The Journal of burn care & rehabilitation
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J Burn Care Rehabil · Nov 1986
Laser Doppler flowmetry for the early detection of hypertrophic burn scars.
In this preliminary study it was hypothesized that patients with hypertrophic scars have increased microcirculatory perfusion in the areas of scarring. Sixteen former patients whose burn injuries involved less than 30% TBSA and who required autologous skin grafting were evaluated using laser Doppler flowmetry. ⋯ These initial data suggest that hypertrophic scars may be associated with increased microcirculatory blood flow. These values are elevated early and could possibly serve as an early indicator for the occurrence of hypertrophic scarring.
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Patient classification systems (PCSs) are required by the Joint Commission for the Accreditation of Hospitals. Usually computerized, PCSs can project staffing needs, insure equitable patient care assignments, and provide a basis for nursing charges. ⋯ Prototype systems seem to be more practical for burn units, which require high levels of nursing care. Essential to a successful PCS is a well-trained and committed staff and enough time to develop a classification checklist and time standards that reflect the reality of that particular burn unit.