Global Perspectives on Burn Prevention, Management, Collaboration, and Disparities

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Guest Editor
Division of Surgery, Orthopedics and Oncology (KOO), Department of Biomedical and Clinical Sciences (BKV), Linköping University (LIU), SE-581 83 Linköping, Sweden
Interests: global surgery; global burden of burns; burn care in low resource settings; implementation research; genital mutilation
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Special Issue Information

Dear Colleagues,

Burns can lead to dramatic consequences in terms of morbidity and mortality. Where preventive strategies have been adopted and adequate care is guaranteed, incidence and outcomes after burns have progressively improved, while in limited resource settings they have not. Research can contribute to reducing the burden of burns, identifying risk groups, analyzing management and outcomes, and promoting systematic data collection. Collaboration among burn care experts and researchers around the world may contribute to providing one standard of care, reducing differences

Dr. Laura Pompermaier
Guest Editor

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Keywords

  • burn injury
  • low-resource settings
  • low- and middle-income countries
  • burn care capacity
  • traditional medicine
  • delay in care
  • surgery
  • reconstruction
  • contractures
  • socio-economic factors
  • equality
  • burn registry
  • equity

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Published Papers (2 papers)

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Research

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14 pages, 234 KiB  
Article
Improving Nutrition and Nutrition Education in the Burn Unit of a Developing Country: A Qualitative Study
by Jonathan Bayuo, Joyce Pwavra, Jephtah Davids, Anita Eseenam Agbeko, Paa Ekow Hoyte-Williams, Frank Bediako Agyei and Pius Agbenorku
Eur. Burn J. 2025, 6(1), 15; https://doi.org/10.3390/ebj6010015 - 10 Mar 2025
Viewed by 434
Abstract
Burn injuries can trigger a series of metabolic and catabolic responses that exert significant impacts on an individual’s nutritional status, necessitating continuous nutritional support and education to aid recovery. However, burn units in developing countries often face resource limitations that can negatively affect [...] Read more.
Burn injuries can trigger a series of metabolic and catabolic responses that exert significant impacts on an individual’s nutritional status, necessitating continuous nutritional support and education to aid recovery. However, burn units in developing countries often face resource limitations that can negatively affect these needs. This study aimed to explore the challenges related to post-burn nutrition and nutrition education in our burn unit and identify ways to improve the situation. An interpretive description approach was used, and convenience sampling recruited fifty-three participants, including 18 adult burn survivors and their primary caregivers (each as a single dyad), 10 informal caregivers of paediatric burn survivors, and 25 burn care staff. The data were analysed through thematic analysis, revealing three main themes and seven subthemes. The findings highlight an unstructured approach to nutrition and education, along with financial constraints affecting adherence. To address these issues, strategies such as using educational materials like videos and booklets/leaflets in the local language are suggested to develop relevant interventions. In conclusion, while there are concerns about nutrition and education, there are also opportunities to improve the situation. Full article

Review

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8 pages, 826 KiB  
Review
Recreational Use of Nitrous Oxide as a Source of Frostbite Injuries to the Skin: A Review of the Literature and a Case Report
by Sebastian Holm, Reza Tabrisi and Johann Zdolsek
Eur. Burn J. 2025, 6(1), 14; https://doi.org/10.3390/ebj6010014 - 7 Mar 2025
Viewed by 601
Abstract
Nitrous oxide has a wide range of medical applications, such as being used as an analgesic in general anesthesia, dental procedures, childbirth and sedation. Lately, it has also been employed as an inhalant recreational drug to induce brief euphoria. Recent studies indicate a [...] Read more.
Nitrous oxide has a wide range of medical applications, such as being used as an analgesic in general anesthesia, dental procedures, childbirth and sedation. Lately, it has also been employed as an inhalant recreational drug to induce brief euphoria. Recent studies indicate a worldwide rise in the incidence of skin frostbites associated with nitrous oxide use. A scoping review was conducted to synthesize and summarize the existing literature published in English regarding frostbite injuries associated with the recreational use of nitrous oxide. The literature search was carried out in July 2024 using databases such as Embase, Web of Science and PubMed®. From an initial pool of 83 publications, 8 studies were ultimately selected for full-text review as they met our inclusion criteria for analysis. Additionally, we provide a representative clinical case involving a 21-year-old male who experienced frostbite following skin exposure to nitrous oxide. Most publications on nitrous oxide induced frostbites are from recent years, primarily between 2022 and 2024, with the first case documented in 1996. These injuries are mostly observed in young adults, with a female dominance, and are typically localized to the inner thighs. According to the existing literature, the predominant treatment approach is conservative management, with excision and split-thickness skin grafting (STSG) in the second place. This study represents the first literature review summarizing frostbite injuries to the skin from nitrous oxide misuse. There is a need for enhanced preventive measures to raise public awareness and reduce the incidence of frostbite injuries associated with the recreational use of nitrous oxide. Full article
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