An overview of war-related thermal injuries

Rosiane Alfinito Roeder, Carl I Schulman

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Thermal injuries have always been a source of morbidity and mortality in times of war. Historically, they constitute 5% to 20% of all injuries and approximately 4% mortality. Although burn patients constitute a small number of casualties, they consume a disproportionate amount of resources and require specialized care. The current conflicts in the Middle East report similar numbers for thermal injuries despite improvement in predeployment education to reduce noncombat-related burns, flame retardant military clothing, and decline of war patterns usually associated with increased thermal injuries. However, the increased use of improvised explosive devices and vehicle-borne improvised explosive devices presents a new source of potential thermal injury. Indeed, the burden of explosion-related burns has increased as has its associated Injury Severity Score. As has been the case in previous conflicts, most burns are hand and head burns. Although usually not life threatening, burns to hands and face lead to significant physical and psychologic morbidities. In this paper, we will review the currently available literature on war-related thermal injuries in Operation Iraqi and Operation Enduring Freedom. We will describe the epidemiology of burn injuries, prewar preparation to prevent and treat thermal injuries, and the assessment, triage, and final treatment of burn patients. In addition, we will discuss the associated physical and psychologic morbidities and, finally, the role of plastic surgeon in burn rehabilitation and reconstruction.

Original languageEnglish
Pages (from-to)971-975
Number of pages5
JournalJournal of Craniofacial Surgery
Volume21
Issue number4
DOIs
StatePublished - Jul 1 2010

Fingerprint

Hot Temperature
Burns
Wounds and Injuries
Morbidity
Afghan Campaign 2001-
Hand
Flame Retardants
Equipment and Supplies
Injury Severity Score
Clothing
Middle East
Mortality
Explosions
Triage
War-Related Injuries
Epidemiology
Rehabilitation
Head
Education
Warfare

Keywords

  • Burns
  • head and neck burn reconstruction
  • military
  • review
  • thermal injury
  • war-related

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

An overview of war-related thermal injuries. / Roeder, Rosiane Alfinito; Schulman, Carl I.

In: Journal of Craniofacial Surgery, Vol. 21, No. 4, 01.07.2010, p. 971-975.

Research output: Contribution to journalArticle

Roeder, Rosiane Alfinito ; Schulman, Carl I. / An overview of war-related thermal injuries. In: Journal of Craniofacial Surgery. 2010 ; Vol. 21, No. 4. pp. 971-975.
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