Pub Date : 2025-11-01DOI: 10.1016/j.burnso.2025.100423
Folke Sjoberg , Ingrid Steinvall , Ahmed T. El-Serafi , Matilda Karlsson , Islam Abdelrahman , Pia Olofsson , Moustafa Elmasry
{"title":"The Dutch burn care protocol − Reflections on data from the Dutch Burn Registry","authors":"Folke Sjoberg , Ingrid Steinvall , Ahmed T. El-Serafi , Matilda Karlsson , Islam Abdelrahman , Pia Olofsson , Moustafa Elmasry","doi":"10.1016/j.burnso.2025.100423","DOIUrl":"10.1016/j.burnso.2025.100423","url":null,"abstract":"","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"12 ","pages":"Article 100423"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.burnso.2025.100421
Laura Lindahl , Tuomas Oksanen , Andrew Lindford , Tero Varpula
{"title":"Corrigendum to “Initial fluid resuscitation guided by the Parkland formula leads to high fluid volumes in the first 72 h, increasing mortality and the risk for kidney injury” [Burns Open 7(3) (2023) 51–58]","authors":"Laura Lindahl , Tuomas Oksanen , Andrew Lindford , Tero Varpula","doi":"10.1016/j.burnso.2025.100421","DOIUrl":"10.1016/j.burnso.2025.100421","url":null,"abstract":"","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"12 ","pages":"Article 100421"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.burnso.2025.100431
Duc Tien Nguyen , Quynh Van Nguyen , Thach Ngoc Nguyen
Objectives
To investigate the correlation between cardiac index (CI) and mean arterial pressure (MAP) at different intraoperative time points in patients undergoing burn wound excision and skin grafting.
Methods
This prospective observational study included 45 adult patients (≥16 years old) with severe burns, admitted to the Le Huu Trac National Burn Hospital. CI was measured using the ultrasound cardiac output monitor (USCOM), and MAP was recorded via invasive arterial catheterization. Hemodynamic data were collected at seven standardized perioperative time points: T0 (immediately after premedication); T1 (immediately after induction of anesthesia); T2 (prior to burn wound excision); T3 (at the start of excision); T4 (at the end of excision); T5 (at the end of skin grafting); and T6 (upon regaining consciousness). Simple linear regression was applied at each time point to evaluate the correlation between CI and MAP. Multivariable regression was performed with CI as the dependent variable, and MAP and timepoint as independent variables.
Results
Across all time points, the correlation between CI and MAP was weak and not statistically significant. The highest R2 value was observed at T3 (R2 = 0.086), indicating a slight positive trend. In the multivariable model, MAP and timepoint did not significantly predict CI (P > 0.05). CI and MAP values fluctuated during surgery but remained within acceptable clinical ranges.
Conclusion
No significant correlation was found between CI and MAP during burn wound excision and skin grafting. These findings suggest that cardiac index (CI) and mean arterial pressure (MAP) reflect distinct aspects of cardiovascular function and should be monitored concurrently during intraoperative care in patients with severe burns.
{"title":"Correlation between cardiac index and mean arterial pressure during burn wound excision and skin grafting in patients with severe burns","authors":"Duc Tien Nguyen , Quynh Van Nguyen , Thach Ngoc Nguyen","doi":"10.1016/j.burnso.2025.100431","DOIUrl":"10.1016/j.burnso.2025.100431","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the correlation between cardiac index (CI) and mean arterial pressure (MAP) at different intraoperative time points in patients undergoing burn wound excision and skin grafting.</div></div><div><h3>Methods</h3><div>This prospective observational study included 45 adult patients (≥16 years old) with severe burns, admitted to the Le Huu Trac National Burn Hospital. CI was measured using the ultrasound cardiac output monitor (USCOM), and MAP was recorded via invasive arterial catheterization. Hemodynamic data were collected at seven standardized perioperative time points: T<sub>0</sub> (immediately after premedication); T<sub>1</sub> (immediately after induction of anesthesia); T<sub>2</sub> (prior to burn wound excision); T<sub>3</sub> (at the start of excision); T<sub>4</sub> (at the end of excision); T<sub>5</sub> (at the end of skin grafting); and T<sub>6</sub> (upon regaining consciousness). Simple linear regression was applied at each time point to evaluate the correlation between CI and MAP. Multivariable regression was performed with CI as the dependent variable, and MAP and timepoint as independent variables.</div></div><div><h3>Results</h3><div>Across all time points, the correlation between CI and MAP was weak and not statistically significant. The highest R<sup>2</sup> value was observed at T<sub>3</sub> (R<sup>2</sup> = 0.086), indicating a slight positive trend. In the multivariable model, MAP and timepoint did not significantly predict CI (P > 0.05). CI and MAP values fluctuated during surgery but remained within acceptable clinical ranges.</div></div><div><h3>Conclusion</h3><div>No significant correlation was found between CI and MAP during burn wound excision and skin grafting. These findings suggest that cardiac index (CI) and mean arterial pressure (MAP) reflect distinct aspects of cardiovascular function and should be monitored concurrently during intraoperative care in patients with severe burns.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"12 ","pages":"Article 100431"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145528422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.burnso.2025.100428
Beau Scaddan , Rohan Kumar , Suzanne Rea , Fiona M. Wood , Dale W. Edgar
Purpose
Patient and staff participation is a key factor influencing the feasibility, implementation and conduct of clinical trials within an acute burn multidisciplinary service environment. Thus, the aim of the project was to better understand the barriers to participation in outcome survey research conducted in the ambulatory clinic environment, from the perspective of patients and staff.
Methods
Patient and clinician qualitative responses were collected through semi-structured interviews and summarized.
Results
A total of 11 patients and 8 staff participants completed the interviews. The lack of quarantined time available in clinic for research tasks, was the most consistently identified barrier. Competing demands on patients impeded their ability to complete survey packages during their daily clinic journey; and for researchers, the lack of dedicated time to customize project design and access study resources to efficiently recruit patients were the primary challenges identified.
Conclusion
This study confirmed that while common challenges exist for burn researchers in the burn clinic, there were multiple, flexible and practical actions to mitigate barriers to completing clinical research in the ambulatory environment.
{"title":"Partnering with consumers and multidisciplinary team to understand challenges when conducting clinical trials in the burns ambulatory clinical environment: A qualitative research study","authors":"Beau Scaddan , Rohan Kumar , Suzanne Rea , Fiona M. Wood , Dale W. Edgar","doi":"10.1016/j.burnso.2025.100428","DOIUrl":"10.1016/j.burnso.2025.100428","url":null,"abstract":"<div><h3>Purpose</h3><div>Patient and staff participation is a key factor influencing the feasibility, implementation and conduct of clinical trials within an acute burn multidisciplinary service environment. Thus, the aim of the project was to better understand the barriers to participation in outcome survey research conducted in the ambulatory clinic environment, from the perspective of patients and staff.</div></div><div><h3>Methods</h3><div>Patient and clinician qualitative responses were collected through semi-structured interviews and summarized.</div></div><div><h3>Results</h3><div>A total of 11 patients and 8 staff participants completed the interviews. The lack of quarantined time available in clinic for research tasks, was the most consistently identified barrier. Competing demands on patients impeded their ability to complete survey packages during their daily clinic journey; and for researchers, the lack of dedicated time to customize project design and access study resources to efficiently recruit patients were the primary challenges identified.</div></div><div><h3>Conclusion</h3><div>This study confirmed that while common challenges exist for burn researchers in the burn clinic, there were multiple, flexible and practical actions to mitigate barriers to completing clinical research in the ambulatory environment.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"12 ","pages":"Article 100428"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.burnso.2025.100432
Xin Nee Ho, Gale Jue Shuang Lim, Tze Yean Kong, Yong Chen Por, Mei Ling Loh, Michael Ku-Hung Hsieh
Major burn injury in neonates is challenging to manage, both in terms of medical management due to low physiologic reserve and higher risk of sepsis and fluid overload, as well as surgical management in view of a thinner dermal layer prone to over excision. Precise tangential excision preserving maximal viable dermis can be difficult to achieve using conventional surgical instruments such as the Goulian or Weck blade, or powered dermatome, particularly over the abdominal region without a bony support platform. Hydrosurgical debridement is an established method of debriding nonviable tissues, but to date has not been described in the surgical debridement of neonatal burn wounds. We present a case of major burns in an ex-premature neonate, in which the VERSAJETTM hydrosurgical debridement system was used to facilitate tangential debridement prior to skin grafting over the trunk and abdomen, with good short- and long-term outcomes.
{"title":"Utility of VERSAJET™ hydrosurgery system in the surgical management of premature neonatal burns: a case report","authors":"Xin Nee Ho, Gale Jue Shuang Lim, Tze Yean Kong, Yong Chen Por, Mei Ling Loh, Michael Ku-Hung Hsieh","doi":"10.1016/j.burnso.2025.100432","DOIUrl":"10.1016/j.burnso.2025.100432","url":null,"abstract":"<div><div>Major burn injury in neonates is challenging to manage, both in terms of medical management due to low physiologic reserve and higher risk of sepsis and fluid overload, as well as surgical management in view of a thinner dermal layer prone to over excision. Precise tangential excision preserving maximal viable dermis can be difficult to achieve using conventional surgical instruments such as the Goulian or Weck blade, or powered dermatome, particularly over the abdominal region without a bony support platform. Hydrosurgical debridement is an established method of debriding nonviable tissues, but to date has not been described in the surgical debridement of neonatal burn wounds. We present a case of major burns in an ex-premature neonate, in which the VERSAJET<sup>TM</sup> hydrosurgical debridement system was used to facilitate tangential debridement prior to skin grafting over the trunk and abdomen, with good short- and long-term outcomes.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"12 ","pages":"Article 100432"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145528421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-21DOI: 10.1016/j.burnso.2025.100429
Brittany N. Davis , Alisa Savetamal , Sebastian Q. Vrouwe
Introduction
There is an ongoing shortage of burn specialists and workforce reports suggest possible hurdles attracting general surgeons into burn care. The purpose of this cross-sectional survey study was to (1) determine the state of burn care in general surgery residency and (2) identify what barriers might exist for general surgeons pursuing a practice that involves burn care.
Methods
Surveys were distributed to United States general surgery program directors and residents, respectively, during the 2022–2023 academic year.
Results
A total of 250 general surgery residents (9 %) across 48 programs responded. Burn care was felt to be an important component in training by most program directors (82 %) and residents (81 %). One third of residents who had completed a burn rotation felt it increased their interest in burn care. Nearly two thirds of residents without a formal rotation felt that a burn rotation would be valuable. Regardless of whether the residents had exposure to burn care, 50 % of participants were interested in a career that involved some degree of burn care. The top factors that would discourage a trainee from practicing burn care in the future included the narrow scope of practice (44 %), nature of burn operations (43 %), nature of burn care (39 %), and insufficient exposure during their training (32 %).
Conclusion
This study indicates that burn rotations in general surgery training are important in establishing interest in burn care, as well as correcting the shortage of burn surgeons. Lack of sufficient exposure to burn care is one of the top factors discouraging trainees from a career in burn surgery.
{"title":"The state of burn care training during general surgery residency","authors":"Brittany N. Davis , Alisa Savetamal , Sebastian Q. Vrouwe","doi":"10.1016/j.burnso.2025.100429","DOIUrl":"10.1016/j.burnso.2025.100429","url":null,"abstract":"<div><h3>Introduction</h3><div>There is an ongoing shortage of burn specialists and workforce reports suggest possible hurdles attracting general surgeons into burn care. The purpose of this cross-sectional survey study was to (1) determine the state of burn care in general surgery residency and (2) identify what barriers might exist for general surgeons pursuing a practice that involves burn care.</div></div><div><h3>Methods</h3><div>Surveys were distributed to United States general surgery program directors and residents, respectively, during the 2022–2023 academic year.</div></div><div><h3>Results</h3><div>A total of 250 general surgery residents (9 %) across 48 programs responded. Burn care was felt to be an important component in training by most program directors (82 %) and residents (81 %). One third of residents who had completed a burn rotation felt it increased their interest in burn care. Nearly two thirds of residents without a formal rotation felt that a burn rotation would be valuable. Regardless of whether the residents had exposure to burn care, 50 % of participants were interested in a career that involved some degree of burn care. The top factors that would discourage a trainee from practicing burn care in the future included the narrow scope of practice (44 %), nature of burn operations (43 %), nature of burn care (39 %), and insufficient exposure during their training (32 %).</div></div><div><h3>Conclusion</h3><div>This study indicates that burn rotations in general surgery training are important in establishing interest in burn care, as well as correcting the shortage of burn surgeons. Lack of sufficient exposure to burn care is one of the top factors discouraging trainees from a career in burn surgery.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"12 ","pages":"Article 100429"},"PeriodicalIF":0.0,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145362191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-25DOI: 10.1016/j.burnso.2025.100425
Darby Little , George Ho , Emily Pynn , Shahriar Shahrokhi , Margarita Elloso
Background
Rural and remote communities often rely on primary care providers to complete the initial management and referral of burn injuries. This study aimed to assess frontline providers’ comfort with the initial assessment and management of burn injuries in a rural and remote setting.
Methods
A cross-sectional survey was distributed to primary and wound care providers across 10 healthcare facilities in Northwestern Ontario between August and December 2024. Self-reported comfort levels with 15 aspects of burn care were assessed using a five-point Likert scale. Wilcoxon rank-sum tests were used to compare survey responses across practice characteristics.
Results
Fifty-nine providers participated, including family physicians (44 %), nurse practitioners (20 %), emergency physicians (10 %), and others. While 90 % saw at least one burn injury per year, only 42 % saw more than five. Most respondents reported comfort with tetanus prophylaxis (72 %) and burn first aid (66 %). However, fewer felt comfortable assessing burn size (31 %) or depth (27 %), initiating fluid resuscitation (27 %), or applying the American Burn Association guidelines for burn center transfer (24 %). Providers managing five or more burns annually reported significantly greater comfort across multiple domains (p < 0.05). No significant differences were found between early- and late-career providers.
Conclusion
This study demonstrates that providers working in a rural and remote region reported limited comfort with burn size and depth assessment, initiating fluid resuscitation, and applying burn center referral guidelines – important skills for initial injury management and referral. These findings highlight a need for system-level supports and educational resources for providers in regions remote from specialized burn centers.
{"title":"Comfort with burn injury management among healthcare providers in a rural and remote region: a cross-sectional survey","authors":"Darby Little , George Ho , Emily Pynn , Shahriar Shahrokhi , Margarita Elloso","doi":"10.1016/j.burnso.2025.100425","DOIUrl":"10.1016/j.burnso.2025.100425","url":null,"abstract":"<div><h3>Background</h3><div>Rural and remote communities often rely on primary care providers to complete the initial management and referral of burn injuries. This study aimed to assess frontline providers’ comfort with the initial assessment and management of burn injuries in a rural and remote setting.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was distributed to primary and wound care providers across 10 healthcare facilities in Northwestern Ontario between August and December 2024. Self-reported comfort levels with 15 aspects of burn care were assessed using a five-point Likert scale. Wilcoxon rank-sum tests were used to compare survey responses across practice characteristics.</div></div><div><h3>Results</h3><div>Fifty-nine providers participated, including family physicians (44 %), nurse practitioners (20 %), emergency physicians (10 %), and others. While 90 % saw at least one burn injury per year, only 42 % saw more than five. Most respondents reported comfort with tetanus prophylaxis (72 %) and burn first aid (66 %). However, fewer felt comfortable assessing burn size (31 %) or depth (27 %), initiating fluid resuscitation (27 %), or applying the American Burn Association guidelines for burn center transfer (24 %). Providers managing five or more burns annually reported significantly greater comfort across multiple domains (p < 0.05). No significant differences were found between early- and late-career providers.</div></div><div><h3>Conclusion</h3><div>This study demonstrates that providers working in a rural and remote region reported limited comfort with burn size and depth assessment, initiating fluid resuscitation, and applying burn center referral guidelines – important skills for initial injury management and referral. These findings highlight a need for system-level supports and educational resources for providers in regions remote from specialized burn centers.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"12 ","pages":"Article 100425"},"PeriodicalIF":0.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145264997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-24DOI: 10.1016/j.burnso.2025.100427
Virginia Galati , Tobias Kisch , Felix Stang , Reinhard Vonthein , Alexander Hoenning
<div><h3>Introduction</h3><div>The O2C device (LEA Medizintechnik GmbH, Giessen, Germany), approved in 2002, provides non-invasive monitoring of microcirculatory parameters in tissues and organs. The measurement principle is a combination of laser Doppler spectroscopy to determine blood flow and velocity with white light spectroscopy to determine oxygen saturation and hemoglobin amount. Blood flow, one of the four microcirculatory parameters measured by the O2C device, has been used to assess burn scars und has been found to be higher in hypertrophic scars. However, limited research exists on the O2C device’s role in evaluating burn scars.</div></div><div><h3>Purpose</h3><div>The purpose of this secondary analysis is to quantify and investigate the correlation between the measurements with O2C-Device and those with Cutometer and scar scale scores in the evaluation of burn scars.</div></div><div><h3>Methods</h3><div>We conducted a secondary analysis of the patient cohort described in our previous retrospective clinical study. This study examined the elasticity and perfusion of burn scars after autologous split-thickness skin grafting or the application of the temporary wound dressing Suprathel at least one year after treatment. A total of 80 patients (72.3% male) with a mean age of 47.6 (+- 16.3) years, treated between 2013 and 2018, were enrolled between March and December 2019. Pearson’s correlation coefficient, canonical correlations, and stepwise regression analysis were used to assess relationships between measurements with O2C-Device and those with Cutometer and scar scale scores.</div></div><div><h3>Results</h3><div>Statistical analysis revealed a lack of correlation between measurements obtained with the O2C device and those from the Cutometer and scar scale scores in the evaluation of burn scars, with a maximum Pearson’s correlation coefficient of r = 0.43. Among the microcirculatory parameters, only weak correlations were found, with the exception of blood flow and velocity. Sensitivity analyses confirmed that the observed correlations were not influenced by age, sex, scar location, or smoking.</div></div><div><h3>Conclusion</h3><div>Our analysis showed a lack of correlation between measurements obtained with the O2C device and those from the Cutometer and scar scale scores in the evaluation of burn scars. The O2C device provides objective, reproducible measurements of microcirculation and perfusion in burn scars, offering valuable data for evaluating scar healing and functionality. The O2C device may potentially serve as an additional tool to provide more information in the assessment of burn scars. However, the clinical relevance of this information needs to be investigated in future research projects.</div><div>Abbreviations: AU, Arbitrary units (chosen arbitrarily by the developer of the device); Fig., Figure; LDI, Laser Doppler perfusion imaging; LSPI, Laser speckle perfusion imaging; log, Natural logarithm; logit, logit transformat
{"title":"Correlation of O2C-device with cutometer and scar scales in evaluation of burn scars: a retrospective cohort study of scar elasticity and perfusion","authors":"Virginia Galati , Tobias Kisch , Felix Stang , Reinhard Vonthein , Alexander Hoenning","doi":"10.1016/j.burnso.2025.100427","DOIUrl":"10.1016/j.burnso.2025.100427","url":null,"abstract":"<div><h3>Introduction</h3><div>The O2C device (LEA Medizintechnik GmbH, Giessen, Germany), approved in 2002, provides non-invasive monitoring of microcirculatory parameters in tissues and organs. The measurement principle is a combination of laser Doppler spectroscopy to determine blood flow and velocity with white light spectroscopy to determine oxygen saturation and hemoglobin amount. Blood flow, one of the four microcirculatory parameters measured by the O2C device, has been used to assess burn scars und has been found to be higher in hypertrophic scars. However, limited research exists on the O2C device’s role in evaluating burn scars.</div></div><div><h3>Purpose</h3><div>The purpose of this secondary analysis is to quantify and investigate the correlation between the measurements with O2C-Device and those with Cutometer and scar scale scores in the evaluation of burn scars.</div></div><div><h3>Methods</h3><div>We conducted a secondary analysis of the patient cohort described in our previous retrospective clinical study. This study examined the elasticity and perfusion of burn scars after autologous split-thickness skin grafting or the application of the temporary wound dressing Suprathel at least one year after treatment. A total of 80 patients (72.3% male) with a mean age of 47.6 (+- 16.3) years, treated between 2013 and 2018, were enrolled between March and December 2019. Pearson’s correlation coefficient, canonical correlations, and stepwise regression analysis were used to assess relationships between measurements with O2C-Device and those with Cutometer and scar scale scores.</div></div><div><h3>Results</h3><div>Statistical analysis revealed a lack of correlation between measurements obtained with the O2C device and those from the Cutometer and scar scale scores in the evaluation of burn scars, with a maximum Pearson’s correlation coefficient of r = 0.43. Among the microcirculatory parameters, only weak correlations were found, with the exception of blood flow and velocity. Sensitivity analyses confirmed that the observed correlations were not influenced by age, sex, scar location, or smoking.</div></div><div><h3>Conclusion</h3><div>Our analysis showed a lack of correlation between measurements obtained with the O2C device and those from the Cutometer and scar scale scores in the evaluation of burn scars. The O2C device provides objective, reproducible measurements of microcirculation and perfusion in burn scars, offering valuable data for evaluating scar healing and functionality. The O2C device may potentially serve as an additional tool to provide more information in the assessment of burn scars. However, the clinical relevance of this information needs to be investigated in future research projects.</div><div>Abbreviations: AU, Arbitrary units (chosen arbitrarily by the developer of the device); Fig., Figure; LDI, Laser Doppler perfusion imaging; LSPI, Laser speckle perfusion imaging; log, Natural logarithm; logit, logit transformat","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"12 ","pages":"Article 100427"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145324686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-22DOI: 10.1016/j.burnso.2025.100426
Sibel Güçlü Utlu , Orhan Delice , Mesud Fakirullahoğlu , Tuğba Sanalp Menekşe
Background
Pressure cooker use is widespread, yet injuries from explosions are understudied. This study evaluates burn and trauma cases related to pressure cooker explosions, aiming to identify causes and improve prevention and treatment.
Methods
This retrospective analysis included 57 patients admitted to Erzurum City Hospital Emergency Department due to pressure cooker explosions between 2021 and 2024. Demographics, burn severity and location, associated trauma, explosion causes, and clinical management were reviewed.
Results
Among the patients, 49 were female and 9 were under 18. Thirty-three cases were medicolegal. Traumatic injuries accompanied burns in 9 patients. Eyelid burns were observed in 17 cases; 6 had temporary vision loss. User error was the primary cause in 50 cases. No surgeries or deaths occurred.
Conclusions
This study highlights the dual role of user error and device malfunction in such injuries. Greater awareness among healthcare providers and targeted prevention strategies are essential for reducing these incidents.
{"title":"A comprehensive evaluation of injuries caused by pressure cooker explosions","authors":"Sibel Güçlü Utlu , Orhan Delice , Mesud Fakirullahoğlu , Tuğba Sanalp Menekşe","doi":"10.1016/j.burnso.2025.100426","DOIUrl":"10.1016/j.burnso.2025.100426","url":null,"abstract":"<div><h3>Background</h3><div>Pressure cooker use is widespread, yet injuries from explosions are understudied. This study evaluates burn and trauma cases related to pressure cooker explosions, aiming to identify causes and improve prevention and treatment.</div></div><div><h3>Methods</h3><div>This retrospective analysis included 57 patients admitted to Erzurum City Hospital Emergency Department due to pressure cooker explosions between 2021 and 2024. Demographics, burn severity and location, associated trauma, explosion causes, and clinical management were reviewed.</div></div><div><h3>Results</h3><div>Among the patients, 49 were female and 9 were under 18. Thirty-three cases were medicolegal. Traumatic injuries accompanied burns in 9 patients. Eyelid burns were observed in 17 cases; 6 had temporary vision loss. User error was the primary cause in 50 cases. No surgeries or deaths occurred.</div></div><div><h3>Conclusions</h3><div>This study highlights the dual role of user error and device malfunction in such injuries. Greater awareness among healthcare providers and targeted prevention strategies are essential for reducing these incidents.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"12 ","pages":"Article 100426"},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-22DOI: 10.1016/j.burnso.2025.100424
Patrick J. Kennedy , Allison Chowdhury , Chinaemelum Akpunonu , Ariel Rodgers , Nicole Bernal , John Loftus
Delayed encephalopathy after acute carbon monoxide poisoning (DEACMP) is a rare complication of carbon monoxide poisoning, presenting with waxing and waning of neuropsychiatric symptoms days to weeks after initial carbon monoxide poisoning.
In this case report, we present a case of delayed neuropsychiatric sequelae and demise in a 48-year-old male who suffered 22 % total body surface area burns in a house fire. Initial management included intubation, administration of hydroxocobalamin, and Parkland resuscitation protocol. Despite initial recovery, his neurological status fluctuated, developing hepatic and renal failure, and septic shock. He underwent multiple surgeries and procedures, including tracheostomy, debridement, and grafting, but remained unresponsive with waxing and waning neurological symptoms. A later brain MRI revealed abnormalities in the basal ganglia and thalami, suggestive of DEACMP. Based on the clinical presentation and radiologic findings, an attending neurologist at our institution agreed with this diagnosis before the patient’s demise.
This case emphasizes the need for vigilant monitoring of burn patients for carbon monoxide poisoning and delayed neuropsychiatric sequelae. There are emerging therapies that may assist in the recovery of neuropsychiatric functioning, but further studies are necessary to guide treatment strategies for DEACMP.
{"title":"A case of delayed encephalopathy after acute carbon monoxide poisoning in a burn patient","authors":"Patrick J. Kennedy , Allison Chowdhury , Chinaemelum Akpunonu , Ariel Rodgers , Nicole Bernal , John Loftus","doi":"10.1016/j.burnso.2025.100424","DOIUrl":"10.1016/j.burnso.2025.100424","url":null,"abstract":"<div><div>Delayed encephalopathy after acute carbon monoxide poisoning (DEACMP) is a rare complication of carbon monoxide poisoning, presenting with waxing and waning of neuropsychiatric symptoms days to weeks after initial carbon monoxide poisoning.</div><div>In this case report, we present a case of delayed neuropsychiatric sequelae and demise in a 48-year-old male who suffered 22 % total body surface area burns in a house fire. Initial management included intubation, administration of hydroxocobalamin, and Parkland resuscitation protocol. Despite initial recovery, his neurological status fluctuated, developing hepatic and renal failure, and septic shock. He underwent multiple surgeries and procedures, including tracheostomy, debridement, and grafting, but remained unresponsive with waxing and waning neurological symptoms. A later brain MRI revealed abnormalities in the basal ganglia and thalami, suggestive of DEACMP. Based on the clinical presentation and radiologic findings, an attending neurologist at our institution agreed with this diagnosis before the patient’s demise.</div><div>This case emphasizes the need for vigilant monitoring of burn patients for carbon monoxide poisoning and delayed neuropsychiatric sequelae. There are emerging therapies that may assist in the recovery of neuropsychiatric functioning, but further studies are necessary to guide treatment strategies for DEACMP.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"12 ","pages":"Article 100424"},"PeriodicalIF":0.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144892067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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