• Title/Summary/Keyword: Contact burn

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Analysis of 2759 Pediatric Burn Patients: 2000-2004 (소아 화상 환자 2759명의 분석: 2000-2004)

  • Kim, Myong Cheol;Lee, Jong Wook;Chung, Jin Ah;Ko, Jang Hyu;Seo, Dong Kook;Oh, Suk Joon;Jang, Young Chul
    • Archives of Plastic Surgery
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    • v.33 no.5
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    • pp.581-586
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    • 2006
  • Purpose: Pediatric burn still generates social problem leading to physical and mental sequelae for ages. We studied to help make a program for the prevention of pediatric burn. Methods: We analyzed retrospectically 2759 acute burn patients under the age of 15 years in recent 5years (January 2000 - December 2004). Results: 1553 males and 1226 females were investigated, with a male to female ratio of 1.25 : 1. The greatest number of burn patients were those with an age of 1 - 2 years(1435, 52%). Scalding burn was the most common cause of injury, which accounted for 1980 (71.8%) patients, followed by contact burns(286, 10.4%), flame burn(229, 8.3%), steam burn(141, 5.1%). Especially steam burn was the second cause of injury in the age under 1 year, while flame burn was the same in the age over 3 years. During recent 5 years, incidence of contact burn increased over twofold despite the others did not changed substantially. Variation of seasonal incidence is minimal and most of the patients(2545 cases, 92.2%) had burns of ${\leq}20%$ TBSA. The median hospital stay was 18.3 days, and the rate of operation was 35.4% with an high rate in electrical burn(70.6%), steam burn(68.8%), contact burn(65%). 27 patients died in this series, which yielded a mortality rate of 1%. Conclusion: We expect that these data will be used as a basis for prevention of pediatric burn.

Treatment of Third Degree Burn due to Low-Temperature Contact Burn on Acquired Immune Deficiency Syndrome (AIDS) Patient: Low-Temperature Burn on AIDS Patient (후천성면역결핍증후군 환자에서의 저온 접촉 화상에 의한 삼도 화상의 치료)

  • Hong, Seok Won;Choi, Hwan Jun;Kim, Jun Hyuk;Lee, Da Woon
    • Journal of the Korean Burn Society
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    • v.22 no.2
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    • pp.21-24
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    • 2019
  • Incidence of low-temperature contact burn by use of an electric pad is increased recently, especially in depressed sensory. Acquired immune deficiency syndrome patient using antiretroviral agent suffered with sensory depression as side effect. There are many limitations in wounds treatment of these patients. These patients are vulnerable to infection due to their weak immunity, so it is necessary to keep them in a state of isolation when a wound occurs. We report a case of a third degree burn by electric pad with a surface area of approximately 5% of the body surface of a patient who underwent a sensory depression, which is a side effect of antiretroviral drugs used for treatment in patients with AIDS. In this regard, we report the case with literature review, which is safely recovered using negative-pressure wound therapy and split-thickness skin graft.

Immediate Fasciotomy for Acute Thermal Contact Burn Combined with Compression Injury of the Right Forearm and Hand: A Case Report (우측 전완부와 수부에 화상과 압궤손상을 입은 환자에서 즉시 근막절제술: 증례보고)

  • Jung, Sung Won;Lee, Seungje;Yoo, Kyung-Tak
    • Journal of the Korean Burn Society
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    • v.23 no.1
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    • pp.13-19
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    • 2020
  • Treatment of compartment syndrome is early decompressive fasciotomy to prevent dreadful sequelae of ischemic necrosis of muscles and nerves. We experienced one patient of impending or early compartment syndrome of right forearm and hand caused by a hot compress machine. We did immediate fasciotomy on forearm and late flap coverage with skin graft in this patient with good results.

The Change of Burn Depth within 24 Hours after Burn in the Standardized Burn Model (표준화된 화상 모델에서 화상 후 첫 24시간 내의 화상 깊이의 변화)

  • Son, Dae Gu;Choi, Tae Hyun;Kwon, Sun Young
    • Archives of Plastic Surgery
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    • v.35 no.4
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    • pp.373-378
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    • 2008
  • Purpose: In full thickness burn, the depth of burn is known to increase until around 1-3 days after the burn. However, no study on how the depth increase during the first 24 hours has been conducted. Therefore, the authors investigated how the depth of burn changes within the first 24 hours after the burn by using the standardized burn model. Methods: A total of four experiments on pigs were carried out for this study. Experiment 1 was performed to examine how temperature affects the depth of burn. The digitally controlled aluminum thermal block was set at different temperatures-80, 90 and 100 degrees in Celsius, respectively. Then the pig was exposed to the block for 15 seconds each time. The time exposed to heat was set as a variable for the Experiment 2. The temperature was maintained at 80 degrees Celsius, and the pig was contacted with the thermal block for 5, 10 and 20 seconds, respectively. The biopsy of the tissues were performed in one hour, 6 hours, 24 hours, and 7 days after the burn. After hematoxylin and eosin staining a percentage of the depth from a basement membrane of epidermis to the deepest tissue damaged by the burn against total dermal thickness was measured. Results: In Experiment 1, the depth of burn increased considerably as time passed by. At all three temperatures, differences in depths measured in 6 and 24 hours, and in 1 hour and 7 days were both significant. In addition, the depth deepened as the temperature went higher. In the case of Experiment 2, the depth of burn also increased significantly as time passed by. At all three times, differences in depth measured in 6 and 24 hours, and in 1 hour and 7 days were also significant. Moreover, the depth extended with longer contact time when it was compared according to the time. Conclusion: Full thickness burn progressed rapidly from 6 to 24 hours after the burn and the depth of burn was almost decided within the first 24 hours after the burn. On the other hand, partial thickness burn also advanced from 6 to 24 hours after the burn but the depth deepened at slower level.

Epidemiology of Burns in Infants: A Four-Year Retrospective Study (영유아 화상의 역학조사: 4년간의 후향적 연구)

  • Yu, Ha Hyun;Choi, Youngwoong
    • Journal of the Korean Burn Society
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    • v.22 no.2
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    • pp.49-52
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    • 2019
  • Purpose: Little information has been published regarding minor burn injuries in infants, most of which are preventable. To fill this research gap, this study explored the patterns and mechanisms of burn injuries in infants to ascertain whether such incidents can be prevented. Methods: This was a retrospective study, based on data collected prospectively from all infants (<12 months old) admitted to our hospital with burns in the four-year period between January 1, 2015 and December 31, 2018. A medical record review provided basic demographic information, such as age at the time of injury, sex, cause of injury, duration of treatment, operative treatment, and the extent and type of burn, as well as the anatomical region involved. Results: Fifty-seven infants were diagnosed with burn injuries, with scalding being the most common type (47%), followed by contact (32%) and steam (14%). Seven infants of eight steam burn patients injured by pressure cooker. Superficial second degree was the most common depth of injury (72%) followed by first degree (17%) and deep second degree (8%). Average age per injury type was calculated by independent T-test. Average ages of patients with contact and steam burns were significantly lower (7.06 months; P=0.19) and higher (9.25 months; P=0.005), respectively, than for other burn types. Conclusion: Given that infants cannot control their body movements, talk, or manage by themselves, they are entirely dependent on the proper care of adults. Consequently, in addition to the prevention of burns, special care should be taken for the pressure cooker.

Characteristics of Burn Types, Causes, and Treatment in Hospitalized Female Patients with Industrial Injuries (화상으로 입원한 여성 근로자의 화상유형 및 발생원인, 치료적 특성)

  • Kim, Ji-Na;Kang, Hee Sun
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.2
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    • pp.85-95
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    • 2016
  • Purpose: The purpose of this study was to examine the burn characteristics of female patients hospitalized in a burn center. Methods: This is a retrospective descriptive study. The subjects were 222 female patients aged over 19 years old having burn injuries from work sites between January 1, 2012 and December 31, 2014. Data were collected using electronic medical records about the burn-related characteristics. The data were analyzed descriptively. Results: Many of the subjects were in their forties and fifties. Most subjects showed burns with an area of less than 10% of the body surface with a severity of second degree. Scalding burns were the most frequent. Contact burns were usually of third-degree severity and occurred on hands and wrists. Flame burns affected the largest body surface area and frequently occurred on the face and mainly caused by explosion of a stove or kitchen gas. Chemical burns frequently occurred on the lower limbs. Conclusion: Female workers are exposed to the hazards of burn injuries in industrial accidents. Types of burn differ depending on the workplace conditions. Therefore, preventative measures for burn injuries should be established in accordance with the characteristics of each industry to which female workers belong.

A Basic Study on the Monitoring of Grinding Burn by Grinding Power Signatures (연삭동력에 의한 Grinding Burn 검지를 위한 기초적 연구)

  • 김건희;이재경;안상욱
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 1996.11a
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    • pp.194-199
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    • 1996
  • Grinding burn formed on the ground surface is related to the maximum temperature of workpiece surface and wheel temperature in the grinding process. The thermal characteristics of workpiece and grinding conditions on the surface temperature of the oxidation growing layer after get out of contact with the grinding wheel. The assumption used in grinding power signatures leads to the local temperature distribution between grinding wheel and workpiece, i.e., a single curve determines temperatures anywhere within the grinding wheel at anytime. This information is useful in the study of the grinding bum penetration into the wheel and thus provides an presentation of grinding trouble monitoring for the burning. On the basis of grinding power signatures in the wheel, thermally optimum conditions are defined and controlled. To cope with grinding burn, the use of grinding power signatures is an effective monitoring systems when occurring the grinding process. In this paper, the identified parameters suggested in this study which are derived from the grinding power signatures are presented.

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A Basic Study on the Monitoring of Grinding Burn by Grinding Power Signatures (연삭동력에 의한 Grinding Burn 검지를 위한 기초적 연구)

  • 이재경
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.6 no.1
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    • pp.18-26
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    • 1997
  • Grinding burn formed on the ground surface is related to the maximum temperature of workpiece surface and wheel tempertaure in the grinding process. The thermal characteristics of workpiece and grinding conditions on the surface tempertaure of the oxidation growing layer after get out of contact with the grinding wheel. The assumption used in grinding power signatures leads to the local temperature distribution between grinding wheel and workpiece, i.e., a single curve determines temperatures anywhere within the grinding wheel at anytime. This information is useful in the study of the grinding burn penetration into the wheel and thus provides an presentation of grinding trouble monitoring for the burning. On the basis of grinding power signatures in the wheel, thermally optimum grinding conditions are defined and controlled. To cope with grinding burn, the use of grinding power signatures is an effective monitoring systems when occurring the grinding process. In this paper, the identified parameters suggested in this study which are derived from the grinding power signatures are presented, and prediction model by grinding power utilized a linear regression algorithm is applied.

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A Study on Histological Recuperative Effect of Burn Remedies (화상치료제의 조직학적 수복효과)

  • Chi Gyoo Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.4
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    • pp.774-781
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    • 2002
  • This study was carried out to test the recuperative effect of 2 types of sample drugs for 3 degree burn. The burn injury was made by iron plate heated in the boiling water. The Sprague Dawley rats were shaven with a razor preliminarily and burned by direct contact method for 10 seconds. The experimental groups were classified with 5 each-normal, control, MEBO ointment, sample A, sample B. The effect of the sample drugs were decided by histological results after 3 week application. The results were as following. The 3 treatment groups recovered the burn injury faster than control group. The recuperative effect precedes about 4-5 days at the time of 15th day and 1 week at the time of 3rd week. The therapeutical procedure of 3 treatment groups was similar with naked eye and with microscopic histology in the 1 st, 2nd and 3rd specimens. So there weren't significant differences in curative effect in 3 treatment groups of this experiment. But a regeneration of hair follicle was noted in Sample B uniquely. These results suggested that 3 burn remedies have similar effect of therpy, but sample B containing yolk sac oil has slightly better effect in part of hair regeneration.

Clinical and Statistical Analysis with Age in Cases of Pediatric Burn Patients (소아 화상 환자 2,795례에 대한 연령별 임상 통계학적 분석)

  • Cho, Ki-Hyun;Jang, Young-Chul;Lee, Jong-Wook;Koh, Jang-Hyu;Seo, Dong-Kook;Choi, Jai-Ku
    • Archives of Plastic Surgery
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    • v.38 no.4
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    • pp.445-450
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    • 2011
  • Purpose: The objective of this study is to analyze the epidemiological characteristics of pediatric burn patients and to determine the targets for a pediatric burn prevention program. Methods: A retrospective review of all medical records of acute pediatric burn patients (age < 15 years old) admitted to our hospital between January 2005 and December 2009 was performed. Results: 1472 males and 1323 females were investigated, with a male to female ratio of 1.11 : 1. The greatest number of burn patients were those with an age of 1~2 years (1,463, 52.3%). Scalding burn was the most common cause of injury, which accounted for 2183 (78.1%) patients, followed by contact burns (10.5%), flame burn (4.9%), steam burn (3.6%). Especially steam burn was the second cause of injury in the age under 1 year, while flame burn was the second cause of injury in the age over 7 years. During recent 5 years, incidence of flame burn, steam burn, electrical burn gradually decreased. Variation of seasonal incidence is minimal and most of the patients (2,716 cases, 97.2%) had burns less than 20% TBSA (Total body surface area). The median hospital stay was 18.79 days, and the rate of operation was 28.6% with a high rate in electrical burn (76.2%), flame burn (50.0%), steam burn (46.1%). 6 patients died in this series, which yielded a mortality rate of 0.2%. Conclusion: Prevention efforts should reflect recent study results. Focused prevention program and campaign to make people aware of risk factors and their avoidance is required to reduce the number of burn accidents in children.