The non-adherent siliconised dressing Mepitel is excellent for burns, especially in children. It provides a moist wound environment, promotes wound healing and is easy and relatively painless to use. However, surgeons should be aware that in black children its use has been associated with pigmentation abnormalities.
Toxic shock syndrome is associated with burn injuries in children and is a cause of significant morbidity in this group. Despite multiple cases of toxic shock syndrome in adults being reported since its original description it has not been reported in adult burn patients. We report a case of toxic shock syndrome in an adult following 25% flame burns.
Neurological complications secondary to electrical injury can manifest themselves either early or late. A small percentage of these patients develop delayed peripheral neuropathy. However, patients experiencing transient spinal cord symptoms have been described. We describe the development of a lower motor neurone syndrome affecting all the limbs in a patient following a significant electrical injury, which although expected to cause spinal cord necrosis showed no evidence of this on magnetic resonance imaging. The fact that neurophysiology was unable to localize the problem made this case all the more perplexing. Similar cases reported in the literature are discussed.
Our experience with two patients suggests that the mini-tracheotomy is a very useful technique, and may be of great value in the treatment of sputum retention (with or without inhalation injury) in burn patients.
The paper compares the volumes of colloid, either human dried plasma or human plasma protein fraction, used to resuscitate 81 acute major burn patients. The volumes of human plasma protein fraction used were consistently greater than those of human dried plasma.
ADVERTISEMENT RETURN TO ISSUEPREVArticleNEXTN-Acylamidotriphenylphosphinimines, reactive ylidic reagentsCharles C. Walker and Harold ShechterCite this: J. Am. Chem. Soc. 1968, 90, 20, 5626–5627Publication Date (Print):September 1, 1968Publication History Published online1 May 2002Published inissue 1 September 1968https://pubs.acs.org/doi/10.1021/ja01022a066https://doi.org/10.1021/ja01022a066research-articleACS PublicationsRequest reuse permissionsArticle Views118Altmetric-Citations12LEARN ABOUT THESE METRICSArticle Views are the COUNTER-compliant sum of full text article downloads since November 2008 (both PDF and HTML) across all institutions and individuals. These metrics are regularly updated to reflect usage leading up to the last few days.Citations are the number of other articles citing this article, calculated by Crossref and updated daily. Find more information about Crossref citation counts.The Altmetric Attention Score is a quantitative measure of the attention that a research article has received online. Clicking on the donut icon will load a page at altmetric.com with additional details about the score and the social media presence for the given article. Find more information on the Altmetric Attention Score and how the score is calculated. Share Add toView InAdd Full Text with ReferenceAdd Description ExportRISCitationCitation and abstractCitation and referencesMore Options Share onFacebookTwitterWechatLinked InRedditEmail Other access optionsGet e-Alertsclose Get e-Alerts
