Preview

EMERGENCY MEDICAL CARE

Advanced search

The models of patients with severe chemical burns

https://doi.org/10.24884/2072-6716-2024-25-4-75-81

Abstract

Purpose: to develop models of patients with severe chemical burns.

Material and methods: the analysis of scientific publications and own observations of the causes of chemical burns was carried out.

Results: based on the data obtained, four models of patients with severe chemical burns were formed: industrial acid burns, acid attacks, burns caused by household cleansers and cement burns. According to the results of the study, 87% of patients with chemical injury corresponded to these four models. These models turned out to be homogeneous by gender, age, area, depth and localization of skin lesions, severity of the condition and other characteristics.

Conclusion: the using models of patients make it possible to form homogeneous groups of victims. Due to the homogeneity of these groups, it is possible to develop surgical treatment tactics for each of the formed models, which should improve the results of treatment of burned patients.

About the Authors

D. O. Vagner
St. Petersburg Scientific Research Institute of Emergency Medicine of I.I. Dzhanelidze; North-Western State Medical University named after I.I. Mechnikov
Russian Federation

Denis O. Vagner.

St. Petersburg



E. V. Zinoviev
St. Petersburg Scientific Research Institute of Emergency Medicine of I.I. Dzhanelidze; Kirov Military Medical Academy
Russian Federation

Evgeniy V. Zinoviev.

St. Petersburg



V. V. Soloshenko
St. Petersburg Scientific Research Institute of Emergency Medicine of I.I. Dzhanelidze
Russian Federation

Vitaly V. Soloshenko.

St. Petersburg



V. V. Muljarova
North-Western State Medical University named after I.I. Mechnikov
Russian Federation

Valeria V. Muljarova.

St. Petersburg



A. G. Miroshnichenko
St. Petersburg Scientific Research Institute of Emergency Medicine of I.I. Dzhanelidze; North-Western State Medical University named after I.I. Mechnikov; Pavlov First St. Petersburg State Medical University
Russian Federation

Aleksandеr G. Miroshnichenko.

St. Petersburg



References

1. Marsden N.J. Battle C.E., Combellack E.J. et al. The impact of socio-economic deprivation on burn injury: a nine-year retrospective study of 6441 patients // Burns. 2016. Vol. 42. № 2. P. 446–452. doi: 10.1016/j.burns.2015.08.019.

2. Vagner D. O., Zinoviev E. V., Soloshenko V.V. The models of patients with severe flame burns (message one) // Emergency medical care. 2023. Vol. 24. № 3. P. 67–74. (In Russ). doi: 10.24884/2072-6716-2023-24-3-67-74.

3. Vagner D. O., Zinoviev E.V., Soloshenko V.V. The models of patients with severe hot liquids scald (message two) // Emergency medical care. 2023. Vol. 24. № 4. P. 17–24. (In Russ). doi: 10.24884/2072-6716-2023-24-4-17-24.

4. Tan T., Wong D. S.Y. Chemical burns revisited: What is the most appropriate method of decontamination? // Burns. 2015. Vol. 41. № 4 P. 761–763. doi: 10.1016/j.burns.2014.10.004.

5. Kumar Das K., Olga R., Peck M. et al. Management of acid burns: experience of Bangladesh // Burns. 2015. Vol. 41. № 3. P. 484–492. doi: 10.1016/j.burns.2014.08.003.

6. Alexander K.S., Wasiak J. Chemical burns: Diphoterine untangled // Burns. 2018. Vol. 44. № 4. P. 752–766. doi: 10.1016/j.burns.2017.09.017.

7. Dinis-Oliveira R. J., Carvalho F., Moreira R et al. Clinical and forensic signs related to chemical burns: a mechanistic approach // Burns. 2015. Vol. 41. № 4. P. 658–679. doi: 10.1016/j.burns.2014.09.002.

8. Palao R., Monge I., Ruiz M., Barret J. P. Chemical burns: pathophysiology and treatment // Burns. 2010. Vol. 36. № 3. P. 295–304. doi: 10.1016/j.burns.2009.07.009.

9. Lee K. A.., Opeskin K. Fatal alkali burns // Forensic science international. 1995. Vol. 72. № 3. P. 219–227. doi: 10.1016/0379-0738(95)01706-o.

10. Devinck F., Deveaux C., Bennis Y. et al. Deep alkali burns: Evaluation of two-step surgical strategy // Annales de chirurgie plastique et estetique. 2018. Vol. 63. № 3. P. 191–196. doi: 10.1016/j.anplas.2018.03.008.

11. Song M., Armstrong A., Murray A. Acid attacks: Broadening the multidisciplinary team to improve outcomes // Burns. 2020. Vol. 46. № 3. P. 514–519. doi: 10.1016/j.burns.2019.03.018.

12. Sawhney C.P., Kaushish R. Acid and alkali burns: Consideration in management // Burns. 1989. Vol. 15. № 2. P. 132–134. doi: 10.1016/0305-4179(89)90146-0.

13. Krylov K. M., Vagner D. O., Zinoviev E. V. et al. Life-treatening burns caused by household chemicals // Russian Sklifosovsky journal of emergency medical care. 2018. Vol. 7. № 1. P. 57–61. (In Russ). doi: 10.23934/2223-9022-2018-7-1-57-61.

14. Greenwood J. E., Tan J. L., Tzen Ming J. C., Abell A. D. Alkalis and skin // Journal of burn care & research. 2016. Vol. 37. № 2. P. 135–141. doi: 10.1097/BCR.0000000000000222.

15. D›Cruz R.A., La Hei E. R., Holland A. J.A. Severe burns from alkali drain cleanser // The medical journal of Australia. 2012. Vol. 197. № 8. P. 446. doi: 10.5694/mja12.10995

16. Vickers H.R., Edwards D.H. Cement burns // Contact dermatitis. 1976. Vol. 2. № 2. P. 73–78. doi: 10.1111/j.1600-0536.1976.tb02988.x.

17. Lacy A.J., Freeman C.L., Sexton M.K. Cement burns // The journal of emergency medicine. 2021. Vol. 61. № 5. P. 533–535. doi: 10.1016/j.jemermed.2021.03.019.

18. Jurova J. V., Krylov P. K., Kozulin I.D. An estimation of self-descriptiveness of the microcirculation indicators of the granulating wounds for results? Optimization of free auto-transplantation at the patients with a deep skin burns. Emergency medical care, 2011, Vol. 12, No. 3, рр 81–85 (In Russ.).


Review

For citations:


Vagner D.O., Zinoviev E.V., Soloshenko V.V., Muljarova V.V., Miroshnichenko A.G. The models of patients with severe chemical burns. EMERGENCY MEDICAL CARE. 2024;25(4):75-81. (In Russ.) https://doi.org/10.24884/2072-6716-2024-25-4-75-81

Views: 63


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2072-6716 (Print)