The Management of Burns and Fire Disasters: Perspectives 2000

Front Matter....Pages i-xv
Front Matter....Pages 1-1
Management of Fire Disasters: Doctors in or Patients Out?....Pages 3-5
History and evolution of surgical treatment of burns....Pages 6-9
The maturity of society and disaster preparedness/prevention....Pages 10-11
Forest Fires and Related Accidents in the Social Context....Pages 12-21
Ethical problems in mass disasters....Pages 22-25
Terminology of Burns and Fire Disasters....Pages 26-32
Basic Principles and Paths for Perfecting the Care of Severely Burned Patients....Pages 33-35
Risk Assessment of Fire and Explosion Disasters: a Systematic Approach....Pages 36-50
Front Matter....Pages 51-51
Fire disaster Management....Pages 53-56
University Hospital Fire Disaster — Lessons to Learn....Pages 57-65
Organization of Emergency Rescue....Pages 66-72
The Main Tasks in Offering Medical Aid to a Burned Patient in the Pre-hospital Stage....Pages 73-74
The Role of a Tissue Bank in Disaster Planning....Pages 75-83
Civilian and Military Burn Injuries: a Comparative Study....Pages 84-86
The Army Medical Corps and Its Response in Fire Disasters: Ultralight Field Units....Pages 87-89
Medical strategy and Tactics for Fire Disasters in Russia....Pages 90-91
Toxicological Management of Fires....Pages 92-95
Disaster Medicine Exercise....Pages 96-98
The ARGO Satellite System: Severely Burned Patients Network....Pages 99-105
Planning and Management of Rescue Operations in the Event of Fire in a City....Pages 106-108
Front Matter....Pages 51-51
Emergency Medical Services: Rescue Potential for Mass Casualties in Urban Fire Disasters....Pages 109-113
Front Matter....Pages 115-115
The Use of a Multimedia System in Domestic Burn Prevention Campaigns....Pages 117-119
A Burn Prevention Programme....Pages 120-126
Burn Injuries in Children....Pages 127-130
Burns Prevention in a Paediatric Population....Pages 131-138
In-depth Investigation of the Causes and Prevention of Minor Burns Treated at a Turkish Burn Centre....Pages 139-142
Front Matter....Pages 143-143
Burns in Russia: The Statistics and Organization of Specialized Medical Care....Pages 145-149
Domestic Burns Due to Butane Gas Explosion in Algeria....Pages 150-153
City Fires: Group Burn Trauma....Pages 154-159
Analysis of 1005 Burn Patients Treated in One Centre in Turkey....Pages 160-164
Burns Epidemiology in Syria: Al-Kindi Hospital, Aleppo....Pages 165-168
Comparison of Epidemiological Data and Life Prognosis in Patients Transferred From the Maghreb to France, and in All Patients Admitted to One Burns Centre in Paris....Pages 169-173
Analysis of Burned Children in Libya; Tripoli Burns and Plastic Surgery Centre....Pages 174-182
Epidemiology of Outpatient Burns as a Public Health Problem....Pages 183-186
Front Matter....Pages 187-187
Computer Support in Fluid Resuscitation for Burn Patients....Pages 189-194
The Life-Saving Potential of Anaesthesiology in Burned patients; Classical Approaches and New Perspectives....Pages 195-204
Efficacy of Haptoglobin in Haemolysis and Prevention of Acute Renal Disorders Following Severe Burn Injury....Pages 205-213
Effective Method of Extracorporeal Detoxification in Severe Burns....Pages 214-217
Front Matter....Pages 219-219
Value of Immune Status Analysis in the Assessment of Burn Patients....Pages 221-222
Immunobacteriological Monitoring of Burn Patients: a Proposed Protocol....Pages 223-226
Front Matter....Pages 219-219
The Expression of HLA-DR, IL-2R, ICAM-1 and TNF Alpha Molecules as Possible Prognostic Elements of Hypertrophic Scarring in Burns....Pages 227-232
Prediction in Burns Outcome: a New Prognostic Index....Pages 233-240
Front Matter....Pages 241-241
What is Hazardous in Fire Smoke?....Pages 243-253
Inhalation Trauma Diagnostic Screening Test for Fire Victims....Pages 254-256
Pulmonary Inhalation Injury....Pages 257-259
Lung Metabolic Function as a Factor of Homeostasis Support After Thermal Injury....Pages 260-265
Application of Enterosorbents in the Acute Period of Burn Disease....Pages 266-269
Front Matter....Pages 271-271
Infection in the Burn Patient....Pages 273-283
Histological Assessment of the Level of Burn Wound Infection: Diagnostic and Therapeutic Strategies....Pages 284-288
Modern Approach to Treatment of Contaminated Burn Wounds by Local Ozone Therapy....Pages 289-295
Evaluation of Conservative Ambulatory Burn Treatment with Nitrofurazone-Embedded Fine Mesh Gauze in 100 Consecutive Patients....Pages 296-300
Front Matter....Pages 301-301
Dilemmas in Burn Surgery....Pages 303-305
The Evolution of Surgical Procedures in the Acute Phase of Burns....Pages 306-308
The Aesthetic Repair of Severe Neck Burn Sequelae....Pages 309-321
A Local Skin Grafting Method in the Treatment of Postburn Scar Contractures in the Neck....Pages 322-323
Management of the Burned Patient: a Surgical and Anaesthesiological Protocol....Pages 324-326
Sedation and Analgesia: an i.m.—i.v. Technique for Dressing Procedures....Pages 327-328
Aesthetic Reconstruction of Deep Facial Burns....Pages 329-334
Front Matter....Pages 335-335
Skin Substitutes: Biomaterials and their Use in Covering Substance Loss and Burns....Pages 337-342
Clinical Experience with Skin Xenografts in Burned Patients....Pages 343-345
Front Matter....Pages 335-335
Present and Future Indications for the Use of Cultured Epidermal Autografts in the Treatment of Burns....Pages 346-351
Problems Created by the Use of Cultured Epithelia....Pages 352-356
Development and Clinical Application of Keratinocytes Cultured on a Hyaluronic Ester Membrane in Burn Patients....Pages 357-361
Controlled Trial on Donor Sites: Biocol Versus Jelonet....Pages 362-369
Front Matter....Pages 371-371
The Regeneration of Skin Sensitivity After Extensive Burns....Pages 373-376
Treatment of Hypertrophic Scars with Topical Silicone Gel....Pages 377-381
Burn Scars: Prevention and Treatment with Elastic Compression....Pages 382-388
The Extended Deep Inferior Epigastric Flap: A Spearhead to Charge into the Most Resistant Sites....Pages 389-395
The Treatment of Burn Scars in the Cervico-Facial Region with Bipedicled Expanded Flap of the Scalp....Pages 396-399
Tissue Expansion in the Rehabilitation of Head and Neck Burn Sequelae....Pages 400-404
Front Matter....Pages 405-405
Electrical Burn Injury....Pages 407-410
Epidemiology, Clinical Treatment and Therapy in Electrically Burned Children....Pages 411-424
Shoulder Disarticulation After High-Tension Electrical Burns: Technical Problems....Pages 425-429
Front Matter....Pages 431-431
Hand Burns in Children....Pages 433-436
Deep Hand Burns: The Importance of Rehabilitation in the Acute Phase for Surgical Preparation....Pages 437-439
Tactics for Operative Treatment of Postburn Hand Contractures in Children....Pages 440-442
Rehabilitation in Severe Burned Hand Sequelae....Pages 443-444
Front Matter....Pages 445-445
The Burned Hand: Its Consequences for the Patients’ Psychological Status and Social Readjustment....Pages 447-451
Limb Rehabilitation in the Burned Patient....Pages 452-460
Early and Late Results of Physiotherapy in Burns....Pages 461-463
Front Matter....Pages 465-465
The Burn Unit — Past, Present and Future....Pages 467-469
The New Burns Centre in Messina, Italy (a sketch)....Pages 470-472
The New Burns Centre in Rome; a Brief Description....Pages 473-475
After Twenty Years’ Experience, Should the Structures and Standards of Burns Centres be Reconsidered?....Pages 476-481
A Proposed Computer File for Use in Burns Centres....Pages 482-485
Front Matter....Pages 487-487
Forest Fire Behaviour and Fireline Safety....Pages 489-500
Current Trends in Forest Firefighting Techniques....Pages 501-507
The Protection of Forests in Sicily from Fire Risk....Pages 508-514
New Technologies for Predicting, Preventing and Extinguishing Forest Fires....Pages 515-519
Forest Fires in Ticino Canton, Switzerland....Pages 520-532
Front Matter....Pages 534-534
Triage in Major Technological Health Disasters: Chemical Poisoning, Radiation Injury, Fire Injury....Pages 535-543
The Problem of Fire Disasters in Russia, Including Fires at Chernobyl-Type Nuclear Plants....Pages 544-546
Evolution of Burn Accidents in a Hydrocarbons Complex: Sonatrach 1985–1990....Pages 547-551
Industrial Burns Prevention and Fire Disaster Management: the ENI Experience....Pages 552-555
Safety Features of Protective Equipment for Work in the Presence of High Temperatures and Methods for Testing their Efficiency....Pages 556-562
Chemical Spillage — a Preventable Disaster?....Pages 563-571
Front Matter....Pages 573-573
European Union and National Legislation Regarding Industrial Activities Involving the Risk of Serious Accidents....Pages 575-581
The Role of the World Health Organization in Disasters....Pages 582-585
Protection of Health and Humanitarian Services in Time of Armed Conflict: The Role of the International Committee of the Red Cross....Pages 586-591
Considerations on a Collaborative International Health Project for Guerilla Warfare Burn Victims in Angola....Pages 592-595
Front Matter....Pages 573-573
Treating the Paediatric Burn Patients of the Bashkiria Disaster....Pages 596-599
Back Matter....Pages 601-605