- Burn Injury Management and Outcomes
- Wound Healing and Treatments
- Reconstructive Surgery and Microvascular Techniques
- Reconstructive Facial Surgery Techniques
- Surgical Sutures and Adhesives
- Pressure Ulcer Prevention and Management
- Injury Epidemiology and Prevention
- Dermatologic Treatments and Research
- Restraint-Related Deaths
- Breast Implant and Reconstruction
- Digital Imaging in Medicine
- Laser Applications in Dentistry and Medicine
- Nonmelanoma Skin Cancer Studies
- Corneal Surgery and Treatments
- Health and Medical Research Impacts
- Orthopedic Surgery and Rehabilitation
- Disaster Response and Management
- Anatomy and Medical Technology
- Climate Change and Health Impacts
- Surgical Simulation and Training
- Cardiac Arrest and Resuscitation
- COVID-19 and healthcare impacts
- Trauma and Emergency Care Studies
- Cancer and Skin Lesions
- Nasal Surgery and Airway Studies
Queen Victoria Hospital
2015-2025
Queen Victoria Hospital NHS Foundation Trust
2015-2025
The Royal Free Hospital
2020
University College London
2020
Chelsea and Westminster Hospital
2020
Leicester Royal Infirmary
2020
Royal Preston Hospital
2018
Blond McIndoe Research Foundation
2012-2014
Queen Victoria Hospital
2014
Brighton and Sussex Medical School
2014
Bromelain-based Enzymatic Debridement has been introduced as an additional concept to the burn surgeon's armamentarium and is best indicated for mid-to deep dermal burns with mixed patterns. Increasing evidence published focusing on special regions settings well limitations of improve patient care. To better guide in view increasing experience, there a need update formerly consensus guidelines user-orientated recommendations, which were last produced 2017. A multi-professional expert panel...
There are currently over 80 biomaterials derived from autologous, allogeneic, synthetic and xenogeneic sources, or a combination of any all these types materials, available for soft-tissue coverage to effect wound closure. Often generically referred as cellular and/or tissue-based products (CTPs), they manufactured under various trade names marketed variety indications.
The scarring that occurs following a burn injury can have devastating physical and emotional consequences for the patient. Scar revision surgery be very effective, but when surgical options are exhausted or patient declines, camouflage is an alternative. A 43-year-old woman with mid-deep dermal flame burns sustained in house fire August 2020, comprising 6% total body surface area, underwent chemical debridement followed by allograft application. One month later, split-thickness skin graft to...
The aim of this study was to measure the pH on wound surface 30 burn patients and test hypothesis that is correlated healing time depth. Inclusion criteria were any adult outpatient with injury. Patient age 17 75 years (mean, 44), depth ranged from superficial full thickness a TBSA 0.4 4%. Cause included scalds, flame burn, contact burns. On admission, at each dressing change, measured. in both nonhealing wounds found decrease change. At second went heal have significantly lower 7.32...
Summary: Medical simulation has progressed to using sophisticated computerized systems such as virtual and augmented reality. Despite its widespread adoption across various specialties, in burn surgery remains limited. Consequently, we wish report on the “Excision of an Unhealed Burn Wound” module Touch Surgery mobile application that simulates tangential excision reconstruction a wound with split-thickness skin graft. To ascertain their knowledge surgical management unhealed wound, 38...
Introduction Maggot debridement therapy is an effective and widely used biodebridement method in chronic or non-healing wounds but infrequently documented burn injuries. Many patients wish to avoid surgical intervention, ageing population with increasing comorbidities surgery may not always be preferable. Here we describe its successful use elderly comorbid patient. Methods The larvae were applied a 0.5% full thickness wound on the thigh using two treatments of BioMonde Biobags, he achieved...
To develop a population model to describe the pharmacokinetics (PK) of intravenous meropenem in adult patients with severe burns and investigate potential relationships between dosage regimens antimicrobial efficacy. A dose 1 g every 8 h was administered total body surface area ≥15%. Doses for subsequent courses were determined using results from initial course patient's clinical condition. Five plasma concentrations typically measured over interval on one four occasions. An open,...
Fentanyl transdermal patches have been widely used in the treatment of chronic pain and palliative care settings since 1991 cases where prolonged opioid use is often necessary. Transdermal drug delivery deemed safe effective with advantages delivering a steady dose improving patient compliance due to its ease use. However, intentional unintentional misuse overdose using has reported literature. We describe case 77-year-old Caucasian woman who developed severe toxicity while sun tanning,...
Objective To develop a core outcome set for international burn research. Design Development and consensus, from April 2017 to November 2019. Methods Candidate outcomes were identified systematic reviews stakeholder interviews. Through Delphi survey, clinicians, researchers, UK patients prioritised outcomes. Anonymised feedback aimed achieve consensus. Pre-defined criteria retaining agreed. A consensus meeting with voting was held finalise the set. Results Data source examination 1021 unique...
Altered pharmacokinetics in patients with major burns may result serum antibiotic concentrations below those required to be effective against the common pathogens encountered patients. The changes fluid volumes of key body compartments, which occur a large burn, increase apparent volume distribution drug, thereby lowering its concentration when standard dose is given. In addition, observed renal blood flow reported patients, because change cardiac output, higher drug clearance and shorter...