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Burns Current Awareness Newsletter July 2015

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Burns Current Awareness Newsletter July 2015 Burns Current Awareness Newsletter July 2015 Outreach Your Outreach Librarian can help facilitate evidence-based practise for all Burns members of staff, as well as assisting with academic study and research. We can help with literature searching, obtaining journal articles and books, and setting up individual current awareness alerts. Literature Searching We provide a literature searching service for any library member. For those embarking on their own research it is advisable to book some time with one of the librarians for a 1 to 1 session where we can guide you through the process of creating a well-focused literature research and introduce you to the health databases access via NHS Evidence. Critical Appraisal Training We also offer one-to-one or small group training in literature searching, accessing electronic journals, and critical appraisal/Statistics. These are essential courses that teach how to interpret clinical papers. For more information, email: [email protected] Books Books can be searched for using SWIMS our online catalogue at www.swims.nhs.uk. Books and journals that are not available on site or electronically may be requested from other locations. Please email requests to: [email protected] Contents 1: Tables of Contents from July’s Burns journals 2: Latest relevant Systematic Reviews from the Cochrane Library 3: Quick Exercise 4: Current Awareness database articles Tables of Contents from Burns journals If you require full articles please email: [email protected] Burns 2015 (Elsevier) August 2015, Volume 41, Issue 3 Journal of Burn Care & Research (LWW) May/June 2015, Volume 36, Issue 3 Injury Prevention (BMJ) June 2015, Volume 21, Issue 3 Plastic and Reconstructive Surgery (LWW) July 2015, Volume 136, Issue 1 Journal of Plastic, Reconstructive & Aesthetic Surgery (Elsevier) July 2015, Volume 68, Issue 7 Archives of Disease in Childhood (BMJ) July 2015, Volume 100, Issue 7 Pediatrics (HighWire) July 2015, Volume 136, Issue 1 Injury (Elsevier) July 2015, Volume 46, Issue 7 Trauma (Sage) July 2015, Volume 17, Issue 3 To access electronic resources you need an NHS Athens username and password To register, click on the link: https://openathens.nice.org.uk/ You need to register using an NHS PC and an NHS email address. Registration is a quick, simple process, and will give you access to a huge range of online subscription resources, including: UpToDate Dynamed NHS Evidence Anatomy.tv E-journals E-books For more information or help with setting up your Athens account, email: [email protected] Latest relevant Systematic Reviews from the Cochrane Library Exercise rehabilitation following intensive care unit discharge for recovery from critical illness Bronwen Connolly, Lisa Salisbury, Brenda O'Neill, Louise Geneen, Abdel Douiri, Michael PW Grocott, Nicholas Hart, Timothy S Walsh, Bronagh Blackwood, for the ERACIP Group Hyperbaric oxygen therapy for chronic wounds Peter Kranke, Michael H Bennett, Marrissa Martyn-St James, Alexander Schnabel, Sebastian E Debus, Stephanie Weibel Transcutaneous electrical nerve stimulation for acute pain Mark I Johnson, Carole A Paley, Tracey E Howe, Kathleen A Sluka Quick Exercise Confounding Bias in research methodology A confounder is a factor that is: Linked to the outcome of interest, independent of the exposure Linked to the exposure but not the consequence of the exposure What is the confounding factor in the following relationships: People who carry matches are more likely to develop lung cancer People who eat ice-cream are more likely to drown Training in anaesthesia is more likely to make doctors commit suicide To find out more about bias in research methodology, sign up for one of our Critical Appraisal training sessions. For more details, email [email protected] UpToDate is the leading evidence-based clinical decision support system, designed for use at the point of care. It contains more than 9,500 searchable topics across the following specialities: Adult and paediatric emergency medicine Allergy and immunology Cardiovascular medicine Dermatology Drug therapy Endocrinology and diabetes mellitus Family medicine Gastroenterology and hepatology General surgery Geriatrics Haematology Hospital Medicine Infectious diseases Nephrology and hypertension Neurology Obstetrics and gynaecology Oncology Paediatrics Primary care internal medicine Psychiatry Pulmonary, critical care and sleep medicine Rheumatology How to access UpToDate You can access UpToDate from any computer via www.uptodate.com. You will need your NHS Athens username/password (register through http://openathens.nice.org.uk/). Current Awareness database articles If you require full articles please email: [email protected] Title: Diagnostic criteria for cutaneous injuries in child abuse: classification, findings, and interpretation. Citation: Forensic science, medicine, and pathology, Jun 2015, vol. 11, no. 2, p. 235-242 (June 2015) Author(s): Tsokos, Michael Abstract: Physical abuse of children has many manifestations. Depending on the type of force involved, specific injury patterns are produced on the body of the child, the morphology and localization of which are forensically relevant in terms of diagnostic classification as child abuse. Typical patterned bruising includes, for example, tramline bruises resulting from blows with oblong, stick-like objects. In addition to rounded or one- sided horseshoe-shaped bite injuries, injuries of different ages, clustered injuries (e.g., three or more individual injuries in the same body region), and thermal injuries are typical results of abuse. Abusive scalds are usually characterized by a symmetrical impression and localization with sharp delineation of the scald wound edges, in contrast to accidental scalding injuries with radiating splash patterns ending in tapered points. The coloration of a hematoma can help indicate the time when the injury occurred. Lack of a coherent and comprehensible explanation for accidental injury constitutes grounds for suspecting abuse. Suspicions should be raised in cases of a delayed visit to a doctor, waiting for an unusually long period before summoning emergency medical help for serious injuries to a child, and when differing versions of a purported accident are provided. Documentation of the findings is highly relevant in later reviews of the diagnosis, for instance, when new relevant facts and investigative results come to light in subsequent criminal proceedings. Source: Medline Title: Too hot to handle? Hot water bottle injuries in Sydney, Australia. Citation: Burns : journal of the International Society for Burn Injuries, Jun 2015, vol. 41, no. 4, p. 770-777 (June 2015) Author(s): Goltsman, David, Li, Zhe, Bruce, Eleanor, Darton, Anne, Thornbury, Kelly, Maitz, Peter K M, Kennedy, Peter Abstract: Hot water bottles are frequently used in the community as a source of warmth, and to alleviate a number of medical symptoms. In Australia it is believed that over 500,000 water bottles are sold annually (Whittam et al., 2010). This simple treatment is known to result in significant burns and has led to mandatory labeling requirements on hot water bottles in Australia. Despite this, few published studies have documented the incidence and nature of burns sustained through their use. This study aimed to assess the incidence, causation and outcome of hot water bottle burns presenting to a major burn trauma unit in Sydney (Australia). The New South Wales Agency for Clinical Innovation Statewide Burn Injury database and admission data to the Concord Hospital Burns Injury Unit (major treatment unit) provided information on hot water bottle burns occurring between 2005 and 2013. Demographic details, cause of burn, burn depth, total burn surface area (%TBSA), and outcome of burn were ascertained. In order to assess the burn potential of hot water bottles, a separate study examined the thermic properties of hot water bottles in 'real life' scenarios. There were 155 hot water bottle burn presentations resulting in 41 admissions and 24 grafts. The majority of patients were female, and most burns resulted from appliance rupture when used for local pain relief. Patients had an average TBSA of 2.4%. Burns patients were slightly more likely to reside in areas with greater socio-economic disadvantage. In real life scenarios, hot water bottles were shown to retain heat over 50°C for at least 3 hours (h). Hot water bottles are a source of common and preventable burns in the community, with women being more at risk than men. Hot water bottles may retain harmful levels of heat over an extended period of time. Additional labeling requirements pertaining to the longevity of hot water bottles and their use among people especially at risk of burns (i.e. children, the elderly, patients who have undergone recent surgery and/or those with conditions associated with sensory impairment) may further reduce the incidence and severity of hot water bottle burns in the community. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved. Source: Medline Title: Increased wound pH as an indicator of local wound infection in second degree burns. Citation: Burns : journal of the International Society for Burn Injuries, Jun 2015, vol. 41, no. 4, p. 820-824 (June 2015) Author(s): Ono, Sayaka, Imai, Ryutro, Ida, Yukiko, Shibata, Dai, Komiya, Takako, Matsumura, Hajime Abstract: Wound pH affects a number of important factors in wound healing. It is known that the pH of the skin surface
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