• Title/Summary/Keyword: Burn Patient

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One case of Second Degree Burn Wound (2도 화상 치험 1례)

  • Jung, Soon-Young;Kang, Eun-Kyo;Seo, Hyung-Sik
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.20 no.1 s.32
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    • pp.285-293
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    • 2007
  • Burn is a dermal injury mainly caused by heat. It occurs by flame, boiling water or liquid, steam, sparks, chemicals, radiation, and electricity. Burn is classified as four grades depending on how deep into the skin a person is burned. As the deep second-degree burns possibly leave scars, it can have various physical, psychological, and aesthetical effects with seriousness on the patient with a burn. This report is on the 50-year-old female patient who had a burn with boiling water and a mixture condition of superficial and deep second degree burn. The Korean medical treatments such as Herbal acupuncture, Herbal medication, Acupuncture, Herbal-ointment were used for 17 days to treat effectively the patient with a mixture of superficial and deep second degree burn. It is difficult to find out the report that treats a burn with Korean medical treatment. If more clinical treatments as in this report are proved to be effective, we are able to expect that Korean medical treatment should be a good treatment in burn.

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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.

A Study Symptoms by Types of Burn Patients in Pre-hospital Stage (병원 전 단계 화상환자의 유형별 징후에 관한 연구)

  • Park, SangKyu;Lee, JeongHyeok
    • Fire Science and Engineering
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    • v.29 no.4
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    • pp.95-104
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    • 2015
  • The purpose of this study is to investigate differences in initial patient states based on types of burn accidents in the pre-hospital stage. 1,223 items of transfer data from burn accidents of Gyeonggi-do emergency medical services in 2013 were used. Burn accidents were most common in children younger than 10 years old (26.0%) and happened mostly at home (51.3%). Patient states by burn type were stable on average, but burns by electricity showed 10.7% of awareness condition U (Unresponsive), which was higher than that of the other burn types. Initial patient states for this type were shown to be serious, unlike other burn types, with temperatures of $35.90^{\circ}C$ and third degree burn depth (39.28%). Understanding initial patient states based on burn type is necessary in order to do effective approach in the pre-hospital stage.

Peroneal Artery Perforator Free Flap on the Palm and Removal of Back Foreign Body in High Voltage Electrical Burn Patient: A Case Report (고압전기화상 환자에서 손바닥에 비골동맥천공지유리피판수술과 등의 이물질제거수술: 증례 보고)

  • Jung, Sung Won;Lee, Seung Je
    • Journal of the Korean Burn Society
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    • v.22 no.2
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    • pp.58-65
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    • 2019
  • Wound caused by high-tension electrical burns is difficult to manage because the wound is deep and complex. The wound is progressively necrotic due to microvascular injury resulting in deep tissue exposure. So, coverage of the wound at the entry point and the exit point is cumbersome, often requiring flap coverage. We experienced a case of one patient for peroneal artery perforator free flap coverage on the palm of the right hand of the entry point of electrical burn. The left foot wound of electrical exit point was covered by full thickness skin graft. Also a small wound was on the left side of the lower back was the exit point of electrical burn. The lower back wound was healed and recurred repeatedly after burn. On postburn day 6 month, through the radiologic exam, metal shadow was identified in the left gluteus muscle forming chronic sinus. We explored the wound of sinus and a foreign body was identified in the sac as multi braid wires thin as hair. According to the patient's past history, we suspected that the back wound was caused by electrical burn injury through the wires.

Pain Relief Efficacy of Ibuprofen Releasing Foam Dressing (Biatain Ibu®) on Outpatient Patient with Partial Thickness Burn Wound (부분층화상을 입은 외래 환자에서 이부프로펜 방출성 드레싱 제재(Biatain Ibu®)의 창상부위 통증의 경감 효과에 대한 연구)

  • Lee, Jun-Ho;Choi, Bong Gyu;Lee, Jin Ho;Kim, Jae Won
    • Journal of the Korean Burn Society
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    • v.22 no.1
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    • pp.15-19
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    • 2019
  • Purpose: Pain management in burn treatment is important in improving wound healing and quality of life. Ibuprofen is a proven pain relieving agent in patients with partial thickness burn by intraveous injection. The purpose of this study is to evaluate the efficacy of Biatain Ibu® (polyurethane foam containing ibuprofen) in pain control for outpatients with partial thickness burns. Methods: A prospective randomized clinical trial was performed in outpatients with partial thickness burn from August 1, 2017 to July 31, 2018. Acute pain, chronic pain, complications, days for re-epithelialization and patient's satisfaction were compared between Biatain Ibu® and Biatain® groups. Results: A total of 20 patients (Biatain Ibu®, n=10; Biatain®, n=10) were assessed in the trial. On Burn days 3, 5, 7, 11, 13, and 15, the acute pain levels were significantly lower in the Biatain Ibu® group than in the Biatain® group. Complications, chronic pain levels and days for re-epithelialization were not significantly different between the two groups. Patient's satisfaction was not statistically significant but was higher in the Biatain Ibu® group. Conclusion: Biatain Ibu® is effective in relieving pain in outpatients with partial thickness burn without decreasing patient satisfaction, wound healing ability or developing any complications.

Malignant melanoma on a thermal burn scar

  • Lee, Han Byul;Han, So Eun;Chang, Lan Sook;Lee, Soo Hyang
    • Archives of Craniofacial Surgery
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    • v.20 no.1
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    • pp.58-61
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    • 2019
  • Chronic burn scars often cause various skin malignancies at rates of up to 2%. These lesions are usually squamous cell carcinomas, but rarely, malignant melanoma is reported. We report a 67-year-old male with a malignant melanoma on a burn scar with regional metastasis. This patient presented an ulcerative lesion only in 2 weeks. After histopathological diagnosis, we performed only palliative surgery on patient's demand, and followed up the subsequent deterioration course. Our case reemphasizes the need for rapid diagnosis and treatment when suspect lesions are present on chronic burn scar. Also, physician should be in mind and inform the patient about malignant melanoma and its aggressive course.

Burn Wound Successfully Treated with 830-nm Light Emitting Diode Phototherapy Combined with Epidermal Growth Factor Solution

  • Lee, Hae-Jin;Kim, Young Koo
    • Medical Lasers
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    • v.8 no.2
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    • pp.94-96
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    • 2019
  • Burns are one of the most extensive injuries of soft tissues as well as skin, occasionally resulting in extensive, deep wounds and death. Burn wounds can lead to severe physical and psychological distress because of excessive scarring and skin contractures. Treatment of burn wounds has always been a challenging problem and many different methods have been used to treat such injuries. We report here on treating a patient with a burn wound using 830-nm light emitting diode (LED) phototherapy combined with epidermal growth factor (EGF) solution. After five daily sessions of LED with EGF solution treatment, the patient demonstrated nearly complete improvement with no remarkable side effects. We suggest that LED phototherapy combined with EGF solution could be an effective and safe treatment option for treating burn wounds.

Convergence Study on Burden in Families Caregivers of Patients with Burn (화상환자 가족의 부담감에 대한 융합적 연구)

  • Jung, Gye-Hyun;Na, Hyun-Ju
    • Journal of the Korea Convergence Society
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    • v.7 no.6
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    • pp.275-285
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    • 2016
  • The purpose of this study is to identify the factors influencing on the burden on the family caregivers of patient with more than second degree burn. The participants of this study were 120 family caregivers sampled for convenience from 4 Burn hospitals in D, S, B, P cities in South Korea. Data analysis was performed by t-test, ANOVA, Scheffe' test, Multiple linear regression. According to the result, the burden of assess & mean of care and the future of the patient was the highest score for family caregivers. Factors that affect the burden of family caregiver with burn patients were marital status, time, care, skin transplants, body surface area (%) and these factors explained 25.9%. This study concludes that intervention program is developed to reduce physical and emotional burden and nursing care services is required to adjust the amount time to care for the family caregivers with burn patients for a long time.

A Case Report of Pain Relief for Burn Patient through only Korean Medicine (한의 단독 치료를 통한 화상환자 통증 완화 치험 1례 증례 보고)

  • Kwon, Joong Chul;Na, Sam Sik;Chang, Sung Jin;Lee, Jae Heung
    • Journal of Korean Medical Ki-Gong Academy
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    • v.20 no.1
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    • pp.104-117
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    • 2020
  • Objective : The purpose of this study is to report that Korean Medicine treatment is effective in treating pain in burn patients. Results : We effectively reduced the pain that occurred after the end of the burn treatment through Korean Medicine such as multiple acupuncture, cupping, Sugi therapy, and external salve. VAS(Visual Analog Scale) values were reduced from 8 to 2 after about 23 days of treatment. Conclusions : This report shows that there was no special effect on dermatology treatment for pain that occurred after the end of treatment of burn patient, but it can also be excellent through Korean Medicine alone. It's only one case, so it cannot be determined that Korean Medicine for a burn is excellent. but if more excellent burn treatment of Korean Medicine is reported continuously, it will prove its validity. Therefore, it is hoped that more case reports and studies on burn treatments will be done in the future.

Effects of Stress, Resilience, and Focusing Manner on Quality of Life in Burn Rehabilitation Patients (재활치료 중인 화상 환자의 스트레스, 극복력, 포커싱적 태도가 삶의 질에 미치는 영향)

  • Shin, Jae Eun;Chae, Young Ran
    • Journal of muscle and joint health
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    • v.30 no.3
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    • pp.208-217
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    • 2023
  • Purpose: The aim of this study was to investigate the degree of stress, resilience, focusing manner, and quality of life among burn rehabilitation patients. Furthermore, it seeks to identify factors affecting the quality of life in this patient group. Methods: The participants of this study were 129 burn patients, aged 19 or older, who received treatment at the rehabilitation of a university hospital in Seoul. Data were collected from June 22 to August 31, 2022 through self-report questionnaires covering stress, resilience, focusing manner and quality of life.The data were analyzed using the SPSS 29.0 program. Results: Multiple regression analysis showed that education level, cause of burn, area of burn, pain, stress, and focusing manner significantly affected the quality of life, explaining 74.5% of the variance. Conclusion: In particular, focusing manner was a major factor affecting the quality of life in burn rehabilitation patients. Therefore, there is a need to develop intervention programs aimed at increasing focusing manner in this patient group.