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Related Concept Videos

Burn Injuries01:22

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...

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Changing trends in pediatric upper extremity electrical burns.

Simon G Talbot1, Joseph Upton, Daniel N Driscoll

  • 1Division of Plastic Surgery, Shriners Hospital Boston, 51 Blossom Street, Boston, MA 02114 USA.

Hand (New York, N.Y.)
|December 4, 2012
PubMed
Summary

Pediatric upper extremity electrical burns have shifted towards younger females and domestic causes, indicating successful safety campaigns. This has reduced severe injuries and amputations, changing reconstructive needs.

Keywords:
BurnsElectricalPediatricUpper extremity

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Area of Science:

  • Pediatric burn care
  • Trauma surgery
  • Public health initiatives

Background:

  • Upper extremity electrical burns cause significant morbidity and disability.
  • Observed changes in patient presentation prompted a comparative study.
  • Historical data comparison is crucial for understanding evolving burn injury patterns.

Purpose of the Study:

  • To compare current data on pediatric upper extremity electrical burns with historical data.
  • To identify demographic and etiological shifts in pediatric electrical burn injuries.
  • To assess changes in reconstructive surgery requirements over time.

Main Methods:

  • Retrospective analysis of electrical upper extremity burns in patients aged 21 years or younger.
  • Utilized data from Shriners Hospital Boston and American Burn Association databases.
  • Collated and analyzed data on demographics, etiology, and reconstructive procedures.

Main Results:

  • The cohort comprised predominantly males (77%) aged 10-15 years (40%).
  • An increase in female and younger patients with domestic wiring-related burns was observed.
  • A decrease in high-voltage injuries and amputations was noted, with fewer international transfers.

Conclusions:

  • Shifts in burn demographics and causes suggest the effectiveness of safety education.
  • Evolving injury patterns necessitate adjustments in reconstructive surgical approaches.
  • Continued global safety efforts may yield similar reductions in pediatric electrical burn injuries.