Journal Article

Burn injury

Jeschke, Marc G., Logsetty, Sarvesh, Gibran, Nicole S., Choudhry, Mashkoor A., Chung, Kevin K., van Baar, Margriet E.

2020

Overview

Burn injuries are under-appreciated injuries that are associated with substantial morbidity and mortality. Burn injuries, particularly severe burns, are accompanied by an immune and inflammatory response, metabolic changes and distributive shock that can be challenging to manage and can lead to multiple organ failure. Of great importance is that the injury affects not only the physical health, but also the mental health and quality of life of the patient. Accordingly, patients with burn injury cannot be considered recovered when the wounds have healed; instead, burn injury leads to long-term profound alterations that must be addressed to optimize quality of life. Burn care providers are, therefore, faced with a plethora of challenges including acute and critical care management, long-term care and rehabilitation. The aim of this Primer is not only to give an overview and update about burn care, but also to raise awareness of the ongoing challenges and stigmata associated with burn injuries. Burn injuries, particularly severe burns, are accompanied by a metabolic, immune and inflammatory response that can be challenging to manage, often leading to multiple organ failure or even death. This Primer discusses aspects of burn injury, from prevention to care of patients from both an acute and a long-term perspective.

• Publisher: Nature Publishing Group UK,Nature Publishing Group
• Subject: 631/250/256/1980 / 631/250/98 / 692/4020/2741/2135 / 692/700/459/1748 / Burns / Burns - complications / Burns - physiopathology / Burns - rehabilitation / Cancer Research / Epidemiology / Humans / Immune response / Injuries / Internal Medicine / Medical Microbiology / Medicine / Medicine & Public Health / Metabolism / Multiple organ dysfunction syndrome / Multiple Organ Failure - etiology / Multiple Organ Failure - physiopathology / Primer / Quality of life / Quality of Life - psychology / Quality of Life Research / Shock - etiology / Shock - physiopathology