DOI: http://dx.doi.org/10.18203/2349-2902.isj20175396

A study of unusual burns at a tertiary burn unit: a prospective study

Alagar Raja Durairaj, Surya Rao Rao Venkata Mahipathy, Manimaran Ramachandran, Narayanamurthy Sundaramurthy

Abstract


Background: Unusual burns are not uncommon. They occur in the industrial as well as the domestic side. These are mainly burns due to chemicals, tar, fire walk and lightning burns. These burns occur as a result of improper handling of chemicals with poor safety measures or due to accidents. Here, we discuss about these burns, their epidemiology with treatment and preventive measures.

Methods: The study was conducted at a tertiary care burn centre for a period of two years from Jan 2009 to Jan 2011. Forty-four patients with unusual burns were admitted and evaluated with a thorough history and clinical examination. Initial resuscitation was done followed by specific therapy in each of the cases.

Results: The forty-four patients with unusual burns were categorized into chemical burns, lightning burns, tar burn, camphor burns, fire walk burns and miscellaneous types. These burns mostly involved adult males and were generally due to domestic reasons. 93% were due to accidents of which most of them were of the miscellaneous type (83%).

Conclusions: Unusual burns are an important to know as these are occurring with regular frequency in the present days. These burns are usually accidental occurring in industries and in household setups. Proper education and safety measures could reduce the incidence of these unusual burns.


Keywords


Camphor, Chemical, Fire walk, Lightning, Tar, Unusual burns

Full Text:

PDF

References


Sinha S, Sinha JK, Tripathi FM, Bhattacharya V, Unit B. Chemical burns-our experience over eleven years. Annals of the MBC. 1990;3:203-5.

Xie Y, Tan Y, Tang S. Epidemiology of 377 patients with chemical burns in Guangdong province. Burns. 2004;30(6):569-72.

Mannan A, Ghani S, Clarke A, Butler PE. Cases of chemical assault worldwide: a literature review. Burns. 2007;33(2):149-54.

Singer A, Sagi A, Meir PB, Rosenberg L. Chemical burns: our 10-year experience. Burns. 1992;18(3):250-2.

Li YY, Liu Y. Analysis of 155 patients with chemical injury: a 5-year experience. Burns. 1993;19(6):516-8.

Ma B, Wei W, Xia ZF, Tang HT, Zhu SH, Wang Y, et al. Mass chemical burn casualty: emergency management of 118 patients with alkali burn during a Matsa typhoon attack in Shanghai, China in 2005. Burns. 2007;33(5):565-71.

McCrady-Kahn VL, Kahn AM. Lightning burns. Western Journal of Medicine. 1981 Mar;134(3):215.

Ritenour AE, Morton MJ, McManus JG, David J. Barillo DJ, Cancio LC. Lightning injury: A review. Burns. 2008;34(5):585-94.

Muehlberger T, Vogt PM, Munster AM. The long-term consequences of lightning injuries. Burns. 2001;27(8):829-33.

Ohashi M, Kitagawa N, Ishikawa T. Lightning injury caused by discharges accompanying flashovers- a clinical study of death and survival. Burns. 1866;12(7):496-501.

Baruchin AM, Schraf S, Rosenberg L, Sagi AA. Hot bitumen burns: 92 hospitalized patients. Burns. 1997;23(5):438-41.

Iuchi M, Sugiyama M, Oyatsu Y. The comparative study of solvents to expedite removal of bitumen. Burns. 2009;35(2): 288-93.

Türegün M, Öztürk S, Selmanpakoǧlu N. Sunflower oil in the treatment of hot tar burns. Burns. 1997;23(5):442-45.

Tiernan E, Harris A. Butter in the initial treatment of hot tar burns. Burns. 1993;19(5):437-8.

Lewis DM, Balakrishnan S, Coady MS, Allison K. Camphor burns to the palm: an unusual self-inflicted burn. Burns. 2007;33(5):672.

Andrew A. Sayampanathan. Fire walking in Singapore- a study of the distribution of burns. Burns. 201;37(3):503-7.

Al-Qattan MM, Al-Zahrani K. A review of burns related to traditions, social habits, religious activities, festivals and traditional medical practices. Burns. 2009;35(4):476-81.

Al-Qattan MM. Burns in epileptics in Saudi Arabia. Burns. 2000;26(6):561-3.

Karacaoĝlan N, Uysal A. Deep burns following epileptic seizures. Burns. 1995;21(7):546-9.

Kumar V, Dayapala A. Mobile phone explosion burn. burns. 2007;33(5):677.

Karabagli Y, Köse AA, Çetin C. Partial thickness burns caused by a spontaneously exploding mobile phone. Burns. 2006;32(7):922-4.