• 제목/요약/키워드: Burns, Electric

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Epidemiologic Analysis of Burns in Military Hospital

  • Choi, Jangkyu;Park, Sejin;Kim, Hyun Chul
    • Journal of Trauma and Injury
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    • 제30권4호
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    • pp.145-157
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    • 2017
  • Purpose: We accessed epidemioloy of 908 acute burns (7 years) in the military, of injuries and propose proper educational programs to suit community. Methods: We surveyed burn demographics, circumstances of injuries, size, result of treatment. Results: The mean age was 20.6 years. The flame burns (FB) (325, 35.8%) were most common, followed scald (SB) (305, 33.6%), contact (CB) (219, 24.1%), electric (EB) (45, 5.0%) and chemical burns (ChB) (14, 1.5%). The more occurred during winter (29.7%). SB had mean 3.9% total body surface area (TBSA). The 251 (82.3%) had superficial burns by spillage of hot water/food on lower limbs (45.6%), feet (33.8%) in summer (34.8%), treated with simple dressing (92.8%). Morbidity rate was 5.6%; post traumatic stress disease (PTSD) (0.7%). FB had large wound (9.3% TBSA). The 209 (64.3%) had superficial burns by ignition to flammable oils (31.7%) and bomb powders (29.2%) on head/neck (60.3%), hands (58.6%) in summer (31.7%), autumn (30.2%). They underwent simple dressing (83.4%) and skin graft (16.0%). Morbidity rate was 18.8%; PTSD (10.5%), inhalation injuries (4.0%), corneal injury (3.7%), amputations (0.9%), and mortality rate (1.2%). CB had small (1.1% TBSA), deep burns (78.5%) by hotpack (80.4%) on lower limbs (80.4%). The more (59.8%) underwent skin graft. EB had 6.8% TBSA. The 29 (64.4%) had superficial burns by touching to high tension cable (71.1%) on hand (71.1%), upper limbs (24.4%) in autumn (46.8%). They underwent simple dressing (71.1%) and skin graft (24.4%). They showed high morbidity rate (40.0%); loss of consciousness (13.3%), nerve injuries (11.1%), neuropathy (8.9%), amputations (2.2%), and mortality rate (2.2%). Conclusions: The cook should wear apron over the boots during work. The lighter or smoking should be strictly prohibited during work with flammable liquids or bomb powders. Don't directly apply hotpack to skin for a long time. Use insulating glove during electric work. Keep to the basic can prevent severe injury and proper education is important.

경피적 심장 충격 장치의 사용으로 발생한 의인성 전기 화상의 증례 보고 (Iatrogenic Spark Burn Injury to the Chest From a Transcutaneous Pacing Patch)

  • 최종윤;차원진;정이룸;서보미;정성노
    • 대한화상학회지
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    • 제24권2호
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    • pp.50-52
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    • 2021
  • Iatrogenic electrical burns that occur from the use of a defibrillator, a paddle-type cardiac shock device, have been reported in various forms. Electrical burns are usually conducted directly through the skin and are more damaging than scald burns or contact burns. A transcutaneous cardiac pacing device is a patch-type cardiac shock device that automatically delivers a shock when an abnormal heart rhythm is detected. We introduce a unique case of iatrogenic electrical burns caused by the transcutaneous pacing patch of a cardiac shock device. Electrical energy was converted into a spark due to foreign bodies deposited around the patch, resulting in damage to the peripheral area of the skin.

A step-by-step intraoperative strategy during one-stage reconstruction of an acute electrical burn injury in the neck for superior surgical outcome in India: a case report

  • Mainak Mallik;Sanjay Kumar Giri;M. Vishnu Swaroop Reddy;Kallol Kumar Das Poddar
    • Journal of Trauma and Injury
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    • 제37권2호
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    • pp.151-157
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    • 2024
  • Electrical burn injuries can cause more damage than clinical evaluations initially suggest. The energy waves penetrate from the surface to the deepest layers of tissue, causing extensive harm at every level. The neck is a critical area, both functionally and aesthetically. We present a case involving a young male patient with a severe fourth-degree electrical burn on the neck, who underwent a single-stage debridement and reconstructive surgery. The pectoralis major myocutaneous flap is a versatile option for various head and neck reconstructions. However, if the donor site cannot be closed primarily and requires split-thickness skin grafting, it can result in unsightly scars and deformities. For large flap paddles, it is ideal to reconstruct the secondary defect with locoregional flaps. In this case, we successfully reconstructed the donor site's secondary defect using a contralateral internal mammary artery perforator flap, without resorting to any skin grafts. The early postoperative results demonstrated satisfactory cosmesis, patient satisfaction, and functional outcomes.

Toe Tissue Transfer for Reconstruction of Damaged Digits due to Electrical Burns

  • Kim, Hyung-Do;Hwang, So-Min;Lim, Kwang-Ryeol;Jung, Yong-Hui;Ahn, Sung-Min;Song, Jennifer K.
    • Archives of Plastic Surgery
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    • 제39권2호
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    • pp.138-142
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    • 2012
  • Background : Electrical burns are one of the most devastating types of injuries, and can be characterized by the conduction of electric current through the deeper soft tissue such as vessels, nerves, muscles, and bones. For that reason, the extent of an electric burn is very frequently underestimated on initial impression. Methods : From July 1999 to June 2006, we performed 15 cases of toe tissue transfer for the reconstruction of finger defects caused by electrical burns. We performed preoperative range of motion exercise, early excision, and coverage of the digital defect with toe tissue transfer. Results : We obtained satisfactory results in both functional and aesthetic aspects in all 15 cases without specific complications. Static two-point discrimination results in the transferred toe cases ranged from 8 to 11 mm, with an average of 9.5 mm. The mean range of motion of the transferred toe was $20^{\circ}$ to $36^{\circ}$ in the distal interphalangeal joint, $16^{\circ}$ to $45^{\circ}$ in the proximal interphalangeal joint, and $15^{\circ}$ to $35^{\circ}$ in the metacarpophalangeal joint. All of the patients were relatively satisfied with the function and appearance of their new digits. Conclusions : The strategic management of electrical injury to the hands can be both challenging and complex. Because the optimal surgical method is free tissue transfer, maintenance of vascular integrity among various physiological changes works as a determining factor for the postoperative outcome following the reconstruction.

화상으로 인한 소구증 환자의 치험례 (CASE REPORTS : MICROSTOMIA CAUSED BY BURN SCAR)

  • 지재휴;여환호;김영균;김수관;박인순;이병준;황경곤
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제18권3호
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    • pp.358-365
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    • 1996
  • Deep burns of the face & lips often lead to scarring and contraction of the circum-oral tissues with a marked reduction in the size of the oral aperture. Such burns most commonly caused by electrical contact, for example, children sucking electric plugs, or as a result of chemical burns and the exposture to flame. Once having burns, burned tissue may contract and reduce considerably the size and mobility of the mouth ; therefore bring up the resultant functional disturbance, verbal difficulty, even digestive difficulty, and poor appearance, which fall into difficulty in social acceptability, caused by burns. In our department, 2 patients who were complain of functional limitations and esthetic problem owing to scar contracture, were visited, and we treated this microstomia with scar excision, graft and flap technique, and postoperative intensive physical therapy. We obtained relatively favorable results, thus report this cases with literature review.

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Descriptive Study of Occupational Accidents and their Causes among Electricity Distribution Company Workers at an Eight-year Period in Iran

  • Rahmani, Abdolrasoul;Khadem, Monireh;Madreseh, Elham;Aghaei, Habib-Allah;Raei, Mehdi;Karchani, Mohsen
    • Safety and Health at Work
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    • 제4권3호
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    • pp.160-165
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    • 2013
  • Background: Occupational accidents are unplanned events that cause damage. The socio-economic impacts and human costs of accidents are tremendous around the world. Many fatalities happen every year in workplaces such as electricity distribution companies. Some electrical injuries are electrocution, electric shock, and burns. This study was conducted in an electricity distribution company (with rotational 12-hour shift work) in Iran during an 8-year period to survey descriptive factors of injuries. Methods: Variables collected included accident time, age of injured worker, employment type, work experience, injury cause, educational background, and other information about accidents. Results: Results indicated that most of the accidents occurred in summer, and 51.3% were during shift work. Worker negligence (malpractice) was the cause of 75% of deaths. Type of employment had a significant relationship with type of injuries (p < 0.05). Most injuries were electrical burns. Conclusion: High rate of accidents in summer may be due to the warm weather or insufficient professional skills in seasonal workers. Shift workers are at risk of sleep complaints leading to a high rate of work injuries. Acquiring knowledge about safety was related to job experiences. Temporary workers have no chance to work all year like permanent workers, therefore impressive experiences may be less in them. Because the lack of protective equipment and negligence are main causes of accidents, periodical inspections in workshops are necessary.

대구시내 종합병원에 입원한 화상환자의 화상원인과 현장에서 취한 응급처치 (Causes of Burn and Emergency Care on the Spot for the Patients Admitted to Three Hospitals in Taegu)

  • 주민;박정한
    • Journal of Preventive Medicine and Public Health
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    • 제21권2호
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    • pp.238-244
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    • 1988
  • This study was conducted to investigate the causes of burn and emergency cares taken on the spot for the burn patient. Study population included 161 burn patients admitted to 2 university hospitals and 1 general hospital in Taegu from November 1, 1987 to April 30, 1988. Patients or guardians were interviewed with a structured questionnare. Out of 161 burn patients 111(68.9%)were males and 50(31.1%) females. Preschool children of 1-4 years old accounted for 29.8% of the total patients. Burns of children under 15 years of age took place at home in 91.0%, while 48.3% of burns of adult (15 years and over)males occurred at the working place, and 68.0% of adult females occurred at the home. Out of total burns occurred at home 39.8% took place at kitchen/dining room and 24.1% in the room. The most common cause of burns in children was the boiling water or hot food (74.3%). In adults the common causes were electrical burn(22.4%), hot water or food(19.0%) and explosion(12.1%) for males, and hot water or food(32.0%) and explosion (20.0%) for females. Common emergency cares for the burn taken on the spot were undressing(64.6%), pouring Soju(liquor)(13.7%), and pouring cold water(5.0%). There were a few cases who applied ash, soy or salt. To prevent burn, it is recommended to remodel the traditional kitchen and coal-briquet hole, to strengthen the safety control of LP Gas and LN Gas supply, to educate the public for the handling method for such gases, to strengthen the occupational safety control, to improve the safety device for the electric wire and socket, and to limit the temperature of hot water at home and public baths.

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콘덴서의 발화 메커니즘 실험 (A Study of the Ignition Mechanism in Electric Condenser Iksan Firestation)

  • 김상순;이재욱
    • 대한안전경영과학회지
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    • 제23권3호
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    • pp.103-113
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    • 2021
  • As the use of capacitors in electrical appliances and electrical control circuits increases, the related electrical fire is increasing. There are various parts such as resistors, coils, and capacitors that make up an electric circuit. Among them, the ignition of a capacitor with a temporary charging function is closely related to the structural characteristics of the capacitor. Capacitors can explode due to various reasons, and the high heat generated when they explode ignites the inflammable dielectric, which in turn burns the inflammable materials such as the surrounding electric wires and spreads into a fire. In this paper, the ignition mechanism is studied by conducting a reenactment experiment on the various probabilities that can be ignited in an electric capacitor, and the prevention measures to be applied to the fire prevention are presented.

고압전동기 고정자권선의 턴단락 및 소선단락 써지시험 특성분석 (Surge Property Analysis for Shorted Turn and Shorted Strand in High Voltage Motor Stator Winding)

  • 공태식;김희동;이영준
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2007년도 제38회 하계학술대회
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    • pp.2030-2031
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    • 2007
  • This paper is purpose to understand the surge property for the shorted turn or shorted strand in high voltage motor stator windings. a shorted turn in high voltage motor windings causes a huge circulating current. and overheat windings, consequently burns the motor. a few shorted strands not cause winding failure immediately, but they increase the winding loss and temperature increase due to contact resistance. We carried out the surge test for three cases, normal winding, shorted turn winding and shorted strand winding. and we analyzed the test result.

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Improved Metal Object Detection Circuits for Wireless Charging System of Electric Vehicles

  • Sunhee Kim
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제17권8호
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    • pp.2209-2221
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    • 2023
  • As the supply of electric vehicles increases, research on wireless charging methods for convenience has been increasing. Because the electric vehicle wireless transmission device is installed on the ground and the electric vehicle battery is installed on the floor of the vehicle, the transmission and reception antennas are approximately 15-30 cm away, and thus strong magnetic fields are exposed during wireless charging. When a metallic foreign object is placed in the magnetic field area, an eddy current is induced to the metallic foreign object, and heat is generated, creating danger of fire and burns. Therefore, this study proposes a method to detect metallic foreign objects in the magnetic field area of a wireless electric vehicle charging system. An active detection-only coil array was used, and an LC resonance circuit was constructed for the frequency of the supply power signal. When a metallic foreign object is inserted into the charging zone, the characteristics of the resonance circuit are broken, and the magnitude and phase of the voltage signal at both ends of the capacitor are changed. It was confirmed that the proposed method has about 1.5 times more change than the method of comparing the voltage magnitude at one node.