摘要:

Simultaneous bilateral fractures of the femoral necks are rare injuries, especially when there is no underlying pathologic condition. A review of the literature revealed only 10 cases of this injury as a result of trauma, only one of which was due to accidental electric shock. A second case in which such an injury was caused by accidental electric shock is presented here. It is important to be aware of this injury and to diagnose it early to avoid the increased risk of complications after a delay in diagnosis or treatment.

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Secure positioning of orally or nasally placed endotracheal and gastric tubes is a necessity for the patient with burns. This article describes a technique for securing these tubes with a simple modification to avoid compression on the ear that may lead to subsequent necrosis and infection.

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

A reliable, objective, and universal method of assessing burn scars does not exist in today's burn literature. Such a method is necessary to provide a descriptive terminology for the comparison of burn scars and the results of treatment. The method should be applicable to patients both within an institution and between burn centers. A burn scar assessment has been devised based on physical parameters. These relate to the healing and maturation of wounds, cosmetic appearance, and the function of the healed skin. Pigmentation, vascularity, pliability, and scar height are assessed independently, with increasing score being assigned to the greater pathologic condition. Normal skin has a score of 0. Seventy-three patients were assessed by three separate occupational therapists and the findings subjected to statistical analysis for interrater reliability. For each parameter a Cohen's K statistic of approximately 0.5 ± 0.1 indicates a statistically significant agreement between observers. These values were found to improve with time. This appears to be a useful tool for the assessment of burn scars, allowing objective comparison of the same scar by different observers.

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Many pediatric burns can be prevented. However, education must be presented in an informative and interesting manner to be effective. Is it possible to teach burn safety to elementary school children in four sessions? Sixty-six fourth-grade children were involved in age-appropriate activities, experiments, and discussion that were spaced evenly throughout the school year. Content was based on material furnished by the local fire department with added videos and exercises. By having children crawl blindfolded on their bellies through halls like GI Joe TV characters and by having them watch dry vapors swirl around their faces, boring burn lectures can be turned into challenging and entertaining games. In a game-type testing session, 40 of 49 questions were answered correctly the first time. A community teaching project for interested burn team members is easily planned and implemented. The enthusiastic response of the children and the satisfaction of preventing a possible burn injury promotes continued involvement.

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

A patient acuity classification is required by the Joint Commission on Accreditation of Healthcare Organizations, and this is vital in providing safe, cost-effective nursing care. The Workload Management System for Nurses (WMSN), which is based on direct and indirect nursing care research, prospectively classifies patients on the basis of direct care requirements and then establishes staffing levels on the basis of both direct care and indirect care workloads. Application of the Department of Defense WMSN to the military burn research center is feasible and has provided data for objective staffing adjustments and validated staffing requirements. In addition, several other quality assurance implications have been realized as a result of implementation of the system.

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID