The Journal of burn care & rehabilitation
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J Burn Care Rehabil · Jul 1998
Return to jeopardy: the fate of pediatric burn patients who are victims of abuse and neglect.
Child abuse and neglect continue to account for a significant number of pediatric burn injuries. Although the epidemiology of intentional burn injuries has been studied, this report compares victims of abuse with victims of neglect. Furthermore, we investigate the long-term fate of both victim and perpetrator. ⋯ Victims of burn abuse and neglect differ considerably in terms of history and disposition but not hospital course. Children in both groups, however, remain at risk for abuse and neglect after discharge. We recommend that more aggressive efforts be made to secure safe environments for these children and that the perpetrator, if clearly identified, be dealt with in a fashion to prevent recurrence of the offense.
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During a 2-year period, eight patients sustained burns caused by the tipping over of electric stoves. In seven of these cases, children aged 2 to 4 years stood up on the open oven door of a stove. The stove then tipped forward, and a pot of boiling liquid on the stove spilled onto the child, who fell forward across the oven door. ⋯ Hospital stay ranged from 2 to 20 days. The increase in the use of electric stove has led to a situation in which children, usually toddlers, can overbalance the stove and bring down the pots sitting on the heating elements. This represents another mechanism by which young children can be injured in the kitchen; the awareness of this should be disseminated.
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J Burn Care Rehabil · Jul 1998
Base deficit as an indicator or resuscitation needs in patients with burn injuries.
The utility of base deficit (BD) as a marker of shock and as an indicator of resuscitation requirements has been recognized in the trauma population. Base deficit in thermally injured patients has not been closely examined. ⋯ Parkland estimated fluid requirements underestimated actual volume requirements, but Parkland-calculated fluid requirements were related (p < 0.01) to actual volume requirements. BD had a better correlation to actual volume requirements, and a BD of -6 or less correlated with larger burn size (23% +/- 2% vs 47% +/- 9% total body surface area), and markedly increased mortality rate (9% vs 72%, p < 0.001).
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J Burn Care Rehabil · May 1998
ReviewPosttraumatic stress disorder in burn populations: a critical review of the literature.
This review of the literature examines studies concerning posttraumatic stress disorder (PTSD) in burn populations. Retrospective, cross-sectional, and prospective research and case studies are critiqued. Although the data are equivocal, several trends are clearly emerging. ⋯ There was a clear trend for patients who had no symptoms of PTSD while hospitalized to have PTSD develop after discharge. Finally, prevalence rates of PTSD vary greatly based on time of screening. Methodological problems with studies were related to sampling and follow-up; suggestions for future research are provided.
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J Burn Care Rehabil · May 1998
A retrospective study of the incidence and prevalence of thermal corneal injury in patients with burns.
The clinical course of thermal corneal injuries is not well described. A review of 1750 burn admissions to a regional burn center between 1979 through 1993 was done to determine the clinical course of thermal corneal injuries. Twenty-five out of 1750 burn admissions (1%) presented with a thermal corneal injury. ⋯ Open-flame burns were the most common cause of injury. Improvement of corneal injury occurred in all survivors who had an intact globe on initial examination. Initial visual acuity was not a good predictor of outcome, and long-term complications were uncommon.