Adopt a Philosophy of Early Excision and Grafting of Burn Wounds
Adopt a Philosophy of Early Excision and Grafting of Burn Wounds Jeremy W. Pyle MD James H. Holmes IV MD No measure has had a greater effect on the outcome…
Be Aware of the Pitfalls in the Management of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis
Be Aware of the Pitfalls in the Management of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis Vijay A. Singh MD Stephen M. Milner MD, FACS There is controversy about the classification…
Strongly Consider Escharotomy in Circumferential Burns
Strongly Consider Escharotomy in Circumferential Burns Richard Wong She MBChB James H. Holmes IV MD Eschar refers to relatively inelastic burned skin. An escharotomy is the procedure of “opening the…
Do not Use Parenteral Nutrition, if at all Possible, in Burn Patients
Do not Use Parenteral Nutrition, if at all Possible, in Burn Patients Jeremy W. Pyle MD James H. Holmes IV MD Years of work and hundreds of studies have been…
Do not Use Hyperbaric Oxygen Therapy in Burns
Do not Use Hyperbaric Oxygen Therapy in Burns Travis L. Perry MD James H. Holmes IV MD Hyperbaric oxygen therapy is currently used in various clinical treatment regimens. These include…
Never Underestimate the Severity of an Electrical Burn
Never Underestimate the Severity of an Electrical Burn Travis L. Perry MD James H. Holmes IV MD Electrical injuries continue to be clinically and surgically challenging for surgeons and critical…
Remember that not All Fever in the Burn Patient is Due to Infection
Remember that not All Fever in the Burn Patient is Due to Infection Oliver A. Varban MD James H. Holmes IV MD Virtually all burn patients have elevated core body…
Do not Administer Prophylactic Antimicrobials to Burn Patients
Do not Administer Prophylactic Antimicrobials to Burn Patients Gary T. Marshall MD James H. Holmes IV MD Despite the great strides made over the last decades in improving survival after…
Know the Normal Physiologic Changes and Associated Laboratory Values that Occur in Pregnancy
Know the Normal Physiologic Changes and Associated Laboratory Values that Occur in Pregnancy Glen Tinkoff MD The physiologic adaptations of pregnancy occur in response to fetal development and eventual delivery….
Strongly Consider the Use of an Electronic Fetal Monitor in Caring for a Patient at Greater than 24 Weeks’ Gestation in the Intensive Care Unit
Strongly Consider the Use of an Electronic Fetal Monitor in Caring for a Patient at Greater than 24 Weeks’ Gestation in the Intensive Care Unit Robert K. Michaels MD, MPH…
