Articles Posted in Medical

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Before I get to the topic in the headline, here’s a quick story: As I’ve written about in past blog entries, even the most mundane situations inside the home can result in third-degree burns. Another example came to light this week in Worthington, VA, where a routine cooking accident severely burned a man and damaged much of the home.

It was this simple: A visitor to the home accidentally splashed oil from a deep fryer onto the stove and onto the floor. Unfortunately, the oil landed on the visitor’s hands and feet, instantly causing second- and third-degree burns that required treatment at the West Penn Burn Center across the state border. Furthermore, the splashed oil also caused the window curtains to catch fire. Fire crews from four towns had to respond to the fire. The family now lives in a hotel temporarily, thanks to the American Red Cross.

Now for the good news that this blog’s title refers to. The web site InHabitat.com reported this week that scientists from the Wake Forest Institute for Regenerative Medicine are advancing in their goal to regenerate more of a person’s own healthy skin to repair burn damage on another part of the body. Inspired by, of all things, the typical office printer and its ink cartridge, the research team believes it could soon “print” human skin.

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Unfortunately, it seems that the month of February 2011 can be used by fire-prevention experts as a useful lesson in how human error and carelessness can bring devastating consequences, in the form of third-degree burns and smoke inhalation, from fires.

First, in New York City on February 24, candles used in a bedroom caused a fatal five-alarm fire after they tipped over and ignited bed sheets. The fire left an elderly woman dead and also injured 20 firefighters and three residents. The occupant of the apartment where the fire began had placed the candles on the floor around her bed. At some point, they tipped over, and a guest doused the flames with water.

But then the guest made a terrible mistake–he opened a window to clear the smoke from the room, which allowed fresh air to feed the fire again. The fire department said this actually created a “blowtorch effect” that whipped through the open window and pushed the fire all the way through the apartment. Then, as the occupants were fleeing through the apartment, they left the bedroom door and the front door open, which allowed the fire to spread all the way into the building’s hallway and quickly engulf the rest of the building.

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It’s not even springtime yet, but the wildfire season has begun in the eastern U.S.

Virginia, North Carolina, and South Carolina have experienced low humidity and little rain for a few months now. The result is that there are leaves, bushes, grass, and trees that can be easily ignited by human carelessness.

The largest fire of nearly 300 wildfires that sparked in eastern North Carolina on Saturday kept burning Sunday, and state forest service officials warned that the potential for fast-moving flames would last several days. Crews said they have the fire 80 percent contained and did not expect any home evacuations, but noted that the fire’s spread can be unpredictable.

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A very informative and heart-warming story came from the local newspaper in Portland, Oregon last week, related to the difficult process of emotional healing for victims of disfiguring third-degree burns.

The article explained the uplifting happenings that take place during a regular gathering of a group called Portland Burn Survivors Inc. In fact, the writer of the story seemed to be moved by one of the very first things the group does once everyone arrives at the restaurant–they make a toast that goes, “Cheers for being alive!”

The article goes on to say that until about 30 years ago, surviving a severe burn meant constant pain and medical complications that usually led to premature death. But technological advances mean that many more people today survive severe burns. The problem is, the emotional trauma of living with bad scars and other complications are very recent too, so there is not a lot of research about exactly how burn victims need to think and act in order to lead happy lives.

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Tom Kiurski is a lieutenant, a paramedic, and the director of fire safety education for the Livonia, Michigan Fire & Rescue. He’s written a book, “Creating a Fire-Safe Community: A Guide for Fire Safety Educators” as a guide for local fire departments to bring the safety message to their communities. Here’s a summary of his views on preventing kitchen fires and third-degree burns:

Under normal circumstances, most folks would not throw a kitchen cloth onto a burning stove, or help spread a fire from a pan to the cabinets, or add oxygen to a fire so that it flares up faster. Yet these things happens much too often because of panic. So let’s take a look at how we can use safety sense in the kitchen to reduce the of having an unwanted fire.

Cooking is the leading cause of fires and civilian fire injuries in the United States. Two out of three reported home cooking fires start with the range or stove–and usually involve food, grease, rags, bags, cabinets, curtains, or other household items getting ignited.

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For most people, food is a truly enjoyable part of life. But when people are careless with hot food, injuries can happen–even 3rd degree burns!

For instance, just last week a couple filed suit in the California courts against Walt Disney Parks and Resorts, claiming their young son suffered “severe burns” as a result of scalding-hot nacho cheese served to them. In the suit, the parents of a four-year-old boy said they were eating dinner at Disney World in Orlando last March when the cheese was spilled on their son’s face. The suit says that “the cheese was scalding hot and resulted in severe burns” to the child, and that Disney served the cheese “negligently and carelessly” and made “no effort” to regulate its temperature.

What’s more, the suit says the child suffered “permanent scarring, pain and suffering” as a result of the burns, and his parents suffered “emotional distress” from witnessing his agony. The family asked the court for the medical and legal costs incurred, as well as punitive damages.

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The skin as any other organ in the body can be damaged like in second and third degree burns. If the damage is big enough the body can’t replace the skin. There are alternative ways to cover the injured area and one of the methods used is allograft which is skin taken from another human being and given it to another. One of the major traumas the skin is exposed to is burns and in severe burns one of the methods used to replace skin is using allograft.

Skin banks are present in many parts of the world. They use skin from donor people after their death who provided consent to donate their skin. Usually skin banks are located near burn centers or as part of the hospital that contains the burn center.

Donors while they are alive sign a donation form with the presence of witnesses allowing their skin to be donated after their death. Anyone can be a donor and by being a donor this will not affect the person in any way regarding the care and treatment that he/she is receiving while they are alive.

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The cold weather blanketing much of the United States in this first week of February is causing many incidents of fire as people try to keep warm. For instance, in suburban New York, five firefighters were hospitalized with smoke inhalation after battling a basement house fire. One of those firefighters was in critical but stable condition and undergoing hyperbaric chamber treatment before going into the intensive care unit.

A local fire marshal said the blaze was not suspicious; the fire broke out around lunchtime and took about an hour to get under control. The firefighters were injured while in the basement, where there was a sudden eruption of flames, said one police detective. A fire chief added that “the fire at one point flared up on them,” probably from a rush of oxygen that came into the basement from a door or an area of wall being opened to the outside. See a video of the fire here.

The lesson here: If you have a fire in your home, it is best to simply close the door to the room where the fire is burning and immediately go outside your home to call the fire department — do not try to put out the fire yourself! In fact, closing a door or window as you leave will actually help to starve the fire of the fuel it needs to burn — oxygen.

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Is a temporary skin substitute that is man made. It is a white stretchable dressing that is made from a silicone layer and a nylon fabric to which collagen has been chemically bounded. Biobrane is used to cover the site of a burn wound like second and third degree burns and can also be used to cover the skin graft donor site. Before it covers the burn wound, the burned area is washed and all the burned skin is removed, after placing Biobrane on the burned area, it’s wrapped with a bulky gauze and an ace wrap dressing. The dressing stays in place for 24-36 hours.

How to care for Biobrane in the first 24-48 hours:

Keep the dressing dry, avoid removing the dressing, move the area covered by the dressing only as needed and avoid extra movement.

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In a blog post about ten days back, I talked about the need to check your home for potential fire hazards on a regular basis. Red flags that come to mind right away are extension cords on carpets, space heaters too close to furniture or clothing, and candles left to burn for too long at a time.

Of course, almost immediately after posting that blog, I see an example of a fire hazard that most of us would never have thought of: lint in the clothes dryer. On January 26, two residents of Rochester, NY had to go to the hospital and receive oxygen therapy quickly to stave off potentially fatal effects of smoke inhalation–even though they were involved in what the local fire department considered a minor house fire, and had suffered no second- or third-degree burns.

Just after 7 a.m. that day, the clothes dryer caught fire in the basement of the house, probably because its lint trap was overly full. Although the residents noticed the smoke and left the house to call for help, and it took firefighters just 15 minutes to control the fire (which was contained to the basement) the two people told emergency responders that they did not feel well and were taken to the hospital as a precaution. Because smoke rises, the entire house sustained damage from the smoke. What’s more, there were no working smoke detectors inside the house, though local firefighters installed detectors in the house right after the fire, as a courtesy. But if the fire started while the residents were asleep, the lack of smoke detectors could have produced a tragic outcome.

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