Institutional Experience Using a Treatment Algorithm for Electrical Injury.

Journal of Burn Care & Research : Official Publication of the American Burn Association
Saira NisarLaura S Johnson

Abstract

Electrical injury has low incidence but is associated with high morbidity and mortality. Variability in diagnosis and management among clinicians can lead to unnecessary testing. This study examines the utility of an electrical injury treatment algorithm by comparing the incidence of testing done on a cohort of patients before and after implementation. Demographics, injury characteristics, and treatment information were collected for patients arriving to a regional burn center with the diagnosis of electrical injury from January 2013 to September 2018. Results were compared for patients admitted before and after the implementation of an electrical injury treatment algorithm in July 2015. There were 56 patients in the pre-algorithm cohort and 38 in the post-algorithm cohort who were of similar demographics. The proportion of creatine kinase (82% vs 47%, P < .0006), troponin (79% vs 34%, P < .0001), and urinary myoglobin (80% vs 45%, P < .0007) testing in the pre-algorithm cohort was significantly higher compared to post-algorithm cohort. There were more days of telemetry monitoring (median [IQR], 1 [1-5] vs 1 [1-1] days, P = .009) and greater ICU length of stays (4 [1-5] vs 1 [1-1] days, P = .009), prior to algorithm implementat...Continue Reading

References

Jun 3, 1991·The Medical Journal of Australia·P A Cunningham
Mar 1, 1990·Critical Care Medicine·N C ChandraA M Munster
Feb 1, 1986·The Journal of Trauma·G F Purdue, J L Hunt
Dec 1, 1995·Seminars in Neurology·R C LeeN H Pliskin
Nov 20, 1997·Current Problems in Surgery·R C Lee
May 6, 1998·Burns : Journal of the International Society for Burn Injuries·J ArrowsmithW A Dickson
Oct 24, 2000·The American Journal of Emergency Medicine·B BaileyR L Thivierge
Jan 17, 2003·Critical Care Medicine·Anastassios C Koumbourlis
Mar 15, 2006·Annals of the New York Academy of Sciences·Raphael C Lee
Jul 5, 2006·Journal of Burn Care & Research : Official Publication of the American Burn Association·Brett ArnoldoNicole S Gibran
Jan 18, 2012·Journal of Burn Care & Research : Official Publication of the American Burn Association·Sarah E MattMarion H Jordan
Oct 19, 2016·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Andrea M PawlikChristian H Nickel
Jul 1, 2016·Journal of Burn Care & Research : Official Publication of the American Burn Association·Jessica G ShihMarc G Jeschke
Apr 27, 2017·European Heart Journal·Victor WaldmannEloi Marijon

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.