of the Russian Academy of Sciences     Full-text available via subscription  
Herzschrittmachertherapie + Elektrophysiologie     Hybrid Journal  
Highland Medical Research Journal     Full-text available via subscription  
Hipertensión y Riesgo Vascular     Full-text available via subscription  
HIV Australia     Full-text available via subscription   (Followers: 3)
Homeopathy     Hybrid Journal   (Followers: 1)
Homoeopathic Links     Hybrid Journal  
Hong Kong Physiotherapy Journal     Open Access   (Followers: 14)
Horizonte Medico     Open Access  
Hormones : International Journal of Endocrinology and Metabolism     Hybrid Journal  
Hospital a Domicilio     Open Access  
Hospital Practices and Research     Open Access  
Hospital Topics     Hybrid Journal   (Followers: 1)
Hua Hin Sook Jai Klai Kangwon Journal     Open Access  
Huisarts en wetenschap     Hybrid Journal   (Followers: 4)
Human & Veterinary Medicine - International Journal of the Bioflux Society     Open Access   (Followers: 4)
Human Factors in Healthcare     Open Access  
Human Fertility     Hybrid Journal   (Followers: 4)
Humanidades Médicas     Open Access  
I.P. Pavlov Russian Medical Biological Herald     Open Access  
Iatreia     Open Access  
Ibnosina Journal of Medicine and Biomedical Sciences     Open Access  
IDCases     Open Access  
IEEE Journal of Biomedical and Health Informatics     Hybrid Journal   (Followers: 14)
IEEE Journal of Electromagnetics, RF and Microwaves in Medicine and Biology     Hybrid Journal  
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 5)
IEEE Open Journal of Engineering in Medicine and Biology     Open Access   (Followers: 1)
IEEE Transactions on Medical Robotics and Bionics     Hybrid Journal   (Followers: 3)
IEEE/ACM Transactions on Computational Biology and Bioinformatics     Hybrid Journal   (Followers: 18)
IJID Regions     Open Access   (Followers: 1)
IJS Global Health     Open Access  
IJU Case Reports     Open Access  
iLiver     Open Access   (Followers: 2)
Im OP     Hybrid Journal  
Image Analysis & Stereology     Open Access   (Followers: 1)
IMAGING     Full-text available via subscription   (Followers: 1)
Imaging in Medicine     Open Access  
Imaging Journal of Clinical and Medical Sciences     Open Access   (Followers: 1)
Imam Journal of Applied Sciences     Open Access  
Indian Journal of Ayurveda and lntegrative Medicine Klue     Open Access   (Followers: 3)
Indian Journal of Burns     Open Access   (Followers: 2)
Indian Journal of Clinical Medicine     Open Access  
Indian Journal of Community and Family Medicine     Open Access   (Followers: 2)
Indian Journal of Community Medicine     Open Access   (Followers: 1)
Indian Journal of Health Sciences and Biomedical Research KLEU     Open Access   (Followers: 2)
Indian Journal of Medical Microbiology     Open Access   (Followers: 1)
Indian Journal of Medical Research     Open Access   (Followers: 3)
Indian Journal of Medical Sciences     Open Access   (Followers: 2)
Indian Journal of Medical Specialities     Hybrid Journal  
Indian Journal of Otology     Open Access   (Followers: 1)
Indian Journal of Public Health     Open Access   (Followers: 1)
Indian Journal of Transplantation     Open Access  
Indian Spine Journal     Open Access  
Indo-Pacific Journal of Phenomenology     Open Access   (Followers: 1)
Indonesia Journal of Biomedical Science     Open Access   (Followers: 1)
Indonesian Biomedical Journal     Open Access  
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Indonesian Journal of Medicine     Open Access  
Indonesian Journal of Tropical and Infectious Disease     Open Access  
Infant Observation: International Journal of Infant Observation and Its Applications     Hybrid Journal   (Followers: 1)
Inflammation     Hybrid Journal   (Followers: 3)
Inflammation Research     Hybrid Journal   (Followers: 4)
Info Diabetologie     Full-text available via subscription   (Followers: 1)
Infodir : Revista de Información científica para la Dirección en Salud     Open Access  
Informatics in Medicine Unlocked     Open Access  
Injury Prevention     Hybrid Journal   (Followers: 6)
InnovAiT     Hybrid Journal   (Followers: 1)
Innovare Journal of Health Science     Open Access  
Innovare Journal of Medical Science     Open Access  
Innovation in Aging     Open Access   (Followers: 1)
Inside Precision Medicine     Full-text available via subscription   (Followers: 5)
Insights in Biology and Medicine     Open Access  
Integrative and Complementary Therapies     Full-text available via subscription   (Followers: 3)
Integrative Medicine Insights     Open Access   (Followers: 1)
Integrative Medicine International     Open Access   (Followers: 1)
Integrative Medicine Research     Open Access   (Followers: 3)
Intellectual Disability Australasia     Full-text available via subscription   (Followers: 12)
Intelligence-Based Medicine     Open Access  
Intelligent Medicine     Open Access   (Followers: 1)
intensiv     Hybrid Journal   (Followers: 1)
interactive Journal of Medical Research     Open Access  
Interdisciplinary Perspectives on Infectious Diseases     Open Access  
Interdisciplinary Sciences : Computational Life Sciences     Hybrid Journal   (Followers: 2)
Internal Medicine     Open Access   (Followers: 1)
International Biomechanics     Open Access   (Followers: 1)
International Health     Hybrid Journal   (Followers: 5)
International Health Trends and Perspectives     Open Access  
International Journal for Numerical Methods in Biomedical Engineering     Hybrid Journal   (Followers: 2)
International Journal for Vitamin and Nutrition Research     Hybrid Journal   (Followers: 10)
International Journal of Academic Medicine     Open Access   (Followers: 1)
International Journal of Advance in Medical Science     Open Access  
International Journal of Advanced Medical and Health Research     Open Access  

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Similar Journals
Journal Cover
Indian Journal of Burns
Number of Followers: 2  

  This is an Open Access Journal Open Access journal
ISSN (Print) 0971-653X - ISSN (Online) 2321-1415
Published by Medknow Publishers Homepage  [448 journals]
  • Burn management during COVID-19 era: An overview

    • Authors: Vijay Kumar
      Pages: 1 - 3
      Abstract: Vijay Kumar
      Indian Journal of Burns 2020 28(1):1-3

      Citation: Indian Journal of Burns 2020 28(1):1-3
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_7_21
      Issue No: Vol. 28, No. 1 (2021)
       
  • Tips in the management of burns

    • Authors: Shalabh Kumar
      Pages: 4 - 6
      Abstract: Shalabh Kumar
      Indian Journal of Burns 2020 28(1):4-6
      Burns is a serious health problem in our country. Burn management is a complex and resource intensive process and requires a dedicated multidisciplinary team working in coordination in all the aspects of burn care simultaneously. Most burn patients get treated by the general practitioner primarily and then referred to higher centers. Specialized burn centers are few in number, and affordable care is hard to find other than government run institutions. A lot of research has been done in the fields of burn resuscitation, nutrition, synthetic and biologic dressings, and surgical management of burn wounds, etc., and several advances have been made, but most institutes managing burns are restricted by their availability of resources and high patient load and hence adopt their own protocols based on their patient characteristics, resources, and experience in treating burns. Here, I have shared a few tips and wisdom I have gained in the management of burns based on my experience of almost 30 years in treating burns at a government run tertiary burn care center. Despite all efforts, severe burns are still associated with very high morbidity and mortality and so a concerted effort needs to be made at the national as well as grass root level to raise the awareness and education regarding burns safety and prevention of burns.
      Citation: Indian Journal of Burns 2020 28(1):4-6
      PubDate: Fri,21 May 2021
      DOI: 10.4103/0971-653X.316584
      Issue No: Vol. 28, No. 1 (2021)
       
  • Understanding the role of serum lactate as an end point in burn
           resuscitation

    • Authors: Nita Trina D'souza, Abha Rani Kujur, D Rajeswari
      Pages: 7 - 12
      Abstract: Nita Trina D'souza, Abha Rani Kujur, D Rajeswari
      Indian Journal of Burns 2020 28(1):7-12
      Context: Fluid resuscitation plays a significant role in burns treatment. Inappropriate resuscitation impacts morbidity and mortality. Urine output (UO), the current gold standard, alone, is not an adequate end point of fluid resuscitation in burns. Hence, we studied the utility of serum lactate levels as a reliable marker and end point of resuscitation.Aims: (a) To understand the role of serum lactate levels in burns as end point in acute burn resuscitation and (b) To assess its sensitivity and specificity.Settings and Design: Tertiary care hospital, urban setting, and cross-sectional study.Subjects and Methods: The study was done from September 2015 to July 2017. Sixty-four patients with thermal burns were included. Serum lactate levels were recorded at arrival, 8 h, 16 h, 24 h, and 48 h interval postburn incident. Hourly UO heart rate and mean arterial pressure were recorded for the outcome measures.Statistical Analysis Used: Chi-square test and nonparametric Mann–Whitney U-test. P ≤ 0.05 was considered statistically significant.Results: (a) The initial serum lactate levels at presentation were directly proportional to:
      The total body surface area and percent deep component of burns sustained
      Delay in starting resuscitation.b. Time taken for serum lactate levels to normalize is directly proportional to initial serum lactate level.At 16 h, serum lactate showed (94%) specificity, (53%) sensitivity, and at 48 h (85%) sensitivity, (44%) specificity.Conclusions: Serum lactate levels can help to monitor the adequacy of fluid resuscitation in burns. Serum lactate and UO, both, should be taken into consideration to determine the end point of resuscitation.
      Citation: Indian Journal of Burns 2020 28(1):7-12
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_1_20
      Issue No: Vol. 28, No. 1 (2021)
       
  • Epidemiological analysis of chemical burns: Does it reflect any change in
           trends?

    • Authors: Sunil Sharma, Piyush K Thayal, Praveen Kumar Arumugam
      Pages: 13 - 17
      Abstract: Sunil Sharma, Piyush K Thayal, Praveen Kumar Arumugam
      Indian Journal of Burns 2020 28(1):13-17
      Introduction: Chemical burns constitute small proportion of cases among the total admissions due to burn injuries. The spectrum of severity of illness can vary from mild injuries to life-threatening trauma. In the Indian scenario, the incidence of chemical burns has been reported to be 2.25%–2.4% of total burn admissions. We decided to analyze the epidemiological trends in a tertiary care center from 2013 to 2018 and observe if there has been any shift in the trends.Materials and Methods: A retrospective chart review of all burn victims who attended our burns casualty in V. M. M. C and Safdarjung Hospital, New Delhi, India, between January 2013 and December 2018, was carried out.Results: During the study period of 6 calendar years from 2013 to 2018, a total of 142 patients of chemical burns attended the hospital, with 47 of them requiring admission. The chemical burns accounted for 0.45% of the total burn patient's attendance. Male dominance was noted with 64% of patients being males. Nearly 59% of the chemical burn patients were from 21 to 40-year age group. Accidental chemical burns accounted for maximum cases. It was observed that acid burns have decreased in comparison to the initial 3 years.Conclusion: Downward trend in the incidence of overall chemical burns was noted. Acid burns decreased with simultaneous increase in alkali burns. The study period coincided with the Supreme Court's verdict with the formulation of guidelines on sale of acids in 2013 and this could be the major factor in declining trends of acid burns.
      Citation: Indian Journal of Burns 2020 28(1):13-17
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_33_20
      Issue No: Vol. 28, No. 1 (2021)
       
  • A prospective study on efficacy of topical bupivacaine in split skin
           grafting donor site in immediate postoperative pain relief

    • Authors: Srikanth Vasudevan, Sudarshan Reddy Nagireddy, Ashok Basur Chandrappa, YN Anantheshwar, Ritu Batth, Harish Kumar Kablian, Dinkar Sreekumar
      Pages: 18 - 23
      Abstract: Srikanth Vasudevan, Sudarshan Reddy Nagireddy, Ashok Basur Chandrappa, YN Anantheshwar, Ritu Batth, Harish Kumar Kablian, Dinkar Sreekumar
      Indian Journal of Burns 2020 28(1):18-23
      Objective: The objective of this study was to compare the effectiveness of bupivacaine-soaked gauze dressing and conventional dressing for pain relief in patients requiring split-thickness skin graft for reconstruction of various defects.Methodology: Fifty patients requiring split-thickness skin grafting for various soft-tissue defects were divided into two groups with 25 patients in each group. In Group A, skin graft donor site dressing was kept moist with 10 mL/100 cm2 of 0.25% bupivacaine solution-soaked gauze, and in Group B, dressing was moistened with the same amount of normal saline-soaked gauze. Outcome was measured by comparing pain scores and calculating rescue analgesia requirements in the two groups in the first 24 h. Significance was determined by comparing analgesia-sparing effect of each dressing using Chi-square test.Results: In Group A, 1 out of 25 (4%) patients required rescue analgesia. In Group B, 23 out of 25 (92%) patients required rescue analgesia (P < 0.0001). There was 96% effectiveness of bupivacaine-soaked dressing while only 8% effectiveness of conventional dressing.Conclusion: Bupivacaine-soaked dressing should be considered as a potent alternative to traditional saline dressings for the skin graft donor site.
      Citation: Indian Journal of Burns 2020 28(1):18-23
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_2_20
      Issue No: Vol. 28, No. 1 (2021)
       
  • Association between sensory, motor, and functional abilities among burned
           hand patients

    • Authors: Himani Kaushik, Pragya Kumar, Jaswinder Kaur
      Pages: 24 - 28
      Abstract: Himani Kaushik, Pragya Kumar, Jaswinder Kaur
      Indian Journal of Burns 2020 28(1):24-28
      Context: Burn injuries are one of the most common health issues of the universe. Burn injuries in hand are very frequent, and in spite of appearance that the expanse of the hand represents < 3% of the total body surface area (TBSA) on each hand, burn injury may have major significance on the quality of the life of an individual. Although the studies have shown the association of burn with either functional, motor, or sensory functions, no such study was found which evaluated and related all the three aspects of hand function, i.e., sensory, motor, and functional activities.Subjects and Methods: Individuals aged between 18 to 60 years satisfying the examination process were included for the study. Two groups were allocated, including 10 burned hand patients and 10 controlled subjects. All the 20 subjects were examined for sensory, motor, and functional abilities. Pain, temperature, and 2-point discrimination sensitivities were tested; motor functions were tested using Strickland method, Kleinert method, and Jamar hand dynamometer, and functional impairment was tested using Michigan Hand Questionnaire (MHQ).Statistical Analysis Used: The descriptive data was analyzed using Microsoft Excel and Spearman's rank correlation test was applied using IBM SPSS Statistics for Windows, Version 16.0. Armonk, NY: IBM Corp.”Result: TBSA was significantly related to the pain perceived on the Visual analog scale (VAS) (r = 0.509; P < 0.05). Significant correlation was seen with MHQ work (r = 0.611; P < 0.05), MHQ esthetics (r = 0.788; P < 0.05), and MHQ satisfaction (r = 0.654; P < 0.05) in relation to TBSA. Degree of burn was significantly related to the pain perceived on VAS (r = 0.907, P < 0.05), pain sensation, temperature, and 2-point discrimination (r = 0.59, P < 0.05). Significant correlation was seen with grip strength (r = 0.77, P < 0.05) and further, index finger flexion (r = 0.866), middle finger flexion (r = 0.949), ring finger flexion (r = 0.909), and little finger flexion (r = 0.910) were significantly related (P < 0.05) to degree of burn. MHQ was significantly related (P < 0.05) to degree of burn in terms of overall hand function (r = 0.836), ADL (r = 0.825), work (r = 0.790), pain (r = 0.574), esthetics (r = 0.86), and satisfaction (r = 0.884) in relation to degree of burn.Conclusion: TBSA was significantly co-related with pain in terms of sensory function and showed significant relationship with functional abilities in terms of work, esthetic, and satisfaction. Degree of burn significantly related to the pain, temperature, and 2-point discrimination in terms of sensory abilities, grip strength, Strickland method, and Kleinert method in terms of motor abilities and MHQ in terms of functional capabilities. It also indicates that there was a statistically significant difference in sensory, motor, and functional abilities of the hand that were decreased in patients compared with the control group.
      Citation: Indian Journal of Burns 2020 28(1):24-28
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_26_19
      Issue No: Vol. 28, No. 1 (2021)
       
  • Prevalence and profile of persons with burn injuries in rural field
           practice area of Rajarajeswari Medical College and Hospital, Bengaluru

    • Authors: Aishwarya Subramanian, Shashikala Manjunatha
      Pages: 29 - 35
      Abstract: Aishwarya Subramanian, Shashikala Manjunatha
      Indian Journal of Burns 2020 28(1):29-35
      Background: Burn injury is one of the common medical emergencies admitted to any hospital and is an important public health problem globally. Although most burn injuries are preventable, the general lack of safety consciousness, lack of knowledge on first aid measures, compounded by the absence of organized burn care at primary and secondary health-care level, hinder the curbing of this preventable problem.Objectives: (a) To estimate the prevalence of burn injuries in the rural field practice area of RajaRajeswari Medical College and (b) To determine the sociodemographic profile of burn injury victims and describe the burn injuries in the rural field practice area of RajaRajeswari Medical College.Subjects and Methods: A community-based cross-sectional study was carried out among 1220 randomly selected participants in the rural area using a semi-structured, pretested questionnaire. Data were analyzed adopting descriptive statistics, univariate and multivariate statistical techniques using the Statistical Package for the Social Sciences version 22.Results: The prevalence of burn injuries was found to be 9.5% in the present study. Logistic regression analysis showed that various sociodemographic characteristics of participants such as age, type of family, educational status, and socioeconomic status had a statistically significant association with burn injuries.Conclusion: The prevalence of burn injuries was 9.5% among the study participants. There existed a statistically significant association between burn injuries and various sociodemographic determinants.
      Citation: Indian Journal of Burns 2020 28(1):29-35
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_6_20
      Issue No: Vol. 28, No. 1 (2021)
       
  • The postburn severe flexion contracture neck correction with
           split-thickness skin graft: Our experience

    • Authors: Ankur Bhatnagar, Anupama Singh
      Pages: 36 - 43
      Abstract: Ankur Bhatnagar, Anupama Singh
      Indian Journal of Burns 2020 28(1):36-43
      Introduction: One of the most common burn sequels is postburn contracture (PBC) neck. These contractures affect the patient significantly causing both functional limitations and distorted aesthetic appearance. Therefore, the reconstruction of the head-and-neck area is a challenge for surgeons to restore not only the function but also to improve the esthetic appearance.Materials and Methods: We conducted a tertiary hospital-based prospective study in 12 patients with cases of severe PBC that underwent split-thickness skin graft (SSG) cover as a treatment modality and evaluated the results after the operative procedure in terms of function and appearance of the neck and its complications. Result of the function evaluated with respect to the range of extension movement of the neck –good 120°or more, fair 90°–120°, and bad <90°. Esthetic appearance evaluations were done on the patient's opinion with consideration of color match; maintenance of contour of the neck is good, fair, and not acceptable.Observation and Results: In our study, nine of cases were of thermal burn. All cases were presented with flexion contracture neck, while in seven cases were presented with 0° extensions of the neck. The neck contracture was released in two cases by excision of the scar and in rest of cases by incision methods. The defect was resurfaced with an unmeshed sheet of SSG in six cases, while in six of cases, the defect was resurfaced with a combination of an unmeshed and meshed sheet of SSG. Good functional recovery in terms of extension of the neck >120° in nine cases and fair esthetic appearance in eight cases and good in four cases.Conclusions: The excision of all scar tissue is possible only in few cases, but the incision releases were required in the majority of severe neck contractures. The STS grafting is a simple, reliable, and safe operation. Sheets of unmeshed SSG in the neck and lower face resulted in better postoperative neck function, the cosmetic appearance in terms of color match, and cervicomental angle.
      Citation: Indian Journal of Burns 2020 28(1):36-43
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_12_20
      Issue No: Vol. 28, No. 1 (2021)
       
  • Evaluation of efficacy of hyperbaric oxygen therapy as an adjunctive
           therapy in the management of thermal burns

    • Authors: Naveen Kumar, VK Tiwari
      Pages: 44 - 50
      Abstract: Naveen Kumar, VK Tiwari
      Indian Journal of Burns 2020 28(1):44-50
      Background: Hyperbaric oxygen therapy (HBOT) is an adjunctive therapy that has been proposed to improve outcome in thermal burns. It involves the therapeutic administration of 100% oxygen at environmental pressures >1 atmosphere absolute (ATA).Methodology: An open, prospective, observational study was conducted for a period of 18 months which included fifty patients who were allocated to either adjunctive hyperbaric therapy in addition to the existing protocol of burn management (Group A) or only existing protocol of burn management (Group B) with daily dressing and debridement. All patients between the age of 18 and 60 years with 15%–60% of second and third degrees of thermal burns were included. HBOT was administered at 2.0 ATA in a “monoplace” chamber for 90 min, 6 days a week. A total of ten sessions were administered to each patient along with conventional treatment.Results: The mean time of wound healing in Group A was 18.96 days, whereas in Group B, it was 43.64 days. The mean number of days of hospital stay in Group A was 32.04 days, whereas in Group B, those were 51.2 days. Similarly, the mean pain score and mean fluid requirement were less in Group A when compared to those of Group B.Conclusion: With our study, we can conclude that HBOT is an effective adjunctive modality of treatment in the management of thermal burns.
      Citation: Indian Journal of Burns 2020 28(1):44-50
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_25_19
      Issue No: Vol. 28, No. 1 (2021)
       
  • Epidemiology and outcome of childhood burn injury in Hawassa University
           Comprehensive Specialized Hospital, Hawassa, Southern Ethiopia

    • Authors: Wegene Jemebere Biru, Fikru Tadesse Mekonnen
      Pages: 51 - 56
      Abstract: Wegene Jemebere Biru, Fikru Tadesse Mekonnen
      Indian Journal of Burns 2020 28(1):51-56
      Background: Burn-related harms are a substantial problem in children, predominantly in low- and middle-income countries, where over 90% of burn-related childhood deaths occur. The aim of this study was to determine the causes, magnitude, management, and outcome of burn injury among children who attended the Pediatric Emergency Outpatient Department of Hawassa University Comprehensive Specialized Hospital, Hawassa, Southern Ethiopia.Materials and Methods: A hospital-based retrospective cross-sectional study was conducted from 15 November to 20 December 2018 on a sample of 395 patient medical records who have been treated burn injury for 5 consecutive years from September 2013 to September 2018. Systematic random sampling was used to select the patient records, and a pretested structured checklist was organized to collect the data. Epi Info 3.5.4 was used for data entry and the Statistical Package for the Social Sciences version 20.0 for analysis.Results: The majority (62.5%) of the burn injuries affected <5 children. The major cause of burn injury was scald (59.7%). Statistically, a significant association was found between the cause of burn and age of the patient (P = 0.000). The 5 years' prevalence of burn injury was 9.79%. Almost all burn injuries occur at home (97%) and accidental (94.2%), and more than half (56.7%) of the children suffered from the second-degree burn. Almost half (47.1%) burnt 10%–20% total body surface area, and 47.6% have got prehospital first aid interventions and 36.2% received surgical interventions. Almost two-thirds (74.4%) of the children recovered without complication. Six died and four of them were third-degree burn victims and <5 years old. There was a significant statistical association between treatment outcome and age of the patient (P = 0.004).Conclusion: The epidemiology and outcome of burn injury among children were comparable to other developing countries, but the high magnitude was noticed. Public health education and prevention programs may help to reduce the prevalence of childhood burn injury.
      Citation: Indian Journal of Burns 2020 28(1):51-56
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_28_19
      Issue No: Vol. 28, No. 1 (2021)
       
  • Effects of early enteral glutamine supplementation on the outcome of
           severe burns: A randomized control study

    • Authors: Savita Arora, Chandni Shankar
      Pages: 57 - 62
      Abstract: Savita Arora, Chandni Shankar
      Indian Journal of Burns 2020 28(1):57-62
      Context: Burns is a condition associated with high mortality and morbidity. Nutrition plays an important role in the recovery of these patients. Amino acid glutamine is an important energy substrate for immune cells and for the intestinal epithelium. Glutamine is the preferred respiratory fuel for both lymphocytes and enterocytes. It stimulates the immune system and prevents catabolism.Aim: This study is aimed at determining if oral supplementation of glutamine can improve the outcome in patients with severe burns.Materials and Methods: It is a randomized controlled study. Patients of severe burns (30%–50%) were randomized into two groups. The first group was started on enteral nutrition but without glutamine supplementation. The second group received enteral nutrition with glutamine supplementation. All patients were followed up for a period of 1 month from the day of burns. Blood culture, wound culture, blood counts, and serum total proteins were done once every week for all patients.Statistical Analysis: Student's t-test was used to analyze the quantitative and Chi-square test was used to measure the qualitative data.Results: One hundred and two patients were included in the study, of which 49 were in Group 1 and 53 patients in Group 2. The mean percentage of burns in the two groups was comparable at 40.71% and 41.72%, respectively. Total leukocyte counts, mean duration of hospital stay, and mortality rates did not show any statistically significant difference between the two groups. However, serum protein levels showed a significant increase in the glutamine-supplemented group from the 3rd week onward. Wound infection rates were also lower in the glutamine-supplemented group, i.e., 19.5% vs. 2.1% by the 4th week.Conclusion: Glutamine supplementation has shown to enhance serum protein levels and hence improve nutritional status of these patients. It is also useful for its immunomodulatory effects, thus reducing burn wound infection, as shown by lesser number of burn wound culture positivity rates.
      Citation: Indian Journal of Burns 2020 28(1):57-62
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_31_19
      Issue No: Vol. 28, No. 1 (2021)
       
  • Comparing different modalities of managing postburn axillary contracture

    • Authors: Arshad Hafeez Khan, Vivek Ambedkar, Rajesh Kumar Maurya
      Pages: 63 - 68
      Abstract: Arshad Hafeez Khan, Vivek Ambedkar, Rajesh Kumar Maurya
      Indian Journal of Burns 2020 28(1):63-68
      Introduction: Axillary postburn scar contracture is a challenging problem to the reconstructive surgeon owing to the wide range of abduction that should be achieved. The aim of this study is to highlight the various management options used in managing axillary contractures in our hospital and to minimize the complications commonly encountered.Aims and Objective: The aim and objective of this study is (1) to evaluate different options for postburn axillary contracture treatment, (2) the functional outcome of different treatment methods, and (3) late squeals of treatment.Materials and Methods: It is a prospective study which was conducted at the department of plastic surgery. Axillary contracture was released and resurfaced using split skin graft and/or with different types of flaps, including the Single Z plasty, Multiple Z plasty, Five flap plasty, Local fasciocuteneous flap, Propeller flap, and Parascapular flap.Results: Eighteen patients were operated. Surgical treatment included split-thickness skin graft in five cases, square flap in three cases and square flap with split thickness graft in two cases, Multipe Z-plasties in two cases and Multipe Z plasty with split-thickness graft in one case, Parascapular flaps with split thickness graft in two cases, while five flap plasty in three cases.Conclusion: Mean degree of abduction is maintain or increased in follow-up (after 6 month) is Square flap, Multiple Z plasty, five flap plasty, and Parascapular flap. Mean degree of abduction is decreased in split thickness graft in follow-up (after 6 month).
      Citation: Indian Journal of Burns 2020 28(1):63-68
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_14_19
      Issue No: Vol. 28, No. 1 (2021)
       
  • Use of epidermal cell suspension in burns wound management: A pilot study

    • Authors: Bharat Mishra, Vikas Singh, Chetna Arora
      Pages: 69 - 73
      Abstract: Bharat Mishra, Vikas Singh, Chetna Arora
      Indian Journal of Burns 2020 28(1):69-73
      Introduction: It is a standard practice to cover the burn wounds with skin grafts at the earliest. Deficiency of donor skin seriously limits timely cover of extensive burns. Studies have shown that these autologous cells enhance the wound-healing process by reducing the time needed for the host cells to invade the wound tissue and by early synthesis of new skin this technique of enzymatically digesting small skin grafts, centrifuging the suspended cells and spraying the epidermal cells over burn raw areas may allow early healing.Aims and Objective: The aim of this study is to assess feasibility and role of epidermal cell suspension as wound cover in burns.Materials and Methods: This study was conducted at the burn center of a tertiary Hospital in India over a period of 1 year. Patients with postburn raw areas were included. Similar size two sites were identified in the patients. On one site cell suspension was applied, while other areas were managed with conventional dressings. Small piece of split-skin graft (SSG) was used to make cell suspension. Under anesthesia, required size of SSG was harvested from healthy donor site. Trypsinization of graft was done; epidermis was separated from the dermis. The epidermis was cut into tiny pieces, and patient's serum was added and centrifuged. Epidermal cell suspension was made, and viability of cells is confirmed using an inverted microscope. Meanwhile, the wound is thoroughly cleaned by soda bicarbonate solution. The freshly prepared keratinocytes suspension was applied on day 1, 3, and 5. Similar standard dressing protocol was followed on the control side. Wound assessment was done based on the percentage of reepithelization on the 7th and 14th day.Results: Twenty-eight patients (18 males and 10 females with a mean age of 34 years) were included the study. Cell suspension was sprayed on 4735 cm2 area. Wound size reduced to 2247 cm2 and 923 cm2 on the 10th and 14th day, respectively. While, at control site wound reduced to 3882 cm2 and 2134 cm2 on the 7th and 14th day, respectively. The difference in cell suspension and control treated area was found to be significant.Conclusion: Keratinocytes cell suspension is feasible in burns and improves the healing of wounds. However, larger studies are required to standardize and validate its use in major burns.
      Citation: Indian Journal of Burns 2020 28(1):69-73
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_4_20
      Issue No: Vol. 28, No. 1 (2021)
       
  • The effect of rhythmic deep breathing on pain and anxiety in patients with
           burns

    • Authors: Anjana Rajhamsan Iyer, Suroshree Mitra, Rachana Dabadghav
      Pages: 74 - 78
      Abstract: Anjana Rajhamsan Iyer, Suroshree Mitra, Rachana Dabadghav
      Indian Journal of Burns 2020 28(1):74-78
      Context: Patients with burns suffer from physical (pain) and psychosocial (anxiety) sequelae due to the burns wounds and mobilization activities. Deep breathing is a simple intervention to manage pain and anxiety in various conditions. Data concerning the effect of breathing on burns patients are limited. In order to add to this information, this study was undertaken on burns patients.Aims and Objectives: The aim was to study the effect of rhythmic deep breathing on pain and anxiety in patients with burns.Methods: This study followed an experimental, pretest–posttest design. A single group of twenty patients in the age group of 5–70 years who had suffered various types of burns to some or all parts of the body were recruited from a tertiary care center in Pune, India. With institutional approval and written consent, deep breathing technique was taught to the patients. Pretest and posttest scores of pain visual analog scale (VAS), anxiety (VAS), and anticipatory anxiety pain anxiety symptom scale were collected in the period from October 2019 to November 2019.Results: Significant change (P = 0.00) was observed in the mean pain, anxiety, and anticipatory anxiety scores over time.Conclusion: Rhythmic deep breathing can significantly help to decrease pain and anxiety in patients with burns.
      Citation: Indian Journal of Burns 2020 28(1):74-78
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_5_20
      Issue No: Vol. 28, No. 1 (2021)
       
  • Epidemiological study of burn patients admitted in tertiary care hospital
           in India and associated risk factors: A retrospective observational review
           

    • Authors: Krittika Aggarwal, Kuldeep Singh, Bhupender Singh
      Pages: 79 - 83
      Abstract: Krittika Aggarwal, Kuldeep Singh, Bhupender Singh
      Indian Journal of Burns 2020 28(1):79-83
      Introduction: Burn injuries constitute a major part of traumatic injuries and most commonly are accidental. They have devastating mental and functional sequelae apart from increased chances of mortality. Knowledge about the prognosis of various burn injuries and the risk factors leading to complications helps treat them. This study was undertaken to document the epidemiological data of burn patients admitted in Pt BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India, from January 2019 to December 2019.Materials and Methods: Demographic details including age, sex, cause and nature of injury, associated comorbidities, depth and percentage of body area involved, involvement of the face and suspected inhalation injury, survival, period of survival, and mortality rate were recorded. For the pediatric population, weight for age was taken as an indicator for nutrition. Patients who left against medical advice were excluded from the study. P < 0.05 was considered to be statistically significant.Results: Burn injuries were most common in the age group of 21–60 years. Males were more commonly injured. Thermal injuries were most common (91%), followed by electric burns. Accidental burns were 88%, in 9% alleged history of suicide, and in rest, homicide was suspected. Out of 104 pediatric patients, 50% were undernourished. The mortality among undernourished patients had the odd's ratio of 8.5. The survival rate was 81% overall. It was noted that burns more than 40% total body surface area (TBSA) involvement had mortality of 56.25% and 9.44% in < 40% TBSA involvement (odds ratio 5.95). Face involvement for suspected inhalation injury had increased risk of mortality (odd's ratio 1.68). The most common cause of death was multi-organ dysfunction syndrome from sepsis within 10 days in 78% of cases. Among survivors, the duration of stay was dependent on the TBSA involvement.Conclusion: Pediatric age group, inhalation injury, undernutrition, and thromboembolism are factors which contribute to increased mortality, apart from large TBSA involvement. Initial 10 days need careful monitoring to decrease mortality and initiate early treatment.Limitation: This study has been conducted in a tertiary care hospital. Only referred cases needing hospital care were included in this study. Hence, the data represent only a part of demographic data sustaining burn injuries.
      Citation: Indian Journal of Burns 2020 28(1):79-83
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_10_20
      Issue No: Vol. 28, No. 1 (2021)
       
  • Sociodemographic profile of burn patients at a tertiary care hospital of
           Bundelkhand region of India

    • Authors: Saurabh Kumar Tiwari, Manish Jain, Satyendra Kumar, Amit Mohan Varshney, Sudhir Kumar
      Pages: 84 - 88
      Abstract: Saurabh Kumar Tiwari, Manish Jain, Satyendra Kumar, Amit Mohan Varshney, Sudhir Kumar
      Indian Journal of Burns 2020 28(1):84-88
      Background: Burns are a serious global public health concern. In India, every year, a substantial proportion of mortality and morbidity occurs due to burn injuries (1.4 lakh and 2.4 lakh, respectively). Burn injuries lead a significant medical, social, and psychological problem along with severe economic loss to individual and nation. A sociodemographic profile of burn patients is essential for the planning of program for the prevention of burns. The present study was conducted to study the sociodemographic profile of burn patients of Bundelkhand.Materials and Methods: Two hundred and fifty burn patients admitted consecutively between March 2018 and September 2018 in the burns unit of Maharani Laxmi Bai Medical College and Hospital, Jhansi, India, (Uttar Pradesh) were included in the present study. Sociodemographic data were obtained by the questionnaire as well as through the interview of patients and attendants.Results: The most affected age group, gender, and religion were 21–30 years (37.60%), female, (51.2%) and Hindus (92%), respectively. The common place of burn was home (88.4%) and maximum patients (75.2%) belonged to the rural areas. The floor cooking was most preferred method used for cooking (83.2%), and majority of patients were wearing synthetic clothes at the time of injury (51.2%). Psychiatric illness and suicidal tendency were present in only 6.8% of the patients. Regarding socioeconomic status, most of the patients (70.8%) belonged to the upper lower class. Thermal burns, electrical burns, and other (filigree and chemical) burns were more common in the married population, whereas scald was more common in unmarried population.Conclusion: All types of major burns were commonly occurred in the rural population, and they had poor educational and socioeconomic status. The incidence of burn injuries was mainly accidental in nature. Floor cooking is prevalent in Bundelkhand.
      Citation: Indian Journal of Burns 2020 28(1):84-88
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_18_20
      Issue No: Vol. 28, No. 1 (2021)
       
  • Wound pH and autograft taking in burn wounds: An experimental study

    • Authors: Mostafa Dahmardehi, Ali Ahmadabadi, Majid Khadem-Rezaiyan, Farhang Safarnejad, Tayyeb Ghadimi, Hamidreza Alizadeh Otaghvar
      Pages: 89 - 93
      Abstract: Mostafa Dahmardehi, Ali Ahmadabadi, Majid Khadem-Rezaiyan, Farhang Safarnejad, Tayyeb Ghadimi, Hamidreza Alizadeh Otaghvar
      Indian Journal of Burns 2020 28(1):89-93
      Background: The appropriateness of the wound bed for autograft transplantation is routinely evaluated based on the surgeon's judgment, which might not be reliable in some situations. Therefore, this study was designed to evaluate the association between wound pH, wound temperature, and wound culture results with autograft taking.Materials and Methods: In this prospective, cross-sectional study, the body core temperature, wound pH, and local wound temperature at the beginning of operation and after burn wound excision were measured in 50 patients with burn wounds. Swab culture specimen was obtained from the burn wound after dressing removal and after the completion of wound excision. Autograft taking was evaluated on days 3 and 7 postoperative.Results: There was a statistically significant reverse association between autograft taking on day 3 and wound pH at the beginning of operation (P = 0.016). Besides, there was a statistically significant association between core body temperature and autograft taking on days 3 (P = 0.035) and 7 (P = 0.002). However, there was no significant association between local wound temperature and autograft taking. A positive result for wound culture after excision, even when the colony count was <102, was significantly associated with autograft taking on days 3 and 7.Conclusions: Wound pH measurement after dressing removal in the operation room may be a simple and available modality to evaluate the appropriateness of burn wound for skin autografting.
      Citation: Indian Journal of Burns 2020 28(1):89-93
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_17_20
      Issue No: Vol. 28, No. 1 (2021)
       
  • Electrical injury in pediatric patients &#8211; A case series

    • Authors: K Mathangi Ramakrishnan, Bala Ramachandran, KG Ravikumar, K Ravikumar, Sulochana Putli, V Jayaraman, T Mathivanan, R Ravi, S Gnanamani, Mary Babu
      Pages: 94 - 97
      Abstract: K Mathangi Ramakrishnan, Bala Ramachandran, KG Ravikumar, K Ravikumar, Sulochana Putli, V Jayaraman, T Mathivanan, R Ravi, S Gnanamani, Mary Babu
      Indian Journal of Burns 2020 28(1):94-97
      Electrical injuries in children are gruesome injuries that result in disabilities and death in developing countries. In this article we present a series of 6 children who were treated for electrical burns. Reconstructive surgery followed by prolonged rehabilitation is required.
      Citation: Indian Journal of Burns 2020 28(1):94-97
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_27_19
      Issue No: Vol. 28, No. 1 (2021)
       
  • Arterial rupture: A delayed sequela of burn injury

    • Authors: Praveen Kumar Arumugam, Harnoor Momak Walia, Bhagyashri Talele, Sunil Sharma
      Pages: 98 - 100
      Abstract: Praveen Kumar Arumugam, Harnoor Momak Walia, Bhagyashri Talele, Sunil Sharma
      Indian Journal of Burns 2020 28(1):98-100
      Burn injuries, especially electrical burns, can lead to significant soft-tissue damage. A delayed sequela of both electric burn and firecracker injury is arterial rupture. The initial phase is characterized by occlusion of small vessels. Large vessels are prone to aneurysm formation due to medial necrosis. This can result in unanticipated bleeding, which can lead to loss of the limb or even be life-threatening. We are presenting here two cases treated in our burns department for electrical burns and firecracker injury involving the lower limbs. Both these patients presented with delayed vascular complications, which were successfully managed and limbs salvaged. We are presenting these cases to emphasize that timely intervention leads to better outcomes.
      Citation: Indian Journal of Burns 2020 28(1):98-100
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_13_20
      Issue No: Vol. 28, No. 1 (2021)
       
  • Scald burns in a 7-h old neonate: A consequence of traditional hot water
           bath

    • Authors: Abubakar Sani Lugga, Bello Muhammad Sulaiman, Lawal Magaji Ibrahim, Yekinni Sakiru Abiodun
      Pages: 101 - 103
      Abstract: Abubakar Sani Lugga, Bello Muhammad Sulaiman, Lawal Magaji Ibrahim, Yekinni Sakiru Abiodun
      Indian Journal of Burns 2020 28(1):101-103
      Burn injuries are rare in the neonatal period. Most of the cases reported in the literature are iatrogenic. We report the case of a 7-h old female neonate who presented with domestic accidental scald burns involving 18% of the total body surface area. She sustained the burns during a traditional bath with hot water. She was resuscitated with intravenous fluid, and urine output was monitored. She was nursed under a radiant heater and was given analgesics and tetanus antitoxin. She had wound sepsis from Pseudomonas species which was successfully treated with intravenous antibiotic (ceftazidime). She also had anemia which was corrected with packed red blood cell transfusion. Wound dressing was done with antibiotic-impregnated gauze until the wounds were satisfactorily healed. She was discharged from the hospital on the 29th-day postburn.
      Citation: Indian Journal of Burns 2020 28(1):101-103
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_7_20
      Issue No: Vol. 28, No. 1 (2021)
       
  • Coverage of exposed pericardium with a lateral thoracic artery perforator
           flap

    • Authors: Vijay Yashpal Bhatia, Pradnya Desai Sarwade, Pranav Chandrashekhar Thusay, Sukumar H Mehta, Nirav M Visavadia
      Pages: 104 - 107
      Abstract: Vijay Yashpal Bhatia, Pradnya Desai Sarwade, Pranav Chandrashekhar Thusay, Sukumar H Mehta, Nirav M Visavadia
      Indian Journal of Burns 2020 28(1):104-107
      Electricity is an indispensable part of the society that we live in, depending on it from household appliances to farms and industries. Electrical burn injuries, although form a small proportion of the total burn cases, pose significant challenges in their management due to their varied manifestations and the high associated morbidity and mortality. Most high voltage electrical injuries are work related. The entry wounds are most commonly seen over the upper extremities, whereas the exit wounds are seen over the lower extremities. The thorax presents an uncommon site for an entry wound. In this case report, the authors present one such case of electrical injury with an entry wound over the thorax presenting as a left parasternal defect that was debrided and covered successfully with a lateral thoracic artery perforator-based flap from the lateral chest wall.
      Citation: Indian Journal of Burns 2020 28(1):104-107
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_16_20
      Issue No: Vol. 28, No. 1 (2021)
       
  • Major COVID-19-positive burns treated successfully

    • Authors: Vijay Y Bhatia, Kena M Patel, Sruja D Narola, Ranjit R Zapadiya, Ami P Parikh
      Pages: 108 - 112
      Abstract: Vijay Y Bhatia, Kena M Patel, Sruja D Narola, Ranjit R Zapadiya, Ami P Parikh
      Indian Journal of Burns 2020 28(1):108-112
      Extensive burns are severe form of trauma causing a great threat to life. Approximately 300,000 deaths is attributed to burns annually, majority (>95%) of which occur in developing countries. Survival rate of patients decreases as the rate of burn increases. Coronavirus disease (COVID-19) pandemic has affected all the communities worldwide. It has strong infectivity and high transmission rate. When treating corona-virus-infected burns patients, prevention of cross infection to health workers becomes of utmost importance. Here, authors present a case of extensive burns along with COVID-19 infection, the precautions taken to prevent infection among health workers and protocols followed for management. The patient was treated over a span of 75 days where the patient was cured of COVID-19 in 21 days and underwent two surgeries with homograft and autograft application. Multidisciplinary approach with strict protocols of safety and vigilant monitoring is key to successful management.
      Citation: Indian Journal of Burns 2020 28(1):108-112
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_21_20
      Issue No: Vol. 28, No. 1 (2021)
       
  • Ward ventilation in a burn unit: Food for thought

    • Authors: Veena K Singh, Sarsij Sharma, Ansarul Haq, Neeraj Kumar
      Pages: 113 - 114
      Abstract: Veena K Singh, Sarsij Sharma, Ansarul Haq, Neeraj Kumar
      Indian Journal of Burns 2020 28(1):113-114

      Citation: Indian Journal of Burns 2020 28(1):113-114
      PubDate: Fri,21 May 2021
      DOI: 10.4103/ijb.ijb_14_20
      Issue No: Vol. 28, No. 1 (2021)
       
 
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