"Annals of Burns and Fire Disasters" is the official publication of the Euro-Mediterranean Council for Burns and Fire Disasters (MBC) and the European Burns Association (EBA). It is a peer-reviewed journal directed to an audience of medical as well as paramedical personnel involved in the management of burn injuries. The journal publishes original articles in the form of clinical and basic research, scientific advances. It publishes also selected abstracts from international journals.

The "Annals of Burns and Fire Disasters" is the official publication of the Euro-Mediterranean Council for Burns and Fire Disasters (MBC) and the European Burns Association (EBA). This peer-reviewed journal is aimed at medical and paramedical personnel involved in the management of burn injuries. It publishes original articles in the form of clinical and basic research, as well as scientific advancements. Additionally, it features selected abstracts from international journals.

《Annals of Burns and Fire Disasters》是欧洲地中海烧伤与火灾理事会（MBC）和欧洲烧伤协会（EBA）的官方出版物。这是一份经过同行评审的期刊，面向参与烧伤管理的医疗和辅助医疗人员。期刊发表临床和基础研究的原创文章，以及科学进展的研究成果。此外，还会选登国际期刊的精选摘要。

Annals of Burns and Fire Disasters

We conducted a retrospective study of data from September 2004 to September 2012, involving roughly 84 patients with burn sequelae of the hand who were treated surgically with full thickness skin grafts. The purpose of our study was to show the simplicity, effectiveness and reliability of this surgical technique. The average age at which the burn occurred was 4 years old. The average age of our patients was 18,3 years old (range=2-62 years old); males were affected in 60% of cases. The most frequent cause of injury were thermal burns, most often caused by hot liquids (56%). The mean delay between the burn having healed and the management of the sequelae to the hand was 36 months (2 months-16 years). The lesions were localized in the palm of the hand in 69 cases (82,5%). The sequelae were dominated by finger contractures (65%). A functional deficit was noted in the physical examination of all our patients. Full thickness skin grafts were applied in all our patients following release of the contractures and excision of the scar tissue. Commissural contractures were treated with Z-plasties. In 95% of the cases, the full thickness skin grafts were taken from the inguinal crease. The mean follow-up was 5,5 years (1-8 years). Eleven patients went missing from the study. The results after healing and rehabilitation were deemed to be satisfactory (good) in 62 cases (85%) and fairly satisfactory (quite good) in 11 cases (15%). Well-conducted initial treatment, carried out under the best conditions, can not only reduce the number of burn sequelae but also make them less severe.

S Boukind

H Droussi

O K Elatiqi

M Dlimi

O Dhaidah

M Ejjiyar

M Quaboul

A Dehhaze

S Fkhar

D Elamrani

Y Benchamkha

S Ettalbi

Annals of the Mediterranean Burns Club

La greffe de peau totale dans le traitement des séquelles de brûlures de la main et des doigts: A propos de 84 cas

手和手指烧伤后遗症的全层皮肤移植治疗: 关于84例病例

Background: Long-term oxygen therapy (LTOT) improves the survival time in chronic obstructivepulmonary disease (COPD) complicated by severe hypoxemia. Despite warnings about potentialdangers, a considerable number of patients continue to smoke whilst on LTOT. The incidence ofburn injuries related to LTOT is not known. The aim of this study was to estimate the rate of burninjury that required contact with health care during LTOT.Methods: a prospective, population-based, consecutive cohort study of people starting LTOT fromany cause between 1 January 1992 and 31 December 2009 in the Swedish national Register ofRespiratory Failure (Swedevox).Results: Between 1992 and 2009, 12,497 patients (53% women) started LTOT and were includedin the study. The mean (SD) age was 72 ± 9 years. The main reasons for starting LTOT were COPD(75%) and pulmonary fibrosis (15%). Only 269 (2%) were active smokers at starting LTOT. Themedian follow-up time to event was 1.5 (P25 to P75, 0.55 to 3.1) years. In total, 17 patients had adiagnosed burn injury during LTOT in 27890 person-years of follow-up. The rate of burn injuryduring LTOT was 61(95% CI, 36-98) per 100.000 person-years. Of the 17 burn injuries, five wereinhalation injuries and 12 skin injuries (3 third degree burns and one second degree; six (50%) werefacial burns). Two deaths were related to burn injury during LTOT. There was no significantdifference in the rate of burn injury between ever-smokers and never-smokers neither between menand women.Conclusion: the rate of burn injuries in patients with LTOT seems to be low in Sweden. This couldbe attributable to Swedish strict requirements on smoking cessation before LTOT initiation

H Tanash

Fredrik Huss

M Ekström

The risk of burn injury during long term oxygen therapy : a 17-year longitudinal national study in Sweden

长期氧疗期间烧伤风险：瑞典17年纵向全国性研究

Burn injuries to the hand are still common in low-income countries. Between December 1st 2010 and May 1st 2014, 32 patients, representing 38 hands, were admitted and treated at the University Clinics of Kinshasa in the Democratic Republic of Congo (DRC). We observed 22 patients (69%) in the juvenile age group (under 18 years old) and 10 patients (31%) in the adult age group (18-59 years). We did not observe any patients in the senior age group (60 years and over). In the juvenile age group, those aged from 1 to 5 years old were the most affected, comprising 13 patients (40%). Accidents occurred mainly at home (72%). The most common burn etiologies were thermal injuries caused by flame (51%) and scalds (34%). Contractures were the most frequently occurring lesions (84%). Overall dorsal retraction, known as claw hand, was found in 40% of patients, and was associated with keloid and hypertrophic scars in 84% of cases. Excision and grafting were performed in 43.7%, local flaps in 43.7% and distant flaps in 12.5% of cases. On discharge from hospital, 84% good results were observed. Follow-up lasted 18 months. This study demonstrates the feasibility of reconstructive surgery in sequelae of hand burns, despite limited resources. However, the challenges in low income countries with limited resources are numerous: poor access to current techniques of plastic surgery, inadequate initial burns management, and poverty. Language: fr

K. Kibadi

F. Moutet

Traitement des séquelles de brûlures de la main dans les pays à ressources limitées ; notre expérience en république démocratique du Congo

有限资源国家手部烧伤后遗症的治疗；我们在刚果民主共和国的经验

This is an epidemiologic study of the need for Health Services for burns in the northern part of Franche Comte (north-east of France) along year 2014 (114 patients). Mean age was 26 years (8 month-81 years), one third of burns occurred in children below 15. Most burns take part in summer, around mealtime, in school-free days, at home and are scalds. Their surface is low (4,81%) and they are usually partial thickness ones. Patients are consulted in Emergency Department in 88,59% of the cases, and hospitalised thereafter in a Burns Unit (in Lyon more than Nancy or Metz) in 12,28%. Language: fr

J. L. Fortin

M. P. Bitar

T. Marx

J. M. Macher

T. Desmettre

F. Ravat

J. M. Labourey

G. Capellier

Descriptive epidemiology of burns in a health district : example of the Northern Franche-Comté Territory during 2014 .

健康区烧伤的描述性流行病学：以2014年北部弗朗什-孔泰地区为例。

Les infections fongiques locales ou generales sont souvent d’une extreme gravite chez les brules. Les brules combinent de nombreux facteurs de risque a une immunodepression induite par la brulure. Les infections de plaies sont le fait des genres Candida, Aspergillus et des agents de mucormycoses. Ces deux derniers cas sont a l’origine de lesions particulierement severes. Leur diagnostic repose sur la biopsie cutanee avec examens mycologique et anatomopathologique. Le traitement est essentiellement chirurgical, associe a une antibiotherapie adaptee. Les septicemies sont le fait de levures, essentiellement du genre Candida. Le diagnostic en est difficile dans le contexte des brules et repose souvent sur une forte suspicion clinique. Leur traitement repose sur les echinocandines et plus secondairement sur le fluconazole.

Jf. Arnould

R. Le Floch

Infections fongiques des brûlé : revue

烧伤真菌感染：综述

Hydroxocobalamin has been administered in the United States since 2006 by first responders and burn centers as a safe antidote for cyanide toxicity, a serious complication of smoke inhalation. There are no current contraindications to the use of this rescue measure. A recent retrospective French publication reported a potential correlation between hydroxcobalamin administration and acute mesenteric ischemia (AMI) in critically ill burn and inhalation injury patients. The purpose of this study is to characterize the risk of AMI related to hydroxocobalamin. A retrospective review of hydroxocobalamin administration among adult burn patients was conducted at a regional burn center over a 2-year period. Injury characteristics, demographics, and outcomes including presence of mesenteric ischemia (defined as presence of pneumatosis or perforation on CT scan or necrotic bowel on laparotomy) were recorded. Of 17 confirmed inhalation injuries, patients had a median (interquartile range) age, total body surface area (TBSA), and abbreviated burn severity (ABSI) index as follows: 60 (45, 65 IQR), 8.5 (1.8, 39 IQR), and 6 (5,7 IQR). Inhalation injury was diagnosed with bronchoscopy, carboxyhemoglobin, or clinical suspicion. Eighty-two percent of those with bronchoscopy had an inhalation grade of 2 or greater. None (0%) of the patients showed signs of mesenteric ischemia, tube feeding intolerance, pneumatosis/perforation on CT, or necrotic bowel on laparotomy. Aware of the study limitations, we conclude that hydroxocobalamin does not increase risk for AMI.

A J Engwall

A Blache

A Lintner

A Bright

S Kahn

Hydroxocobalamin Administration After Inhalation Injury Is Not Associated With Mesenteric Ischemia.

羟钴胺给药后吸入性损伤与肠系膜缺血无关。

Toxic epidermal necrolysis syndrome (TENS) is a rare medical emergency associated with high morbidity and mortality. At present, there is no agreement regarding specific treatments for this disease. The aim of this study is to determine the outcome of patients with TENS using a treatment protocol that did not include the use of intravenous immunoglobulin or systemic steroids. This is a retrospective study of all patients diagnosed with TENS admitted to a tertiary burns centre from 2015-2017. Twelve cases were identified with a mean age of 46±8 years. Mean total body surface area affected was 51±9%. The SCORTEN index was 3.4±0.3 (range 2-5) and predicted 3 deaths in this cohort. Overall mortality was 25%. This study casts no doubt on the prognostic validity of SCORTEN. No specific TENS treatment has been unequivocally proven to be effective.

S Al-Benna

Toxic Epidermal Necrolysis Syndrome: Management And Outcomes.

中毒性表皮坏死松解综合征：管理与结局。

Acinetobacter baumannii is a feared pathogen in the burn center due to its opportunistic nature and its multidrug resistance. Our purpose was to study the incidence density of Acinetobacter baumannii colonization and infection and to determine the antibiotic susceptibility of the strains isolated in patients hospitalized in the Trauma and Burn Center Burn Unit in Tunisia. Our retrospective study included 1517 non-repetitive strains of Acinetobacter baumannii, between January 2012 and September 2020, with an average rate of 12.2% of the service's bacterial ecology. The incidence density of Acinetobacter baumannii colonization and infection was 13.7‰ days of in-patient stay and 14.1‰ days of in-patient stay, respectively. A positive and statistically significant correlation between Acinetobacter baumannii colonization and infection (rs=0,7; p=0.005) was noted in our study. The colonization strains were mainly isolated from central catheters (71.2%) and skin swab samples (22.9%). Infections were dominated by bacteremia (47.6%) and respiratory tract infections (25.4%). Bacteremia was microbiologically documented in 53% of cases. The most common source of bacteremia was central catheters (60.8%), skin (22.2%) and respiratory tract (15.5%). The rates of resistance inAcinetobacter baumannii to the antimicrobial agents tested were high: ceftazidime (85.2%), piperacillin-tazobactam (95.6%), imipenem (95.3%), amikacine (91.1%), ciprofloxacin (93.5%), rifampicin (36.4%) and cotrimoxazole (88.1%). The resistance of colistin was noted in 1.8% of cases.

A Mellouli

B Maamar

F Bouzakoura

A A Messadi

L Thabet

Colonisation Et Infection À Acinetobacter Baumannii Dans Une Unité De Réanimation Des Brûlés En Tunisie.

突尼斯烧伤重症监护病房鲍曼不动杆菌的定植与感染。

On August 23rd, 2012 at 7:54 am a hot air balloon crashed in Ljubljana Marshes, leaving 32 injured on site. This case report analyses the biggest multiple casualty incident attended by University Medical Centre Ljubljana in recent history. Analysis of all segments regarding the incident was conducted: mobilisation, arrivals, triage, work-up, identification, public relations and outcome. Issues such as mobilisation, diagnostics, communication, documentation and intensive care unit space are discussed. Twenty-one patients arrived over 63 minutes, 8 of those were immediate resuscitation cases and 10 of those suffered burns. The average Injury Severity Score was 15.7 (ranging 3 to 50), 28.1 for admitted patients. 90% of patients had x-ray, 23% CT and 38% ultrasound diagnostic procedures. 33% of patients required urgent surgery and 60% of admitted cases required intensive care units. A relatives and media territory was established. CT location, loss of communication, inadequate documentation and intensive care bed space were most problematic. At 7-year follow up, we had a roughly 5% hospital fatality rate, 74% of patients gained full recovery and 21% good recovery. Even though the event occurred on a weekday during regular hours, it still exposed many weaknesses. A new radio frequency system for intra-hospital communication has been implemented, the multiple casualty incident protocol has been revised, and regular drills are now performed. Our emergency department is currently undergoing renovation to include CT diagnostics on the same floor. Plans have been made to ease documentation with dictation modules, whereas bed space remains unchanged.

A Kisilak

A Fischinger

A Kristan

Ljubljana Marshes Hot Air Balloon Crash: A Multiple Casualty Incident.

卢布尔雅那沼泽热气球坠毁：一起多伤亡事件。

Since 2016 there has been a 20-fold increase in known burns injury from personal mobility device (PMD) related fires. The root cause is the failure of high-density lithium ion (Li-ion) battery packs powering the PMDs. This failure process, known as thermal runaway, is well documented in applied science journals. Importantly, the liberation of hydrogen fluoride from failing Li-ion batteries may contribute to unrecognized chemical burns. A clinical gap in knowledge exists in the understanding of the explosive nature of Li-ion batteries. We reviewed the electrochemical pathophysiology of a failing Li-ion cell as it impacts clinical management of burn injuries. This retrospective study was carried out in two major institutions in Singapore. All admitted PMD-related burns and follow up appointments were captured and reviewed from 2016 - 2020. Thirty patients were admitted to tertiary hospitals, 43% of patients were in the pediatric population and 57% were adult patients, aged from 0.3 to 77 years. TBSA of burns ranged from 0 to 80% with a mean 14.5%. 73% of cases presented with inhalation injury, 8 of whom did not suffer any cutaneous burns. 50% of patients sustained both cutaneous and inhalation burn injuries. 27% of patients sustained major burns of >20% TBSA, with 2 in the pediatric group. Mortali ty rate was 10% from PMD-related fires. This cause of burn injury has proven to be fa tal. Prevention of PMD-related fires by ensuring proper battery utilization, adherence to PMD sanctions for battery standards and public education is vital to reducing the morbidity and mortality of this unique type of thermal injury.

ISSN	1121-1539, 1592-9566
h-index	29

涉及主题	医学外科生物内科学病理心理学遗传学化学急诊医学精神科物理医疗急救环境卫生烧伤免疫学
出版信息	出版商: Mediterranean Council for Burns and Fire Disasters，出版周期: ，期刊类型: journal，开源期刊: 否
基本数据	创刊年份: 2010，原创研究文献占比: 0.00%，自引率:N.A.， Gold OA占比: 0.00%

Annals of Burns and Fire Disasters

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