Burn medicine (combustiology)

2023: Handheld scanner developed to assess burn severity

In early February 2023 Stony Brook University New York , a manual scanner was presented in the, which uses terahertz spectroscopy in the time domain and neural network analysis of data for a non-invasive assessment of severity. burns skin More. here

2021: Announcement of a burn healing product made from human skin cells

In mid-June 2021, the biopharmaceutical company Mallinckrodt introduced StrataGraft from human skin cells to treat adults with thermal burns. The agent includes allogeneic cultured keratinocytes and dermal fibroblasts suspended in mouse collagen and can be used for deep burns that usually require surgical treatment. Read more here.

2020: The Ministry of Health approved the procedure for providing assistance in the field of burn medicine

In early October 2020, the Ministry of Health of the Russian Federation approved the procedure for providing assistance in the profile of "surgery (combustiology)," which is related to the consequences of thermal and chemical burns of the skin, as well as accompanied by acute and chronic diseases, post-burn scar deformations and tissue defects of various localization.

Primary health care in this area, as follows from the document of the Ministry of Health, is provided on an outpatient basis and includes measures for the prevention, diagnosis, treatment of burns of the I-II degree with a lesion area of ​ ​ up to 10% of the body surface (in children - up to 5%), which do not require surgical treatment, as well as medical rehabilitation of patients with post-burn scar deformations and tissue defects of various localization.

The Ministry of Health of the Russian Federation approved the procedure for providing assistance in the field of burn medicine

Grade I-II burns with a larger body surface area (from 10%, in children from 5%) either with a smaller lesion area, but with special localization (head, face, hand, foot, perineum, genitals, neck and large joint areas, with complications or concomitant pathology, grade III burns resulting from electrotrauma and in combination with inhalation injury, post-burn scar deformities should be treated in burn wards and centers.

Thermal and chemical burns of I-III degrees with a body lesion area of ​ ​ 30% or more, post-burn scar deformations and tissue defects of various localizations requiring staged reconstructive plastic operations are medical indications for obtaining high-tech medical care.

Medical indications for the provision of medical care for burns in the departments of anesthesiology - resuscitation of the burn center are:

• grade II-III burns of more than 20% of the body surface or grade III burns of more than 10% of the body surface in adults;
• degree II-III burns of more than 10% of the body surface in children with developing burn shock, inhalation injury, with developing respiratory failure, burns obtained due to electrotrauma with developing cardiovascular failure, as well as other life-threatening conditions.^[1]

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