Browse > Article

Clinical Effect of Immediate Cooling on Superficial Second Degree Thermal Burns  

Jeong, Hui Sun (Department of Plastic & Reconstructive Surgery, Myongji Hospital, Kwandong University College of Medicine)
Lee, Hye Kyung (Department of Plastic & Reconstructive Surgery, Myongji Hospital, Kwandong University College of Medicine)
Kim, Hyung Suk (Department of Plastic & Reconstructive Surgery, Myongji Hospital, Kwandong University College of Medicine)
Sin, Keuk Shun (Department of Plastic & Reconstructive Surgery, Myongji Hospital, Kwandong University College of Medicine)
Publication Information
Journal of Trauma and Injury / v.22, no.2, 2009 , pp. 227-232 More about this Journal
Abstract
Purpose: Numerous experimental studies have shown the benefits of treating thermal burns by cooling. Nevertheless, few studies have shown the clinical effect of cooling therapy on thermal burns. This study aimed to identify the clinical effect of immediate cooling therapy. Methods: The research was conducted as a retrospective, case-control study. All patients had thermal injuries characterized as a superficial second-degree burn. In the cooling group, 14 patients had first-aid cooling therapy delivered by either parents, caregivers, general practitioners, local hospitals, and/or Myongji hospital. Included in the study were 22 control patients who were not treated with any cooling therapies. Other clinical factors, such as age, sex, cause of burn injury, and burn area (Total Body Surface Area %), were taken into consideration. The duration of treatment was defined as the time from the occurrence of the injury to the presence of complete re-epithelialization, as confirmed by two surgeons. Results: The duration of treatment in the cooling group was significantly less than that the control group (p<0.05). Conclusion: Cooling therapy as an initial emergent treatment is clinically effective for superficial second-degree burn injuries.
Keywords
Burns; Cooling Therapy; Effectiveness;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Davies JW. Prompt cooling of burned areas: a review of benefits and the effector mechanisms. Burns Incl Therm Inj 1982;9(1):1-6   DOI
2 Van de Velde S, Broos P, Van Bouwelen M, De Win R, Sermon A, Verduyckt J, et al. European first aid guidelines. Resuscitation 2007;72(2):240-51   DOI   ScienceOn
3 Ofeigsson O, Mitchell R, Patrick R. Observations on the cold water treatment of cutaneous burns. J Pathol 1972;108(2):145-50   DOI
4 Boykin JV Jr , Eriksson E, Sholley MM, Pittman RN. Cold-water treatment of scald injury and inhibition of histamine-mediated burn edema. J Surg Res 1981;31(2):111-23   DOI   ScienceOn
5 Bartlett N, Yuan J, Holland AJ, Harvey JG, Martin HC, La Hei ER, et al. Optimal duration of cooling for an acute scald contact burn injury in a porcine model. J Burn Care Res 2008;29(5):828-34   DOI   ScienceOn
6 Saranto JR, Rubayi S, Zawacki BE. Blisters, cooling, antithromboxanes, and healing in experimental zone-ofstasis burns. J Trauma 1983;23(10):927-33   DOI
7 Venter TH, Karpelowsky JS, Rode H. Cooling of the burn wound: the ideal temperature of the coolant. Burns 2007;33(7):917-22   DOI   ScienceOn
8 Kim MC, Lee JW, Chung JA, Ko JH, Seo DK, Oh SJ, et al. Analysis of 2759 Pediatric Burn Patients: 2000-2004. J Korean Soc Plast Reconstr Surg 2006 Sep;33(5):581-6
9 Boykin JV Jr , Crute SL. Mechanisms of Burn Shock Protection after Severe Scald Injury by Cold-water Treatment. J Trauma 1982;22(10):859-66   DOI
10 Alsbj$\ddot{o}$rn rn B, Gilbert P, Hartmann B, Ka mierski M, Monstrey S, Palao R, et al. Guidelines for the management of partial-thickness burns in a general hospital or community setting Recommendations of a European working party. Burns 2007;33(2):155-60   DOI   ScienceOn
11 Choi JY, Min HG, Kim JM, Kim JH, Ahn HS. Epidemiologic Study of Burn Patients. Korean J Dermatol 2001;39(5):562-6
12 Demling RH. The Burn Edema Process: Current Concepts. J Burn Care Rehabil 2005;26(3):207-27
13 Allison K, Porter K. Consensus on the pre-hospital approach to burns patient management. Injury 2004;35(8):734-8   DOI   ScienceOn
14 Li C, Yu D, Li MS. Clinical and experiment study of cooling therapy on burned wound. Zhonghua Yi Xue Za Zhi 1997;77(8):586-8
15 Sawada Y, Urushidate S, Yotsuyanagi T, Ishita K. Is prolonged and excessive cooling of a scalded wound effective? Burns 1997;23(1):55-8   DOI   ScienceOn
16 Hwang TS, Kim KS, Chung SP, Linton JA, Lee SH. The Epidemiological Analysis of Age-related Burn Patients. Korean J Burn 2000;3(2):101-8
17 Raine TJ, Heggers JP, Robson MC, London MD, Johns L. Cooling the burn wound to maintain microcirculation. J Trauma 1981 May;21(5):394-7   DOI