History of burns: The past, present and the future

Burn injuries are one of the most common and devastating afflictions on the human body. In this article we look back at how the treatment of burns has evolved over the centuries from a primarily topical therapy consisting of weird and wonderful topical concoctions in ancient times to one that spans...

Full description

Bibliographic Details
Main Authors: Kwang Chear Lee, Kavita Joory, Naiem S Moiemen
Format: Article
Language:English
Published: Oxford University Press 2014-10-01
Series:Burns & Trauma
Subjects:
Online Access:http://www.burnstrauma.com/article.asp?issn=2321-3868;year=2014;volume=2;issue=4;spage=169;epage=180;aulast=Lee
_version_ 1818843388181479424
author Kwang Chear Lee
Kavita Joory
Naiem S Moiemen
author_facet Kwang Chear Lee
Kavita Joory
Naiem S Moiemen
author_sort Kwang Chear Lee
collection DOAJ
description Burn injuries are one of the most common and devastating afflictions on the human body. In this article we look back at how the treatment of burns has evolved over the centuries from a primarily topical therapy consisting of weird and wonderful topical concoctions in ancient times to one that spans multiple scientific fields of topical therapy, antibiotics, fluid resuscitation, skin excision and grafting, respiratory and metabolic care and nutrition. Most major advances in burn care occurred in the last 50 years, spurred on by wars and great fires. The use of systemic antibiotics and topical silver therapy greatly reduced sepsis related mortality. This along with the advent of antiseptic surgical techniques, burn depth classification and skin grafting allowed the excision and coverage of full-thickness burns which resulted in greatly improved survival rates. Advancements in the methods of assessing the surface area of burns paved way for more accurate fluid resuscitation, minimising the effects of shock and avoiding fluid over-loading. The introduction of metabolic care, nutritional support and care of inhalational injuries further improved the outcome of burn patients. We also briefly discuss some future directions in burn care such as the use of cell and pharmalogical therapies.
first_indexed 2024-12-19T04:57:04Z
format Article
id doaj.art-4b777c8b0a844fdda58ae3bc5ab985d5
institution Directory Open Access Journal
issn 2321-3868
2321-3876
language English
last_indexed 2024-12-19T04:57:04Z
publishDate 2014-10-01
publisher Oxford University Press
record_format Article
series Burns & Trauma
spelling doaj.art-4b777c8b0a844fdda58ae3bc5ab985d52022-12-21T20:35:11ZengOxford University PressBurns & Trauma2321-38682321-38762014-10-012416918010.4103/2321-3868.143620History of burns: The past, present and the futureKwang Chear LeeKavita JooryNaiem S MoiemenBurn injuries are one of the most common and devastating afflictions on the human body. In this article we look back at how the treatment of burns has evolved over the centuries from a primarily topical therapy consisting of weird and wonderful topical concoctions in ancient times to one that spans multiple scientific fields of topical therapy, antibiotics, fluid resuscitation, skin excision and grafting, respiratory and metabolic care and nutrition. Most major advances in burn care occurred in the last 50 years, spurred on by wars and great fires. The use of systemic antibiotics and topical silver therapy greatly reduced sepsis related mortality. This along with the advent of antiseptic surgical techniques, burn depth classification and skin grafting allowed the excision and coverage of full-thickness burns which resulted in greatly improved survival rates. Advancements in the methods of assessing the surface area of burns paved way for more accurate fluid resuscitation, minimising the effects of shock and avoiding fluid over-loading. The introduction of metabolic care, nutritional support and care of inhalational injuries further improved the outcome of burn patients. We also briefly discuss some future directions in burn care such as the use of cell and pharmalogical therapies.http://www.burnstrauma.com/article.asp?issn=2321-3868;year=2014;volume=2;issue=4;spage=169;epage=180;aulast=LeeBurnshistoryfuturefire disasters
spellingShingle Kwang Chear Lee
Kavita Joory
Naiem S Moiemen
History of burns: The past, present and the future
Burns & Trauma
Burns
history
future
fire disasters
title History of burns: The past, present and the future
title_full History of burns: The past, present and the future
title_fullStr History of burns: The past, present and the future
title_full_unstemmed History of burns: The past, present and the future
title_short History of burns: The past, present and the future
title_sort history of burns the past present and the future
topic Burns
history
future
fire disasters
url http://www.burnstrauma.com/article.asp?issn=2321-3868;year=2014;volume=2;issue=4;spage=169;epage=180;aulast=Lee
work_keys_str_mv AT kwangchearlee historyofburnsthepastpresentandthefuture
AT kavitajoory historyofburnsthepastpresentandthefuture
AT naiemsmoiemen historyofburnsthepastpresentandthefuture