A5080315702- Burn Injury Management and Outcomes
- Wound Healing and Treatments
- Injury Epidemiology and Prevention
- Pressure Ulcer Prevention and Management
- Trauma and Emergency Care Studies
- Nonmelanoma Skin Cancer Studies
- Traumatic Brain Injury and Neurovascular Disturbances
- Disaster Response and Management
- Vibrio bacteria research studies
- Pain Management and Opioid Use
- Infectious Diseases and Mycology
- Drug-Induced Adverse Reactions
- Airway Management and Intubation Techniques
- Pelvic and Acetabular Injuries
- Amoebic Infections and Treatments
- Contact Dermatitis and Allergies
- Heme Oxygenase-1 and Carbon Monoxide
- Surgical Sutures and Adhesives
- Shoulder and Clavicle Injuries
- Traumatic Ocular and Foreign Body Injuries
- Palliative Care and End-of-Life Issues
- Pneumonia and Respiratory Infections
- Clinical Nutrition and Gastroenterology
- Telemedicine and Telehealth Implementation
- Nosocomial Infections in ICU
Bridgeport Hospital
2015-2025
Yale University
2023-2025
Yale New Haven Health System
2012-2024
Medical University of South Carolina
2023
Georgetown University
2023
MedStar Health
2023
University Medical Center New Orleans
2023
Louisiana State University Health Sciences Center New Orleans
2023
University of California Davis Medical Center
2022
Massachusetts General Hospital
2019-2022
Journal Article Summary of the 2012 ABA Burn Quality Consensus Conference Get access Nicole S. Gibran, MD, FACS, FACS Search for other works by this author on: Oxford Academic Google Scholar Shelley Wiechman, PhD, ABPP, ABPP Walter Meyer, MD Linda Edelman, RN, PhD Jim Fauerbach, Gibbons, MS, MS Radha Holavanahalli, Carly Hunt, MA, MA Kelly Keller, RN Elizabeth Kirk, MSN, APN, APN ... Show more Jacqueline Laird, BSN, Giavonni Lewis, Sidonie Moses, BSN Jill Sproul, Gretta Wilkinson, Steve...
Glutamine is thought to have beneficial effects on the metabolic and stress response severe injury. Clinical trials involving patients with burns other critically ill shown conflicting results regarding benefits risks of glutamine supplementation.
This Clinical Practice Guideline (CPG) addresses the topic of acute fluid resuscitation during first 48 hours following a burn injury for adults with burns ≥20% total body surface area (%TBSA). The listed authors formed an investigation panel and developed clinically relevant PICO (Population, Intervention, Comparator, Outcome) questions. A systematic literature search returned 5978 titles related to this after 3 levels screening, 24 studies met criteria address questions were critically...
Abstract Introduction This study seeks to analyze and evaluate consultation referral data received by a single state burn center, focusing on the allocation of resources for referrals consultations, determining proportion these that result in patient admissions. Methods We conducted retrospective review call center examine frequency nature calls (consultation versus admission) compare estimated Total Body Surface Area (TBSA) with actual calculated TBSA%. Calls were categorized based...
Abstract Introduction Older adults represent a significant portion of the burn patient population, presenting unique physiological challenges and requiring tailored treatment approaches. Yet, comprehensive data specific to this demographic are limited. The relatively small number older patients at each center makes single-center studies insufficient address key questions about their care. development multicenter trial group focused on adult could yield valuable insights into clinical...
Abstract Introduction Many burn centers care for patients with skin and soft tissue injury that is not related to burn. For example, sloughing exanthems (such as SJS/TEN) pathologies (soft infections, traumatic loss) are often referred a center the expertise in resuscitation cutaneous needed by this patient population. In study, we examine our center’s experience non-burns unit, particular attention differences reimbursement length of stay when compared patients. Methods We conducted 10-year...
Abstract Introduction Current estimates of home oxygen related burns, inhalation injury, and death may be significantly lower than actual incidence. This is problematic in scoping the issue as American Burn Association continues its work preventing fire injuries. A lack diagnosis/injury codes precludes accurate from national databases. The Care Quality Platform (BCQP) database has a free text field for injury description which optional to complete burn centers. We leveraged this data source...
Abstract Introduction Burn wound assessment is essential for effective clinical management and prompt intervention. Typically, burn assessments rely on the clinician’s judgment to discriminate superficial partial-thickness (“healing”) from deep partial- full-thickness (“non-healing”) areas. These are subjective, leading variability in diagnosis treatment plans. This study investigates potentially confounding covariates performance metric of sensitivity a non-invasive, non-contact,...
Donor sites from split-thickness skin grafts (STSG) impose significant pain on patients in the early postoperative period. We report use of continuous local anesthetic infusion as a method for management STSG donor site pain. Patients undergoing single or dual, adjacent harvest thigh (eight patients) back (one patient) were included this study. Immediately after harvest, subcutaneous catheters placed anesthetic. Daily site-specific severity scores prospectively recorded nine receiving...
Ventilator-associated pneumonia (VAP) in the surgical intensive care unit (ICU) is associated with substantial morbidity and mortality. Affected patients are at higher risk for infection multi-drug-resistant (MDR) pathogens, often necessitating therapeutic regimens of two parenteral antibiotics. Aerosolized antibiotics achieve high alveolar concentrations have been reported anecdotally to value treatment VAP. This study examined role aerosolized aminoglycosides VAP ICU patients.We reviewed...
Abstract To better understand trends in burn treatment patterns related to definitive closure, this study sought benchmark real-world survey data with national contained within the National Burn Repository version 8.0 (NBR v8.0) across key center practice patterns, resource utilization, and clinical outcomes. A survey, administered a representative sample of U.S. surgeons, collected information several domains: characteristics, patient characteristics including number patients size depth,...
Background: Infection is the greatest cause of mortality in burn patients. As our population ages, need to care for elderly patients will increase, and with it understanding how infection affects older injuries. This article presents a review available literature on effect aging physiologic response burns, known effects elder population, contribution underlying medical comorbidities outcomes patient. The potential more serious from multi-drug resistance also discussed. Methods: A search was...
Abstract Burn injuries pose a significant source of patient morbidity/mortality and reconstructive challenges for burn surgeons, especially in vulnerable populations such as geriatric patients. Our study aims to provide new insights into epidemiology by analyzing the largest national, multicenter sample patients date. Using National Electronic Injury Surveillance System (NEISS) database (2004-2022), individuals with “burn” diagnosis were extracted divided 2 comparison age groups 18-64 65+....
Glass fronted gas fireplaces (GFGFs) have exterior surfaces that can reach extremely high temperatures. Burn injuries from contact with the glass front be severe long-term sequelae. The Consumer Product Safety Commission reported these are uncommon, whereas single-center studies indicate a much higher frequency. purpose of this multi-institutional study was to determine magnitude and severity GFGF in North America. Seventeen burn centers elected participate retrospective chart review. Chart...
An 18-year-old, previously healthy man admitted with abdominal pain, high-grade fevers, nausea and emesis was found to have multiple hepatic abscesses. Aspiration cultures grew Fusobacterium necrophorum, a rare bacterium causing potentially fatal liver abscesses in humans. Following sequential percutaneous drainages narrowing of antibiotics, the patient discharged on 6-week antibiotic course showed no signs infection. A week after presentation it discovered that he had experienced upper...
Abstract Introduction Palliative care consultation has become increasingly utilized as an important part of the severely ill and chronically patients. In our burn center, in collaboration with palliative specialists, we introduced automatic "triggers" for consultation. We seek to assess how implementation these triggers changed hospital courses patients who died unit their injuries. Our center previously investigated characteristics succumbing this review, here compare current results...
Journal Article Corrected proof Response to Letter the Editor Regarding "American Burn Association Clinical Practice Guidelines on Shock Resuscitation" by Cartotto et al. Get access Robert Cartotto, MD, FRCS(C), FRCS(C) The Department of Surgery, University Toronto, Canada Address correspondence R.C. (email:robertcartotto@gmail.com) Search for other works this author on: Oxford Academic Google Scholar Laura S Johnson, FACS, FCCP, FCCM, FCCM Walter L. Ingram Center, Grady Memorial Hospital,...
Burn patients experience significant pain as a result of their injuries, and this can be exacerbated by the use staples to affix grafts wounds. Staple placement cause pulling or tearing upon movement, is also associated with anxiety at time staple removal. The introduction fibrin glue secure has allowed graft fixation completely staple-free. We sought evaluate compare post-operative in undergoing split thickness skin (STSG) secured versus those staples. IRB approval was obtained for one-year...
Burn management has significantly advanced in the past 75 years, resulting improved mortality rates. However, there are still over one million burn victims United States each year, with 3,000 burn-related deaths annually. The impacts of individual patient, hospital, and regional demographics on length stay (LOS) total cost have yet to be fully explored a large nationally representative cohort. Thus, this study aimed examine various hospital patient characteristics using sample 20,000...